Overview

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

Status:
Recruiting
Trial end date:
2027-12-31
Target enrollment:
0
Participant gender:
All
Summary
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.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Fred Hutchinson Cancer Center
Collaborator:
Sanofi
Treatments:
Belumosudil
Criteria
Inclusion 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

Exclusion Criteria:

- 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