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Prevention (ibrutinib) for Graft-versus-Host Disease

Phase 2
Waitlist Available
Led By Mohamed A. Kharfan Dabaja, M.D., M.B.A.
Research Sponsored by Mayo Clinic
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
HLA matched-related, matched unrelated donors (defined as 8/8 [class I: HLA A, B, C, and class II: DRB1]), or HLA-mismatched-unrelated donors (defined as 7/8 [with single mismatch at class I: HLA A, B, C, or class II: DRB1])
Absolute neutrophil count (ANC) must be ≥ 1000/mm^3 (without growth factor support) (obtained ≤ 7 days prior to registration)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up at 1 year post registration
Awards & highlights

Study Summary

This trial evaluates how effective ibrutinib is in preventing chronic graft-versus-host disease (GVHD) in patients receiving donor hematopoietic cell transplantation. In this treatment, patients receive

Who is the study for?
This trial is for patients who've had a donor stem cell transplant to treat conditions like cancer. It's designed to see if taking Ibrutinib after the transplant can prevent chronic graft-versus-host disease, which happens when donor cells attack the patient's body.Check my eligibility
What is being tested?
The study is testing Ibrutinib, a kinase inhibitor that blocks proteins involved in immune responses that could lead to chronic GVHD. The goal is to determine if it can help prevent this condition post-transplant.See study design
What are the potential side effects?
Ibrutinib may cause side effects such as diarrhea, bleeding problems, high blood pressure, infections due to low white blood cell counts, irregular heartbeat, and muscle and bone pain.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My donor is a perfect or near-perfect match for my bone marrow transplant.
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My white blood cell count is healthy without medication.
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I am 18 years old or older.
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I am mostly able to care for myself.
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My kidney function, measured by creatinine clearance, is good.
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I agree to use effective birth control and a barrier method during and for 3 months after treatment.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~at 1 year post registration
This trial's timeline: 3 weeks for screening, Varies for treatment, and at 1 year post registration for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Cumulative incidence of NIH moderate/severe chronic graft-versus-host disease (GVHD)
Secondary outcome measures
Cumulative incidence of chronic GVHD of all grades
Cumulative incidence of complete immune suppression (IS) discontinuation
Cumulative incidence of late acute GVHD
+7 more

Trial Design

1Treatment groups
Experimental Treatment
Group I: Prevention (ibrutinib)Experimental Treatment3 Interventions
Patients receive ibrutinib PO QD on days 1-30 of each cycle. Cycles repeat every 30 days for up to 12 cycles on study. Additionally, patients undergo and echocardiography prior to registration and blood sample collection throughout study.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Ibrutinib
2014
Completed Phase 4
~1890
Biospecimen Collection
2004
Completed Phase 2
~1700
Echocardiography
2013
Completed Phase 4
~11670

Find a Location

Who is running the clinical trial?

Mayo ClinicLead Sponsor
3,220 Previous Clinical Trials
3,767,911 Total Patients Enrolled
Mohamed A. Kharfan Dabaja, M.D., M.B.A.Principal InvestigatorMayo Clinic

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any vacancies available for patients to participate in this trial?

"As per the data provided on clinicaltrials.gov, recruitment for this particular research endeavor has concluded. The listing was initially made public on March 1st, 2024 and last amended on February 14th of the same year. Although recruitment is closed for this trial, there are currently an additional 167 trials actively seeking participants at present."

Answered by AI

Has the FDA given its approval for Ibrutinib to be used in preventing a specific condition?

"Power's team rates the safety of Prevention (ibrutinib) as a 2 on the scale, indicating that in this Phase 2 trial there is some evidence supporting its safety but no data yet confirming its effectiveness."

Answered by AI
~27 spots leftby May 2027