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TerminatedNCT06108739Updated Jun 3, 2025

ATG Plus Low-dose PT-Cy for GVHD Prevention

A Phase 3 interventional study of Cyclophosphamid and ATG in Hematologic Malignancy, sponsored by Peking University People's Hospital. Terminated at 1 site in China. Open to participants aged 12 Years to 55 Years. Per ClinicalTrials.gov, last updated 2025-06-03.

Sponsored by Peking University People's Hospital · Phase 3, Interventional, and Treatment

Why this study was terminated
DSMB recommended halting the study owing to futility after the first interim analysis in August 2024.
Phase
Phase 3
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
12 Years to 55 Years
Sex
All
01

Study summary

During the past decades, the wider application of easily available haploidentical donor hematopoietic cell transplant (haplo-HCT) has been made possible through the T cell-replete (TCR) regimens including T cell regulation with anti-thymocyte globulin (ATG)/granulocyte colony-stimulating factor (GCSF) and post-transplant cyclophosphamide (PTCy). To achieve decreased non-relapse mortality (NRM) and improved long-term outcomes in haploidentical transplant, the joint use of ATG and PTCy might effectively reduce graft versus host disease (GVHD) and mortality associated with severe forms of GVHD. Recently, investigators established a regimen using low-dose PTCy in conjunction with standard-dose ATG in order to lower the risk of GVHD without compromising engraftment and disease relapse.

02

Conditions studied

  • Hematologic Malignancy
03

In context

Hematologic Neoplasms

1,464 studies on the registry are indexed under Hematologic Neoplasms; 433 are open to participants now.

This study's enrollment of 66 is above the median of 45 across 1,068 interventional studies indexed under Hematologic Neoplasms.

Browse Hematologic Neoplasms studies →

Lead sponsor

Peking University People's Hospital is the lead sponsor of 584 studies on the registry; 233 are open to participants now.

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

04

Who can participate

Ages eligible
12 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients with acute leukemia and/or myelodysplastic syndrome undergoing their first allogeneic hematopoietic stem cell transplantation;
  2. Male or female , aged 12-55 years;
  3. Haploidentical donor transplantation;
  4. ECOG score ≤3; The basic organ function tests met the following standards;
  1. Cardiac ejection index >55% 2) Creatinine ≤1.5 times the highest normal value (ULN)

Exclusion criteria

Exclusion Criteria:

  1. Severe brain, heart, kidney or liver dysfunction;
  2. Refractory malignant state;
  3. Patients with other malignant tumors requiring treatment;
  4. Clinically uncontrolled severe active infection;
  5. The expected survival time was less than 3 months.
  6. A history of severe anaphylaxis.
  7. Pregnant or lactating women;
  8. Any condition considered by the investigators to be unsuitable for enrollment.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
66 participants (actual)

Study arms

  • Experimental
    ATG-PTCy cohort

    The conditioning regimen is ATG/G-CSF based protocol (the so-called Beijing protocol). The rabbit ATG (Sangstat-Genzyme) 2.5mg/kg/day i.v., on days from - 5 to - 2 were administered.Two doses of 14.5 mg/kg Cy were given on days 3 and 4 post-HCT in ATG-PTCy cohort.

    Drug: Cyclophosphamid · Drug: ATG

  • Active comparator
    ATG cohort

    The conditioning regimen is ATG/G-CSF based protocol (the so-called Beijing protocol). The rabbit ATG (Sangstat-Genzyme) 2.5mg/kg/day i.v., on days from - 5 to - 2 were administered.

    Drug: ATG

Interventions

  • DrugCyclophosphamid

    A total of 10mg/kg ATG was administered, and two doses of 14.5 mg/kg Cy were given on days 3 and 4 post-HCT in ATG-PTCy cohort.

  • DrugATG

    A total of 10mg/kg ATG was administered.

06

What researchers measure

Primary outcomes

  1. The incidence of acute graft versus host disease.

    The incidence of acute graft versus host disease. The severity of acute GVHD was evaluated according to standard international criteria.

    Time frame: 100 days post HSCT.

Secondary outcomes

  1. Engraftment

    Myeloid engraftment was defined as the first of three consecutive days with an ANC X0.5≥10\^9/L.

    Time frame: 30 days post HSCT.

  2. The incidence of chronic GvHD

    The incidence of chronic GvHD.

    Time frame: 1 year post HSCT.

  3. The incidence of non-relapse mortality

    The incidence of non-relapse mortality

    Time frame: 1 year post HSCT.

  4. The incidence of infection

    The incidence of infection

    Time frame: 1 year post HSCT.

  5. The incidence of relapse

    The incidence of relapse

    Time frame: 1 year post HSCT.

  6. Overall survival

    Overall survival

    Time frame: 1 year post HSCT.

  7. Disease free survival

    Disease free survival

    Time frame: 1 year post HSCT.

  8. GvHD relapse free survival

    GvHD relapse free survival

    Time frame: 1 year post HSCT.

  9. Immune reconstitution

    Immune reconstitution was evaluated at 1, 2, 3, 6, 9 and 12 months by analysis of peripheral blood MNCs detecting CD3, CD4, CD19 and immunoglobulin (Ig) A, G and M levels.

    Time frame: 1 year post HSCT.

07

Study locations

1 site
  • Peking University People's Hospital
    Beijing, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06108739
Lead sponsor
Peking University People's Hospital
Responsible party
Xiao-Jun Huang (Professor, Peking University People's Hospital) — Principal investigator
First posted
Oct 31, 2023
Start date
Nov 1, 2023
Primary completion
Dec 31, 2024
Completion
Dec 31, 2024
Last update
Jun 3, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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