Exploratory Safety Study of ALD518 in Subjects With Steroid-refractory Acute Graft Versus Host Disease (GVHD) (ALD518-010)

This study has been completed.
Information provided by (Responsible Party):
Alder Biopharmaceuticals, Inc.
ClinicalTrials.gov Identifier:
First received: February 6, 2012
Last updated: June 23, 2014
Last verified: June 2014
The purpose of this study is to determine the safe and tolerable, biologically active, and potentially effective doses(s) of ALD518 in subjects with acute GVHD, who have failed to respond to glucocorticosteroids, for further investigation in Part B.

Condition Intervention Phase
Acute GvHD
Biological: ALD518
Phase 1
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: An Exploratory Phase 1/2 Clinical Trial Evaluating ALd518 in Subjects With Glucocorticoid-Refractory Acute Graft vs. Host Disease (GVHD) After Allogeneic Hematopoietic Stem Cell Transplant (HSCT)

Resource links provided by NLM:

Further study details as provided by Alder Biopharmaceuticals, Inc.:

Primary Outcome Measures:
  • Number of participants with Adverse Events, including infections and loss of engraftment [ Time Frame: Through Week 24 ] [ Designated as safety issue: Yes ]
  • Acute GVHD Response at Week 4 [ Time Frame: Week 4 ] [ Designated as safety issue: No ]
    Includes calculation of both complete and partial response

Secondary Outcome Measures:
  • Relapse of underlying malignant disease [ Time Frame: Through Week 24 ] [ Designated as safety issue: Yes ]
  • Overall survival [ Time Frame: Through Week 24 ] [ Designated as safety issue: No ]
    Measured at 100 days post-first infusion, 6 months post-infusion and time of death

  • Change in Patient Reported Outcomes [ Time Frame: Through Week 24 ] [ Designated as safety issue: No ]
    As measured by the FACT-BMT.

Enrollment: 3
Study Start Date: March 2012
Study Completion Date: May 2013
Primary Completion Date: May 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: ALD518 Biological: ALD518
160 mg IV q 4 weeks for 4 doses
Biological: ALD518
320 mg IV q 4 weeks for 4 doses
Biological: ALD518
640 mg IV q 4 weeks for 2 doses


Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Glucocorticosteroid refractory acute GVHD Grade 2-4
  • Prior corticosteroid therapy at > 1.0mg/kg methylprednisolone or equivalent for minimum of 3 and maximum of 14 days
  • Karnofsky Performance Satus Scale ≥ 50%
  • Adequate laboratory testing at screening

Exclusion Criteria:

  • Subjects having Stage 1 skin acute GVHD
  • Subjects with Stage 3 or 4 liver GVHD
  • Prior EBV associated malignancy
  • Prior or current Hepatitis B or C
  • Prior or active tuberculosis
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01530256

United States, California
City of Hope
Duarte, California, United States, 91010
United States, Illinois
Loyola Medical Center
Maywood, Illinois, United States, 60153
United States, Missouri
Washington University
St. Louis, Missouri, United States, 63110
United States, Ohio
The Ohio State University
Columbus, Ohio, United States, 43210
United States, Virginia
Virginia Commonwealth University
Richmond, Virginia, United States, 23298
Sponsors and Collaborators
Alder Biopharmaceuticals, Inc.
Study Director: Javier San Martin, MD FRCP Alder Biopharmaceuticals, Inc.
  More Information

Responsible Party: Alder Biopharmaceuticals, Inc.
ClinicalTrials.gov Identifier: NCT01530256     History of Changes
Other Study ID Numbers: ALD518-CLIN-010 
Study First Received: February 6, 2012
Last Updated: June 23, 2014
Health Authority: United States: Food and Drug Administration

Keywords provided by Alder Biopharmaceuticals, Inc.:
steroid refractory

ClinicalTrials.gov processed this record on May 23, 2016