Rituximab for steroid-refractory chronic graft-versus-host disease.
Corey Cutler, David Miklos, Haesook T Kim...
https://pubmed.ncbi.nlm.nih.gov/16551963/Actively Recruiting
Led by Northside Hospital, Inc. · Updated on 2026-04-20
25
Participants Needed
1
Research Sites
52 weeks
Total Duration
Researchers are evaluating the safety and effectiveness of the drugs belumosudil and rituximab as a first treatment for people with extensive chronic graft-versus-host disease cGVHD. This Phase 2, open-label study focuses on patients experiencing their first episode of cGVHD that requires systemic immunosuppression. The study is sponsored by Northside Hospital, Inc. and aims to understand how well these treatments work and how safe they are over time. Participants will receive belumosudil taken orally at 200 mg once daily for 24 cycles of 28 days each. Alongside this, rituximab will be given through intravenous infusion at 375 mgm2 weekly for the first four weeks, then once every three months for four additional doses. This combined treatment regimen is designed to be the primary therapy for their cGVHD. During the study, participants will be closely monitored for treatment response, including the number achieving partial or complete responses over two years. Researchers will also track how long patients remain on corticosteroid therapy and record any treatment-related side effects using standardized criteria. The study involves regular assessments of health status and treatment effects for a total duration of two years, ensuring comprehensive safety and efficacy evaluation.
CONDITIONS
Belumosudil and Rituximab for Primary Treatment of Chronic Graft-Versus-Host-Disease
S
Scott Solomon, MD
C
Caitlin Guzowski, MBA, MHA
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Northside Hospital, Inc.
Lead Sponsor
Sanofi
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Belumosudil plus rituximab (studied in trial) | Prednisone ± calcineurin inhibitor (current first-line standard) |
|---|---|---|
| What it is | A combination of belumosudil (oral ROCK2 inhibitor) and rituximab (intravenous anti-CD20 antibody) given as initial systemic therapy for adults with newly diagnosed classic chronic GVHD. | Systemic corticosteroid (prednisone) therapy, often combined with a calcineurin inhibitor such as cyclosporine or tacrolimus, representing the current guideline-recommended first-line treatment for classic cGVHD. |
| Role in trial | Investigational regimen; all enrolled participants receive this combination as their first systemic therapy for newly diagnosed classic cGVHD. | Not investigated in this trial. Represents the current established systemic therapy for equivalent patients outside a clinical trial. |
| Primary use | Studied as initial systemic treatment for classic chronic GVHD to assess response and steroid-sparing potential in previously untreated adults. | Used as first-line therapy to induce remission and control symptoms in adults with newly diagnosed classic cGVHD. |
| How it is given or performed | Belumosudil 200 mg is taken orally once daily for up to 24 cycles (28 days each). Rituximab is given as an intravenous infusion (375 mg/m2) weekly for 4 weeks, then every 3 months for 4 more doses. | Prednisone is given orally, generally starting at 1 mg/kg daily, with planned slow tapering. Calcineurin inhibitors (such as cyclosporine or tacrolimus) are added in some cases and are given orally with dose and level monitoring. |
| Evidence status | Currently being evaluated in this single-group, early-phase clinical trial for initial cGVHD; efficacy and safety results for first-line use are not yet established. | Supported by multiple clinical studies and longstanding clinical experience as the first-line treatment for cGVHD; demonstrates a partial and complete response rate of around 50–60% in published randomized trials. |
| Important limitations | Single-arm early-phase study; results may not generalize to broader populations. Combination first-line use, safety, and efficacy are not yet established compared to standard care. | Standard corticosteroid regimens are associated with significant side effects (such as infection risk, metabolic complications), and incomplete long-term responses are common—about half of patients require further or alternative therapies. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 24 cycles of 28 days each for Belumosudil, with Rituximab dosing over the initial weeks and continued doses at 3-month intervals.
Participants receive Belumosudil orally once daily in 28-day cycles and Rituximab intravenously weekly for 4 weeks, then every 3 months for 4 doses, as part of their treatment for chronic graft-versus-host disease.
Weekly visits for Rituximab infusions during the first 4 weeks, then visits every 3 months for additional Rituximab doses; daily oral medication for Belumosudil.
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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https://pubmed.ncbi.nlm.nih.gov/16046530/Northside Hospital, Inc.
Lead Sponsor
Sanofi
Collaborating Sponsor