A Multicenter, Randomized, Double-blind, Placebo-Controlled Phase II Study to Investigate the Efficacy and Safety of CYP-001 in Combination With Corticosteroids vs Corticosteroids Alone for the Treatment of High-Risk Acute Graft Versus Host Disease
Cynata Therapeutics Limited
Summary
This study is a prospective randomized placebo-controlled phase 2 study to compare CYP-001 plus corticosteroids (CS) to placebo plus CS in allogeneic hematologic stem cell transplant recipients with HR-aGvHD. Severity of GvHD will be assessed at screening and throughout the study using Mount Sinai Acute GvHD International Consortium (MAGIC) guidelines. Eligible subjects will be randomized to receive either CYP-001 IV infusion on Days 0 and 4 or placebo on the same days. All subjects will receive ongoing CS therapy as appropriate per institutional guidelines. Subjects will have study visits up to Day 100 during the Primary Evaluation Period. During the Follow-Up Period, subjects will have study visits up to 24 months.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Undergone allogeneic hematopoietic stem cell transplant (HSCT) * Clinically diagnosed with acute GvHD requiring systemic therapy with corticosteroids. * HR-aGvHD must meet one of the following clinical features within 72 hours prior to randomization: (a) high-risk as per Refined Minnesota Criteria; OR (b) One of the following: (i) isolated stage 2 involvement of the lower GI tract; (ii) Stage 1 lower GI tract disease with skin involvement * Evidence of myeloid engraftment post allogeneic HSCT * Life expectancy of at least one month Exclusion Criteria: * Received any sy…
Interventions
- BiologicalCYP-001: Cymerus induced pluripotent stem cell (iPSC)-derived mesenchymal stem cells (MSCs)
Cymerus MSCs are derived from iPSCs using the proprietary Cymerus platform technology.
- BiologicalPlacebo
The placebo product is identical to CYP-001, except that it contains no active agent
- DrugCorticosteroids
All enrolled subjects in this trial must receive corticosteroids at a minimum dose of oral prednisone 2 mg/kg/day (or methylprednisolone 1.6 mg/kg/day IV) as therapy for aGvHD for at least for 72 hours post enrollment.
Locations (39)
- Banner MD AndersonPhoenix, Arizona
- Mayo Clinic HospitalPhoenix, Arizona
- University of Arkansas Medical CenterLittle Rock, Arkansas
- Mayo Clinic HospitalJacksonville, Florida
- Memorial healthcare SystemPembroke Pines, Florida
- BMT Group of GeorgiaAtlanta, Georgia