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Graft-versus-host-disease (GVHD) is a major obstacle to successful allogeneic hematopoietic cell transplantation (alloHCT). Cannabidiol (CBD), a non-psychotropic ingredient of Cannabis sativa possesses potent anti-inflammatory and immunosuppressive properties. In a recent phase 2 study, CBD has been shown to be safe and reduced significantly the incidence of acute GVHD compared to control patients with a hazard ratio of 0.3. Based on these results the investigators propose a phase 2 study to explore the efficacy of oral CBD in the treatment of severe (grades III/IV) acute GVHD, a pathology with a dismal prognosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cannabidiol | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cannabidiol | Drug | Oral cannabidiol at a dose of 150 mg BID up to 90 days. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients with complete remission of acute GVHD | 90 days |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients with partial remission of acute GVHD | 90 days | |
| Proportion of patients with chronic GVHD | 12 months | |
| Proportion of patients able to discontinue immunosuppression |
| Measure | Description | Time Frame |
|---|---|---|
| Subpopulations of peripheral blood cells and cytokine levels | T4, T8, Foxp3 T regulatory cells, TNFα, INFγ, IL-1β, IL-6, IL-17, IL-4, IL-5, IL-10 and IL-13 | 12 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Moshe Yeshurun, MD | Contact | 972-50-4065543 | moshey@clalit.org.il | |
| Liat Shargian, MD | Contact | 972-54-2394930 | LIATSHR@clalit.org.il |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Davidof Cancer Center, Beilinson hospital, Rabin medical center | Petah Tikva | Israel |
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| ID | Term |
|---|---|
| D002185 | Cannabidiol |
| D008775 | Methylprednisolone |
| D065095 | Calcineurin Inhibitors |
| ID | Term |
|---|---|
| D002186 | Cannabinoids |
| D013729 | Terpenes |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
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| Methylprednisolone |
| Drug |
IV methylprednisolone 2 mg/kg/day |
|
| Calcineurin inhibitor | Drug | cyclosporine with dose adjusted based on drug trough levels (200-400 ng/ml) or tacrolimus with dose adjusted on drug trough levels (5-15 ng/ml) |
|
| 12 months |
| Transplant related mortality | 12 months |
| D011239 |
| Prednisolone |
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D004791 | Enzyme Inhibitors |
| D045504 | Molecular Mechanisms of Pharmacological Action |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |