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Trial ยท NCT02806947

A Study to Evaluate Steroid-free Treatment for Standard-Risk aGVHD (BMT CTN 1501)

NCT02806947, Phase 2, Completed, Medical College of Wisconsin; results first posted 2019-12-17

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate Steroid-free Treatment for Standard-Risk aGVHD (BMT CTN 1501). Trials, record NCT02806947. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02806947

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Trial

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

Title
A Study to Evaluate Steroid-free Treatment for Standard-Risk aGVHD (BMT CTN 1501)
NCT number
NCT02806947
Status
Completed
Phases
Phase 2
Enrollment
127 participants, actual
Lead sponsor
Medical College of Wisconsin
Conditions
Acute GVHD
Interventions
Sirolimus, Prednisone
First posted
2016-06-21
Last updated
2021-11-01
Results first posted
2019-12-17

Source ClinicalTrials.gov

Registered outcomes12

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Complete or Partial Response (CR/PR) to Acute GVHD TreatmentDays 28 and 56 Post-randomization
Scoring of CR/PR is in comparison to the participant's acute GVHD status at randomization. Complete response (CR) is defined as staging of 0 for in all target organs for GVHD - skin, GI tract, and liver. Partial response (PR) is defined as improvement in some target organ(s) without worsening in others. Death and initiation of systemic acute GVHD treatment beyond randomized treatment are considered failures for this endpoint. Organ staging is defined below: Skin stage: 0: No rash 1. Rash \<25% of body surface area (BSA) 2. Rash on 25-50% of BSA 3. Rash on \>50% of BSA 4. Generalized erythroderma with bullous formation Liver stage (based on bilirubin level): 0: \<2 mg/dL 1. 2-3 mg/dL 2. 3.01-6 mg/dL 3. 6.01-15.0 mg/dL 4. \>15 mg/dL GI stage: 0: No diarrhea or diarrhea \<500 mL/day 1. Diarrhea 500-999 mL/day or persistent nausea with histologic evidence of GVHD 2. Diarrhea 1000-1499 mL/day 3. Diarrhea \>1500 mL/day 4. Severe abdominal pain with or without ileus
SecondaryPercentage of Participants With Complete or Partial Response (CR/PR) and Steroid Dose Less Than 0.25 mg/kg Per DayDay 28 Post-randomization
The proportion of patients with CR/PR and on a prednisone-equivalent steroid dose of 0.25 mg/kg/day or less is evaluated. CR/PR scoring is in comparison to acute GVHD status at randomization. CR is defined as staging of 0 in all target organs. PR is defined as improvement in some organ(s) without worsening in others. Death and initiation of steroid-free, systemic acute GVHD treatment beyond randomized therapy are considered failures for this endpoint. Organ staging is defined as: Skin stage: 0: No rash 1. Rash \<25% of body surface area (BSA) 2. Rash 25-50% of BSA 3. Rash \>50% of BSA 4. Generalized erythroderma with bullous formation Liver stage (based on bilirubin level in mg/dL): 0: \<2 1. 2-3 2. 3.01-6 3. 6.01-15.0 4. \>15 mg/dL GI stage: 0: No diarrhea or diarrhea \<500 mL/day 1. Diarrhea 500-999 mL/day or persistent nausea with histologic evidence of GVHD 2. Diarrhea 1000-1499 mL/day 3. Diarrhea \>1500 mL/day 4. Severe abdominal pain with or without ileus
SecondaryAcute GVHD ResponseDays 28 and 56 Post-randomization
Acute GVHD response is classified as CR, PR, mixed response (MR), no response (NR), and progression and scored by comparison to acute GVHD status at randomization. MR is defined as improvement in some organ(s) with worsening in another, progression as worsening in some organ(s) without improvement in others, and NR as absence of any improvement or worsening. Death and initiation of systemic acute GVHD treatment beyond randomized treatment are classified as NR. Organ staging is defined as: Skin stage: 0: No rash 1. Rash \<25% of body surface area (BSA) 2. Rash 25-50% of BSA 3. Rash \>50% of BSA 4. Generalized erythroderma with bullous formation Liver stage (based on bilirubin level in mg/dL): 0: \<2 1. 2-3 2. 3.01-6 3. 6.01-15.0 4. \>15 GI stage: 0: No diarrhea or diarrhea \<500 mL/day 1. Diarrhea 500-999 mL/day or persistent nausea with histologic evidence of GVHD 2. Diarrhea 1000-1499 mL/day 3. Diarrhea \>1500 mL/day 4. Severe abdominal pain with or without ileus
SecondaryPercentage of Participants With Treatment FailureDays 28 and 56 Post-randomization
Treatment failure is defined as either no response (NR) or progression and scored by comparison to acute GVHD status at randomization. Progression is defined as worsening in some target organ(s) without improvement in others and NR is defined as absence of any improvement or worsening in target organs. Death and initiation of systemic acute GVHD treatment beyond randomized treatment are classified as NR. Organ staging is defined as: Skin stage: 0: No rash 1. Rash \<25% of body surface area (BSA) 2. Rash 25-50% of BSA 3. Rash \>50% of BSA 4. Generalized erythroderma with bullous formation Liver stage (based on bilirubin level in mg/dL): 0: \<2 1. 2-3 2. 3.01-6 3. 6.01-15.0 4. \>15 GI stage: 0: No diarrhea or diarrhea \<500 mL/day 1. Diarrhea 500-999 mL/day or persistent nausea with histologic evidence of GVHD 2. Diarrhea 1000-1499 mL/day 3. Diarrhea \>1500 mL/day 4. Severe abdominal pain with or without ileus
SecondaryPercentage of Participants With Overall Survival6 and 12 Months Post-randomizationOverall survival is defined as survival of death from any cause.
SecondaryPercentage of Participants With Disease-free Survival6 and 12 Months Post-randomizationDisease-free survival is defined as freedom from death and relapse of the underlying malignancy.
SecondaryProportion of Participants With Event-free Survival6 and 12 Months Post-randomizationEvent-free survival is defined as freedom from acute GVHD progression, chronic GVHD, malignancy relapse, and death.
SecondaryPercentage of Participants With Non-relapse Mortality6 and 12 Months Post-randomization
Non-relapse mortality is defined as death due to any cause other than relapse of the underlying malignancy. The cumulative incidence of non-relapse mortality is described, with malignancy relapse treated as a competing risk.
SecondaryPercentage of Participants With Malignancy Relapse6 and 12 Months Post-randomizationThe cumulative incidence of relapse of the primary malignancy is described, with death treated as a competing risk.
SecondaryPercentage of Participants With Chronic GVHD6 and 12 Months Post-randomization
Chronic GVHD is classified per 2005 NIH Consensus Criteria (Filipovich et al. 2005) into categories of severity: none, mild, moderate, and severe. Occurrence of chronic GVHD is defined as the occurrence of mild, moderate, or severe chronic GVHD per this classification. The cumulative incidence of chronic GVHD is described, with death and malignancy relapse treated as competing risks.

Outcomes12

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Complete or Partial Response (CR/PR) to Acute GVHD TreatmentDays 28 and 56 Post-randomization
CR/PR was evaluated in participants remaining on study until the assessment time point. At Day 28, one prednisone and four sirolimus arm participants were excluded from the analysis due to prior study withdrawal. At Day 56, one prednisone and five sirolimus arm participants were excluded from the analysis due to prior study withdrawal.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants With Complete or Partial Response (CR/PR) and Steroid Dose Less Than 0.25 mg/kg Per DayDay 28 Post-randomization
The endpoint was evaluated only in participants that remained on study until Day 28. One participant on the prednisone arm and four on the sirolimus arm were deemed unevaluable at Day 28 due to prior study withdrawal.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAcute GVHD ResponseDays 28 and 56 Post-randomization
Acute GVHD response was evaluated in participants remaining on study until the assessment day. At Day 28, one prednisone and four sirolimus arm participants were excluded from the analysis due to prior study withdrawal. At Day 56, one prednisone and five sirolimus arm participants were excluded from the analysis due to prior study withdrawal.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants With Treatment FailureDays 28 and 56 Post-randomization
Treatment failure was evaluated in participants remaining on study until the assessment day. At Day 28, one prednisone and four sirolimus arm participants were excluded from the analysis due to prior study withdrawal. At Day 56, one prednisone and five sirolimus arm participants were excluded from the analysis due to prior study withdrawal.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants With Overall Survival6 and 12 Months Post-randomizationpercentage of participantsNUMBER
SECONDARYPercentage of Participants With Disease-free Survival6 and 12 Months Post-randomizationpercentage of participantsNUMBER
SECONDARYProportion of Participants With Event-free Survival6 and 12 Months Post-randomizationpercentage of participantsNUMBER
SECONDARYPercentage of Participants With Non-relapse Mortality6 and 12 Months Post-randomizationpercentage of participantsNUMBER
SECONDARYPercentage of Participants With Malignancy Relapse6 and 12 Months Post-randomizationpercentage of participantsNUMBER
SECONDARYPercentage of Participants With Chronic GVHD6 and 12 Months Post-randomizationpercentage of participantsNUMBER

Results by group72

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Complete or Partial Response (CR/PR) to Acute GVHD TreatmentSirolimusCR/PR at Day 28 / Yes35Participants
Percentage of Participants With Complete or Partial Response (CR/PR) to Acute GVHD TreatmentPrednisoneCR/PR at Day 28 / Yes46Participants
Percentage of Participants With Complete or Partial Response (CR/PR) to Acute GVHD TreatmentSirolimusCR/PR at Day 28 / No19Participants
Percentage of Participants With Complete or Partial Response (CR/PR) to Acute GVHD TreatmentPrednisoneCR/PR at Day 28 / No17Participants
Percentage of Participants With Complete or Partial Response (CR/PR) to Acute GVHD TreatmentSirolimusCR/PR at Day 56 / Yes34Participants
Percentage of Participants With Complete or Partial Response (CR/PR) to Acute GVHD TreatmentPrednisoneCR/PR at Day 56 / Yes50Participants
Percentage of Participants With Complete or Partial Response (CR/PR) to Acute GVHD TreatmentSirolimusCR/PR at Day 56 / No19Participants
Percentage of Participants With Complete or Partial Response (CR/PR) to Acute GVHD TreatmentPrednisoneCR/PR at Day 56 / No13Participants
Percentage of Participants With Complete or Partial Response (CR/PR) and Steroid Dose Less Than 0.25 mg/kg Per DaySirolimusYes36Participants
Percentage of Participants With Complete or Partial Response (CR/PR) and Steroid Dose Less Than 0.25 mg/kg Per DayPrednisoneYes20Participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSirolimus58
Overall StudySTARTEDPrednisone64
Overall StudyCOMPLETEDSirolimus53
Overall StudyCOMPLETEDPrednisone63
Overall StudyNOT COMPLETEDSirolimus5
Overall StudyNOT COMPLETEDPrednisone1

Adverse events22

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

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousSmall intestinal obstructionGastrointestinal disordersSirolimus1581
seriousSmall intestinal obstructionGastrointestinal disordersPrednisone0640
seriousHepatic cirrhosisHepatobiliary disordersSirolimus1581
seriousHepatic cirrhosisHepatobiliary disordersPrednisone0640
seriousAppendicitisInfections and infestationsSirolimus1581
seriousAppendicitisInfections and infestationsPrednisone0640
seriousDiverticulitisInfections and infestationsSirolimus1581
seriousDiverticulitisInfections and infestationsPrednisone0640
seriousPneumoniaInfections and infestationsSirolimus1581
seriousPneumoniaInfections and infestationsPrednisone0640

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySirolimus1258
Total, all-cause mortalityPrednisone1764
Total, other adverse eventsSirolimus058
Total, other adverse eventsPrednisone064
Total, serious adverse eventsSirolimus858
Total, serious adverse eventsPrednisone364

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
16338616BACKGROUNDPubMed
31738834DERIVEDPubMed
33297779DERIVEDPubMed

Grants2

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.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource
U24CA076518A Data Resource for Blood and Marrow Transplants and Adoptive Cellular Therapy ResearchSHAW, BRONWEN; MOSKOP, AMY MMEDICAL COLLEGE OF WISCONSINNATIONAL CANCER INSTITUTE1998 to 2025NIH RePORTER
U10HL069294Blood & Marrow Transplant Clinical Trials Network Data Coordinating CenterHOROWITZ, MARY MARESCAMEDICAL COLLEGE OF WISCONSINNATIONAL HEART, LUNG, AND BLOOD INSTITUTE2011 to 2016NIH RePORTER

Trial comparisons2

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

ComparisonSource
Sirolimus vs Prednisone: deaths from any causeTrial comparisons
Sirolimus vs Prednisone: serious adverse eventsTrial comparisons

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/NCT02806947

GET https://conductscience.org/api/trials/v1/NCT02806947/results?page=2