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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05263999
Registration number
NCT05263999
Ethics application status
Date submitted
1/10/2021
Date registered
3/03/2022
Date last updated
21/08/2024
Titles & IDs
Public title
A Study of Itolizumab in Combination With Corticosteroids for the First-Line Treatment of Acute Graft Versus Host Disease (EQUATOR)
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Scientific title
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Multicenter Study of Itolizumab in Combination With Corticosteroids for the Initial Treatment of Acute Graft Versus Host Disease
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Secondary ID [1]
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EQ-100-02
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Graft Versus Host Disease
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GVHD
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Acute-graft-versus-host Disease
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Acute GVHD
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aGVHD
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Condition category
Condition code
Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Itolizumab
Treatment: Drugs - EQ001 Placebo
Experimental: Itolizumab (EQ001) - Itolizumab (EQ001) administered in a blinded fashion by intravenous infusion every 2 weeks for a total of 7 doses.
Placebo comparator: EQ001 Placebo - EQ001 Placebo administered in a blinded fashion by intravenous infusion every 2 weeks for a total of 7 doses
Treatment: Other: Itolizumab
Itolizumab \[Bmab600\]
Treatment: Drugs: EQ001 Placebo
EQ001 Placebo
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The efficacy of itolizumab versus placebo as initial therapy for aGVHD in combination with corticosteroids in achieving early disease response.
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Assessment method [1]
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Complete response at Day 29
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Timepoint [1]
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Day 29
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Secondary outcome [1]
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Evaluate the durability of response to itolizumab versus placebo as initial therapy for aGVHD in combination with corticosteroids.
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Assessment method [1]
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Durable Complete Response rate from Day 29 through Day 99
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Timepoint [1]
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Day 99
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Secondary outcome [2]
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Assess the impact of itolizumab versus placebo on other clinically relevant efficacy measures,
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Assessment method [2]
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Overall Response Rates at Day 29
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Timepoint [2]
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Day 29
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Eligibility
Key inclusion criteria
1. Is willing and able to provide written informed consent/assent and to comply with all protocol procedures and assessments required for the study.
2. Is age =12 years and >40kg at informed consent/assent.
3. Has had an initial allogeneic HSCT for any indication using any graft source, donor source, conditioning regimen intensity or prophylaxis.
4. Has evidence of myeloid engraftment
5. Has a clinical diagnosis of aGVHD Grades III-IV or Grade II with LGI involvement based on Mount Sinai Acute GVHD International Consortium (MAGIC) grading criteria.
6. Began systemic corticosteroid treatment for aGVHD =72 hours prior to the start of study drug dosing AND must receive 2 mg/kg/day methylprednisolone or equivalent on Day 1.
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Minimum age
12
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Evidence of morphological relapsed, progressive, persistent, or untreated malignancy, with the exception of nonmelanoma skin cancer and in situ ductal carcinoma of the breast.
2. An unplanned donor lymphocyte infusion for persistent or recurrent malignancy after HSCT.
3. Evidence of persistent molecular disease requiring treatment that was not specified prior to HSCT.
4. Evidence of cGVHD or overlap syndrome
5. Use of immunosuppressants other than corticosteroids for the treatment of aGVHD.
6. Use of any systemic corticosteroids of >0.5 mg/kg/day methylprednisolone or equivalent for any indication other than aGVHD within 7 days before the onset of aGVHD.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
29/04/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2025
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Royal Adelaide Hospital - Adelaide
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Royal Melbourne Hospital - East Melbourne
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Recruitment hospital [3]
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Austin Health - Heidelberg
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Westmead Hospital - Westmead
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5000 - Adelaide
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Recruitment postcode(s) [2]
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3002 - East Melbourne
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Recruitment postcode(s) [3]
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3084 - Heidelberg
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Recruitment postcode(s) [4]
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2145 - Westmead
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Recruitment outside Australia
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Alabama
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Sevilla
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Valencia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Equillium
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Address
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Biocon Limited
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a multi-center study to compare the efficacy and safety of itolizumab versus placebo as first-line therapy for subjects with Grade III-IV aGVHD or Grade II with LGI involvement, in combination with corticosteroids
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Trial website
https://clinicaltrials.gov/study/NCT05263999
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Maple Fung, MD
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Address
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Equillium, Inc.
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Contact person for public queries
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Clinical Trial Manager
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Phone
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858-240-1200
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05263999
Download to PDF