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Budesonide for Prevention of Acute Gastrointestinal GVHD Following Allogenic Stem Cell Transplantation

Primary Purpose

Leukemia, Graft-Versus-Host Disease

Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
Budesonide
Sponsored by
Technische Universität Dresden
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Leukemia focused on measuring graft-versus-host disease, budesonide, stem cell transplantation

Eligibility Criteria

12 Years - 65 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: planned allogenic stem cell or bone marrow transplantation HLA identity (max. 1 mismatch) standard GVHD prophylaxis with cyclosporin A or tacrolimus combined with MTX, +/- ATG or Campath1H written informed consent Exclusion Criteria: history of allogenic transplantation in vitro T-cell depleted transplant pretreatment with budesonide within the previous 4 weeks known intolerance to budesonide gastrointestinal infections portal hypertension concomitant infectious diseases liver cirrhosis, impaired liver function severe mental disorder lack of compliance drug or alcohol abuse pregnancy, lactation childbearing potential without effective contraception

Sites / Locations

  • Medical Department I, Technical University Hospital

Outcomes

Primary Outcome Measures

incidence of acute gastrointestinal (GI) GVHD in the active group versus placebo group

Secondary Outcome Measures

safety
grade of acute GI GVHD
incidence of chronic GI GVHD
incidence of infectious complications
overall and disease-free survival 1 yr after transplant

Full Information

First Posted
September 9, 2005
Last Updated
March 29, 2010
Sponsor
Technische Universität Dresden
Collaborators
Dr. Falk Pharma GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT00180089
Brief Title
Budesonide for Prevention of Acute Gastrointestinal GVHD Following Allogenic Stem Cell Transplantation
Official Title
Efficacy and Safety of Orale Budesonide in the Prevention of Acute Gastrointestinal Graft-versus-host Disease Following Allogenic Stem Cell Transplantation
Study Type
Interventional

2. Study Status

Record Verification Date
March 2010
Overall Recruitment Status
Completed
Study Start Date
January 2004 (undefined)
Primary Completion Date
March 2009 (Actual)
Study Completion Date
January 2010 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Technische Universität Dresden
Collaborators
Dr. Falk Pharma GmbH

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine whether orale budesonide is effective in the prevention of acute gastrointestinal graft-versus-host disease (GVHD) following allogenic stem cell transplantation.
Detailed Description
The purpose of this study is to determine whether orale budesonide is effective in the prevention of acute gastrointestinal graft-versus-host disease (GVHD) following allogenic stem cell transplantation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Leukemia, Graft-Versus-Host Disease
Keywords
graft-versus-host disease, budesonide, stem cell transplantation

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
242 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Budesonide
Primary Outcome Measure Information:
Title
incidence of acute gastrointestinal (GI) GVHD in the active group versus placebo group
Secondary Outcome Measure Information:
Title
safety
Title
grade of acute GI GVHD
Title
incidence of chronic GI GVHD
Title
incidence of infectious complications
Title
overall and disease-free survival 1 yr after transplant

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: planned allogenic stem cell or bone marrow transplantation HLA identity (max. 1 mismatch) standard GVHD prophylaxis with cyclosporin A or tacrolimus combined with MTX, +/- ATG or Campath1H written informed consent Exclusion Criteria: history of allogenic transplantation in vitro T-cell depleted transplant pretreatment with budesonide within the previous 4 weeks known intolerance to budesonide gastrointestinal infections portal hypertension concomitant infectious diseases liver cirrhosis, impaired liver function severe mental disorder lack of compliance drug or alcohol abuse pregnancy, lactation childbearing potential without effective contraception
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stephan Miehlke, Prof.
Organizational Affiliation
Medical Department I, Technical University Hospital, Dresden, Germany
Official's Role
Principal Investigator
Facility Information:
Facility Name
Medical Department I, Technical University Hospital
City
Dresden
ZIP/Postal Code
01307
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
25425214
Citation
Schmelz R, Bornhauser M, Schetelig J, Kiani A, Platzbecker U, Schwanebeck U, Grahlert X, Uharek L, Aust D, Baretton G, Schwerdtfeger R, Hampe J, Greinwald R, Mueller R, Ehninger G, Miehlke S. Randomised, double-blind, placebo-controlled trial of oral budesonide for prophylaxis of acute intestinal graft-versus-host disease after allogeneic stem cell transplantation (PROGAST). BMC Gastroenterol. 2014 Nov 26;14:197. doi: 10.1186/s12876-014-0197-7.
Results Reference
derived

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Budesonide for Prevention of Acute Gastrointestinal GVHD Following Allogenic Stem Cell Transplantation

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