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| ID | Type | Description | Link |
|---|---|---|---|
| 2016-002584-33 | EudraCT Number |
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Assess the efficacy and safety of ruxolitinib compared to Best Available Therapy (BAT) in patients with corticosteroid-refractory acute graft vs. host disease (aGvHD) after allogeneic stem cell transplantation.
This randomized, phase III, open-label study investigated the efficacy and safety of ruxolitinib vs. BAT added to the patient's immunosuppressive regimen in adults and adolescents (≥ 12 years old) with grade II-IV Steroid-refractory Acute Graft vs. Host Disease (SR-aGvHD). During the screening period, patients were monitored for a diagnosis of SR-aGvHD, which was defined as patients who had high-dose systemic corticosteroids (methylprednisolone 2 mg/kg/day [or equivalent prednisone dose 2.5 mg/kg/day]), given alone or combined with CNI, who either:
Progressed based on organ assessment after at least 3 days compared to organ stage at the time of initiation of high-dose systemic corticosteroid +/- CNI for the treatment of Grade II-IV aGvHD, OR
Failed to achieve at a minimum a partial response based on organ assessment after 7 days compared to organ stage at the time of initiation of high-dose systemic corticosteroid +/- CNI for the treatment of Grade II-IV aGvHD, OR
Failed corticosteroid taper defined as fulfilling either one of the following criteria:
Patients meeting eligibility criteria were randomized 1:1 to receive either ruxolitinib or BAT stratifying on aGvHD grade at the time of randomization (Grade II vs III vs IV).
Study treatment began on Day 1 (no later than 72 hours after randomization) followed by regular visits for assessments of efficacy and safety. Study treatment was administered until the patient met any of the criteria for discontinuation of study treatment or, in responders (i.e. patients achieving PR or CR) until the dosing schedule for ruxolitinib or BAT was completed.
All responders were to be tapered off during the treatment period by, first tapering from corticosteroids, followed by CNI and ruxolitinib. A slow tapering extending beyond 24 weeks was permitted for ruxolitinib at Investigator's discretion rather than an abrupt cessation, as the latter could result in an aGvHD flare.
During the Treatment Period, patients randomized to BAT could have crossed over to ruxolitinib between Day 28 and Week 24 if they:
AND
- Did not have signs/symptoms of chronic Graft vs. Host Disease (cGvHD) (overlap syndrome, progressive, or de novo cGvHD)
Patients who crossed over to ruxolitinib were followed until completion of treatment with ruxolitinib and received the same treatment and tapering schedule as patients randomized to ruxolitinib treatment.
The End of Treatment (EOT) visit occurred when the patient completed the study treatment period or earlier if the patient met any of the criteria for discontinuation of study treatment.
Patient's treatment period was up to 6 months (Week 24). However, ruxolitinib taper could be delayed up to 2 years from randomization due to an aGvHD flare or other safety concerns.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ruxolitinib | Experimental | These patients were administered Ruxolitinib orally twice per day (b.i.d) at a dose of 10 mg bid, as two 5-mg tablets. Ruxolitinib was taken without regards to food. |
|
| Best Available Therapy (BAT) | Active Comparator | These patients were administered BAT per the Investigator's best judgement based on a specific list of BAT. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ruxolitinib (RUX) | Drug | Ruxolitinib was provided as 5 mg tablets for oral use. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall Response Rate (ORR) at Day 28 | Overall response rate at Day 28 after randomization was defined as the percentage participants in each arm demonstrating a complete response (CR) or partial response (PR), based on investigator assessment & according to standard criteria, without requirement for additional systemic therapies for an earlier progression, mixed response or non-response. Scoring of response was relative to the organ stage at the time of randomization. CR was defined as a score of 0 for the aGvHD grading in all evaluable organs that indicates complete resolution of all signs & symptoms of aGvHD in all evaluable organs without administration of additional systemic therapies for any earlier progression, mixed response or non-response of aGvHD. PR was defined as improvement of 1 stage in 1 or more organs involved with aGvHD signs or symptoms without progression in other organs or sites without administration of additional systemic therapies for an earlier progression, mixed response or non-response of aGvHD. | Day 28 |
| Measure | Description | Time Frame |
|---|---|---|
| Durable Overall Response Rate (DORR) (Key Secondary Endpoint) at Day 56 | Percentage of all participants in each arm who achieved a complete response (CR) or partial response (PR) at Day 28 (primary endpoint) AND maintained a CR or PR at Day 56 based on investigator assessment and according to standard criteria. CR was defined as a score of 0 for the aGvHD grading in all evaluable organs that indicates complete resolution of all signs and symptoms of aGvHD in all evaluable organs without administration of additional systemic therapies for any earlier progression, mixed response or non-response of aGvHD. PR was defined as improvement of 1 stage in 1 or more organs involved with aGvHD signs or symptoms without progression in other organs or sites without administration of additional systemic therapies for an earlier progression, mixed response or non-response of aGvHD. |
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Inclusion Criteria:
Have undergone Allogeneic Stem Cell Transplanttaion (alloSCT) from any donor source (matched unrelated donor, sibling, haplo-identical) using bone marrow, peripheral blood stem cells, or cord blood. Recipients of non- myeloablative, myeloablative, and reduced intensity conditioning are eligible
Clinically diagnosed Grades II to IV acute GvHD as per standard criteria occurring after alloSCT requiring systemic immune suppressive therapy. Biopsy of involved organs with aGvHD is encouraged but not required for study screening.
Confirmed diagnosis of steroid refractory aGvHD defined as patients administered high-dose systemic corticosteroids (methylprednisolone 2 mg/kg/day [or equivalent prednisone dose 2.5 mg/kg/day]), given alone or combined with calcineurin inhibitors (CNI) and either:
Requirement for an increase in the corticosteroid dose to methylprednisolone ≥2 mg/kg/day (or equivalent prednisone dose ≥2.5 mg/kg/day) , OR
Failure to taper the methylprednisolone dose to <0.5 mg/kg/day (or equivalent prednisone dose <0.6 mg/kg/day) for a minimum 7 days.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novartis Investigative Site | Westmead | New South Wales | 2145 | Australia | ||
| Novartis Investigative Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42180389 | Derived | Mahmoudjafari Z, Bhatt V, Xue Z, Locatelli F, Socie G, Zeiser R. Clinical considerations for ruxolitinib in the treatment of steroid-refractory acute graft-versus-host disease (GVHD) and steroid-refractory or -dependent chronic GVHD: a plain language summary. Ther Adv Hematol. 2026 May 19;17:20406207261442908. doi: 10.1177/20406207261442908. eCollection 2026. | |
| 41092247 |
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Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent 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.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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The screening period ranged from Day -28 to Day -1. Screening activities and assessment of inclusion and exclusion criteria began once the patient was diagnosed with aGvHD. Any occurrence of SR-aGvHD was monitored closely.
A total of 310 patients with SR-aGvHD were enrolled, out of which 309 patients were included in the analysis (as one patient did not sign the study informed consent prior to receiving BAT (protocol deviation) and was excluded from all analyses).
Completed = Completed the treatment period Not completed = Discontinued from treatment period
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| ID | Title | Description |
|---|---|---|
| FG000 | Ruxolitinib (RUX) | These patients were administered Ruxolitinib orally twice per day (b.i.d) at a dose of 10 mg bid, as two 5-mg tablets. Ruxolitinib was taken without regards to food. |
| FG001 | Best Available Therapy (BAT) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jun 21, 2018 | Oct 23, 2021 |
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| Best Available Therapy (BAT) | Drug | BAT was based on the investigator's best judgment, taking into account the manufacturer's instructions, labeling, patient's medical condition, and institutional guidelines for any dose adjustment. The BAT in this study was identified by the investigator prior to patient randomization among the following treatments currently used in this setting: anti-thymocyte globulin (ATG), extracorporeal photopheresis (ECP), mesenchymal stromal cells (MSC), low-dose methotrexate (MTX), mycophenolate mofetil (MMF), mTOR inhibitors (everolimus or sirolimus), etanercept, or infliximab. No other types or combinations of BAT were permitted. |
|
| Day 56 |
| Overall Response Rate (ORR) at Day 14 | ORR at Da4 14 is the percentage of participants who achieved overall response (CR+PR) at Day 14 based on investigator assessment and according to standard criteria. CR was defined as a score of 0 for the aGvHD grading in all evaluable organs that indicates complete resolution of all signs and symptoms of aGvHD in all evaluable organs without administration of additional systemic therapies for any earlier progression, mixed response or non-response of aGvHD. PR was defined as improvement of 1 stage in 1 or more organs involved with aGvHD signs or symptoms without progression in other organs or sites without administration of additional systemic therapies for an earlier progression, mixed response or non-response of aGvHD. | Day 14 |
| Duration of Response (DOR) | Duration of response was defined for patients who had a CR or PR at Day 28. This was the interval between the date of first documented response of CR or PR (i.e., the start date of response), till the date of progression or addition of systemic therapies for aGvHD on or after Day 28. Death without prior observation of aGvHD progression and onset of chronic GvHD were considered. Duration of response was censored at the last response assessment prior to or at the analysis cut-off date, if no events/competing risk occurred before or at the cut-off date. | Up to 24 months |
| Cumulative Steroid Dosing Until Day 56 | Weekly cumulative steroid dose for each participant up to Day 56 or discontinuation of randomized treatment. Participants should have undergone tapering of steroids if it had been required. Tapering the immunosuppression therapy was performed in 2 steps: Taper of corticosteroids: initiated not earlier than Day 7, and performed as per institutional guidelines. Only patients with assessments done at each time point are reported. This is the reason that the overall number per treatment is higher and the number of participants with responses vary over time. | up to Day 56 |
| Kaplan Meier Estimates of Probability of Overall Survival (OS) by Time Interval | OS was defined as the time from the date of randomization to date of death due to any cause. If a patient was not known to have died, then OS was censored at the latest date the patient was known to be alive (on or before the cut-off date). Results are based on Kaplan Meier (KM) estimates. | 1, 2, 6, 12, 18 & 24 months |
| Kaplan Meier Estimates of Probability of Event-free Survival (EFS) by Time Interval | Event-free survival was defined as the time from the date of randomization to the date of hematologic disease relapse/progression, graft failure, or death due to any cause. If a patient was not known to have any event, then EFS was censored at the latest date the patient was known to be alive (on or before the cut-off date). Results are based on Kaplan Meier (KM) estimates. | 1, 2, 6, 12, 18 & 24 months |
| Cumulative Incidence Rate of Failure-Free Survival (FFS) | FFS was defined as the time from the date of randomization to date of hematologic disease relapse/progression, non-relapse mortality, or addition of new systemic aGvHD treatment. Probability of FFS with 95% CIs are presented for each treatment group, accounting for onset of chronic GvHD as the competing risk. | 1, 2, 6, 12, 18, & 24 Months |
| Cumulative Probability of Non Relapse Mortality (NRM) | NRM was defined as the time from date of randomization to date of death not preceded by hematologic disease relapse/progression. Hematologic disease relapse/progression was considered a competing risk for NRM with the date of hematologic disease relapse/progression being the earlier of documented hematologic disease relapse/progression or institution of therapy to treat potential hematologic disease relapse/progression. If a patient was not known to have died or to have relapsed/progressed, then NRM was censored at the latest date the patient was known to be alive (on or before the cut-off date). Data is provided based on cumulative probability of hematologic disease relapse/progression. | 1, 2, 6, 12, 18 & 24 months |
| Cumulative Probability of Malignancy Relapse/Progression (MR) | MR was defined as the time from date of randomization to hematologic malignancy relapse/progression. Deaths not preceded by hematologic malignancy relapse/progression were considered competing risks. If a patient was not known to have event or competing risks, then MR was censored at the latest date the patient was known to be alive (on or before the cut-off date). Calculated for patients with underlying hematologic malignant disease. | 1, 2, 6, 12 , 18 & 24 months |
| Cumulative Probability of Chronic Graft Versus Host Disease (cGvHD) | Incidence of cGvHD was the time from date of randomization to onset of cGvHD is the diagnosis of any cGvHD including mild, moderate, severe. Deaths without prior onset of cGvHD and hematologic disease relapse/progression were competing risks. If a patient was not known to have event or competing risks, then the incidence of cGvHD was censored at the latest date the patient was known to be alive (on or before the cut-off date). | 1, 2, 6, 12, 18 & 24 months |
| Exposure-efficacy Relationship of Ruxolitinib in Corticosteroid Refractory aGvHD: PK-Overall Response Rate | Exposure-efficacy relationship of ruxolitinib in terms of concentration-effect and dose-effect. ORR was defined as the percentage of participants with a best overall response defined as complete response (CR) or partial response (PR) as assessed by local investigators. CR was defined as a score of 0 for the Acute Graft vs. Host Disease (aGvHD) grading in all evaluable organs that indicates complete resolution of all signs and symptoms of aGvHD in all evaluable organs without administration of additional systemic therapies for any earlier progression, mixed response or non-response of aGvHD. PR was defined as improvement of 1 stage in 1 or more organs involved with aGvHD signs or symptoms without progression in other organs or sites without administration of additional systemic therapies for an earlier progression, mixed response or non-response of aGvHD. | Day 28 |
| Exposure-efficacy Relationship of Ruxolitinib in Corticosteroid Refractory aGvHD: PK- Durable Overall Response Rate (DORR) | Exposure-efficacy relationship of ruxolitinib in terms of concentration-effect and dose-effect. DORR is the percentage of all participants in each arm who achieved a complete response (CR) or partial response (PR) at Day 28 (primary endpoint) AND maintained a CR or PR at Day 56. CR was defined as a score of 0 for the aGvHD grading in all evaluable organs that indicates complete resolution of all signs and symptoms of aGvHD in all evaluable organs without administration of additional systemic therapies for any earlier progression, mixed response or non-response of aGvHD. PR was defined as improvement of 1 stage in 1 or more organs involved with aGvHD signs or symptoms without progression in other organs or sites without administration of additional systemic therapies for an earlier progression, mixed response or non-response of aGvHD. | Day 56 |
| Exposure-efficacy Relationship of Ruxolitinib in Corticosteroid Refractory aGvHD: PK-Overall Survival | Exposure-efficacy relationship of ruxolitinib in terms of concentration-effect and dose-effect. This represents the percentage of Ruxolitinib-exposed participants dead at 24 months. Overall survival (OS) was defined as the time from the date of randomization to date of death due to any cause. If a patient was not known to have died, then OS was censored at the latest date the patient was known to be alive (on or before the cut-off date).the date of death due to any cause. | up to 24 months |
| Best Overall Response Rate (BOR) | Percentage of participants who achieved overall response (OR) (CR+PR) at any time point up to and including Day 28 and before the start of additional systemic therapy for aGvHD. CR was defined as a score of 0 for the Acute Graft vs. Host Disease (aGvHD) grading in all evaluable organs that indicates complete resolution of all signs and symptoms of aGvHD in all evaluable organs without administration of additional systemic therapies for any earlier progression, mixed response or non-response of aGvHD. PR was defined as improvement of 1 stage in 1 or more organs involved with aGvHD signs or symptoms without progression in other organs or sites without administration of additional systemic therapies for an earlier progression, mixed response or non-response of aGvHD. | up to Day 28 |
| Patient Reported Outcomes (PROs): Change From Baseline in Functional Assessment of Cancer Therapy-Bone Marrow Transplantation (FACT-BMT) Total Score | The Functional assessment of Cancer Therapy - Bone Marrow Transplant (FACT-BMT) is a 50-item self-report questionnaire that measures the effect of a therapy on domains including physical, functional, social/family and emotional well-being, together with additional concerns relevant for bone marrow transplantation patients. Patients indicated their response on a scale of 0 to 4 on each statement, with 0 indicating worst score and 4 the best score. All individual scores were combined to calculate the total score. Total score was reported with score range: 0-148 which was calculated as the sum of all unweighted subscale scores. The higher the total score the better the result. Descriptive statistics and change from baseline were calculated in total score at each scheduled assessment time point. | Baseline, Week 24 |
| Patient Reported Outcomes (PROs): Change From Baseline in EuroQol-5D-5L UK Score | The EQ-5D descriptive classification consists of five dimensions of health: mobility, self-care, usual activities, anxiety/depression and pain/discomfort. Patients are requested to select the statement which best describes their condition on that day for each dimension. For overall health that day, the EuroQoL-5D-5L scale is numbered from 0 to 100, with 100 being the best health you can imagine and 0 being the worst health you can imagine. Descriptive statistics (mean, standard deviation, median, Q1, Q3, minimum, and maximum) were calculated based on the scored scales at each scheduled assessment time point. In order to measure Quality-of-Life (QoL) among aGvHD patients, and potential changes over time, change from baseline in EuroQol-5D-5L scores at the time of each assessment were also calculated. Missing items data in a scale will be handled based on each instrument manual. No imputation will be applied if the total or subscale scores are missing at a visit. | Baseline, Week 24 |
| Pharmacokinetic (PK) Parameter: Area Under the Curve (AUC) (AUCinf, AUClast, AUCtau) of Ruxolitinib | AUClast: The AUC from time zero to the last measurable concentration sampling time (tlast) (mass x time x volume-1) AUCinf: The AUC from time zero to infinity (mass x time x volume-1) AUCtau: The AUC calculated to the end of a dosing interval (tau) at steady-state (amount x time x volume-1). Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients was assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
| Pharmacokinetic (PK) Parameter: Plasma Concentration at Peak (Cmax) of Ruxolitinib | Cmax is the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration (mass X volume-1). Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients was assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
| Pharmacokinetic (PK) Parameter: CL/F of Ruxolitinib | CL/F is the total body clearance of ruxolitinib from the plasma after a single dose and at steady state. Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients was assayed for Ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
| Pharmacokinetic (PK) Parameter: VzF of Ruxolitinib | VzF is the apparent volume of distribution during terminal phase after a single dose and at steady state. Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients will be assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
| Pharmacokinetic (PK) Parameter: Lambda_z of Ruxolitinib | Lambda_z is the smallest (slowest) disposition (hybrid) rate constant (hr-1) may also be used for terminal elimination rate constant (hr-1). Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients will be assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
| Pharmacokinetic (PK) Parameter: T1/2 of Ruxolitinib | T1/2 is the elimination half-life associated with the terminal slope of a semi logarithmic concentration-time curve (hr). Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients will be assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
| Pharmacokinetic (PK) Parameter: Tmax of Ruxolitinib | Tmax is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose and repeated dose administration (hr). Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients will be assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
| Pharmacokinetic (PK) Parameter: Racc of Ruxolitinib | Racc is the accumulation ratio (AUC at steady state/AUC Day 1). Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients was be assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
| Pharmacokinetic (PK) Parameter: Ctrough of Ruxolitinib | Minimum concentration (Ctrough) of ruxolitinib and at steady state in corticosteroid refractory acute GVHD patients. Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients will be assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS) | pre-dose |
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| Novartis Investigative Site | Seville | Andalusia | 41013 | Spain |
| Novartis Investigative Site | Barcelona | Catalonia | 08035 | Spain |
| Novartis Investigative Site | Barcelona | Catalonia | 08036 | Spain |
| Novartis Investigative Site | Vigo | Pontevedra | 36212 | Spain |
| Novartis Investigative Site | Oviedo | Principality of Asturias | 33006 | Spain |
| Novartis Investigative Site | Madrid | 28009 | Spain |
| Novartis Investigative Site | Madrid | 28034 | Spain |
| Novartis Investigative Site | Málaga | 29009 | Spain |
| Novartis Investigative Site | Valencia | 46026 | Spain |
| Novartis Investigative Site | Taichung | 40447 | Taiwan |
| Novartis Investigative Site | Ankara | 06100 | Turkey (Türkiye) |
| Novartis Investigative Site | Ankara | 06500 | Turkey (Türkiye) |
| Novartis Investigative Site | Istanbul | 41400 | Turkey (Türkiye) |
| Novartis Investigative Site | Izmir | Turkey (Türkiye) |
| Novartis Investigative Site | London | SE5 9RS | United Kingdom |
| Novartis Investigative Site | London | WC1E 6HX | United Kingdom |
| Novartis Investigative Site | Manchester | M13 9WL | United Kingdom |
| Mohty M, Socie G, Szer J, Niederwieser D, Butler J, Wagner-Drouet E, Or R, Rovenvald-Zuckerman T, Bozdag SC, Forcade E, Grillo G, Kroger N, Stolzel F, Russo D, Sanz J, Sarkar R, Stefanelli T, Wilke C, Zeiser R, von Bubnoff N. Ruxolitinib Versus Best Available Therapy in Patients With Steroid-Refractory Acute Graft-Versus-Host Disease: Final Analysis From the Randomized Phase III REACH2 Trial. J Clin Oncol. 2025 Dec;43(34):3639-3645. doi: 10.1200/JCO-25-00809. Epub 2025 Oct 15. |
| 40472328 | Derived | Mahmoudjafari Z, Kintsch E, Xue Z, Bhatt V, Galvin J, Locatelli F, Zeiser R. Impact of concomitant azoles on ruxolitinib treatment in patients with GVHD: post hoc analyses of REACH2 and REACH3. Blood Adv. 2025 Aug 26;9(16):4206-4216. doi: 10.1182/bloodadvances.2025016212. |
| 36827620 | Derived | Socie G, Niederwieser D, von Bubnoff N, Mohty M, Szer J, Or R, Garrett J, Prahallad A, Wilke C, Zeiser R. Prognostic value of blood biomarkers in steroid-refractory or steroid-dependent acute graft-versus-host disease: a REACH2 analysis. Blood. 2023 Jun 1;141(22):2771-2779. doi: 10.1182/blood.2022018579. |
| 32320566 | Derived | Zeiser R, von Bubnoff N, Butler J, Mohty M, Niederwieser D, Or R, Szer J, Wagner EM, Zuckerman T, Mahuzier B, Xu J, Wilke C, Gandhi KK, Socie G; REACH2 Trial Group. Ruxolitinib for Glucocorticoid-Refractory Acute Graft-versus-Host Disease. N Engl J Med. 2020 May 7;382(19):1800-1810. doi: 10.1056/NEJMoa1917635. Epub 2020 Apr 22. |
| 29316837 | Derived | Jagasia M, Zeiser R, Arbushites M, Delaite P, Gadbaw B, Bubnoff NV. Ruxolitinib for the treatment of patients with steroid-refractory GVHD: an introduction to the REACH trials. Immunotherapy. 2018 Apr;10(5):391-402. doi: 10.2217/imt-2017-0156. Epub 2018 Jan 10. |
These patients were administered BAT per the Investigator's best judgement based on a specific list of BAT.
| Not Treated |
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| Crossover Treatment at End of Randomized Treatment |
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| Entered Long-term Follow-up |
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| Completed Screening & Randomized |
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| Completed Screening & Not Randomized |
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| COMPLETED | Completed = Completed the treatment period Not Completed = Discontinued from treatment period |
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| NOT COMPLETED |
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Full Analysis Set (FAS): The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Ruxolitinib (RUX) | These patients were administered Ruxolitinib orally twice per day (b.i.d) at a dose of 10 mg bid, as two 5-mg tablets. Ruxolitinib was taken without regards to food. |
| BG001 | Best Available Therapy (BAT) | These patients were administered BAT per the Investigator's best judgement based on a specific list of BAT. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
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| Age, Continuous | Mean | Standard Deviation | years |
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| Age, Customized | Number | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Number | Participants |
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| Weight | the weight at baseline was missing for 7 patients | Mean | Standard Deviation | kg |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Overall Response Rate (ORR) at Day 28 | Overall response rate at Day 28 after randomization was defined as the percentage participants in each arm demonstrating a complete response (CR) or partial response (PR), based on investigator assessment & according to standard criteria, without requirement for additional systemic therapies for an earlier progression, mixed response or non-response. Scoring of response was relative to the organ stage at the time of randomization. CR was defined as a score of 0 for the aGvHD grading in all evaluable organs that indicates complete resolution of all signs & symptoms of aGvHD in all evaluable organs without administration of additional systemic therapies for any earlier progression, mixed response or non-response of aGvHD. PR was defined as improvement of 1 stage in 1 or more organs involved with aGvHD signs or symptoms without progression in other organs or sites without administration of additional systemic therapies for an earlier progression, mixed response or non-response of aGvHD. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. | Posted | Number | 95% Confidence Interval | Percentage of participants | Day 28 |
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| Secondary | Durable Overall Response Rate (DORR) (Key Secondary Endpoint) at Day 56 | Percentage of all participants in each arm who achieved a complete response (CR) or partial response (PR) at Day 28 (primary endpoint) AND maintained a CR or PR at Day 56 based on investigator assessment and according to standard criteria. CR was defined as a score of 0 for the aGvHD grading in all evaluable organs that indicates complete resolution of all signs and symptoms of aGvHD in all evaluable organs without administration of additional systemic therapies for any earlier progression, mixed response or non-response of aGvHD. PR was defined as improvement of 1 stage in 1 or more organs involved with aGvHD signs or symptoms without progression in other organs or sites without administration of additional systemic therapies for an earlier progression, mixed response or non-response of aGvHD. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. | Posted | Number | 95% Confidence Interval | Percentage of participants | Day 56 |
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| Secondary | Overall Response Rate (ORR) at Day 14 | ORR at Da4 14 is the percentage of participants who achieved overall response (CR+PR) at Day 14 based on investigator assessment and according to standard criteria. CR was defined as a score of 0 for the aGvHD grading in all evaluable organs that indicates complete resolution of all signs and symptoms of aGvHD in all evaluable organs without administration of additional systemic therapies for any earlier progression, mixed response or non-response of aGvHD. PR was defined as improvement of 1 stage in 1 or more organs involved with aGvHD signs or symptoms without progression in other organs or sites without administration of additional systemic therapies for an earlier progression, mixed response or non-response of aGvHD. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. | Posted | Number | 95% Confidence Interval | Percentage of participants | Day 14 |
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| Secondary | Duration of Response (DOR) | Duration of response was defined for patients who had a CR or PR at Day 28. This was the interval between the date of first documented response of CR or PR (i.e., the start date of response), till the date of progression or addition of systemic therapies for aGvHD on or after Day 28. Death without prior observation of aGvHD progression and onset of chronic GvHD were considered. Duration of response was censored at the last response assessment prior to or at the analysis cut-off date, if no events/competing risk occurred before or at the cut-off date. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. These were patients to whom study treatment was assigned by randomization and whose overall response was complete response (CR) or partial response (PR). | Posted | Median | Full Range | Days | Up to 24 months |
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| Secondary | Cumulative Steroid Dosing Until Day 56 | Weekly cumulative steroid dose for each participant up to Day 56 or discontinuation of randomized treatment. Participants should have undergone tapering of steroids if it had been required. Tapering the immunosuppression therapy was performed in 2 steps: Taper of corticosteroids: initiated not earlier than Day 7, and performed as per institutional guidelines. Only patients with assessments done at each time point are reported. This is the reason that the overall number per treatment is higher and the number of participants with responses vary over time. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. | Posted | Median | Full Range | mg | up to Day 56 |
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| Secondary | Kaplan Meier Estimates of Probability of Overall Survival (OS) by Time Interval | OS was defined as the time from the date of randomization to date of death due to any cause. If a patient was not known to have died, then OS was censored at the latest date the patient was known to be alive (on or before the cut-off date). Results are based on Kaplan Meier (KM) estimates. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. | Posted | Number | 95% Confidence Interval | Percentage of participants | 1, 2, 6, 12, 18 & 24 months |
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| Secondary | Kaplan Meier Estimates of Probability of Event-free Survival (EFS) by Time Interval | Event-free survival was defined as the time from the date of randomization to the date of hematologic disease relapse/progression, graft failure, or death due to any cause. If a patient was not known to have any event, then EFS was censored at the latest date the patient was known to be alive (on or before the cut-off date). Results are based on Kaplan Meier (KM) estimates. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. | Posted | Number | 95% Confidence Interval | Percentage of participants | 1, 2, 6, 12, 18 & 24 months |
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| Secondary | Cumulative Incidence Rate of Failure-Free Survival (FFS) | FFS was defined as the time from the date of randomization to date of hematologic disease relapse/progression, non-relapse mortality, or addition of new systemic aGvHD treatment. Probability of FFS with 95% CIs are presented for each treatment group, accounting for onset of chronic GvHD as the competing risk. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. | Posted | Number | 95% Confidence Interval | Cumulative probability of FFS | 1, 2, 6, 12, 18, & 24 Months |
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| Secondary | Cumulative Probability of Non Relapse Mortality (NRM) | NRM was defined as the time from date of randomization to date of death not preceded by hematologic disease relapse/progression. Hematologic disease relapse/progression was considered a competing risk for NRM with the date of hematologic disease relapse/progression being the earlier of documented hematologic disease relapse/progression or institution of therapy to treat potential hematologic disease relapse/progression. If a patient was not known to have died or to have relapsed/progressed, then NRM was censored at the latest date the patient was known to be alive (on or before the cut-off date). Data is provided based on cumulative probability of hematologic disease relapse/progression. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. | Posted | Number | 95% Confidence Interval | Cumulative probability of NRM | 1, 2, 6, 12, 18 & 24 months |
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| Secondary | Cumulative Probability of Malignancy Relapse/Progression (MR) | MR was defined as the time from date of randomization to hematologic malignancy relapse/progression. Deaths not preceded by hematologic malignancy relapse/progression were considered competing risks. If a patient was not known to have event or competing risks, then MR was censored at the latest date the patient was known to be alive (on or before the cut-off date). Calculated for patients with underlying hematologic malignant disease. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. Calculated for patients with underlying hematologic malignant disease. | Posted | Number | 95% Confidence Interval | Cumulative probability of MR | 1, 2, 6, 12 , 18 & 24 months |
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| Secondary | Cumulative Probability of Chronic Graft Versus Host Disease (cGvHD) | Incidence of cGvHD was the time from date of randomization to onset of cGvHD is the diagnosis of any cGvHD including mild, moderate, severe. Deaths without prior onset of cGvHD and hematologic disease relapse/progression were competing risks. If a patient was not known to have event or competing risks, then the incidence of cGvHD was censored at the latest date the patient was known to be alive (on or before the cut-off date). | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. Calculated for patients with underlying hematologic malignant disease. | Posted | Number | 95% Confidence Interval | Cumulative probability of cGvHD | 1, 2, 6, 12, 18 & 24 months |
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| Secondary | Exposure-efficacy Relationship of Ruxolitinib in Corticosteroid Refractory aGvHD: PK-Overall Response Rate | Exposure-efficacy relationship of ruxolitinib in terms of concentration-effect and dose-effect. ORR was defined as the percentage of participants with a best overall response defined as complete response (CR) or partial response (PR) as assessed by local investigators. CR was defined as a score of 0 for the Acute Graft vs. Host Disease (aGvHD) grading in all evaluable organs that indicates complete resolution of all signs and symptoms of aGvHD in all evaluable organs without administration of additional systemic therapies for any earlier progression, mixed response or non-response of aGvHD. PR was defined as improvement of 1 stage in 1 or more organs involved with aGvHD signs or symptoms without progression in other organs or sites without administration of additional systemic therapies for an earlier progression, mixed response or non-response of aGvHD. | PK-Efficacy Set: All patients randomized to ruxolitinib treatment arm, who received at least one dose of ruxolitinib, who have post-baseline efficacy data (at least one efficacy parameter) and for whom popPK predictions are available (at least one popPK predicted AUC0-12h). | Posted | Number | Percentage of participants | Day 28 |
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| Secondary | Exposure-efficacy Relationship of Ruxolitinib in Corticosteroid Refractory aGvHD: PK- Durable Overall Response Rate (DORR) | Exposure-efficacy relationship of ruxolitinib in terms of concentration-effect and dose-effect. DORR is the percentage of all participants in each arm who achieved a complete response (CR) or partial response (PR) at Day 28 (primary endpoint) AND maintained a CR or PR at Day 56. CR was defined as a score of 0 for the aGvHD grading in all evaluable organs that indicates complete resolution of all signs and symptoms of aGvHD in all evaluable organs without administration of additional systemic therapies for any earlier progression, mixed response or non-response of aGvHD. PR was defined as improvement of 1 stage in 1 or more organs involved with aGvHD signs or symptoms without progression in other organs or sites without administration of additional systemic therapies for an earlier progression, mixed response or non-response of aGvHD. | PK-Efficacy Set: PK-Efficacy Set: All patients randomized to ruxolitinib treatment arm, who received at least one dose of ruxolitinib, who have post-baseline efficacy data (at least one efficacy parameter) and for whom popPK predictions are available (at least one popPK predicted AUC0-12h). | Posted | Number | Percentage of participants | Day 56 |
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| Secondary | Exposure-efficacy Relationship of Ruxolitinib in Corticosteroid Refractory aGvHD: PK-Overall Survival | Exposure-efficacy relationship of ruxolitinib in terms of concentration-effect and dose-effect. This represents the percentage of Ruxolitinib-exposed participants dead at 24 months. Overall survival (OS) was defined as the time from the date of randomization to date of death due to any cause. If a patient was not known to have died, then OS was censored at the latest date the patient was known to be alive (on or before the cut-off date).the date of death due to any cause. | PK-Efficacy Set: PK-Efficacy Set: All patients randomized to ruxolitinib treatment arm, who received at least one dose of ruxolitinib, who have post-baseline efficacy data (at least one efficacy parameter) and for whom popPK predictions are available (at least one popPK predicted AUC0-12h). | Posted | Number | Percentage of participants | up to 24 months |
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| Secondary | Best Overall Response Rate (BOR) | Percentage of participants who achieved overall response (OR) (CR+PR) at any time point up to and including Day 28 and before the start of additional systemic therapy for aGvHD. CR was defined as a score of 0 for the Acute Graft vs. Host Disease (aGvHD) grading in all evaluable organs that indicates complete resolution of all signs and symptoms of aGvHD in all evaluable organs without administration of additional systemic therapies for any earlier progression, mixed response or non-response of aGvHD. PR was defined as improvement of 1 stage in 1 or more organs involved with aGvHD signs or symptoms without progression in other organs or sites without administration of additional systemic therapies for an earlier progression, mixed response or non-response of aGvHD. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. These were participants whose overall response was complete response (CR) or partial response (PR). | Posted | Number | 95% Confidence Interval | Percentage of participants | up to Day 28 |
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| Secondary | Patient Reported Outcomes (PROs): Change From Baseline in Functional Assessment of Cancer Therapy-Bone Marrow Transplantation (FACT-BMT) Total Score | The Functional assessment of Cancer Therapy - Bone Marrow Transplant (FACT-BMT) is a 50-item self-report questionnaire that measures the effect of a therapy on domains including physical, functional, social/family and emotional well-being, together with additional concerns relevant for bone marrow transplantation patients. Patients indicated their response on a scale of 0 to 4 on each statement, with 0 indicating worst score and 4 the best score. All individual scores were combined to calculate the total score. Total score was reported with score range: 0-148 which was calculated as the sum of all unweighted subscale scores. The higher the total score the better the result. Descriptive statistics and change from baseline were calculated in total score at each scheduled assessment time point. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. | Posted | Median | Full Range | scores on a scale | Baseline, Week 24 |
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| Secondary | Patient Reported Outcomes (PROs): Change From Baseline in EuroQol-5D-5L UK Score | The EQ-5D descriptive classification consists of five dimensions of health: mobility, self-care, usual activities, anxiety/depression and pain/discomfort. Patients are requested to select the statement which best describes their condition on that day for each dimension. For overall health that day, the EuroQoL-5D-5L scale is numbered from 0 to 100, with 100 being the best health you can imagine and 0 being the worst health you can imagine. Descriptive statistics (mean, standard deviation, median, Q1, Q3, minimum, and maximum) were calculated based on the scored scales at each scheduled assessment time point. In order to measure Quality-of-Life (QoL) among aGvHD patients, and potential changes over time, change from baseline in EuroQol-5D-5L scores at the time of each assessment were also calculated. Missing items data in a scale will be handled based on each instrument manual. No imputation will be applied if the total or subscale scores are missing at a visit. | The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomization. | Posted | Median | Full Range | scores on a scale | Baseline, Week 24 |
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| Secondary | Pharmacokinetic (PK) Parameter: Area Under the Curve (AUC) (AUCinf, AUClast, AUCtau) of Ruxolitinib | AUClast: The AUC from time zero to the last measurable concentration sampling time (tlast) (mass x time x volume-1) AUCinf: The AUC from time zero to infinity (mass x time x volume-1) AUCtau: The AUC calculated to the end of a dosing interval (tau) at steady-state (amount x time x volume-1). Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients was assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | The Pharmacokinetic Analysis Set (PAS) included all patients who provided at least one evaluable PK concentration. For a concentration to be evaluable, patients were required to: Take a dose of ruxolitinib prior to sampling, Did not vomit within 2 hours after the last dose of ruxolitinib prior to sampling (for pre dose samples) or did not vomit within 2 hours after ruxolitinib dosing (for post dose samples). | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*hr/mL | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
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| Secondary | Pharmacokinetic (PK) Parameter: Plasma Concentration at Peak (Cmax) of Ruxolitinib | Cmax is the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration (mass X volume-1). Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients was assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | The Pharmacokinetic Analysis Set (PAS) included all patients who provided at least one evaluable PK concentration. For a concentration to be evaluable, patients were required to: Take a dose of ruxolitinib prior to sampling, Did not vomit within 2 hours after the last dose of ruxolitinib prior to sampling (for pre dose samples) or did not vomit within 2 hours after ruxolitinib dosing (for post dose samples). | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
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| Secondary | Pharmacokinetic (PK) Parameter: CL/F of Ruxolitinib | CL/F is the total body clearance of ruxolitinib from the plasma after a single dose and at steady state. Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients was assayed for Ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | The Pharmacokinetic Analysis Set (PAS) included all patients who provided at least one evaluable PK concentration. For a concentration to be evaluable, patients were required to: Take a dose of ruxolitinib prior to sampling, Did not vomit within 2 hours after the last dose of ruxolitinib prior to sampling (for pre dose samples) or did not vomit within 2 hours after ruxolitinib dosing (for post dose samples). | Posted | Geometric Mean | Geometric Coefficient of Variation | L/hr | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
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| Secondary | Pharmacokinetic (PK) Parameter: VzF of Ruxolitinib | VzF is the apparent volume of distribution during terminal phase after a single dose and at steady state. Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients will be assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | The Pharmacokinetic Analysis Set (PAS) included all patients who provided at least one evaluable PK concentration. For a concentration to be evaluable, patients were required to: Take a dose of ruxolitinib prior to sampling, Did not vomit within 2 hours after the last dose of ruxolitinib prior to sampling (for pre dose samples) or did not vomit within 2 hours after ruxolitinib dosing (for post dose samples). | Posted | Geometric Mean | Geometric Coefficient of Variation | Liters (L) | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
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| Secondary | Pharmacokinetic (PK) Parameter: Lambda_z of Ruxolitinib | Lambda_z is the smallest (slowest) disposition (hybrid) rate constant (hr-1) may also be used for terminal elimination rate constant (hr-1). Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients will be assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | The Pharmacokinetic Analysis Set (PAS) included all patients who provided at least one evaluable PK concentration. For a concentration to be evaluable, patients were required to: Take a dose of ruxolitinib prior to sampling, Did not vomit within 2 hours after the last dose of ruxolitinib prior to sampling (for pre dose samples) or did not vomit within 2 hours after ruxolitinib dosing (for post dose samples). | Posted | Geometric Mean | Geometric Coefficient of Variation | 1/hr | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
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| Secondary | Pharmacokinetic (PK) Parameter: T1/2 of Ruxolitinib | T1/2 is the elimination half-life associated with the terminal slope of a semi logarithmic concentration-time curve (hr). Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients will be assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | The Pharmacokinetic Analysis Set (PAS) included all patients who provided at least one evaluable PK concentration. For a concentration to be evaluable, patients were required to: Take a dose of ruxolitinib prior to sampling, Did not vomit within 2 hours after the last dose of ruxolitinib prior to sampling (for pre dose samples) or did not vomit within 2 hours after ruxolitinib dosing (for post dose samples). | Posted | Geometric Mean | Geometric Coefficient of Variation | hour (hr) | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
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| Secondary | Pharmacokinetic (PK) Parameter: Tmax of Ruxolitinib | Tmax is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose and repeated dose administration (hr). Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients will be assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | The Pharmacokinetic Analysis Set (PAS) included all patients who provided at least one evaluable PK concentration. For a concentration to be evaluable, patients were required to: Take a dose of ruxolitinib prior to sampling, Did not vomit within 2 hours after the last dose of ruxolitinib prior to sampling (for pre dose samples) or did not vomit within 2 hours after ruxolitinib dosing (for post dose samples). | Posted | Median | Full Range | hour (hr) | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Pharmacokinetic (PK) Parameter: Racc of Ruxolitinib | Racc is the accumulation ratio (AUC at steady state/AUC Day 1). Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients was be assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS). | The Pharmacokinetic Analysis Set (PAS) included all patients who provided at least one evaluable PK concentration. For a concentration to be evaluable, patients were required to: Take a dose of ruxolitinib prior to sampling, Did not vomit within 2 hours after the last dose of ruxolitinib prior to sampling (for pre dose samples) or did not vomit within 2 hours after ruxolitinib dosing (for post dose samples). | Posted | Geometric Mean | Geometric Coefficient of Variation | ratio | pre-dose, 0.5, 1, 1.5, 2, 4, 6, 9 hrs post-dose |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Pharmacokinetic (PK) Parameter: Ctrough of Ruxolitinib | Minimum concentration (Ctrough) of ruxolitinib and at steady state in corticosteroid refractory acute GVHD patients. Plasma samples for PK was taken at Day 1 (start of treatment), at Day 7 (week 1) to characterize the PK after first dose, and at steady state by non-compartmental analysis. The plasma samples from all patients will be assayed for ruxolitinib concentrations using validated liquid chromatography-tandem mass spectrometry method (LC-MS/MS) | The Pharmacokinetic Analysis Set (PAS) included all patients who provided at least one evaluable PK concentration. For a concentration to be evaluable, patients were required to: Take a dose of ruxolitinib prior to sampling, Did not vomit within 2 hours after the last dose of ruxolitinib prior to sampling (for pre dose samples) or did not vomit within 2 hours after ruxolitinib dosing (for post dose samples). | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/ml | pre-dose |
|
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| Post-Hoc | All Collected Deaths | On treatment deaths were collected from the start of treatment up to 30 days after study drug discontinuation, for a maximum duration of 708 days (treatment duration ranged from 6.0 to 678.0) for the RUX arm and 218 days (treatment duration ranged from 1.0 to 188.0 days) for the BAT arm. Deaths post treatment survival follow up were collected after the on- treatment period, up to approx. 48 months. Patients who didn't die during the on-treatment period and had not stopped study participation at the time of data cut-off (end of study) were censored. | Clinical Database Population: all randomized patients | Posted | Number | Participants | approx. 708 days (AEs), up to approx. 48 months (deaths) |
|
On treatment deaths were collected from the start of treatment up to 30 days after study drug discontinuation, for a maximum duration of 708 days (treatment duration ranged from 6.0 to 678.0) for the RUX arm and 218 days (treatment duration ranged from 1.0 to 188.0 days) for the BAT arm. Deaths occurred from Randomization till end of the study, up to approx. 48 months.
Adverse Event (AE): Any sign or symptom that occurs during treatment plus 30 days post treatment.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Ruxolitinib (Rux) | These patients were administered Ruxolitinib orally twice per day (b.i.d) at a dose of 10 mg bid, as two 5-mg tablets. Ruxolitinib was taken without regards to food. | 89 | 152 | 101 | 152 | 144 | 152 |
| EG001 | Best Available Therapy (BAT) | These patients were administered BAT per the Investigator's best judgement based on a specific list of BAT. | 89 | 150 | 80 | 150 | 136 | 150 |
| EG002 | Cross-Over | These were patients randomized to BAT who were eligible to cross over to Ruxolitinib between Day 28 and Week 24. | 29 | 49 | 38 | 49 | 43 | 49 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Disseminated intravascular coagulation | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Haemolysis | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Myelosuppression | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Neutropenia | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pancytopenia | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Thrombotic microangiopathy | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Acute myocardial infarction | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Aortic valve incompetence | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Atrial flutter | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cardiac arrest | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cardio-respiratory arrest | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cardiopulmonary failure | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Anal haemorrhage | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Colitis | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Diarrhoea haemorrhagic | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Enteritis | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Ileal perforation | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Ileal stenosis | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Ileus | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Intestinal haemorrhage | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Intestinal ischaemia | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Intestinal obstruction | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Lower gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pancreatitis acute | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Rectal haemorrhage | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Chills | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Condition aggravated | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Disease recurrence | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Generalised oedema | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Multiple organ dysfunction syndrome | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Systemic inflammatory response syndrome | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hepatic cytolysis | Hepatobiliary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hepatic failure | Hepatobiliary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hepatic function abnormal | Hepatobiliary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Acute graft versus host disease | Immune system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Acute graft versus host disease in intestine | Immune system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Allergy to immunoglobulin therapy | Immune system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Graft versus host disease | Immune system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Graft versus host disease in gastrointestinal tract | Immune system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Serum sickness | Immune system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Abscess limb | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Adenovirus infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Anal abscess | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Aspergillus infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Bacteraemia | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Bacterial disease carrier | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Bacterial sepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Bronchopulmonary aspergillosis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Campylobacter infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Cerebral aspergillosis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Clostridial sepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Clostridium difficile colitis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Cystitis viral | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Cytomegalovirus colitis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Cytomegalovirus enteritis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Cytomegalovirus infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Cytomegalovirus infection reactivation | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Device related infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Encephalitis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Encephalitis viral | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Endocarditis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Enteritis infectious | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Enterobacter sepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Enterococcal bacteraemia | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Enterococcal infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Escherichia infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Escherichia sepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Fungal sepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Gastroenteritis clostridial | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Herpes simplex | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Herpes zoster | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Human herpesvirus 6 infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Intestinal sepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Klebsiella sepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Lower respiratory tract infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Lower respiratory tract infection fungal | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Meningitis enterococcal | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Mucormycosis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Parainfluenzae virus infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Peritonitis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumocystis jirovecii pneumonia | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumonia bacterial | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumonia cytomegaloviral | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumonia klebsiella | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumonia pneumococcal | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumonia respiratory syncytial viral | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumonia streptococcal | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pseudomembranous colitis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pseudomonal bacteraemia | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pseudomonal sepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pyelonephritis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Respiratory tract infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Respiratory tract infection bacterial | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Respiratory tract infection viral | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Septic shock | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Staphylococcal infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Staphylococcal sepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Systemic candida | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Urinary tract infection viral | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Urosepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Viral diarrhoea | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Viral infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Graft loss | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Hip fracture | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Multiple fractures | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Rib fracture | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Subcutaneous haematoma | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Transplantation complication | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Bacterial test positive | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Blood bilirubin increased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Cytomegalovirus test positive | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| General physical condition abnormal | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Influenza B virus test positive | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Liver function test abnormal | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Oxygen saturation decreased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Platelet count decreased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Transaminases increased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| White blood cell count decreased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Diabetes mellitus | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Metabolic acidosis | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Bone pain | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Myopathy | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Osteoporotic fracture | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Acute erythroid leukaemia | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Acute myeloid leukaemia recurrent | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Anogenital warts | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Central nervous system lymphoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Glioblastoma multiforme | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Leukaemia recurrent | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Basal ganglia haemorrhage | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cerebral haemorrhage | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cerebral infarction | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Chorea | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Coma | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Depressed level of consciousness | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Encephalopathy | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Epilepsy | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Guillain-Barre syndrome | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Haemorrhage intracranial | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Ischaemic stroke | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Mononeuropathy | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Posterior reversible encephalopathy syndrome | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Psychomotor hyperactivity | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Seizure | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Stupor | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Tremor | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Agitation | Psychiatric disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Confusional state | Psychiatric disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Mental disorder | Psychiatric disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cystitis haemorrhagic | Renal and urinary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Haematuria | Renal and urinary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Renal failure | Renal and urinary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Renal impairment | Renal and urinary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Renal tubular necrosis | Renal and urinary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Perineal ulceration | Reproductive system and breast disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Acute lung injury | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Acute respiratory distress syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Acute respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Bronchial fistula | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypoxia | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Idiopathic pneumonia syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Interstitial lung disease | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Lung consolidation | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Lung disorder | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumonia aspiration | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pulmonary haemorrhage | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pulmonary oedema | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Respiratory disorder | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Respiratory distress | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Petechiae | Skin and subcutaneous tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Embolism | Vascular disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Microangiopathy | Vascular disorders | MedDRA (24.0) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Neutropenia | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Tachycardia | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Vertigo | Ear and labyrinth disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Stomatitis | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Generalised oedema | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypogammaglobulinaemia | Immune system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cytomegalovirus infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Cytomegalovirus infection reactivation | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Device related infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Epstein-Barr virus infection reactivation | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Blood bilirubin increased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Blood creatinine increased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| C-reactive protein increased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Gamma-glutamyltransferase increased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Platelet count decreased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Weight decreased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| White blood cell count decreased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypertriglyceridaemia | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypoalbuminaemia | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypophosphataemia | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Myopathy | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Tremor | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Dysuria | Renal and urinary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Haematuria | Renal and urinary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Purpura | Skin and subcutaneous tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA (24.0) | Systematic Assessment |
|
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of pooled data (i.e.,data from all sites) in clinical trial or disclosure of trial results in their entirety
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Directr | Novartis Pharmaceuticals | 862-778-8300 | novartis.email@novartis.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 25, 2021 | Oct 23, 2021 | SAP_001.pdf |
| ID | Term |
|---|---|
| D006086 | Graft vs Host Disease |
| ID | Term |
|---|---|
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C540383 | ruxolitinib |
Not provided
Not provided
Not provided
|
| 18 - 65 years |
|
|
| >65 years |
|
|
|
|
| Black or African American |
|
|
| Asian |
|
|
| Other |
|
|
| Unknown |
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| Participants |
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| Participants |
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| Participants |
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| Participants |
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| Participants |
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| Units | Counts |
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| Participants |
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These patients were administered BAT per the Investigator's best judgement based on a specific list of BAT.
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