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CompletedNCT02614612Updated Mar 8, 2019

Study of Itacitinib in Combination With Corticosteroids for the Treatment of Acute GVHD

A Phase 1 interventional study of Itacitinib (200 mg) and Itacitinib (300 mg) in Graft-versus-host Disease (GVHD), sponsored by Incyte Corporation. Completed at 23 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-03-08.

Sponsored by Incyte Corporation · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
31
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To determine if Itacitinib in combination with corticosteroids is safe and tolerable in patients with Grade IIB-IVD acute graft-versus-host disease (GVHD).

02

Conditions studied

  • Graft-versus-host Disease (GVHD)

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Keywords

  • Acute Graft Versus Host Disease
03

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 31 is below the median of 35 across 637 interventional studies indexed under Graft vs Host Disease.

Browse Graft vs Host Disease studies →

Lead sponsor

Incyte Corporation is the lead sponsor of 286 studies on the registry; 37 are open to participants now.

Of its 144 completed or terminated interventional studies of FDA-regulated products, 93 (65%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Have undergone first allo-HSCT from any donor source (matched unrelated donor, sibling, haploidentical) using bone marrow, peripheral blood stem cells, or cord blood for hematologic malignancies. Recipients of nonmyeloablative and myeloablative transplants are eligible.
  • Clinically suspected Grades IIB to IVD acute GVHD as per modified MN-CIBMTR criteria, occurring after allo-HSCT with any conditioning regimen and any anti-GVHD prophylactic program.
  • Subjects may, but are not required to, have previously received corticosteroids for acute GVHD:
  • Evidence of myeloid engraftment. Use of growth factor supplementation is allowed.

Exclusion criteria

Exclusion Criteria:

  • Has received more than 1 hematopoietic stem cell transplantation.
  • Has progressed on more than 2 prior treatment regimens for acute GVHD.
  • Presence of an active uncontrolled infection.
  • Subjects with relapsed primary disease, or subjects who have been treated for relapse after the allogeneic hematopoietic stem-cell transplantation (allo-HSCT) was performed.
  • Inadequate recovery from toxicity and/or complications from the prior allo-HSCT.
  • Any corticosteroid therapy (for indications other than GVHD) at doses > 1 mg/kg per day methylprednisolone or equivalent within 7 days of randomization.
  • Previously received JAK inhibitor therapy for any indication.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
31 participants (actual)

Study arms

  • Experimental
    Itacitinib (200 mg)

    Itacitinib (200 mg) + prednisone or methylprednisolone (corticosteroids)

    Drug: Itacitinib (200 mg) · Drug: prednisone or methylprednisolone (corticosteroids)

  • Experimental
    Itacitinib (300 mg)

    Itacitinib (300 mg) + prednisone or methylprednisolone (corticosteroids)

    Drug: Itacitinib (300 mg) · Drug: prednisone or methylprednisolone (corticosteroids)

Interventions

  • DrugItacitinib (200 mg)

    Also known as: INCB039110

  • DrugItacitinib (300 mg)

    Also known as: INCB039110

  • Drugprednisone or methylprednisolone (corticosteroids)

    All subjects will receive prednisone 2.5 mg/kg per day PO (or methylprednisolone 2 mg/kg IV daily) on Days 1 through 5. Subjects will be tapered as tolerated beginning on Day 6 to no less than 0.25 mg/kg per day PO (or methylprednisolone 0.2 mg/kg per day) by Day 28. After Day 28, corticosteroids should be tapered according to institutional guidelines to attain ≤ prednisone 0.2 mg/kg per day (or ≤ methylprednisolone 0.16 mg/kg per day) by Day 56.

06

What researchers measure

Primary outcomes

  1. Assess safety and tolerability of study treatment as measured by the frequency and severity of adverse events and serious adverse events

    Time frame: First dose of study drug to 30 days after the last dose of study drug

Secondary outcomes

  1. Overall Response Rate (ORR)

    Time frame: Days 14, 28, 56 and 100

  2. Maximum Observed Plasma Concentration (Cmax) of the two treatment groups Itacitinib

    Time frame: Day 1 and Day 7

  3. Time to Reach the Maximum Plasma Concentration (Tmax) of the two treatment groups Itacitinib

    Time frame: Day 1 and Day 7

  4. Area Under the Plasma Concentration-time Curve (AUC) of the two treatment groups Itacitinib

    Time frame: Day 1 and Day 7

  5. Minimum observed plasma concentration (Cmin) of the two treatment groups Itacitinib

    Time frame: Day 1 and Day 7

07

Study locations

23 sites
  • Duarte, California, United States
  • La Jolla, California, United States
  • Los Angeles, California, United States
  • Denver, Colorado, United States
  • Coral Gables, Florida, United States
  • Atlanta, Georgia, United States
  • Chicago, Illinois, United States
  • Kansas City, Kansas, United States
  • Westwood, Kansas, United States
  • New Orleans, Louisiana, United States
  • Boston, Massachusetts, United States
  • Detroit, Michigan, United States
  • Saint Louis, Missouri, United States
  • Omaha, Nebraska, United States
  • New York, New York, United States
  • Rochester, New York, United States
  • Cincinnati, Ohio, United States
  • Cleveland, Ohio, United States
  • Portland, Oregon, United States
  • Hershey, Pennsylvania, United States
  • Pittsburgh, Pennsylvania, United States
  • Nashville, Tennessee, United States
  • San Antonio, Texas, United States
08

References and documents

Publications

  • Pratta M, Paczesny S, Socie G, Barkey N, Liu H, Owens S, Arbushites MC, Schroeder MA, Howell MD. A biomarker signature to predict complete response to itacitinib and corticosteroids in acute graft-versus-host disease. Br J Haematol. 2022 Aug;198(4):729-739. doi: 10.1111/bjh.18300. Epub 2022 Jun 11. PubMed 35689489 ↗
  • Schroeder MA, Khoury HJ, Jagasia M, Ali H, Schiller GJ, Staser K, Choi J, Gehrs L, Arbushites MC, Yan Y, Langmuir P, Srinivas N, Pratta M, Perales MA, Chen YB, Meyers G, DiPersio JF. A phase 1 trial of itacitinib, a selective JAK1 inhibitor, in patients with acute graft-versus-host disease. Blood Adv. 2020 Apr 28;4(8):1656-1669. doi: 10.1182/bloodadvances.2019001043. PubMed 32324888 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 8, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02614612
Lead sponsor
Incyte Corporation
Responsible party
Sponsor
First posted
Nov 25, 2015
Start date
Dec 2015
Primary completion
Jun 2016
Completion
Aug 2018
Last update
Mar 8, 2019

Study contacts

Rodica Morariu-Zamfir, MD
study director · Incyte Corporation

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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