Safety and Efficacy of Iguratimod in the Treatment of Chronic GVHD

ConditioncGVHD
Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-60
SponsorXuzhou Medical University

About this trial

This is a randomized, single-center phase 3 clinical trial without blinding. Iguratimod, as a rheumatoid arthritis medication, is used to treat autoimmune diseases such as Sjögren's syndrome. It has acceptable side effects, good clinical availability, and is cost-effective. The investigators plan to recruit participants for a clinical trial to evaluate the efficacy and safety of Iguratimod in the treatment of chronic GVHD.

Eligibility criteria

Qualifiers

Patients aged ≥18 years who have undergone allogeneic hematopoietic stem cell transplantation (allo-HSCT), regardless of gender.

Those with persistent manifestations of chronic graft-versus-host disease (cGVHD) and suitable for systemic treatment.

Previously received at least 1 but not more than 5 lines of systemic treatment for cGVHD.

Corticosteroid therapy dose stable for the two weeks before screening; or, if taking prednisone or an equivalent dose of other corticosteroids at a dose >0.5mg/kg/day for four weeks, with ongoing cGVHD manifestations and no improvement; or, if two attempts to taper steroids to a lower dose have failed, and it is necessary to increase the prednisone dose to >0.25mg/kg/day or an equivalent dose.

Disqualifiers

Patients who have received experimental treatment for systemic cGVHD within the 28 days prior to enrollment, which was effective and could completely alleviate immunosuppression.

Blood cancer relapse (according to the corresponding criteria for relapse of the primary blood cancer) or post-transplant lymphoproliferative disease at the time of screening.

Absolute neutrophil count (ANC) <1.5×10^9/L (excluding GVHD as the cause).

Platelet count <50×10^9/L (excluding GVHD as the cause).

Trial design

Treatments tested in this trial

  • Iguratimod

Treatment groups

20 Participants
are divided into 1 treatment group

Sponsors and collaborators