ClinicalTrials.gg
RecruitingNCT06585774AXemplify-357Updated Oct 30, 2026

A Study to Evaluate Axatilimab and Corticosteroids as Initial Treatment for Chronic Graft-Versus-Host Disease

A Phase 3 interventional study of INCA034176 and Placebo in Chronic Graft-versus-host-disease, sponsored by Incyte Corporation. Recruiting at 131 sites in 13 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Incyte Corporation · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2025; still recruiting 1 year 9 months later.
Updated Oct 30, 20264 sites added1 site removedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

This study will be conducted to compare the efficacy of axatilimab versus placebo in combination with corticosteroids as initial treatment for moderate or severe chronic graft-versus-host disease (cGVHD).

02

Conditions studied

  • Chronic Graft-versus-host-disease

Keywords

  • cGVHD
03

In context

Bronchiolitis Obliterans Syndrome

714 studies on the registry are indexed under Bronchiolitis Obliterans Syndrome; 128 are open to participants now.

This study's planned enrollment of 240 is above the median of 50 across 565 interventional studies indexed under Bronchiolitis Obliterans Syndrome.

Browse Bronchiolitis Obliterans Syndrome studies →

Lead sponsor

Incyte Corporation is the lead sponsor of 288 studies on the registry; 34 are open to participants now.

Of its 149 completed or terminated interventional studies of FDA-regulated products, 95 (64%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • ≥ 12 years of age at the time of .
  • New-onset moderate or severe cGVHD, as defined by the 2014 NIH Consensus Development Project Criteria for Clinical Trials in cGVHD, requiring systemic therapy.
  • History of allo-HCT from any donor HLA type (related or unrelated donor with any degree of HLA matching) using any graft source (bone marrow, peripheral blood stem cells, or cord blood). Recipients of myeloablative, nonmyeloablative, or reduced-intensity conditioning are eligible.
  • Adequate hematologic function with ≥ 0.5 × 109/L independent of growth factors for at least 7 days prior to study entry.
  • Willingness to avoid pregnancy or fathering children.

Exclusion criteria

Exclusion Criteria:

  • Received more than 1 prior allo-HCT. Prior HCT is allowed.
  • Has overlap cGVHD, defined as simultaneous presence of features or characteristics of aGVHD in a patient with cGVHD.
  • Received more than 7 days of systemic treatment for cGVHD or unable to begin a prednisone dose ≥ 1.0 mg/kg per day (or methylprednisolone equivalent) for cGVHD.
  • Received previous systemic treatment for cGVHD, including extracorporeal photopheresis.
  • Systemic treatment with CNIs or mTOR inhibitors started within 2 weeks prior to C1D1.
  • Prior treatment with CSF-1R targeted therapies.
  • Active, uncontrolled bacterial, fungal, parasitic, or viral infection.
  • Evidence of relapse of the primary hematologic disease or treatment for relapse after the allo-HCT was performed, including DLIs for the treatment of molecular relapse.
  • History of acute or chronic pancreatitis.
  • Active symptomatic myositis.
  • History or current diagnosis of cardiac disease indicating significant risk of safety for participation in the study, such as uncontrolled or significant cardiac disease.
  • Severe renal impairment, that is, estimated \< 30 mL/min measured or calculated by Cockcroft-Gault equation in adults and Schwartz formula in pediatric participants, or endstage renal disease on dialysis.
  • Impaired liver function, defined as total > 1.5 × and/or and AST > 3 × ULN in participants with no evidence of liver cGVHD.
  • Pregnant or breastfeeding.

Other protocol-defined Inclusion/Exclusion Criteria may apply.

Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
240 participants (estimated)

Study arms

  • Experimental
    Axatilimab + Corticosteroids

    Axatilimab and Corticosteroids at the protocol-defined dose.

    Drug: INCA034176 · Drug: Corticosteroids

  • Experimental
    Placebo + Corticosteroids

    Matching placebo and Corticosteroids at the protocol-defined dose.

    Drug: Placebo · Drug: Corticosteroids

Interventions

  • IV infusion

    Also known as: Axatilimab

  • DrugPlacebo

    IV infusion

  • DrugCorticosteroids

    Oral/IV Infusion

    Also known as: prednisone, methylprednisolone, prednisolone

06

What researchers measure

Primary outcomes

  1. Event Free Survival (EFS)

    Defined from the date of randomization to the date of any predefined event, whichever occurs first.

    Time frame: Up to 3 years

Secondary outcomes

  1. Objective Response (OR)

    Defined for each treatment group as CR or PR at 6 months Cycle 7 (28-day cycles), Day 1, in the absence of new systemic therapy for cGVHD. Responses defined by the 2014 NIH consensus criteria.

    Time frame: 6 months

  2. Event Free Survival 2

    Defined from the date of randomization to the date of any predefined event, whichever occurs first.

    Time frame: Up to 3 years

  3. Proportion of participants with a ≥ 7-point improvement in mLSS total score

    Time frame: Up to 3 years

  4. Overall Response

    Defined as CR or PR at 12 months in the absence of new systemic therapy for cGVHD.

    Time frame: 12 Months

  5. DOR (in responders only)

    Defined as the time from the date of first response (PR or CR) to the date of progression of cGVHD from nadir in any organ, start of new systemic treatment for cGVHD, or death from any cause, whichever comes first.

    Time frame: Up to 3 years

  6. Best Overall Response (BOR)

    Defined as the best response of CR or PR at any timepoint up to the initiation of new therapy for cGVHD.

    Time frame: Up to 3 years

  7. Overall Survival (OS)

    Defined as the time from the date of randomization to the date of death due to any cause.

    Time frame: Up to 3 years

  8. Nonrelapse mortality (NRM)

    Defined as the time from the date of randomization to the date of death in the absence of primary hematologic disease relapse.

    Time frame: Up to 3 years

  9. Failure-free survival (FFS)

    Defined as the time from the date of randomization to the date of addition or initiation of another systemic therapy for cGVHD, relapse of underlying disease, or death due to any cause.

    Time frame: Up to 3 years

  10. Relapse of hematologic diseases

    Defined as the reappearance of symptoms of underlying disease.

    Time frame: Up to 3 years

  11. Time to primary hematologic disease relapse

    Defined as the time from the date of randomization to the date of relapse.

    Time frame: Up to 3 years

  12. Percent reduction in daily corticosteroid dose

    Time frame: 6 months

  13. Proportion of participants who tapered off all corticosteroids

    Time frame: 6 months

  14. Number of participants with Treatment-emergent Adverse Events (TEAEs)

    Defined as adverse events reported for the first time or worsening of a pre-existing event after the first dose of study treatment.

    Time frame: Up to 3 years and 30 days

  15. Change from baseline in circulating monocyte number and phenotype (CD14/16)

    Time frame: Up to 3 years and 30 days

  16. Change from baseline in soluble markers for bone resorption and formation, including bone-specific alkaline phosphatase (BAP) and C-terminal telopeptide (CTX)

    Time frame: Up to 3 years and 30 days

07

Study locations

131 of 131 sites recruiting

Showing the first 100 of 131 sites across 13 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data will be shared after the primary publication or 2 years after the study has ended for market authorized products and indications.

Access criteria: Data from eligible studies will be shared with qualified researchers according to the criteria and process described in the Data Sharing section of the www.incyteclinicaltrials.com website. For approved requests, the researchers will be granted access to anonymized data under the terms of a data sharing agreement.

Data sharing details ↗ · www.incyte.com

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2025 (actual). Primary completion is estimated for Sep 2027, 32 months after the start.

Of 30 phase 3 interventional studies under Bronchiolitis Obliterans Syndrome, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 62. This study's planned 32 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 30, 2024
First posted
Sep 19, 2024
StartActual
Jan 21, 2025
Primary completionEst.
Sep 28, 2027
CompletionEst.
Mar 31, 2030
Last update
Oct 30, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
4 sites added, 1 site removed
Show 4 added (2 Germany, 1 United Kingdom, 1 Canada)
  • Universitaetsklinikum Des Saarlandes · Homburg, Germany
  • Universitatsklinikum Wurzburg Medizinische Klinik Und Poliklinik Ii · Würzburg, Germany
  • St James University Hospital · Leeds, United Kingdom
  • Princess Margaret Cancer Centre · Toronto, Canada
Show 1 removed
  • Princess Margaret Cancer Center · Toronto, Canada
across 2 updates, Oct 9, 2026 – Oct 30, 2026
Show all 2 updates
  1. Oct 30, 2026
    1 site added, 1 site removed
    Show site
    • Princess Margaret Cancer Centre · Toronto, Canada
    Show 1 removed
    • Princess Margaret Cancer Center · Toronto, Canada
  2. Oct 9, 2026
    3 sites added
    Show 3 added (2 Germany, 1 United Kingdom)
    • Universitaetsklinikum Des Saarlandes · Homburg, Germany
    • Universitatsklinikum Wurzburg Medizinische Klinik Und Poliklinik Ii · Würzburg, Germany
    • St James University Hospital · Leeds, United Kingdom
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06585774
Lead sponsor
Incyte Corporation
Responsible party
Sponsor
First posted
Sep 19, 2024
Start date
Jan 21, 2025
Primary completion
Sep 28, 2027 (estimated)
Completion
Mar 31, 2030 (estimated)
Last update
Oct 30, 2026

Study contacts

Incyte Corporation Call Center (US)
Contact
medinfo@incyte.com
1.855.463.3463
Incyte Corporation Call Center (ex-US)
Contact
eumedinfo@incyte.com
+800 00027423
Albert Assad, MD
study director · Incyte Corporation

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Axatilimab

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