De-escalated Cyclophosphamide (PTCy) and Ruxolitinib for Graft-versus-Host Disease (GVHD) Prophylaxis
NCT05622318 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 56
Last updated 2026-03-12
Summary
This is an open-label phase 2 study designed to explore the efficacy and safety of low-dose PTCy-ruxolitinib GVHD prophylaxis in older adults undergoing allogeneic HCT with a matched sibling or unrelated donor with a peripheral blood stem cell graft.
Conditions
- Graft-versus-host Disease
Interventions
- DRUG
-
25 mg/kg by IV on Days +3 and +4.
- DRUG
-
Target level 5-10 ng/mL (If the subject experiences nausea and vomiting that prevents the oral intake of tacrolimus anytime during treatment, tacrolimus is to be given by IV at the appropriate dose that was used to obtain the therapeutic level \[IV:PO ratio = 1:4\]). Administered Days +5 through +90. Taper after Day +90 and discontinue on Day +180.
- DRUG
-
Mycophenolate Mofetil
15 mg/kg tablet thrice daily Days +5 through +35 every eight hours.
- DRUG
-
5 mg tablet twice daily after engraftment through Day +365. Taper after Day +365.
Sponsors & Collaborators
-
Medical College of Wisconsin
lead OTHER
Principal Investigators
-
Sameem Abedin, MD · Medical College of Wisconsin
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-08-29
- Primary Completion
- 2026-07-31
- Completion
- 2026-09-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
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