Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 65

Dapagliflozin to prevent acute graft-versus-host disease after allogeneic stem cell transplant

Official title: Dapagliflozin for Preventing Acute Graft-versus-Host Disease in Allogeneic Hematopoietic Cell Transplantation: A Prospective, Single-Arm Study

Run by The First Affiliated Hospital of Soochow University · NCT06626737 · Data updated 2026-11-12

This trial will test whether taking dapagliflozin around the time of an allogeneic stem cell transplant can lower the chance of acute graft-versus-host disease in adults with blood cancers.

More Graft Versus Host Disease trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment72 (estimated)
SponsorThe First Affiliated Hospital of Soochow University
Academic / other
Drugs / interventionschimeric antigen receptor, methotrexate
Locations1 site (Suzhou, Jiangsu)
StatusRecruiting
StartedApril 26, 2025
Main results expectedDecember 31, 2025
Study endsDecember 31, 2026
Registry record updatedJune 5, 2025
Trial IDNCT06626737 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18–65 with hematologic malignancies scheduled for myeloablative allogeneic HCT from a haploidentical or unrelated donor, who can take cyclosporin A and methotrexate and provide informed consent, are the intended candidates.

Probably not a fit

Patients with prior autologous or allogeneic HCT or CAR-T therapy, other active malignancies, type 1 diabetes or history of ketoacidosis, allergy to dapagliflozin, or recurrent urinary tract infections are excluded and unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 2 interventional trial gives daily dapagliflozin to adults undergoing myeloablative allogeneic hematopoietic cell transplantation from haploidentical or unrelated donors, starting around day -1 through day +14. Participants receive standard graft-versus-host disease prophylaxis with cyclosporin A and methotrexate while researchers record incidence and severity of acute GVHD, hematopoietic recovery, survival outcomes, and adverse events. The study is single-center at The First Affiliated Hospital of Soochow University and includes patients aged 18–65 who can provide informed consent. Safety and tolerability are primary considerations alongside measuring cumulative incidence of aGVHD.

Why it matters

Potential benefit: If successful, dapagliflozin could reduce the occurrence of acute GVHD and improve transplant recovery and survival for eligible patients.

How similar studies have gone: Using SGLT2 inhibitors like dapagliflozin to prevent GVHD is a novel clinical application with limited direct clinical precedent, though these drugs are well-studied for cardiometabolic and renal benefits.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18 to 65 years old.
* Patients with hematologic malignancies indicated for allo-HCT and having a suitable haploidentical or unrelated donor.
* Willing to undergo myeloablative conditioning and graft-versus-host disease prophylaxis base on cyclosporin A and methotrexate.
* With Eastern Cooperative Oncology Group (ECOG) performance status of 0-3.
* Patients with prior use of Dapagliflozin or other hypoglycemic medications may switch to Dapagliflozin, contingent upon the treating physician's assessment of contraindications, will be eligible.
* Signing an informed consent form, having the ability to comply with study and follow-up procedures.

Exclusion Criteria:

* With other malignancies.
* With a previous history of autologous hematopoietic cell transplantation, allo-HCT or chimeric antigen receptor T-cell therapy.
* With a history of allergies to Dapagliflozin.
* With type 1 diabetes or a history of ketoacidosis.
* With a history of recurrent urinary tract infections.
* With severe organ dysfunction.
* With active hepatitis B virus, hepatitis C virus, or human immunodeficiency virus infection.
* In pregnancy or lactation period.
* With any conditions not suitable for the trial (investigators' decision).

Where it's running

  • The First Affiliated Hospital of Soochow University
    Suzhou, Jiangsu, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.