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Keratinocyte Growth Factor to Prevent Acute GVHD

This study has been completed.
Study NCT00031148.   Last updated on January 31, 2006.   Information provided by FDA Office of Orphan Products Development

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Descriptive Information Fields
Brief Title  Keratinocyte Growth Factor to Prevent Acute GVHD
Official Title  Phase I/II Trial of Keratinocyte Growth Factor (rHuKGF) to Prevent Acute GVHD in 6/6 HLA=BMT Recipients
Brief Summary

This is a study to determine the safety and efficacy of keratinocyte growth factor (KGF) to prevent acute graft-versus-host disease (GVHD) in patients undergoing allogeneic bone marrow (BM) or peripheral blood progenitor cell (PBPC) transplantation.

Detailed Description

GVHD remains the major complication of allogeneic BM transplantation and is initiated during the conditioning of the recipient for transplant when the host tissues are damaged. Research has demonstrated that the gastrointestinal (GI) tract is a critical organ in GVHD pathophysiology. Agents that protect the GI tract may provide prophylaxis against the cytokine cascade and can lead to a reduced incidence and severity of GVHD. KGF is a protein that stimulates the growth of epithelial cells including those of the GI tract. KGF can protect the GI tract, prevent GVHD, and preserve donor T-cell function.

Patients will receive standard GVHD prophylaxis in addition to the study drug. Overall GVHD will be graded weekly during the first 2 months after transplant, then every other week to Day 100. Response to therapy will be measured through the use of severity indices, physical exam, and laboratory serum values.

Study Phase Phase I, Phase II
Study Type  Interventional
Study Design  Prevention, Randomized, Double-Blind, Placebo Control, Safety/Efficacy Study
Primary Outcome Measure 
Secondary Outcome Measure 
Condition  Graft-Vs-Host Disease
Intervention  Drug: Recombinant Human Keratinocyte Growth Factor (rHuKGF)
MEDLINE PMIDs
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Recruitment Information Fields
Recruitment Status  Completed
Enrollment  72
Start Date  September 2001
Completion Date August 2003
Eligibility Criteria 

Inclusion criteria:

  • Diagnosis of a hematological malignancy, including myelodysplastic syndromes.
  • Eligible for cyclophosphamide and total body irradiation conditioning therapy or busulphan and cyclophosphamide conditioning therapy.
  • Must have a 6/6 human leukocyte antigens (HLA)-matched family member donor.
  • Women must be post-menopausal, sterile, or using effective contraception for 1 month before, during, and for 2 months after study.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-2.

Exclusion criteria:

  • T-cell depletion for GVHD prophylaxis.
  • Active hepatitis.
  • Pre-existent inflammatory bowel disease requiring active therapy.
  • Active uncontrolled infection.
  • Prior bone marrow or peripheral blood stem cell (PBSC) transplantation.
  • Documented hypersensitivity to rHuKGF.
  • Prior enrollment to a study of rHuKGF.
  • HIV-positive.
  • Pregnant or nursing.
  • Active chronic skin disease requiring therapy.
Gender Both
Ages 3 Years to 65 Years
Accepts Healthy Volunteers No
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00031148
Organization ID FD-R-2021-01
Secondary IDs †† FD-R-002021-01
Study Sponsor  FDA Office of Orphan Products Development
Collaborators ††
Investigators 
Information Provided By FDA Office of Orphan Products Development
Verification Date January 2002
First Received Date  February 26, 2002
Last Updated Date January 31, 2006

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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