Safety, PK, PD, Dosing, and Efficacy of RLS-0071for the Treatment of Hospitalized Patients With Steroid-Refractory Acute Graft-versus-Host Disease

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age12+
SponsorReAlta Life Sciences, Inc.

About this trial

This study is a Open Label Prospective Dose-Ranging Escalation and Expansion Trial to Evaluate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, Dosing, and Efficacy of RLS-0071 for the secondary treatment of acute Graft-versus-Host Disease (aGvHD) in hospitalized patients who are steroid-refractory.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female adults or adolescents (>12 years old).

Hospitalized with steroid-refractory aGvHD (grade II-IV) after allo-HSCT

Anticipated hospital length-of-stay of at least 1 week from the time of RLS-0071 initiation.

No plans to add additional GvHD treatment medications or to add, dose-adjust, or discontinue GvHD prophylactic medications during the 7-days of RLS-0071 treatment.

Disqualifiers

Has received more than 1 allo-HSCT

Current, previous, or planned use of any systemic treatment in addition to or other than corticosteroids or ruxolitinib for aGvHD

Previous failure of ruxolitinib treatment

Uncontrolled GI infection

Trial design

Design model

Sequential

Treatments tested in this trial

  • RLS-0071

    Drug

    RLS-0071 will be administered for 7 or 14 days according to the assigned dose group.

Treatment groups

66 Participants
are divided into 7 treatment groups

7

Treatment groups

See each treatment group below.

Group A: RLS-0071Cohort 1Experimental treatment 1 intervention
Group B: RLS-0071 Cohort 2Experimental treatment 1 intervention
Group C: RLS-0071 Cohort 3Experimental treatment 1 intervention
Group D: RLS-0071 Cohort 4Experimental treatment 1 intervention
Group E: RLS-0071 Cohort 5Experimental treatment 1 intervention
Group F: RLS-0071 Expansion Cohort 1Experimental treatment 1 intervention
Group G: RLS-0071 Expansion Cohort 2Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Number of participants with treatment-related adverse events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)

Time frame
Day 1 to Day 180
2

Overall Response Rate (ORR) of RLS-0071

Time frame
Day 1 to Day 28

Secondary outcomes

1

Incidence of refractoriness (to RLS-0071 +/- ruxolitinib)

Time frame
Days 7, 14, 28, 56, and 180
2

Overall corticosteroid use

Time frame
Days 7, 14, 28, 56, and 180
3

Initiation of additional or alternative treatment(s) for aGvHD (including an increase in steroid dose to >2 mg/kg methylprednisolone equivalent)

Time frame
Day 1 - Day 180
4

Change or shift in Stage for lower GI aGvHD, liver aGvHD, skin aGvHD, or upper GI aGvHD from baseline based on MAGIC Criteria

Time frame
Days 7, 14, 28, 56, and 180

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

ReAlta Life Sciences, Inc.

Lead sponsor

CTI Clinical Trial and Consulting Services

Collaborator