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Trial of Efficacy and Safety of MC0518 Versus Best Available Therapy in Participants With Steroid-Refractory Acute Graft Versus Host Disease | Clinical Trials | Clareo Health

ACTIVE_NOT_RECRUITINGPHASE2

Trial of Efficacy and Safety of MC0518 Versus Best Available Therapy in Participants With Steroid-Refractory Acute Graft Versus Host Disease

A Randomised, Open-label, Controlled, Multicentre, Phase 2 Trial of First-line Treatment With Mesenchymal Stromal Cells MC0518 Versus Best Available Therapy in Paediatric Participants With Steroid-refractory Acute Graft-versus-host Disease After Allogeneic Stem Cell Transplantation (BALDER Trial)

NCT06075706•medac GmbH

View on ClinicalTrials.gov

Summary

The purpose of this trial is the comparative evaluation of overall response rate (ORR) in paediatric participants with steroid-refractory acute graft-versus-host disease (SR-aGvHD) at Visit Day 28 after treatment with MC0518 or first used best available therapy (BAT).

Eligibility

Age

0 - 17 years

Sex

ALL

Healthy Volunteers

Inclusion Criteria

•1. Participant had a previous allogeneic HSCT as indicated for non-malignant (including inborn errors of metabolism, primary immunodeficiencies, haemoglobinopathies, and bone marrow failure syndromes) or hematological malignant disease or neuroblastoma.
•2. Participant has been clinically diagnosed with Grade II to IV aGvHD according to Harris et al. A biopsy of the involved organs with aGvHD is encouraged but not required.
•3. Participant has experienced failure of previous first-line aGvHD treatment (that is, SR-aGvHD), defined as:
•* aGvHD progression within 3 to 5 days of therapy onset with \>=2 milligram per kilogram per day (mg/kg/day) of prednisone equivalent or
•* failure to improve within 5 to 7 days of treatment initiation with \>=2 mg/kg/day of prednisone equivalent or
•* incomplete response after greater than (\>) 28 days of immunosuppressive treatment including at least 5 days with \>=2 mg/kg/day of prednisone equivalent.
•4. Male or female participant who is \>=28 days and \<18 years of age and has a minimum body weight of 3.2 kilograms (kg) at the Screening Visit.
•5. Participant has an estimated life expectancy of \>28 days.
•6. Participant, if female and of childbearing potential, agrees to use a highly effective contraceptive measure starting at the Screening Visit and continuing throughout the entire trial period.
•7. Participant, if a fertile male, agrees to sexual abstinence or to use a condom during sexual activity with their female partner of childbearing potential or pregnant partner. Additionally, if their partner is a woman of childbearing potential (WOCBP), then their partner must use an additional highly effective contraceptive method during sexual activity starting at the Screening Visit and continuing throughout the entire trial period.
+1 more criteria

Exclusion Criteria

•1. Participant has overt relapse or progression or persistence of the underlying disease.
•2. Participant has received the last HSCT for a solid tumor disease other than neuroblastoma.
•3. Participant has graft-versus-host disease overlap syndrome.
•4. Participant has received systemic first-line treatment for aGvHD other than steroids and a prophylaxis with other than calcineurin inhibitors, mammalian target of rapamycin (mTOR) inhibitors, anti-thymocyte globulin, mycophenolate mofetil, methotrexate, abatacept, or cyclophosphamide. Note: In vitro or in vivo graft manipulation to prevent graft-versus-host disease (example, T-cell depletion) during HSCT is permitted. Restart of initial prophylaxis with calcineurin inhibitors, mammalian target of rapamycin inhibitors, or mycophenolate mofetil after aGvHD onset is permitted.
•5. Participant has received prior mesenchymal stromal cell (MSC) treatment, including MC0518/Obnitix®.
•6. Participant has a known pregnancy (as confirmed by a positive pregnancy test result at the Screening Visit) and / or is breastfeeding.
•7. Participant has a known hypersensitivity to MC0518 and / or its excipients (dimethyl sulfoxide, human serum albumin, isotonic sodium chloride solution).
•8. Participant has a known hypersensitivity or any contraindication to the Investigator's choice BAT (extracorporeal photopheresis, anti thymocyte globulin, etanercept, infliximab, or ruxolitinib) and / or its excipients. For a list of excipients please refer to the respective Summary of Product Characteristics.
•9. Participant has an underlying or current medical or psychiatric condition that, in the opinion of the Investigator, would interfere with the evaluation of the participant.
•10. Participant has an uncontrolled infection (examples, sepsis or multi-organ failure) including significant bacterial, fungal, viral, or parasitic infection requiring treatment.
+1 more criteria

Locations (36)

CHU de Bordeaux - Hopital des Enfants

Bordeaux, France

CHU Grenoble Alpes - Hopital Couple Enfant (HCE)

La Tronche, France

Centre Hospitalier Universitaire de Lille CHU Lille - Hopital Jeanne de Flandre HJF

Lille, France

Institut d'Hematologie et d'Oncologie Pediatrique (IHOPe)

Lyon, France

CHU de Marseille-Hopital de la Timone

Marseille, France

Centre Hospitalier Regional Universitaire (CHRU) Montpellier - hopital Arnaud de Villeneuve

Montpellier, France

CHU de Nantes - Hopital Mere Enfant

Nantes, France

Hopital Robert Debre

Paris, France

CHU de Rouen - Hopital Charles Nicolle

Rouen, France

CHRU de Strasbourg - Hopital de Hautepierre

Strasbourg, France

Key Dates

Start Date

November 13, 2023

Primary Completion Date

March 1, 2026

Completion Date

June 1, 2031

Last Updated

January 27, 2026

Enrollment

ESTIMATED participants

Conditions

Steroid-refractory Acute Graft-versus-host Disease

Interventions

MC0518

BIOLOGICAL

BAT

BIOLOGICAL