Oral Chronic Graft vs Host Disease
Conditions
Brief summary
The purpose of the study is to compare the efficacy and tolerability of budesonide 3 mg effervescent tablet (9 mg/day) compared to placebo for the treatment of patients with resistant oral cGvHD.
Interventions
3 mg TID
0 mg TID
Sponsors
Study design
Eligibility
Inclusion criteria
* Karnofsky \>= 70 * Oral chronic GvHD after allogeneic haematopoietic stem cell transplantation * Oral cGvHD of erosive and/or ulcerative type * NIH scale \>= 3 * Resistant oral cGvHD with no oral response to conventional primary treatment
Exclusion criteria
* Uncertain diagnosis of resistant oral cGvHD * Symptomatic oral cGvHD of hyperkeratotic type solely * Current active oral bacterial, viral, or fungal infection * Unwilling to forego concurrent treatment for mucosal lesions and/or related oral pain * Requiring addition of new systemic therapy including steroids, or radiation therapy * Local intestinal infection * Abnormal hepatic function or liver cirrhosis * If careful medical monitoring is not ensured: tuberculosis, cardiovascular disease, diabetes mellitus, osteoporosis, active peptic ulcer disease, glaucoma, cataract, infection * Second line treatment of oral cGvHD with topical steroids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of patients with objective response | 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Rate of complete/partial response, stable disease, progressive disease | 12 weeks |
| Time to initial objective response | x weeks |
| Rate of subjective improvement | 12 weeks |
Countries
Germany, Israel