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Trial · NCT02245412

A Phase 2A Study of ALXN1007 in Participants With Newly Diagnosed Acute Lower Gastrointestinal Graft-Versus-Host Disease

NCT02245412, Phase 2, Terminated, Alexion Pharmaceuticals, Inc.; results first posted 2017-10-06

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Phase 2A Study of ALXN1007 in Participants With Newly Diagnosed Acute Lower Gastrointestinal Graft-Versus-Host Disease. Trials, record NCT02245412. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02245412

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Phase 2A Study of ALXN1007 in Participants With Newly Diagnosed Acute Lower Gastrointestinal Graft-Versus-Host Disease
NCT number
NCT02245412
Status
Terminated
Phases
Phase 2
Enrollment
25 participants, actual
Lead sponsor
Alexion Pharmaceuticals, Inc.
Conditions
Acute Graft-Versus-Host Disease, GIGVHD
Interventions
ALXN1007 10 mg/kg once weekly, ALXN1007 20 mg/kg once weekly, ALXN1007 20 mg/kg twice weekly
First posted
2014-09-19
Last updated
2019-01-03
Results first posted
2017-10-06

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOverall Acute Graft-Versus-Host Disease (GVHD) Response Rate At Day 28Day 28
The number of participants with overall acute GVHD response was determined at Day 28. Acute Overall GVHD is defined as improvement from diagnosis in any organ by at least 1 stage, without progression in any other organ, and with no additional therapy being administered. Acute GVHD staging included skin, liver, and GI assessments, which were to be performed using the Modified Keystone Grading Schema. Deaths were considered nonresponders; otherwise last postbaseline values were carried forward for imputation of missing responses. Modified Keystone Grading Schema: Skin - Stages 0 = No Rash, 1 = Rash \<25% body surface area (BSA), 2 = 25% to 50% BSA, 3 = \>50% BSA, 4 = bullae, desquamation; Lower GI Tract (stool volume over 24 hours) - Stages 0 = \<500 mL, 1 = 500 to 1000 mL, 2 = 1001 to 1500 mL, 3 = \>1500 mL, 4 = severe abdominal pain +/- ileus, frank blood, or melena; Liver (bilirubin levels) - Stages 0 = ≤2 mg/dL, 1 = 2.1 to 3 mg/dL, 2 = 3.1 to 6 mg/dL, 3 = 6.1 to 15 mg/dL, 4 = \>15 mg/dL.
SecondaryPharmacokinetics (PK): Time To Maximum Observed Concentration In Plasma (Tmax) Of IV ALXN1007Predose up to 72 hours postdose
The Tmax of ALXN1007 was measured on Treatment Days 1, 28, and 49, from blood samples collected at time points relative to the dosing of ALXN1007. PK assessments were to have been measured from Baseline, Treatment Days 7, 14, 21, 28, 35, 42, 49, 56, and Follow-up Days 86, 180, and Early Termination (ET). Due to the early termination of the study and the clinical development of the ALXN1007 program, a number of PK analyses were not completed. PK data for the 20 mg/kg ALXN1007 once weekly dosing group and the 20 mg/kg ALXN1007 twice weekly dosing group are not available.
SecondaryPK: Maximum Observed Concentration In Plasma (Cmax) Of IV ALXN1007Predose up to 72 hours postdose
The Cmax of ALXN1007 was measured on Treatment Days 1, 28, and 49, from blood samples collected at time points relative to the dosing of ALXN1007. PK assessments were to have been measured from Baseline, Treatment Days 7, 14, 21, 28, 35, 42, 49, 56, and Follow-up Days 86, 180, and Early Termination (ET). Due to the early termination of the study and the clinical development of the ALXN1007 program, a number of PK analyses were not completed. PK data for the 20 mg/kg ALXN1007 once weekly dosing group and the 20 mg/kg ALXN1007 twice weekly dosing group are not available.
SecondaryPK: Area Under The Plasma (Or Serum) Concentration Versus Time Curve (AUC) Of IV ALXN1007Predose up to 72 hours postdose
The AUC of ALXN1007 was measured on Treatment Days 1, 28, and 49, from blood samples collected at time points relative to the dosing of ALXN1007. PK assessments were to have been measured from Baseline, Treatment Days 7, 14, 21, 28, 35, 42, 49, 56, and Follow-up Days 86, 180, and Early Termination (ET). Due to the early termination of the study and the clinical development of the ALXN1007 program, a number of PK analyses were not completed. PK data for the 20 mg/kg ALXN1007 once weekly dosing group and the 20 mg/kg ALXN1007 twice weekly dosing group are not available.

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Acute Graft-Versus-Host Disease (GVHD) Response Rate At Day 28Day 28Participants in the mFAS Population - In the 10 mg/kg ALXN1007 once weekly dose group, 1 participant was prematurely discontinued after receiving a single dose due to lack of confirmed GI GVHD.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPharmacokinetics (PK): Time To Maximum Observed Concentration In Plasma (Tmax) Of IV ALXN1007Predose up to 72 hours postdosePK population: All participants in the 10 mg/kg ALXN1007 once weekly dose group who received at least 1 dose of ALXN1007 and who had evaluable PK and pharmacodynamic (PD) data.hoursMEDIAN
SECONDARYPK: Maximum Observed Concentration In Plasma (Cmax) Of IV ALXN1007Predose up to 72 hours postdosePK population: All participants in the 10 mg/kg ALXN1007 once weekly dose group who received at least 1 dose of ALXN1007 and who had evaluable PK and PD data.ug/mLMEDIAN
SECONDARYPK: Area Under The Plasma (Or Serum) Concentration Versus Time Curve (AUC) Of IV ALXN1007Predose up to 72 hours postdosePK population: All participants in the 10 mg/kg ALXN1007 once weekly dose group who received at least 1 dose of ALXN1007 and who had evaluable PK and PD data.h*ug/mLMEDIAN

Results by group12

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Overall Acute Graft-Versus-Host Disease (GVHD) Response Rate At Day 28ALXN1007 10 mg/kg Once Weekly10Participants
Overall Acute Graft-Versus-Host Disease (GVHD) Response Rate At Day 28ALXN1007 20 mg/kg Once Weekly3Participants
Overall Acute Graft-Versus-Host Disease (GVHD) Response Rate At Day 28ALXN1007 20 mg/kg Twice Weekly1Participants
Pharmacokinetics (PK): Time To Maximum Observed Concentration In Plasma (Tmax) Of IV ALXN1007ALXN1007 10 mg/kg Once WeeklyTmax Day 11.033Full Range 0.983 to 5.0hours
Pharmacokinetics (PK): Time To Maximum Observed Concentration In Plasma (Tmax) Of IV ALXN1007ALXN1007 10 mg/kg Once WeeklyTmax Day 281.03Full Range 1.0 to 5.0hours
Pharmacokinetics (PK): Time To Maximum Observed Concentration In Plasma (Tmax) Of IV ALXN1007ALXN1007 10 mg/kg Once WeeklyTmax Day 491.25Full Range 1.0 to 1.8hours
PK: Maximum Observed Concentration In Plasma (Cmax) Of IV ALXN1007ALXN1007 10 mg/kg Once WeeklyCmax Day 1270Full Range 156 to 318ug/mL
PK: Maximum Observed Concentration In Plasma (Cmax) Of IV ALXN1007ALXN1007 10 mg/kg Once WeeklyCmax Day 28383Full Range 283 to 409ug/mL
PK: Maximum Observed Concentration In Plasma (Cmax) Of IV ALXN1007ALXN1007 10 mg/kg Once WeeklyCmax Day 49421Full Range 207 to 450ug/mL
PK: Area Under The Plasma (Or Serum) Concentration Versus Time Curve (AUC) Of IV ALXN1007ALXN1007 10 mg/kg Once WeeklyAUC Day 113079Full Range 7429 to 20113h*ug/mL

Participant flow24

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Treatment PeriodSTARTEDALXN1007 10 mg/kg Once Weekly17
Treatment PeriodSTARTEDALXN1007 20 mg/kg Once Weekly6
Treatment PeriodSTARTEDALXN1007 20 mg/kg Twice Weekly2
Treatment PeriodReceived at Least 1 Dose of Study DrugALXN1007 10 mg/kg Once Weekly17
Treatment PeriodReceived at Least 1 Dose of Study DrugALXN1007 20 mg/kg Once Weekly6
Treatment PeriodReceived at Least 1 Dose of Study DrugALXN1007 20 mg/kg Twice Weekly2
Treatment PeriodModified Full Analysis Set (mFAS)ALXN1007 10 mg/kg Once Weekly16
Treatment PeriodModified Full Analysis Set (mFAS)ALXN1007 20 mg/kg Once Weekly6
Treatment PeriodModified Full Analysis Set (mFAS)ALXN1007 20 mg/kg Twice Weekly2
Treatment PeriodCOMPLETEDALXN1007 10 mg/kg Once Weekly12

Adverse events573

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersALXN1007 10 mg/kg Once Weekly117
otherAnaemiaBlood and lymphatic system disordersALXN1007 20 mg/kg Once Weekly16
otherAnaemiaBlood and lymphatic system disordersALXN1007 20 mg/kg Twice Weekly02
otherFebrile neutropeniaBlood and lymphatic system disordersALXN1007 10 mg/kg Once Weekly217
otherFebrile neutropeniaBlood and lymphatic system disordersALXN1007 20 mg/kg Once Weekly06
otherFebrile neutropeniaBlood and lymphatic system disordersALXN1007 20 mg/kg Twice Weekly02
otherLeukocytosisBlood and lymphatic system disordersALXN1007 10 mg/kg Once Weekly117
otherLeukocytosisBlood and lymphatic system disordersALXN1007 20 mg/kg Once Weekly06
otherLeukocytosisBlood and lymphatic system disordersALXN1007 20 mg/kg Twice Weekly02
otherLymphopeniaBlood and lymphatic system disordersALXN1007 10 mg/kg Once Weekly117

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityALXN1007 10 mg/kg Once Weekly617
Total, all-cause mortalityALXN1007 20 mg/kg Once Weekly36
Total, all-cause mortalityALXN1007 20 mg/kg Twice Weekly12
Total, other adverse eventsALXN1007 10 mg/kg Once Weekly1717
Total, other adverse eventsALXN1007 20 mg/kg Once Weekly66
Total, other adverse eventsALXN1007 20 mg/kg Twice Weekly22
Total, serious adverse eventsALXN1007 10 mg/kg Once Weekly1317
Total, serious adverse eventsALXN1007 20 mg/kg Once Weekly46
Total, serious adverse eventsALXN1007 20 mg/kg Twice Weekly22

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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