Trial Outcomes & Findings for Study on the Safety and Effectiveness of VELCADE® in the Treatment of Graft-Versus-Host Disease (NCT NCT00408928)

NCT ID: NCT00408928

Last Updated: 2025-05-04

Results Overview

Response is the primary endpoint of this study and will be scored on day 21 (3 weeks after the first dose of VELCADE) and every 3 weeks subsequently. Patients who progress or expire before the end of the study will be considered non-responders. Patients are evaluated for response in an organ if they have AGVHD in that organ at the start of treatment with VELCADE or if AGVHD develops after the start of VELCADE, but before the time period of evaluation. Complete response in an organ is defined as no evidence clinical or biochemical signs of AGVHD. For the overall assessment, it is defined as complete resolution of rash, abnormal LFTs, and absence of diarrhea attributed to AGVHD. Partial response is defined as a one stage decrease in any organ system without worsening in other organ systems.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

11 participants

Primary outcome timeframe

Through 30 days post-treatment

Results posted on

2025-05-04

Participant Flow

Participant milestones

Participant milestones
Measure
Bortezomib for Treatment of GHVD
Bortezomib at 1.3 mg/m2/dose given twice weekly for two weeks followed by a 10-day rest period. If patients have a complete response, they will receive additional cycles of bortezomib.
Overall Study
STARTED
11
Overall Study
COMPLETED
8
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Bortezomib for Treatment of GHVD
Bortezomib at 1.3 mg/m2/dose given twice weekly for two weeks followed by a 10-day rest period. If patients have a complete response, they will receive additional cycles of bortezomib.
Overall Study
Withdrawal by Subject
1
Overall Study
Death
1
Overall Study
Infection indistinguishable from GVHD
1

Baseline Characteristics

Study on the Safety and Effectiveness of VELCADE® in the Treatment of Graft-Versus-Host Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bortezomib for Treatment of GHVD
n=11 Participants
Bortezomib at 1.3 mg/m2/dose given twice weekly for two weeks followed by a 10-day rest period. If patients have a complete response, they will receive additional cycles of bortezomib.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=99 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
Age, Continuous
45.68 years
STANDARD_DEVIATION 15.43 • n=99 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
Sex: Female, Male
Male
9 Participants
n=99 Participants
Region of Enrollment
United States
11 participants
n=99 Participants

PRIMARY outcome

Timeframe: Through 30 days post-treatment

Response is the primary endpoint of this study and will be scored on day 21 (3 weeks after the first dose of VELCADE) and every 3 weeks subsequently. Patients who progress or expire before the end of the study will be considered non-responders. Patients are evaluated for response in an organ if they have AGVHD in that organ at the start of treatment with VELCADE or if AGVHD develops after the start of VELCADE, but before the time period of evaluation. Complete response in an organ is defined as no evidence clinical or biochemical signs of AGVHD. For the overall assessment, it is defined as complete resolution of rash, abnormal LFTs, and absence of diarrhea attributed to AGVHD. Partial response is defined as a one stage decrease in any organ system without worsening in other organ systems.

Outcome measures

Outcome measures
Measure
Bortezomib for Treatment of GHVD
n=8 Participants
Bortezomib at 1.3 mg/m2/dose given twice weekly for two weeks followed by a 10-day rest period. If patients have a complete response, they will receive additional cycles of bortezomib.
Response to Bortezomib (VELCADE®)
Complete response
2 participants
Response to Bortezomib (VELCADE®)
Partial response
2 participants
Response to Bortezomib (VELCADE®)
No response
4 participants

SECONDARY outcome

Timeframe: Through 30 days post-traeatment

Observe the toxicities of VELCADE® when administered to recipients of allogeneic hematopoietic stem cell transplant in the setting of steroid refractory or steroid dependent acute graft-versus-host disease.

Outcome measures

Outcome measures
Measure
Bortezomib for Treatment of GHVD
n=8 Participants
Bortezomib at 1.3 mg/m2/dose given twice weekly for two weeks followed by a 10-day rest period. If patients have a complete response, they will receive additional cycles of bortezomib.
Number of Toxicities Related to Bortezomib (VELCADE®)
18 toxicities

Adverse Events

Bortezomib for Treatment of GHVD

Serious events: 9 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Bortezomib for Treatment of GHVD
n=11 participants at risk
Bortezomib at 1.3 mg/m2/dose given twice weekly for two weeks followed by a 10-day rest period. If patients have a complete response, they will receive additional cycles of bortezomib.
General disorders
Nausea
9.1%
1/11 • Number of events 1
General disorders
Vomiting
9.1%
1/11 • Number of events 1
General disorders
Diarrhea
36.4%
4/11 • Number of events 5
General disorders
GVHD
9.1%
1/11 • Number of events 1
General disorders
Hypotension
9.1%
1/11 • Number of events 1
General disorders
Seizure
9.1%
1/11 • Number of events 1
General disorders
Cystitis
9.1%
1/11 • Number of events 1
General disorders
Lack of appetite
9.1%
1/11 • Number of events 1
General disorders
Febrile neutropenia
9.1%
1/11 • Number of events 1
General disorders
Infection
9.1%
1/11 • Number of events 1
General disorders
Death
9.1%
1/11 • Number of events 1

Other adverse events

Other adverse events
Measure
Bortezomib for Treatment of GHVD
n=11 participants at risk
Bortezomib at 1.3 mg/m2/dose given twice weekly for two weeks followed by a 10-day rest period. If patients have a complete response, they will receive additional cycles of bortezomib.
Nervous system disorders
Neuropathy
27.3%
3/11 • Number of events 3

Additional Information

John Wagner, MD

Thomas Jefferson University

Phone: 215-955-8874

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place