Actively Recruiting

Phase 2
Age: 2Years - 17Years
All Genders
NCT07124078

A Study to Evaluate Axatilimab Versus Best Available Therapy in Pediatric Participants With Chronic Graft-Versus-Host Disease After at Least 2 Prior Lines of Systemic Therapy (AGAVE-256)

Led by Incyte Corporation · Updated on 2026-05-07

60

Participants Needed

40

Research Sites

165 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study will be conducted to compare Axatilimab Versus Best Available Therapy in Pediatric Participants With Chronic Graft Versus Host Disease After at Least 2 Prior Lines of Systemic Therapy.

CONDITIONS

Official Title

A Study to Evaluate Axatilimab Versus Best Available Therapy in Pediatric Participants With Chronic Graft-Versus-Host Disease After at Least 2 Prior Lines of Systemic Therapy (AGAVE-256)

Who Can Participate

Age: 2Years - 17Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 63 2 to < 18 years at the time of signing the informed consent.
  • Active, moderate to severe chronic graft-versus-host disease requiring systemic immune suppression.
  • Refractory or recurrent chronic graft-versus-host disease with at least 2 prior systemic therapies including corticosteroids and ruxolitinib.
  • Stable dose of systemic corticosteroids for at least 2 weeks prior to treatment start; topical and inhaled corticosteroids allowed.
  • Must agree to be treated with one of the specified best available therapy options on treatment day 1.
  • History of allogeneic hematopoietic cell transplantation from any donor type with any graft source and conditioning regimen.
Not Eligible

You will not qualify if you...

  • More than 1 prior allogeneic hematopoietic cell transplant (prior autologous transplant allowed).
  • Evidence of relapse of hematologic disease or treatment for relapse after allo-SCT, including donor lymphocyte infusion for relapse.
  • Systemic treatment with calcineurin inhibitors or mTOR inhibitors started within 2 weeks prior to treatment start.
  • Severe renal impairment with GFR < 30 mL/min/1.73 m2 or end-stage renal disease on dialysis.
  • Impaired liver function defined as total bilirubin > 1.5 times upper limit of normal and/or ALT and AST > 3 times upper limit of normal without liver cGVHD.
  • History of acute or chronic pancreatitis.
  • Active, symptomatic myositis.
  • Female adolescents who are pregnant or breastfeeding.
  • Other protocol-defined criteria may apply.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 40 locations

1

City of Hope Medical Center

Duarte, California, United States, 91010

Actively Recruiting

2

Children'S Hospital Los Angeles Specialt

Los Angeles, California, United States, 90027

Not Yet Recruiting

3

Lucile Packard Child Hospital End

Palo Alto, California, United States, 94304

Not Yet Recruiting

4

Childrens National Medical Center

Washington D.C., District of Columbia, United States, 20010

Not Yet Recruiting

5

Adventhealth Pediatric Cellular Therapy and Blood and Marrow Transplant

Orlando, Florida, United States, 32804

Not Yet Recruiting

6

Childrens Healthcare of Atlanta

Atlanta, Georgia, United States, 30329

Not Yet Recruiting

7

Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10065

Actively Recruiting

8

Levine Cancer Institute

Charlotte, North Carolina, United States, 28203

Actively Recruiting

9

Duke Cancer Center

Durham, North Carolina, United States, 27710

Not Yet Recruiting

10

Childrens Hospital of Pittsburgh

Pittsburgh, Pennsylvania, United States, 15224

Not Yet Recruiting

11

Fred Hutchinson Cancer Research Center

Seattle, Washington, United States, 98109

Not Yet Recruiting

12

Hôpital Universitaire Des Enfants Reine Fabiola

Brussels, Belgium

Actively Recruiting

13

Universite Catholique de Louvain (Ucl) - Cliniques Universitaires Saint-Luc

Woluwe-Saint-Lambert, Belgium, 01200

Actively Recruiting

14

Charite Campus Virchow

Berlin, Germany, 13353

Not Yet Recruiting

15

Klinikum Der Johann Wolfgang Goethe-Universitaet

Frankfurt am Main, Germany, 60590

Actively Recruiting

16

Universitaetsklinikum Freiburg Zentrum Fuer Kinderheilkunde- Und Jugendmedizin Klinik Iv: Paediatris

Freiburg im Breisgau, Germany, 79106

Not Yet Recruiting

17

Universitaetsklinikum Hamburg-Eppendorf

Hamburg, Germany, 20246

Not Yet Recruiting

18

Medizinische Hochschule Hannover (Mhh) - Zentrum Fuer Kinderheilkunde Und Jugendmedizin - Klinik Fue

Hanover, Germany, 30625

Not Yet Recruiting

19

University Hospital Regensburg

Regensburg, Germany, 93053

Not Yet Recruiting

20

Irccs - Aou Di Bologna - Sant'Orsola Malpighi

Bologna, Italy, 40138

Not Yet Recruiting

21

Irccs Istituto G. Gaslini, Universita Di Genova

Genova, Italy, 16147

Not Yet Recruiting

22

Fondazione Irccs San Gerardo Dei Tintori

Monza, Italy, 20900

Not Yet Recruiting

23

Azienda Ospedaliera Universitaria Di Padova

Padua, Italy, 35128

Actively Recruiting

24

Fondazione Irccs Policlinico San Matteo Di Pavia Oncoematologia Pediatrica, Universita Di Pavia

Pavia, Italy, 27100

Not Yet Recruiting

25

Irccs Ospedale Pediatrico Bambino Gesu

Rome, Italy, 00165

Actively Recruiting

26

Hospital Universitario Vall D'Hebron

Barcelona, Spain, 08035

Actively Recruiting

27

Hospital Infantil Unversitario Nino Jesus

Madrid, Spain, 28009

Not Yet Recruiting

28

Hospital Universitario La Paz

Madrid, Spain, 28046

Actively Recruiting

29

Hospital Regional Universitario de Malaga- Hospital Materno Infantil

Málaga, Spain, 29011

Actively Recruiting

30

Hospital Universitario Virgen de La Arrixaca

Murcia, Spain, 30120

Actively Recruiting

31

Universitat de Valencia - Hospital Universitari I Politecnic La Fe de Valencia (Hospital La Fe Bulev

Valencia, Spain, 46026

Actively Recruiting

32

Birmingham Children'S Hospital - Birmingham Women'S and Children'S Nhs Foundation Trust

Birmingham, United Kingdom, B4 6NH

Actively Recruiting

33

Addenbrooke'S Hospital - Cambridge University Hospitals Nhs Foundation Trust

Cambridge, United Kingdom, CB2 0QQ

Actively Recruiting

34

The Royal Hospital For Children - Glasgow Health Board

Glasgow, United Kingdom, G51 4TF

Actively Recruiting

35

Leeds Childrens Hospital

Leeds, United Kingdom, LS1 3EX

Actively Recruiting

36

St Mary'S Hospital, Paddington - Imperial College Healthcare Nhs Trust

London, United Kingdom, W2 1NY

Actively Recruiting

37

Great Ormond Street Hospital Nhs Trust

London, United Kingdom, WC1N 3JH

Actively Recruiting

38

Royal Manchester Children'S Hospital - Manchester University Nhs Foundation Trust

Manchester, United Kingdom, M139WL

Actively Recruiting

39

Royal Victoria Infirmary - the Newcastle Upon Tyne Hospitals Nhs Foundation Trust

Newcastle, United Kingdom, NE1 4LP

Actively Recruiting

40

Sheffield Children'S Hospital - Sheffield Children'S Nhs Foundation Trust

Sheffield, United Kingdom, S10 2TH

Actively Recruiting

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Research Team

I

Incyte Corporation Call Center (US)

CONTACT

I

Incyte Corporation Call Center (ex-US)

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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A Study to Evaluate Axatilimab Versus Best Available Therapy in Pediatric Participants With Chronic Graft-Versus-Host Disease After at Least 2 Prior Lines of Systemic Therapy (AGAVE-256) | DecenTrialz