Official Title: A Randomized Study to Evaluate The Efficacy of Mycophenolate Mofetil Added to The Systemic Immunosuppressive Regimen First Used For Treatment of Chronic Graft-Versus-Host Disease
Status: TERMINATED
Status Verified Date: 2009-08
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Low probability of positive outcome
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: RATIONALE Mycophenolate mofetil added to immunosuppressive treatment regimens may be effective in treating newly diagnosed chronic graft-versus-host disease caused by stem cell transplantation It is not yet known whether immunosuppressive treatment regimens are more effective with or without mycophenolate mofetil in treating chronic graft-versus-host disease
PURPOSE This randomized phase III trial is studying whether the addition of mycophenolate mofetil improves the efficacy of immunosuppressive treatment regimens in patients with newly diagnosed chronic graft-versus-host disease
Detailed Description: OBJECTIVES
Compare the efficacy of immunosuppressive treatment regimens with vs without mycophenolate mofetil in patients with newly diagnosed chronic graft-vs-host disease Compare the quality of life of patients treated with these regimens
OUTLINE This is a randomized double-blind placebo-controlled prospective multicenter study Patients are stratified according to organ involvement of chronic graft-versus-host disease GVHD single organ vs multiple organs and transplant center Patients are randomized to 1 of 2 treatment arms
All patients receive usual therapy for chronic GVHD comprising oral prednisone twice daily and oral cyclosporine oral tacrolimus or oral sirolimus twice daily until 2 weeks after the first evidence of improvement of symptoms of chronic GVHD
Arm I Patients receive oral mycophenolate mofetil twice daily Arm II Patients receive oral placebo twice daily In both arms administration of the study drug continues for 3 months after completion of prednisone and cyclosporine tacrolimus or sirolimus in the absence of disease progression or unacceptable toxicity
Quality of life is assessed at baseline and then every 3 months
Patients are followed every 3 months for 3-5 years
PROJECTED ACCRUAL A total of 230 patients 115 per treatment arm will be accrued for this study within 3 years