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Protein Replacement Therapy

Alpha-1 Antitrypsin for Graft-versus-Host Disease (MODULAATE Trial)

Phase 2 & 3
Recruiting
Research Sponsored by CSL Behring
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Planned myeloablative conditioning regimen
Male or female subjects, ≥12 years of age (≥ 18 years of age for subjects at German sites only), undergoing HCT for hematological malignancies, including leukemia, lymphoma, multiple myeloma, myelodysplastic syndrome and myeloproliferative neoplasms
Must not have
Prior autologous or allogeneic HCT
T-cell depleted transplant or planned use of anti-T cell antibody therapy either ex vivo or in vivo (ie, anti-thymocyte globulin [ATG], alemtuzumab) for GVHD prophylaxis
Timeline
Screening 3 weeks
Treatment Varies
Follow Up through 180 days after hematopoietic cell transplantation (hct)

Summary

This trial is testing a new drug to see if it can prevent aGVHD in people undergoing an allogeneic HCT.

Who is the study for?
This trial is for males and females aged 12 or older (18+ in Germany) who are undergoing a bone marrow transplant due to blood cancers like leukemia, lymphoma, or myeloma. They must be planning an intense treatment regimen before the transplant. People with previous transplants or those getting certain T-cell treatments can't join.
What is being tested?
The study tests if Alpha-1 Antitrypsin (AAT), compared to a placebo, can prevent acute Graft-Versus-host Disease after allogeneic hematopoietic cell transplant. It's double-blind meaning neither doctors nor patients know who gets AAT and who gets the placebo.
What are the potential side effects?
Possible side effects of AAT include allergic reactions at the injection site, headaches, dizziness, nausea, and increased risk of bleeding. Since it's being tested for safety too, there may be unknown side effects.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am scheduled for a strong chemotherapy or radiation treatment before a stem cell transplant.
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I am 12 or older (18+ in Germany) and having a transplant for blood cancer.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have had a stem cell transplant before.
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I am undergoing or planning to undergo a treatment that targets T-cells for graft-versus-host disease.
Select...
I am scheduled for a stem cell transplant using umbilical cord blood.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~through 180 days after hematopoietic cell transplantation (hct)
This trial's timeline: 3 weeks for screening, Varies for treatment, and through 180 days after hematopoietic cell transplantation (hct) for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
The time to Grade II-IV acute graft versus host disease (aGVHD) or death
Secondary study objectives
Number of deaths (relapse and nonrelapse-related)
Proportion of subjects with moderate-to-severe chronic GVHD
Time to GVHD relapse-free survival
+1 more

Trial Design

5Treatment groups
Experimental Treatment
Placebo Group
Group I: AAT (selected dose from open-label)Experimental Treatment1 Intervention
Double-blind. AAT is a lyophilized product for intravenous administration
Group II: AAT (medium dose)Experimental Treatment1 Intervention
Open label. AAT is a lyophilized product for intravenous administration
Group III: AAT (low dose)Experimental Treatment1 Intervention
Open label. Alpha-1 antitrypsin (AAT) is a lyophilized product for intravenous administration
Group IV: AAT (high dose)Experimental Treatment1 Intervention
Open label. AAT is a lyophilized product for intravenous administration
Group V: PlaceboPlacebo Group1 Intervention
Albumin solution administered intravenously

Find a Location

Who is running the clinical trial?

CSL BehringLead Sponsor
201 Previous Clinical Trials
1,204,853 Total Patients Enrolled
Study PhysicianStudy DirectorCSL Behring
12 Previous Clinical Trials
3,582 Total Patients Enrolled

Media Library

Alpha-1 antitrypsin (AAT) (Protein Replacement Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT03805789 — Phase 2 & 3
Graft-versus-Host Disease Research Study Groups: AAT (low dose), AAT (medium dose), AAT (high dose), Placebo, AAT (selected dose from open-label)
Graft-versus-Host Disease Clinical Trial 2023: Alpha-1 antitrypsin (AAT) Highlights & Side Effects. Trial Name: NCT03805789 — Phase 2 & 3
Alpha-1 antitrypsin (AAT) (Protein Replacement Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03805789 — Phase 2 & 3
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