Using PTCy and Ruxolitinib to prevent GVHD after stem cell transplants in children with immune disorders
Official title: Safety and Efficacy of Cyclophosphamide and Ruxolitinib for Graft-versus-host-disease Prophylaxis After Hematopoietic Stem Cell Transplantation With Thymoglobulin Serotherapy in Conditioning Regimen in Patients With Inborn Errors of Immunity
Run by Federal Research Institute of Pediatric Hematology, Oncology and Immunology · NCT06199427 · Data updated 2026-11-12
This study is testing if a new combination of medications can help prevent graft-versus-host disease in children with immune disorders who are getting stem cell transplants.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 0 Months to 21 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Federal Research Institute of Pediatric Hematology, Oncology and Immunology Academic / other |
| Drugs / interventions | ruxolitinib, cyclophosphamide, fludarabine |
| Locations | 1 site (Moscow) |
| Status | Recruiting |
| Started | November 21, 2023 |
| Main results expected | November 21, 2026 |
| Study ends | December 31, 2027 |
| Registry record updated | January 10, 2024 |
| Trial ID | NCT06199427 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are children and young adults aged 0 to 21 years diagnosed with inborn errors of immunity who are eligible for allogeneic HSCT.
✕Probably not a fit
Patients with severe concomitant somatic diseases that pose additional risks for complications may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the effectiveness of a combined regimen for preventing graft-versus-host disease (GVHD) in patients with inborn errors of immunity undergoing hematopoietic stem cell transplantation (HSCT). It utilizes post-transplant cyclophosphamide (PTCY) and ruxolitinib alongside thymoglobulin in the conditioning regimen. The study aims to determine how well this combination works in reducing the incidence of GVHD, which is a significant risk in these patients. Participants will receive specific doses of cyclophosphamide and ruxolitinib at designated times post-transplant.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the risk of GVHD in pediatric patients with inborn errors of immunity undergoing HSCT.
How similar studies have gone: Previous studies have shown promising results with the use of PTCY and ruxolitinib for GVHD prophylaxis, indicating potential success for this combined approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients aged ≥ 0 months and \< 21 years 2. Patients diagnosed with NBS eligible for an allogeneic HSCT 3. Signed written informed consent signed by a parent or legal guardian Exclusion Criteria: Concomitant severe somatic disease associated with an additional risk of severe complications
Where it's running
-
HSCT department
Moscow, Russia Recruiting
Study contacts
- Study coordinator: Dmitry Balashov, MD, PhD
- Email: bala8@yandex.ru
- Phone: +74956647091
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Low-dose post-transplant cyclophosphamide plus tacrolimus and ruxolitinib to prevent GVHD after myeloablative peripheral blood stem cell transplant
This test sees if adding low-dose post-transplant cyclophosphamide with tacrolimus and ruxolitinib can reduce severe acute graft-versus-host disease in adults receiving myeloablative peripheral blood stem cell transplants for leukemia or myelodysplasia.
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Compare two post-transplant drug combinations to prevent graft-versus-host disease
This phase 2 trial will test whether giving ruxolitinib instead of mycophenolate mofetil, together with cyclophosphamide and sirolimus after a stem cell transplant, better prevents graft-versus-host disease in older adults with AML or related blood cancers.
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Preventing GVHD in children and young adults with blood cancers
This study is testing a new treatment plan to see if it can help prevent graft-versus-host disease in children and young adults with blood cancers after they receive a transplant.
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Comparing two treatment regimens for Graft-versus-host Disease after stem cell transplantation
This study is testing two different treatment plans for adults with Graft-versus-host Disease after stem cell transplantation to see which one works better, especially for those who haven't responded to steroids.
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Ruxolitinib and venetoclax added to chemotherapy for children and young adults with relapsed or refractory ALL/LBL
This trial tests whether adding ruxolitinib and venetoclax to dexamethasone, cyclophosphamide and cytarabine helps children and young adults with relapsed or refractory acute lymphoblastic leukemia or lymphoblastic lymphoma who have IL7R/JAK-STAT pathway changes.
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Graft-versus-host disease after stem cell transplant: testing LBP-MARCO with ruxolitinib
We are testing whether combining LBP-MARCO with ruxolitinib is safe for adults with GVHD after a stem cell transplant.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.