RECRUITING

Belumosudil for the Pre-emptive Treatment of Patients With Chronic Graft Versus Host Disease

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This phase II trial compares the effect of belumosudil to a placebo in treating patients with chronic graft versus host disease. Chronic graft versus host disease remains a major complication of stem cell transplantation and can involve multiple organ systems. Belumosudil is a ROCK2 selective inhibitor that works to reduce the immune system response causing the chronic graft versus host disease. Giving belumosudil may better treat patients with chronic graft versus host disease and prevent the need for starting additional immune suppressive medications.

Official Title

Randomized Phase II Study of Belumosudil vs. Placebo for Preemptive Treatment of Chronic Graft Versus Host Disease

Quick Facts

Study Start:2023-12-06

Study Completion:2027-12-31

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:RECRUITING

Study ID

NCT05996627

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:ADULT, OLDER_ADULT

Inclusion Criteria	Exclusion Criteria
* At least one diagnostic or distinctive cGVHD manifestation(s), with a clinical diagnosis of cGVHD,but patients do not need to meet National Institute of Health (NIH) criteria for cGVHD * If eye involvement only, cGVHD must be confirmed on exam by an ophthalmologist or optometrist * No new immune suppressive therapy added within preceding 2 weeks prior to study enrollment for any indication * Continuation of agents previously given as either GVHD prophylaxis or acute/late acute GVHD therapy are permitted. Modification of dose of these agents for targeting of therapeutic drug levels is permitted, as are decreases in existing prednisone dose based on routine clinical tapering practices. Increases in prednisone are not allowed in the 2 weeks prior to enrollment * Age 18 and older * Karnofsky performance score \>= 70 * Able to take oral medications * Signed informed consent * Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) =\< 3 x upper limit of normal (ULN) * Total bilirubin =\< 1.5 x ULN * Glomerular filtration rate (GFR) \>= 30 mL/min/1.73 m\^2 * Female subjects of childbearing potential have a negative serum or urine pregnancy test at screening. Females of childbearing potential are defined as sexually mature females without prior hysterectomy or who have had any evidence of menses in the past 12 months. However, females who have been amenorrheic for 12 or more months are still considered to be of childbearing potential if the amenorrhea is possibly due to prior chemotherapy, anti-estrogens, or ovarian suppression * Sexually active females of childbearing potential enrolled in the study must agree to use two forms of accepted methods of contraception during the course of the study and for 3 months after their last dose of study drug. Effective birth control includes: * Intrauterine device (IUD) plus one barrier method * Stable doses of hormonal contraception for at least 3 months (eg, oral, injectable, implant, transdermal) plus one barrier method * 2 barrier methods. Effective barrier methods are male or female condoms, diaphragms, and spermicides (creams or gel that contain a chemical to kill sperm); or * A vasectomized partner * For male subjects who are sexually active and who are partners of females of childbearing potential: Agreement to use two forms of contraception as per above and to not donate sperm during the treatment period and for at least 3 months after the last dose of study drug * No evidence of active malignancy	* Any systemic immune suppressive treatment for cGVHD (topical or local therapies are allowed) * Plan to start systemic immune suppressive therapy for cGVHD or increase steroid dose within 14 days after planned start of study medication * 0.25 mg/kg/day or higher prednisone dose at time of screening * History of non-compliance that in the investigator's opinion would interfere with study participation * Uncontrolled psychiatric illness * Female subject who is pregnant or breast feeding * Previous therapy with belumosudil * Known allergy/sensitivity to belumosudil or any other ROCK2 inhibitor * Treatment with another investigational agent within 28 days (or 5 half-lives, whichever is greater) of enrollment

Inclusion Criteria

Exclusion Criteria

* At least one diagnostic or distinctive cGVHD manifestation(s), with a clinical diagnosis of cGVHD,but patients do not need to meet National Institute of Health (NIH) criteria for cGVHD
* If eye involvement only, cGVHD must be confirmed on exam by an ophthalmologist or optometrist
* No new immune suppressive therapy added within preceding 2 weeks prior to study enrollment for any indication
* Continuation of agents previously given as either GVHD prophylaxis or acute/late acute GVHD therapy are permitted. Modification of dose of these agents for targeting of therapeutic drug levels is permitted, as are decreases in existing prednisone dose based on routine clinical tapering practices. Increases in prednisone are not allowed in the 2 weeks prior to enrollment
* Age 18 and older
* Karnofsky performance score \>= 70
* Able to take oral medications
* Signed informed consent
* Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) =\< 3 x upper limit of normal (ULN)
* Total bilirubin =\< 1.5 x ULN
* Glomerular filtration rate (GFR) \>= 30 mL/min/1.73 m\^2
* Female subjects of childbearing potential have a negative serum or urine pregnancy test at screening. Females of childbearing potential are defined as sexually mature females without prior hysterectomy or who have had any evidence of menses in the past 12 months. However, females who have been amenorrheic for 12 or more months are still considered to be of childbearing potential if the amenorrhea is possibly due to prior chemotherapy, anti-estrogens, or ovarian suppression
* Sexually active females of childbearing potential enrolled in the study must agree to use two forms of accepted methods of contraception during the course of the study and for 3 months after their last dose of study drug. Effective birth control includes:
* Intrauterine device (IUD) plus one barrier method
* Stable doses of hormonal contraception for at least 3 months (eg, oral, injectable, implant, transdermal) plus one barrier method
* 2 barrier methods. Effective barrier methods are male or female condoms, diaphragms, and spermicides (creams or gel that contain a chemical to kill sperm); or
* A vasectomized partner
* For male subjects who are sexually active and who are partners of females of childbearing potential: Agreement to use two forms of contraception as per above and to not donate sperm during the treatment period and for at least 3 months after the last dose of study drug
* No evidence of active malignancy

* Any systemic immune suppressive treatment for cGVHD (topical or local therapies are allowed)
* Plan to start systemic immune suppressive therapy for cGVHD or increase steroid dose within 14 days after planned start of study medication
* 0.25 mg/kg/day or higher prednisone dose at time of screening
* History of non-compliance that in the investigator's opinion would interfere with study participation
* Uncontrolled psychiatric illness
* Female subject who is pregnant or breast feeding
* Previous therapy with belumosudil
* Known allergy/sensitivity to belumosudil or any other ROCK2 inhibitor
* Treatment with another investigational agent within 28 days (or 5 half-lives, whichever is greater) of enrollment

Contacts and Locations

Study Contact

Chloe Te

CONTACT

206-667-4196

cte@fredhutch.org

Principal Investigator

Stephanie Lee, MD, MPH

PRINCIPAL_INVESTIGATOR

Fred Hutch/University of Washington Cancer Consortium

Study Locations (Sites)

Moffitt Cancer Center

Tampa, Florida, 33612

United States

Mass General Cancer Center

Boston, Massachusetts, 02114

United States

Dana Farber Cancer Institute

Boston, Massachusetts, 02215

United States

Memorial Sloan Kettering Cancer Center

New York, New York, 10065

United States

Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, 98109

United States

Collaborators and Investigators

Sponsor: Fred Hutchinson Cancer Center

Stephanie Lee, MD, MPH, PRINCIPAL_INVESTIGATOR, Fred Hutch/University of Washington Cancer Consortium

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-12-06

Study Completion Date2027-12-31

Study Record Updates

Study Start Date2023-12-06

Study Completion Date2027-12-31

Terms related to this study

Additional Relevant MeSH Terms

Chronic Graft Versus Host Disease