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Trial ยท NCT02841995

A Study to Evaluate the Safety, Tolerability, and Activity of KD025 in Subjects With Chronic Graft Versus Host Disease

NCT02841995, Phase 2, Completed, Kadmon, a Sanofi Company; results first posted 2023-06-28

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate the Safety, Tolerability, and Activity of KD025 in Subjects With Chronic Graft Versus Host Disease. Trials, record NCT02841995. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02841995

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Trial

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

Title
A Study to Evaluate the Safety, Tolerability, and Activity of KD025 in Subjects With Chronic Graft Versus Host Disease
NCT number
NCT02841995
Status
Completed
Phases
Phase 2
Enrollment
54 participants, actual
Lead sponsor
Kadmon, a Sanofi Company
Conditions
Graft vs Host Disease
Interventions
Belumosudil (KD025)
First posted
2016-07-22
Last updated
2023-06-28
Results first posted
2023-06-28

Source ClinicalTrials.gov

Registered outcomes22

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Overall Response (OR)From the date of randomization to the date of first documentation of progression or death due to any cause or data cut-off, whichever occurred first (maximum duration: up to 64.2 months)
OR was defined as the percentage of participants with complete response (CR) or partial response (PR). The OR determination of chronic graft versus host disease (cGVHD) was based on cGVHD response assessment performed by clinicians as per the 2014 National Institutes of Health (NIH) Consensus Development Project for Clinical Trials in cGVHD criteria. CR was defined as the resolution of all manifestations in each organ or site. PR was defined as the improvement in at least 1 organ or site without progression in any other organ or site; and cGVHD progression was defined as the clinically meaningful worsening in 1 or more organs regardless of improvement in other organs.
PrimaryNumber of Participants With Treatment-emergent Adverse Events (TEAEs), and Treatment-emergent Serious Adverse Events (TESAEs)From first dose of study drug up to 28 days after the last dose of study drug (maximum duration: up to 64.2 months)
An adverse event (AE) was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily have to have a causal relationship with the treatment. Serious adverse events (SAEs) was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as AEs that developed, worsened or became serious during the TEAE period (defined as the time from the first dose of study drug up to 28 days after the last dose of study drug). TEAEs included both SAEs and non-SAEs.
SecondaryNumber of Participants With Best Overall Response (BOR)From the date of randomization to the date of first documentation of progression or death due to any cause or data cut-off, whichever occurred first (maximum duration: up to 64.2 months)
BOR was defined as the participants with either a CR or PR or lack of response (LOR), where LOR included the response status of unchanged (LOR-U), mixed (LOR-M), or progression (LOR-P). BOR was assessed per the 2014 NIH Consensus Development Project for Clinical Trials in cGVHD criteria. CR was defined as the resolution of all manifestations in each organ or site; PR was defined as the improvement in at least 1 organ or site without progression in any other organ or site; LOR-M was defined as CR or PR in at least one organ accompanied by progression in another organ, LOR-U was defined as outcomes that did not meet the criteria for CR, PR, progression or mixed response, LOR-P was defined as progression in at least one organ or site without a response in any other organ or site.
SecondaryNumber of Participants With Maximal Improvement From Baseline in Global Severity Rating (GSR) by Clinician-reported cGVHD AssessmentFrom Baseline up to end of treatment (i.e., up to 64.2 months)
The GSR assessment was performed by asking the participants to rate their disease severity of cGVHD symptoms on a 0 to 10-point numeric rating scale, where score 0 indicated 'not at all severe cGVHD symptoms' and score 10 indicated 'most severe cGVHD symptoms possible'. The response was defined using scores from 9 organs: skin, eyes, mouth, esophagus, upper gastrointestinal (GI) track, lower GI tract, liver, lungs, and joints and fascia plus GSR. End of treatment (EOT) visit was performed within 3 days after participant's last dose of study drug. Baseline value was defined as valid and last non-missing value obtained within 28 days prior to participant receiving first study medication. Maximal improvement from Baseline was calculated as lowest GSR score on scheduled visits minus GSR score at Baseline with possible ranges from -10 to 10. The lower the number means the better improvement in cGVHD symptoms. Only those categories in which at least 1 participant had data were reported.
SecondaryNumber of Participants With Maximal Improvement From Baseline in Symptom Activity by cGVHD Activity Assessment Participant Self-ReportFrom Baseline up to end of treatment (i.e., up to 64.2 months)
cGVHD symptom severity was self-reported by participants. Participants were asked to rate their disease symptom severity over the last week on the following questions: skin itching at its worst, moth dryness at its worst, mouth pain at its worst, mouth sensitivity at its worst, main compliant on eyes, symptom severity on eyes. Severity rating was done on a 0 to 10-point numeric rating scare, where score 0 indicated 'not at all severe cGVHD symptoms' and score 10 indicated 'most severe cGVHD symptoms possible'. EOT visit was performed within 3 days after participant's last dose of study drug. Baseline value was defined as valid and last non-missing value obtained within 28 days prior to participant receiving first study medication. Maximal improvement from Baseline was calculated as the lowest symptom severity score on scheduled visits minus the symptom severity score at Baseline with possible ranges from -10 to 10. The lower the number means the better improvement in cGVHD symptoms.
SecondaryFailure-free Survival (FFS)
From first dose of study drug to either start of another new systemic treatment for cGVHD, relapse of the underlying disease or death or data cut-off, whichever occurred first (maximum duration: up to 64.2 months)
Failure-free survival was defined as the time (in months) from first dose of study drug to either the start of another new systemic treatment for cGVHD, relapse of the underlying disease or death. If no such events happened, FFS was censored by last response assessment or long term follow up assessment, whichever was the latest and available. Kaplan-Meier survival method was used for the analysis.
SecondaryChange From Baseline in Corticosteroids DoseBaseline up to end of treatment (i.e., anytime up to 64.2 months)
Baseline value was defined as valid and last non-missing value obtained within 28 days prior to participant receiving first study medication. EOT visit was performed within 3 days after the participant's last dose of study drug.
SecondaryNumber of Participants With Change From Baseline in Calcineurin Inhibitor (CNI) UsageBaseline up to end of treatment (i.e., anytime up to 64.2 months)
Calcineurin inhibitors included systemic tacrolimus and cyclosporine. Number of participants who took CNI at Baseline and had reduction and discontinuation in CNI use as compared to Baseline during the study are reported in this outcome measure. EOT visit was performed within 3 days after the participant's last dose of study drug. Baseline value was defined as valid and last non-missing value obtained within 28 days prior to participant receiving first study medication.
SecondaryDuration of Response (DOR)From the date of first response until documented disease progression or death due to any cause or data cut-off, whichever occurred first (maximum duration: up to 64.2 months)
The DOR was defined as the time (in weeks) from first documentation of response to the time of first documentation of deterioration from best response (e.g., CR to PR, or PR to LR). LOR included the response status of unchanged (LOR-U), mixed (LOR-M), or progression (LOR-P). Per the 2014 NIH Consensus Development Project for Clinical Trials in cGVHD criteria; CR was defined as the resolution of all manifestations in each organ or site; PR was defined as the improvement in at least 1 organ or site without progression in any other organ or site; LOR-M was defined as CR or PR in at least one organ accompanied by progression in another organ, LOR-U was defined as outcomes that did not meet the criteria for CR, PR, progression or mixed response, LOR-P was defined as progression in at least one organ or site without a response in any other organ or site. Kaplan-Meier was used for the analysis.
SecondaryTime-to-Response (TTR)From first dose of study drug treatment to the time of first documentation of response or data cut-off, whichever occurred first (maximum duration: up to 64.2 months)
Time-to-response was measured as the time (in weeks) from first dose of study drug to the time of first documentation of response. Response was defined as the participants achieving a PR or CR at any post-baseline response assessment. Per the 2014 NIH Consensus Development Project for Clinical Trials in cGVHD criteria; CR was defined as the resolution of all manifestations in each organ or site and PR was defined as the improvement in at least 1 organ or site without progression in any other organ or site.

Outcomes22

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Overall Response (OR)From the date of randomization to the date of first documentation of progression or death due to any cause or data cut-off, whichever occurred first (maximum duration: up to 64.2 months)Analysis was performed on mITT population.percentage of participantsNUMBER
PRIMARYNumber of Participants With Treatment-emergent Adverse Events (TEAEs), and Treatment-emergent Serious Adverse Events (TESAEs)From first dose of study drug up to 28 days after the last dose of study drug (maximum duration: up to 64.2 months)Analysis was performed on safety population which included all participants who received at least 1 dose of study medication.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Best Overall Response (BOR)From the date of randomization to the date of first documentation of progression or death due to any cause or data cut-off, whichever occurred first (maximum duration: up to 64.2 months)Analysis was performed on mITT population.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Maximal Improvement From Baseline in Global Severity Rating (GSR) by Clinician-reported cGVHD AssessmentFrom Baseline up to end of treatment (i.e., up to 64.2 months)Analysis was performed on mITT population.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Maximal Improvement From Baseline in Symptom Activity by cGVHD Activity Assessment Participant Self-ReportFrom Baseline up to end of treatment (i.e., up to 64.2 months)Analysis was performed on mITT population. Only those categories in which at least 1 participant had data were reported.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYFailure-free Survival (FFS)
From first dose of study drug to either start of another new systemic treatment for cGVHD, relapse of the underlying disease or death or data cut-off, whichever occurred first (maximum duration: up to 64.2 months)
Analysis was performed on mITT population.monthsMEDIAN
SECONDARYChange From Baseline in Corticosteroids DoseBaseline up to end of treatment (i.e., anytime up to 64.2 months)Analysis was performed on mITT population. Here, 'overall number of participants analyzed' = participants with available data for this outcome measure.milligrams per kilogram per dayMEAN
SECONDARYNumber of Participants With Change From Baseline in Calcineurin Inhibitor (CNI) UsageBaseline up to end of treatment (i.e., anytime up to 64.2 months)Analysis was performed on mITT population. Here, overall number of participants analyzed = participants who had taken CNI at Baseline and with available data for this outcome measure.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDuration of Response (DOR)From the date of first response until documented disease progression or death due to any cause or data cut-off, whichever occurred first (maximum duration: up to 64.2 months)Analysis was performed on responder population which included participants who received at least 1 dose of study medication and achieved a PR or CR response at any post-baseline response assessment.weeksMEDIAN
SECONDARYTime-to-Response (TTR)From first dose of study drug treatment to the time of first documentation of response or data cut-off, whichever occurred first (maximum duration: up to 64.2 months)Analysis was performed on responder population.weeksMEDIAN

Results by group881

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Overall Response (OR)Cohort 1: Belumosudil 200 mg QD64.795% Confidence Interval 38.3 to 85.8percentage of participants
Percentage of Participants With Overall Response (OR)Cohort 2: Belumosudil 200 mg BID68.895% Confidence Interval 41.3 to 89.0percentage of participants
Percentage of Participants With Overall Response (OR)Cohort 3: Belumosudil 400 mg QD57.195% Confidence Interval 34.0 to 78.2percentage of participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs), and Treatment-emergent Serious Adverse Events (TESAEs)Cohort 1: Belumosudil 200 mg QDTEAE17Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs), and Treatment-emergent Serious Adverse Events (TESAEs)Cohort 2: Belumosudil 200 mg BIDTEAE16Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs), and Treatment-emergent Serious Adverse Events (TESAEs)Cohort 3: Belumosudil 400 mg QDTEAE20Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs), and Treatment-emergent Serious Adverse Events (TESAEs)Cohort 1: Belumosudil 200 mg QDTESAE5Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs), and Treatment-emergent Serious Adverse Events (TESAEs)Cohort 2: Belumosudil 200 mg BIDTESAE6Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs), and Treatment-emergent Serious Adverse Events (TESAEs)Cohort 3: Belumosudil 400 mg QDTESAE13Participants
Number of Participants With Best Overall Response (BOR)Cohort 1: Belumosudil 200 mg QDCR0Participants

Participant flow9

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1: Belumosudil 200 mg QD17
Overall StudySTARTEDCohort 2: Belumosudil 200 mg BID16
Overall StudySTARTEDCohort 3: Belumosudil 400 mg QD21
Overall StudyCOMPLETEDCohort 1: Belumosudil 200 mg QD0
Overall StudyCOMPLETEDCohort 2: Belumosudil 200 mg BID0
Overall StudyCOMPLETEDCohort 3: Belumosudil 400 mg QD0
Overall StudyNOT COMPLETEDCohort 1: Belumosudil 200 mg QD17
Overall StudyNOT COMPLETEDCohort 2: Belumosudil 200 mg BID16
Overall StudyNOT COMPLETEDCohort 3: Belumosudil 400 mg QD21

Adverse events726

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersCohort 1 200 mg QD51714
otherAnaemiaBlood and lymphatic system disordersCohort 2 200 mg BID4168
otherAnaemiaBlood and lymphatic system disordersCohort 3 400 mg QD0210
otherBlood loss anaemiaBlood and lymphatic system disordersCohort 1 200 mg QD1171
otherBlood loss anaemiaBlood and lymphatic system disordersCohort 2 200 mg BID0160
otherBlood loss anaemiaBlood and lymphatic system disordersCohort 3 400 mg QD0210
otherLeukocytosisBlood and lymphatic system disordersCohort 1 200 mg QD1171
otherLeukocytosisBlood and lymphatic system disordersCohort 2 200 mg BID0160
otherLeukocytosisBlood and lymphatic system disordersCohort 3 400 mg QD1211
otherThrombocytopeniaBlood and lymphatic system disordersCohort 1 200 mg QD0170

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1 200 mg QD517
Total, all-cause mortalityCohort 2 200 mg BID516
Total, all-cause mortalityCohort 3 400 mg QD921
Total, other adverse eventsCohort 1 200 mg QD1717
Total, other adverse eventsCohort 2 200 mg BID1616
Total, other adverse eventsCohort 3 400 mg QD1921
Total, serious adverse eventsCohort 1 200 mg QD517
Total, serious adverse eventsCohort 2 200 mg BID616
Total, serious adverse eventsCohort 3 400 mg QD1321

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33877856DERIVEDPubMed
35781099DERIVEDPubMed

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/NCT02841995

GET https://conductscience.org/api/trials/v1/NCT02841995/registered?page=2