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TerminatedNCT02436460Updated Mar 30, 2017

A Study of AbGn-168H in Patients With Steroid Refractory Acute Graft-vs-Host Disease After Donor Stem Cell Transplant

A Phase 1 interventional study of AbGn-168H in Acute Graft Versus Host Disease, sponsored by AbGenomics B.V Taiwan Branch. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-03-30.

Sponsored by AbGenomics B.V Taiwan Branch · Phase 1, Interventional, and Treatment

Why this study was terminated
Re-initiate a new trial per the discussion with FDA
Phase
Phase 1
Study type
Interventional
Enrollment
4
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This study is to establish the safety, determine if there is an improvement in steroid refractory acute graft-vs-host disease (aGvHD) compared to historical cohorts, and determine the changes of aGvHD-associated T-cell clones in patients with steroid-refractory aGVHD following allogeneic hematopoietic cell transplantation administered AbGn-168H once weekly for 4 weeks.

Read the detailed description

AbGn-168H is a humanized monoclonal antibody. This is a dose escalation study using a modified toxicity probability interval method. AbGn-168H will be administered intravenously (IV) once weekly for four weeks, in patients with steroid refractory aGVHD following hematopoietic cell transplant (HCT). After completion of study treatment, patients are followed up for 90 days.The primary objective of this study is to establish the safety, and the secondary objectives of this study are to determine if there is an improvement in disease response at 3 months after diagnosis of steroid refractory aGVHD compared to historical cohorts and to determine the changes in frequency and/or phenotype of aGVHD-associated T cell clones in response to AbGn-168H therapy.

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Conditions studied

  • Acute Graft Versus Host Disease

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In context

Graft vs Host Disease

806 studies on the registry are indexed under Graft vs Host Disease; 138 are open to participants now.

This study's enrollment of 4 is below the median of 35 across 637 interventional studies indexed under Graft vs Host Disease.

Browse Graft vs Host Disease studies →

Lead sponsor

AbGenomics B.V Taiwan Branch is the lead sponsor of 7 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Diagnosis of skin, gut and/or liver steroid-refractory GVHD by clinical assessment of treating physician following allogeneic HCT. Patients who fail to respond to steroids by 7 days are considered steroid-refractory
  2. Previously-treated with any conditioning regimen and any GVHD immune suppression prophylaxis and formulation of steroids, except as noted in Exclusion Criteria #2.
  3. AbGn-168H (neihulizumab) therapy can begin not more than 14 days after diagnosis of aGvHD
  4. Karnofsky Performance Status (KPS) > 50%
  5. No evidence of HCT graft failure or multi-organ failure
  6. Ability to understand and the willingness to sign a written informed consent document

Exclusion criteria

Exclusion Criteria:

  1. Uncontrolled infections not responsive to antimicrobial therapy requiring intensive critical care
  2. Progressive malignant disease, including post-transplant lymphoproliferative disease unresponsive to therapy
  3. Treatment with investigational GVHD prophylactic agents (eg, CCR5 inhibitors; lenalidomide; and/or bortezomib) within the 7 days prior to the 1st dose of neihulizumab
  4. Treatment with other investigational agents within the prior 7 days prior to the 1st dose of AbGn-168H (neihulizumab)
  5. CMV PCR > 500 copies/mL or evidence of end-organ damage due to CMV
  6. Pregnant or nursing
  7. HIV positivity (NOTE: patients positive for hepatitis B or hepatitis C are not excluded, and may be evaluated on a case-by-case basis)
  8. Renal clearance CCR \< 40 mL/min
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
4 participants (actual)

Study arms

  • Experimental
    AbGn-168H

    AbGn-168H will be administered once weekly for four weeks via intravenous infusion.

    Biological: AbGn-168H

Interventions

  • BiologicalAbGn-168H

    Humanized monoclonal antibody

    Also known as: Neihulizumab

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What researchers measure

Primary outcomes

  1. Adverse events

    Grade 3 to 5 adverse events considered at least possibly-related to neihulizumab

    Time frame: On or before study day 52

  2. Cytokine release syndrome or acute infusion reactions

    Grade 3 to 5 cytokine release syndrome or acute infusion reactions

    Time frame: Within 24 hours after study drug infusion

  3. Neutropenia

    Grade 4 neutropenia lasting more than 14 days considered at least possibly related to study drug

    Time frame: Duration of study

  4. All-cause mortality

    Grade 5 all-cause mortality

    Time frame: Within 7 days of infusion

Secondary outcomes

  1. Changes in frequency and/or phenotype of aGVHD-associated T-cell clones

    Changes in T cell clonal dynamics will be accomplished by statistical methodology.

    Time frame: At time of diagnosis up to 90 days

  2. GVHD treatment response as measured by the Modified Keystone aGVHD clinical grade scale

    Treatment response will be estimated by the Kaplan Meier product limit method, with standard confidence limits

    Time frame: At 90 days after the diagnosis of aGVHD

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Study locations

1 site
  • Stanford University, School of Medicine
    Stanford, California 94305, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 30, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02436460
Lead sponsor
AbGenomics B.V Taiwan Branch
Responsible party
Sponsor
First posted
May 6, 2015
Start date
May 2015
Primary completion
Mar 2016
Completion
Mar 2016
Last update
Mar 30, 2017

Study contacts

Shih-Yao (David) Lin, MD, PhD
study director · AbGenomics B.V.
Everett Meyer, MD
principal investigator · Stanford University Hospitals and Clinics

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Mar 2017. You cannot join it, but the record below documents what was studied.

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