ClinicalTrials.gg
RecruitingNCT07124078Updated Oct 9, 2026

A Study to Evaluate Axatilimab Versus Best Available Therapy in Pediatric Participants With Chronic Graft-Versus-Host Disease After at Least 2 Prior Lines of Systemic Therapy (AGAVE-256)

A Phase 2 interventional study of INCA034176 and Best available Treatment (BAT) in Chronic Graft-versus-host-disease, sponsored by Incyte Corporation. Recruiting at 41 sites in 6 countries. Open to participants aged 2 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Incyte Corporation · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Updated Oct 9, 2026Site recruiting status changedGo to Updates ↓

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Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
2 Years to 17 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 10 studies testing axatilimab in Bronchiolitis Obliterans Syndrome — 5 open to participants now, 9 under way, 3 of them phase 3. axatilimab · Bronchiolitis Obliterans Syndrome.

Planned enrollment
4th of 10
60 · median 50
Started
2026
the only one that year
Phase 2
5 of 10
4 open now
Registered
10th of 10
by date
Lead sponsor
5 of 10
Incyte Corporation

Among the 10 studies testing axatilimab in Bronchiolitis Obliterans Syndrome, this one is the 4th largest by planned enrollment, is the only one that started in 2026, is one of 5 in phase 2, and was the 10th registered.

Bronchiolitis Obliterans Syndrome

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

Browse Bronchiolitis Obliterans Syndrome studies →

Open to participants now

5 of the 10 studies testing axatilimab in Bronchiolitis Obliterans Syndrome are open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 5 open studies →

About axatilimab

axatilimab: first FDA approval 2024 (NIKTIMVO). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 100 Bronchiolitis Obliterans Syndrome studies recruiting now, 45 (45%) set no upper age limit and 45 (45%) stop at 75 or younger; 25 take children under 18; 12 take healthy volunteers.

This study: 2 Years to 17 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 10 studies testing axatilimab in Bronchiolitis Obliterans Syndrome, or all of them as a file.
02

Study summary

This study will be conducted to compare Axatilimab Versus Best Available Therapy in Pediatric Participants With Chronic Graft Versus Host Disease After at Least 2 Prior Lines of Systemic Therapy.

03

Conditions studied

  • Chronic Graft-versus-host-disease

Keywords

  • cGVHD
04

Who can participate

Ages eligible
2 Years to 17 Years
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

  • Aged 2 to \< 18 years at the time of randomization.
  • Active, moderate to severe cGVHD, requiring systemic immune suppression.
  • Participants with or recurrent cGVHD who have received at least 2 , including and ruxolitinib.
  • Concomitant use of systemic corticosteroids is allowed. Participants on systemic corticosteroids must be on a stable dose of corticosteroids for at least 2 weeks prior to C1D1. Topical and inhaled corticosteroid agents are allowed.
  • Participants must accept to be treated with one of the following BAT options on C1D1: CNI (cyclosporine or tacrolimus), ECP, MMF, an mTOR inhibitor (everolimus or sirolimus), rituximab, imatinib, methotrexate, ibrutinib, or pentostatin.
  • 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.

Exclusion criteria

Exclusion Criteria:

  • Receipt of more than 1 prior allo-HCT. Prior HCT is allowed, including autologous CAR T-cell therapy given before the allo-SCT.
  • Documented evidence of relapse of the primary hematologic disease or receipt of treatment for relapse after allo-SCT, including DLI for treatment of any relapse, including molecular relapse. Autologous and allogeneic donor-derived CAR T-cell therapy after allo-SCT are not allowed. Note: Participants who received DLI solely for the management of mixed chimerism or as part of the planned transplant procedure and not for treatment of malignancy relapse (including molecular relapse), are eligible.
  • Systemic treatment with CNIs or mTOR inhibitors started within 2 weeks prior to C1D1.
  • Severe renal impairment, that is, \< 30 mL/min/1.73 m2 as estimated using modified Schwartz formula, or end-stage renal disease on dialysis.
  • Impaired liver function, defined as total > 1.5 × or > 3 × ULN or AST > 3 × ULN in participants with no evidence of liver cGVHD.
  • History of acute or chronic pancreatitis.
  • Active, symptomatic myositis.
  • Female adolescent participants who are pregnant or breastfeeding.

Other protocol-defined Inclusion/Exclusion Criteria may apply.

Terms in these criteria, in plain language(9)

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Axatilimab

    Axatilimab at the protocol-defined dose.

    Drug: INCA034176

  • Experimental
    Best available Treatment (BAT)

    Best Available Therapy (BAT) will be selected by the Investigator for each participant. BAT may not include experimental agents (i.e. those not approved for the treatment of any indication) as well as a limited number of other selected drugs in accordance with the protocol-defined requirements.

    Drug: Best available Treatment (BAT)

Interventions

  • Axatilimab at the protocol-defined dose.

    Also known as: Axatilimab

  • DrugBest available Treatment (BAT)

    Best Available Therapy (BAT) will be selected by the Investigator for each participant. BAT may not include experimental agents (i.e. those not approved for the treatment of any indication) as well as a limited number of other selected drugs in accordance with the protocol-defined requirements.

    Also known as: BAT could include:, • Calcineurin inhibitor (cyclosporine or tacrolimus), • Extracorporeal photopheresis (ECP), • Mycophenolate mofetil (MMF), • A mammalian target of rapamycin (mTOR) inhibitor (everolimus or sirolimus), • Rituximab, • Imatinib, • Methotrexate, • Ibrutinib

06

What researchers measure

Primary outcomes

  1. Objective Response (OR) at 6 months

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

    Time frame: 6 months

  2. United States (US): Best overall Response (BOR)

    Defined as a best response of CR or PR in the first 6 months (up to and including Cycle 7 Day 1) in the absence of new systemic therapy for cGVHD.

    Time frame: Up to 6 months

Secondary outcomes

  1. Pharmacokinetics Parameter (PK): Cmax of axatilimab

    Defined as maximum observed plasma concentration of axatilimab.

    Time frame: Up to 5 years

  2. Pharmacokinetics Parameter: Tmax of axatilimab

    Defined as the time to reach the maximum plasma concentration of axatilimab.

    Time frame: Up to 5 years

  3. Pharmacokinetics Parameter: Cmin of axatilimab

    Defined as the minimum observed plasma concentration of axatilimab.

    Time frame: Up to 5 years

  4. Pharmacokinetics Parameter: AUC(0-t) of axatilimab

    Defined as the area under the concentration-time curve up to the last measurable concentration of axatilimab.

    Time frame: Up to 5 years

  5. Pharmacokinetics Parameter: AUC 0-∞ of axatilimab

    Defined as the area under the concentration-time curve from 0 to infinity of axatilimab.

    Time frame: Up to 5 years

  6. Pharmacokinetics Parameter: CL of axatilimab

    Defined as the apparent oral dose clearance of axatilimab.

    Time frame: Up to 5 years

  7. Pharmacokinetics Parameter: Vz of axatilimab

    Defined as the apparent oral dose volume of distribution of axatilimab.

    Time frame: Up to 5 years

  8. Pharmacokinetics Parameter: t1/2 of axatilimab

    Defined as the apparent terminal phase disposition half-life of axatilimab.

    Time frame: Up to 5 years

  9. Best Overall Response (BOR) on study

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

    Time frame: Up to 5 years

  10. BOR in the first 6 months

    Defined as a best response of CR or PR in the first 6 months (up to and including Cyle 7 Day 1) in the absence of new systemic therapy for cGVHD.

    Time frame: Up to 6 months

  11. Overall Response (OR) at 12 months

    Defined as CR or PR at 12 months (Cycle 13 Day 1) in the absence of new systemic therapy for cGVHD.

    Time frame: 12 months

  12. US: OR at 6 months

    Defined as CR or PR at 6 months (Cycle 7 Day 1) in the absence of new systemic therapy for cGVHD.

    Time frame: 6 months

  13. Duration of Response (DOR) (in responders only)

    Defined as the time from the date of first response (PR or CR) to the date of progression of cGVHD, initiation of new systemic treatment for cGVHD, or death from any cause, whichever comes first. An additional measure of response durability will consider DOR as the time from the date of first response to the date of new systemic therapy for cGVHD or death from any cause, whichever occurs first.

    Time frame: Up to 5 years

  14. Organ-specific response

    Organ-specific response as defined in the protocol.

    Time frame: Up to 5 years

  15. Percent reduction in daily corticosteroid dose at 6 months

    Defined as Percent reduction in daily corticosteroid dose at Cycle 7 Day 1, and participants successfully tapered off all corticosteroids at Cycle 7 Day 1.

    Time frame: 6 months

  16. Changes in parameters collected using the pediatric stem cell quality of life (Q0L) questionnaire (PedsQL Stem Cell Transplant Module)

    Time frame: Up to 5 years

  17. 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 5 years and 30 days

07

Study locations

34 of 41 sites recruiting
  • City of Hope Medical Center
    Duarte, California 91010, United States
    Recruiting
  • Children'S Hospital Los Angeles Specialt
    Los Angeles, California 90027, United States
    Not yet recruiting
  • Lucile Packard Child Hospital End
    Palo Alto, California 94304, United States
    Recruiting
  • Childrens National Medical Center
    Washington D.C., District of Columbia 20010, United States
    Recruiting
  • Adventhealth Pediatric Cellular Therapy and Blood and Marrow Transplant
    Orlando, Florida 32804, United States
    Not yet recruiting
  • Childrens Healthcare of Atlanta
    Atlanta, Georgia 30329, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
    Recruiting
  • Levine Cancer Institute
    Charlotte, North Carolina 28203, United States
    Recruiting
  • Duke Cancer Center
    Durham, North Carolina 27710, United States
    Not yet recruiting
  • Childrens Hospital of Pittsburgh
    Pittsburgh, Pennsylvania 15224, United States
    Not yet recruiting
  • Fred Hutchinson Cancer Research Center
    Seattle, Washington 98109, United States
    Recruiting
  • Hôpital Universitaire Des Enfants Reine Fabiola
    Brussels, Belgium
    Recruiting
  • Universite Catholique de Louvain (Ucl) - Cliniques Universitaires Saint-Luc
    Woluwe-Saint-Lambert, 01200, Belgium
    Recruiting
  • Charite Campus Virchow
    Berlin, 13353, Germany
    Recruiting
  • Klinikum Der Johann Wolfgang Goethe-Universitaet
    Frankfurt am Main, 60590, Germany
    Recruiting
  • Universitaetsklinikum Freiburg Kinder- Und Jugendklinik (Kjk)
    Freiburg im Breisgau, 79106, Germany
    Recruiting
  • Universitaetsklinikum Hamburg-Eppendorf
    Hamburg, 20246, Germany
    Recruiting
  • Medizinische Hochschule Hannover (Mhh) - Zentrum Fuer Kinderheilkunde Und Jugendmedizin - Klinik Fue
    Hanover, 30625, Germany
    Recruiting
  • University Hospital Regensburg
    Regensburg, 93053, Germany
    Not yet recruiting
  • Irccs - Aou Di Bologna - Sant'Orsola Malpighi
    Bologna, 40138, Italy
    Recruiting
  • Irccs Istituto G. Gaslini, Universita Di Genova
    Genova, 16147, Italy
    Recruiting
  • Fondazione Irccs San Gerardo Dei Tintori
    Monza, 20900, Italy
    Recruiting
  • Azienda Ospedaliera Universitaria Di Padova
    Padua, 35128, Italy
    Recruiting
  • Fondazione Irccs Policlinico San Matteo Di Pavia Oncoematologia Pediatrica, Universita Di Pavia
    Pavia, 27100, Italy
    Recruiting
  • Irccs Ospedale Pediatrico Bambino Gesu
    Rome, 00165, Italy
    Recruiting
  • Hospital Universitario Vall D'Hebron
    Barcelona, 08035, Spain
    Recruiting
  • Hospital Sant Joan de Deu Barcelona - Children'S Hospital
    Esplugues de Llobregat, 08950, Spain
    Not yet recruiting
  • Hospital Infantil Unversitario Nino Jesus
    Madrid, 28009, Spain
    Not yet recruiting
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
    Recruiting
  • Hospital Regional Universitario de Malaga- Hospital Materno Infantil
    Málaga, 29011, Spain
    Recruiting
  • Hospital Universitario Virgen de La Arrixaca
    Murcia, 30120, Spain
    Recruiting
  • Universitat de Valencia - Hospital Universitari I Politecnic La Fe de Valencia (Hospital La Fe Bulev
    Valencia, 46026, Spain
    Recruiting
  • Birmingham Children'S Hospital - Birmingham Women'S and Children'S Nhs Foundation Trust
    Birmingham, B4 6NH, United Kingdom
    Recruiting
  • Addenbrooke'S Hospital - Cambridge University Hospitals Nhs Foundation Trust
    Cambridge, CB2 0QQ, United Kingdom
    Recruiting
  • The Royal Hospital For Children - Glasgow Health Board
    Glasgow, G51 4TF, United Kingdom
    Recruiting
  • Leeds Childrens Hospital
    Leeds, LS1 3EX, United Kingdom
    Recruiting
  • St Mary'S Hospital, Paddington - Imperial College Healthcare Nhs Trust
    London, W2 1NY, United Kingdom
    Recruiting
  • Great Ormond Street Hospital Nhs Trust
    London, WC1N 3JH, United Kingdom
    Recruiting
  • Royal Manchester Children'S Hospital - Manchester University Nhs Foundation Trust
    Manchester, M139WL, United Kingdom
    Recruiting
  • Royal Victoria Infirmary - the Newcastle Upon Tyne Hospitals Nhs Foundation Trust
    Newcastle, NE1 4LP, United Kingdom
    Recruiting
  • Sheffield Children'S Hospital - Sheffield Children'S Nhs Foundation Trust
    Sheffield, S10 2TH, United Kingdom
    Recruiting
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

1 registry update 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 May 2026 (actual). Primary completion is estimated for Jan 2029, 32 months after the start.

Of 63 phase 2 interventional studies under Bronchiolitis Obliterans Syndrome, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 58. 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 8, 2025
First posted
Aug 15, 2025
StartActual
May 20, 2026
Primary completionEst.
Jan 31, 2029
CompletionEst.
Jul 31, 2029
Last update
Oct 9, 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
Medizinische Hochschule Hannover (Mhh) - Zentrum Fuer Kinderheilkunde Und Jugendmedizin - Klinik Fue is now Recruiting
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    Medizinische Hochschule Hannover (Mhh) - Zentrum Fuer Kinderheilkunde Und Jugendmedizin - Klinik Fue is now Recruiting
    + 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
NCT07124078
Lead sponsor
Incyte Corporation
Responsible party
Sponsor
First posted
Aug 15, 2025
Start date
May 20, 2026
Primary completion
Jan 31, 2029 (estimated)
Completion
Jul 31, 2029 (estimated)
Last update
Oct 9, 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
Incyte Medical Monitor
study director · Incyte Corporation

Oversight

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

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