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Trial · NCT02336230

A Prospective Study of Remestemcel-L, Ex-vivo Cultured Adult Human Mesenchymal Stromal Cells, for the Treatment of Pediatric Participants Who Have Failed to Respond to Steroid Treatment for Acute Graft-Versus-Host Disease (aGVHD)

NCT02336230, Phase 3, Completed, Mesoblast, Inc.; results first posted 2022-03-17

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Prospective Study of Remestemcel-L, Ex-vivo Cultured Adult Human Mesenchymal Stromal Cells, for the Treatment of Pediatric Participants Who Have Failed to Respond to Steroid Treatment for Acute Graft-Versus-Host Disease (aGVHD). Trials, record NCT02336230. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02336230

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Trial

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

Title
A Prospective Study of Remestemcel-L, Ex-vivo Cultured Adult Human Mesenchymal Stromal Cells, for the Treatment of Pediatric Participants Who Have Failed to Respond to Steroid Treatment for Acute Graft-Versus-Host Disease (aGVHD)
NCT number
NCT02336230
Status
Completed
Phases
Phase 3
Enrollment
55 participants, actual
Lead sponsor
Mesoblast, Inc.
Conditions
Grade B aGVHD, Grade C aGVHD, Grade D aGVHD
Interventions
remestemcel-L
First posted
2015-01-12
Last updated
2022-03-17
Results first posted
2022-03-17

Source ClinicalTrials.gov

Registered outcomes6

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

ListOutcomeTime frameDescription
PrimaryOverall Response Rate (ORR) at Day 28 Post Initiation of TherapyDay 28
ORR was defined as the percentage of participants who had achieved overall response. Overall response was defined as complete response (CR) plus partial response (PR) as per aGVHD response criteria. CR was defined as resolution of aGVHD in all involved organs. PR was defined as organ improvement of at least 1 stage without worsening of any other organ.
SecondaryOverall Survival (OS) Rate at Day 100 Post Initiation of TherapyDay 100Overall survival rate was defined as percentage of participants who survived. OS was defined as the time to death from the start of drug therapy.
SecondaryOS Rate at Day 100 Post Initiation of Therapy, Stratified by Responder Status at Day 28Day 100Overall survival rate was defined as percentage of participants who survived. OS was defined as the time to death from the start of drug therapy.
SecondaryOS Rate at Day 100 Post Initiation of Therapy, Stratified by Baseline aGVHD GradeDay 100
OS rate was defined as percentage of participants who survived. OS was defined as the time to death from the start of drug therapy. Maximum severity of acute GVHD was assessed by using International Bone Marrow Transplant Registry (IBMTR) index. The severity index was defined as: Grade A (skin Stage 1: extent of rash \<25%); Grade B (skin Stage 2: extent of rash 25 to 50% or liver Stage 1 to 2: total bilirubin 34 to 102 micromoles per liter \[mcmol/L\] or intestinal tract Stage 1 to 2: volume of diarrhea 550 to 1500 milliliters per day \[mL/day\]); Grade C (skin Stage 3: extent of rash \> 50% or liver Stage 3: total bilirubin 103 to 255 mcmol/L or intestinal tract Stage 3: volume of diarrhea \>1500 mL/day); Grade D (skin Stage 4: extent of rash bullae or liver Stage 4: total bilirubin \>255 or intestinal tract Stage 4: volume of diarrhea severe pain and ileus).
SecondaryOS Rate at Day 100 Post Initiation of Therapy, Stratified by Organ InvolvementDay 100
OS rate was defined as percentage of participants who survived. OS was defined as the time to death from the start of drug therapy. The data was summarized for organ involvement: skin only, lower GI only, and multi-organ.
SecondaryOR Rate at Day 56 and 100 Post Initiation of TherapyDay 56 and Day 100
OR rate was defined as the percentage of participants who had achieved overall response. Overall response was defined as CR plus PR as per aGVHD response criteria. CR was defined as resolution of aGVHD in all involved organs. PR was defined as organ improvement of at least 1 stage without worsening of any other organ.

Outcomes6

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Response Rate (ORR) at Day 28 Post Initiation of TherapyDay 28FAS included all participants who provided informed consent, were screened, and were found eligible to enter the study.percentage of participantsNUMBER
SECONDARYOverall Survival (OS) Rate at Day 100 Post Initiation of TherapyDay 100FAS included all participants who provided informed consent, were screened, and were found eligible to enter the study.percentage of participantsNUMBER
SECONDARYOS Rate at Day 100 Post Initiation of Therapy, Stratified by Responder Status at Day 28Day 100
FAS included all participants who provided informed consent, were screened, and were found eligible to enter the study. Number analyzed is the number of participants with data available for given category.
percentage of participantsNUMBER
SECONDARYOS Rate at Day 100 Post Initiation of Therapy, Stratified by Baseline aGVHD GradeDay 100
FAS included all participants who provided informed consent, were screened, and were found eligible to enter the study. Number analyzed is the number of participants with data available for given category.
percentage of participantsNUMBER
SECONDARYOS Rate at Day 100 Post Initiation of Therapy, Stratified by Organ InvolvementDay 100
FAS included all participants who provided informed consent, were screened, and were found eligible to enter the study. Number analyzed is the number of participants with data available for given category.
percentage of participantsNUMBER
SECONDARYOR Rate at Day 56 and 100 Post Initiation of TherapyDay 56 and Day 100FAS included all participants who provided informed consent, were screened, and were found eligible to enter the study.percentage of participantsNUMBER

Results by group13

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

OutcomeGroupCategoryValueSpreadUnits
Overall Response Rate (ORR) at Day 28 Post Initiation of TherapyRemestemcel-L 2×10^6 MSCs/kg69.1percentage of participants
Overall Survival (OS) Rate at Day 100 Post Initiation of TherapyRemestemcel-L 2×10^6 MSCs/kg74.5percentage of participants
OS Rate at Day 100 Post Initiation of Therapy, Stratified by Responder Status at Day 28Remestemcel-L 2×10^6 MSCs/kgResponders86.8percentage of participants
OS Rate at Day 100 Post Initiation of Therapy, Stratified by Responder Status at Day 28Remestemcel-L 2×10^6 MSCs/kgNon- Responders47.1percentage of participants
OS Rate at Day 100 Post Initiation of Therapy, Stratified by Baseline aGVHD GradeGroup not reportedGrade Apercentage of participants
OS Rate at Day 100 Post Initiation of Therapy, Stratified by Baseline aGVHD GradeRemestemcel-L 2×10^6 MSCs/kgGrade B50.095% Confidence Interval 11.81 to 88.19percentage of participants
OS Rate at Day 100 Post Initiation of Therapy, Stratified by Baseline aGVHD GradeRemestemcel-L 2×10^6 MSCs/kgGrade C82.695% Confidence Interval 61.22 to 95.05percentage of participants
OS Rate at Day 100 Post Initiation of Therapy, Stratified by Baseline aGVHD GradeRemestemcel-L 2×10^6 MSCs/kgGrade D73.195% Confidence Interval 52.21 to 88.43percentage of participants
OS Rate at Day 100 Post Initiation of Therapy, Stratified by Organ InvolvementRemestemcel-L 2×10^6 MSCs/kgSkin Only78.6percentage of participants
OS Rate at Day 100 Post Initiation of Therapy, Stratified by Organ InvolvementRemestemcel-L 2×10^6 MSCs/kgLower GI Only76.2percentage of participants

Participant flow5

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRemestemcel-L 2×10^6 MSCs/kg55
Overall StudyFull Analysis Set (FAS)Remestemcel-L 2×10^6 MSCs/kg55
Overall StudySafety Analysis PopulationRemestemcel-L 2×10^6 MSCs/kg54
Overall StudyCOMPLETEDRemestemcel-L 2×10^6 MSCs/kg42
Overall StudyNOT COMPLETEDRemestemcel-L 2×10^6 MSCs/kg13

Adverse events130

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersRemestemcel-L 2×10^6 MSCs/kg454
otherNeutropeniaBlood and lymphatic system disordersRemestemcel-L 2×10^6 MSCs/kg354
otherSinus tachycardiaCardiac disordersRemestemcel-L 2×10^6 MSCs/kg554
otherPericardial effusionCardiac disordersRemestemcel-L 2×10^6 MSCs/kg354
otherTachycardiaCardiac disordersRemestemcel-L 2×10^6 MSCs/kg354
otherAdrenal insufficiencyEndocrine disordersRemestemcel-L 2×10^6 MSCs/kg554
otherCushingoidEndocrine disordersRemestemcel-L 2×10^6 MSCs/kg554
otherAbdominal painGastrointestinal disordersRemestemcel-L 2×10^6 MSCs/kg1054
otherVomitingGastrointestinal disordersRemestemcel-L 2×10^6 MSCs/kg954
otherDiarrhoeaGastrointestinal disordersRemestemcel-L 2×10^6 MSCs/kg654

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRemestemcel-L 2×10^6 MSCs/kg1355
Total, other adverse eventsRemestemcel-L 2×10^6 MSCs/kg5254
Total, serious adverse eventsRemestemcel-L 2×10^6 MSCs/kg3554

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
32018062DERIVED

Source PubMed

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.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02336230

GET https://conductscience.org/api/trials/v1/NCT02336230/events?page=2