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Graft-versus-host DiseasePhase 3NCT06682169

Evaluation of Rovadicitinib Compared to the Protocol Selected by Researchers in Third Line and Subsequent Studies of Moderate to Severe Chronic Graft-versus-host Disease

A Phase 3 study testing Rovadicitinib, Imatinib and Methotrexate in people with Graft-versus-host Disease, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 41 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The aim of this study is to demonstrate that in subjects with moderate to severe chronic graft-versus-host disease in the third line and beyond, the use of rosuvastatin compared to the protocol chosen by the researchers can significantly improve the objective response rate of subjects at week 24. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Graft-versus-host Disease
What is being tested?
Rovadicitinib, Imatinib and Methotrexate
Could I receive a placebo?
No, everyone receives an active treatment
How many people
182 participants
Where
41 sitesChina
Study dates
20 Nov 2024to Dec 2030
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age: 18 to 70 years old; Karnofsky (KPS) ≥ 60 points; Expected survival period exceeding 6 months;
  • Previously received allogeneic hematopoietic stem cell transplantation;
  • According to NIH standards, the clinical diagnosis is moderate to severe cGVHD;
  • Previously received systematic treatment for cGVHD with 2-5 lines;
  • Stable dosage of corticosteroids and other immunosuppressants received within 2 weeks prior to screening;
  • The main organ functions well;
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  • Starting from Day 1 after enrollment in the control group of this study, participants must receive one of the drugs specified in the study protocol;
  • Female participants of childbearing age should agree to use contraceptive measures (such as intrauterine devices, birth control pills, or condoms) during the study period and for 6 months after the end of the study; Serum pregnancy test negative within 7 days prior to enrollment in the study, and must be a non lactating subject; Male participants should agree to use contraceptive measures during the study period and within 6 months after the end of the study period;
  • Subjects voluntarily joined this study, signed informed consent, and had good compliance.

Who cannot join

  • Has experienced or currently suffers from other malignant tumors within the past 3 years;
  • Known or suspected active aGVHD;
  • Individuals with interstitial pneumonia, non infectious pneumonia, uncontrolled active infections, or infections requiring systematic treatment within the first 7 days of randomization, except for those deemed suitable for inclusion by the researchers;
  • The occurrence and progression of other underlying diseases include post transplant lymphoid tissue proliferative diseases and recurrence of primary malignant hematological diseases;
  • Random failure of allogeneic hematopoietic stem cell transplantation within the first 6 months or having received 2 allogeneic hematopoietic stem cell transplants in the past;
  • Used JAK inhibitors, Bruton's tyrosine kinase (BTK) inhibitors, etc. within the first 2 weeks of randomization;
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  • There are multiple factors that can affect oral medication, such as inability to swallow, intestinal obstruction, etc;
  • Individuals with a history of abuse of psychotropic drugs who are unable to quit or have mental disorders;
  • Subjects with any severe and/or uncontrolled illnesses;
  • Individuals who are allergic to research drugs or their components;
  • Participated in other clinical trials within the first 4 weeks of randomization;
  • According to the researcher's judgment, there are accompanying diseases that seriously endanger the safety of the subjects or affect the completion of the study, or subjects who are deemed unsuitable for inclusion due to other reasons.

Trial locations and contacts

41 sites in 1 country. Contact the study team or a site near you to ask about taking part.

He Huang, Doctor contact

13605714822

hehuangyu@126.com

41 sites in 1 country

China41 sites, 41 recruiting
  • Peking University First Hospital

    Beijing, Beijing Municipality, 100034

    Yujun Dong, Doctor, 18210264969, dongy@hsc.pku.edu.cn

    Not yet recruiting
  • Peking University People's Hospital

    Beijing, Beijing Municipality, 100044

    Xiaodong Mo, Doctor, 13810096698, mxd453@163.com

    Not yet recruiting
  • First Hospital of Jilin University

    Changchun, Jilin, 130031

    Sujun Gao, Doctor, 15843073208, sujung1963@163.com

    Not yet recruiting
  • The Second Xiangya Hospital of Central South University

    Changsha, Hunan, Hunan

    Hongling Peng, Doctor, 18900766137, 577769365@qq.com

    Not yet recruiting
  • Sichuan Provincial People's Hospital

    Chengdu, Sichuan, 610072

    Xiaobin Huang, Doctor, 18981838236, 978236463@qq.com

    Not yet recruiting
  • The Southwest Hospital of AMU

    Chongqing, Chongqing Municipality, 400038

    Shuangnian Xu, Doctor, 13650596553, xushuangnian1985@163.com

    Not yet recruiting
  • Fujian Medical University Union Hospital

    Fuzhou, Fujian, 350001

    Nainong Li, Doctor, 13365910189, nainli@aliyun.com

    Not yet recruiting
  • Guangzhou First People's Hospital The First People's Hospital Affiliated to Guangzhou Medical University

    Guangzhou, Guangdong, 510180

    Shunqing Wang, Doctor, 13437801998, shqwang_cn@163.com

    Not yet recruiting
  • Nanfang Hospital

    Guangzhou, Guangdong, 510515

    Hua Jin, Doctor, 18026280868, echohua1124@163.com

    Not yet recruiting
  • The Affiliated Hospital of Guizhou Medical University

    Guiyang, Guizhou, 550001

    Jishi Wang, Doctor, 13639089646, Wangjishi9646@163.com

    Peng Zhao, Doctor, 13639014111, 56068622@qq.com

    Not yet recruiting
  • The First Affiliated Hospital, Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310003

    He Huang, Doctor, 13605714822, hehuangyu@126.com

    Recruiting
  • The First Affiliated Hospital of USTC Anhui Provincial Hospital

    Hefei, Anhui, 230001

    Xiaoyu Zhu, Doctor, 15255456091, xiaoyuz@ustc.edu.cn

    Not yet recruiting
  • Huai'an Second People's Hospital

    Huai'an, Jiangsu, 223200

    YanMing Zhang, Doctor, 15951268038, zhangyanming2005@126.com

    Not yet recruiting
  • Qilu Hospital of Shandong University

    Jinan, Shandong, 250012

    Jun Peng, Doctor, 18560087005, junpeng88@sina.com

    Not yet recruiting
  • The First People's Hospital of Yunnan Province

    Kunming, Yunnan, 650032

    Yajie Wang, Doctor, 13211630338, 694634285@qq.com

    Not yet recruiting
  • The First Hospital of Lanzhou University

    Lanzhou, Gansu, 730000

    Yaming Xi, Doctor, 18693165668, lingxiaolingedu@163.com

    Not yet recruiting
  • The 904 Hospital of the Joint Service Support Force of the People's Liberation Army of China

    Lanzhou, Gansu, 730050

    Tao Wu, Doctor, 13919939297, wutaozhen@yeah.net

    Not yet recruiting
  • The First Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi, 330006

    Fei Li, Doctor, 13970038386, lifeigcp2022@163.com

    Not yet recruiting
  • Zhongda Hospital Southeast University

    Nanjing, Jiangsu, 210009

    Zhengping Yu, Doctor, 15951946338, zhengpingyu2016@sina.com

    Not yet recruiting
  • Jiangsu Province Hospital

    Nanjing, Jiangsu, 210029

    Kourong Miao, Doctor, 13813828314, kourongmiao@163.com

    Not yet recruiting
  • The First Affiliated Hospital of Guangxi Medical University

    Nanning, Guangxi, 530021

    Zhongming Zhang, Doctor, 15807801369, zzmmissyou@126.com

    Not yet recruiting
  • The Affiliated People's Hospital of Ningbo University

    Ningbo, Zhejiang, 315040

    Ying Lu, Doctor, 13486090834, rmluying@nbu.edu.com

    Not yet recruiting
  • The First Affiliated Hospital of Ningbo University

    Ningbo, Zhejiang, 315211

    Ping Zhang, Doctor, 13819811995, lingdujianke@163.com

    Not yet recruiting
  • Shanghai Jiao Tong University School of Medicine,Renji Hospital

    Shanghai, Shanghai Municipality, 200001

    Lijing Shen, Doctor, 13917912448, shenlijing@renji.com

    Not yet recruiting
  • Ruijin Hospital, Shanghai Jiaotong University School Of Medicine

    Shanghai, Shanghai Municipality, 200025

    Xiaoxia Hu, Doctor, 13795437259, hu_xiaoxia@126.com

    Not yet recruiting
  • The First Hospital of China Medical University

    Shenyang, Liaoning, 110001

    Xiaojing Yan, Doctor, 13889128302, yanxiaojing_pp@hotmail.com

    Not yet recruiting
  • The Second Hospital of Hebei Medical Hospital

    Shijiazhuang, Hebei, 050000

    Xuejun Zhang, Doctor, 13722781112, zhxjhbmu@126.com

    Not yet recruiting
  • Tai'an City Central Hospital

    Tai’an, Shandong, 271000

    Guanchen Bai, Doctor, 18653819776, bgcbgc1@163.com

    Not yet recruiting
  • Shanxi Bethune Hospital

    Taiyuan, Shanxi, 030032

    Lifang Huang, Doctor, 13554399000, huanglifang627@163.com

    Not yet recruiting
  • Chinese Academy of Medical Sciences Hematology Hospital

    Tianjin, Tianjin Municipality, 300052

    Erlie Jiang, Doctor, 15122538106, jiangerlie@ihcams.ac.cn

    Not yet recruiting
  • The First Hospital of Xinjiang Medical University

    Ürümqi, Xinjiang, 830054

    Ming Jiang, Doctor, 13909910116, jiangmingyy@126.com

    Not yet recruiting
  • The First Affiliated Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang, 325005

    Lan Sun, Doctor, 13587685726, sunlan91@126.com

    Not yet recruiting
  • Wuhan Union Hospital of China

    Wuhan, Hubei, 430022

    Wei Shi, Doctor, 13207131315, 496020121@qq.com

    Not yet recruiting
  • Tongji Hospital Tongji Medical College of HUST

    Wuhan, Hubei, 430030

    Fankai Meng, Doctor, 13007115862, 59440029@qq.com

    Not yet recruiting
  • Zhongnan Hospital of Wuhan University

    Wuhan, Hubei, 430071

    Fuling Zhou, Doctor, 18986285580, zhoufuling@163.com

    Not yet recruiting
  • The First Affiliated Hospital of Xi'an Jiaotong University

    Xi’an, Shanxi, 710061

    Pengcheng He, Doctor, 18991232609, hpc@163.com

    Not yet recruiting
  • Shanxi Provincial People's Hospital

    Xi’an, Shanxi, 710068

    Yi Wang, Doctor, 13571936193, 13571936193@163.com

    Not yet recruiting
  • The First Affiliated Hospital of Xiamen University

    Xiamen, Fujian, 361003

    Zhifeng Li, Doctor, 13606901162, lzf_xm@163.com

    Not yet recruiting
  • Henan Provincial People's Hospital

    Zhengzhou, Henan, 450003

    Zunmin Zhu, Doctor, 13603712008, zhuzm1964@163.com

    Not yet recruiting
  • The Third People's Hospital of Zhengzhou

    Zhengzhou, Henan, 450099

    Xianjing Wang, Doctor, 13733809362, xianjingwang@126.com

    Not yet recruiting
  • Henan Cancer Hospital

    Zhenzhou, Henan, 450000

    Jian Zhou, Doctor, 13623822347, zhoujiandoctor@163.com

    Recruiting

Other trials in China

About this study

Official title: A Randomized, Open Label, Positive Controlled, Multicenter Phase III Clinical Trial Evaluating the Efficacy and Safety of the Selected Regimen of Rovadicitinib in Moderate to Severe Chronic Graft-versus-host Disease in Third Line and Beyond

The aim of this study is to demonstrate that in subjects with moderate to severe chronic graft-versus-host disease in the third line and beyond, the use of rosuvastatin compared to the protocol chosen by the researchers can significantly improve the objective response rate of subjects at week 24.

Being tested
Rovadicitinib, Imatinib, Methotrexate, Mycophenolate mofetil, Rituximab
Medical subject headings
Graft vs Host Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RovadicitinibDrug

    Rovadicitinib is an inhibitor of Janus associated kinases (JAK) family and Rho associated kinases (ROCK). It can inhibit the sustained abnormal activation of the Janus kinase (JAK) signal transducer and activator of transcription (JAK-STAT) pathway and also inhibit Rho associated kinase 2 (ROCK2). The JAK 1-JAK 2 signaling pathway is a key step in causing inflammation and tissue damage in acute and chronic graft-versus-host disease.

  • ImatinibDrug

    Imatinib tyrosine kinase inhibitor is a small molecule protein kinase inhibitor that has the ability to block one or more protein kinases. Clinically used for the treatment of chronic myeloid leukemia and malignant gastrointestinal stromal tumors.

  • MethotrexateDrug

    Methotrexate is an organic compound, mainly used as an anti folate anti-tumor drug. It inhibits the synthesis of tumor cells by inhibiting dihydrofolate reductase, thereby inhibiting the growth and reproduction of tumor cells.

  • Mycophenolate mofetilDrug

    Metoprolol ester is an organic compound mainly used as an immunosuppressant

  • RituximabDrug

    Rituximab activates antibody dependent cell-mediated phagocytosis and complement dependent cytotoxicity by binding to cluster of differentiation 20 (CD20) antigen, clearing malignant B cells expressing CD20 and achieving therapeutic goals.

Study groups in NCT06682169
Study groupRoleWhat they receive
RovadicitinibExperimentalRovadicitinib: 10mg, taken orally on an empty stomach twice a day, with a minimum interval of 8 hours between each dose, and an optimal interval of 12 hours. Every 28 days is a treatment cycle.
Receives: Drug: Rovadicitinib
Imatinib or Methotrexate or Mycophenolate or RituximabActive comparatorMethotrexate tablets: 10mg, orally, once a week or 5mg, orally, twice a week. Metoprolol ester: 250mg-500mg, bid, orally. Imatinib: 100-400mg, qd, oral. Rituximab: 375mg/m2, administered intravenously once a week for 4 consecutive weeks.
Receives: Drug: Imatinib; Drug: Methotrexate; Drug: Mycophenolate mofetil; Drug: Rituximab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Objective remission rate in the 24th week (ORR)

    Researchers evaluated each organ according to the consensus criteria of the NIH 2014 conference, and at week 24, the percentage of subjects with complete response (CR) or partial response (PR) in all assessable organs was determined.

    Measured: Week 24

Secondary outcomes (13)
  1. Best Objective Response Rate (BOR)

    The best therapeutic effect among all therapeutic outcomes

    Measured: Week 24

  2. Duration of Relief (DOR)

    The duration of symptom relief for patients after receiving treatment

    Measured: Through study completion, an average of 2 year

  3. Improvement in Lee cGVHD symptom score of subjects in week 24

    The Lee cGVHD Symptom Score is a tool used to assess the severity of symptoms in chronic graft-versus-host disease (cGVHD), ranging from 0 to 4 points, with a maximum total score of 16 points. The higher the score, the more severe the cGVHD symptoms.

    Measured: Week 24

  4. Failure free survival (FFS)

    The time from the start of treatment to the occurrence of disease progression or death for any reason in the patient

    Measured: Weeks 2, 4, 8, 16, 36, 48, 60, 72, 84, 96

  5. Primary disease recurrence rate (MR)

    The probability of recurrence of the patient's disease within a certain period of time.

    Measured: Weeks 8, 16,24, 36, 48

  6. Non-Relapse Mortality (NRM)

    NRM was defined as death without recurrent or progressive disease

    Measured: Weeks 8, 16,24, 36, 48

  7. Overall survival (OS)

    From randomization to the time of death caused by any reason

    Measured: Through study completion, an average of 2 year

  8. Percentage of subjects whose daily glucocorticoid dose decreased

    Percentage of subjects whose daily glucocorticoid dose decreased by ≥ 50% in week 24, and percentage of subjects who discontinued all glucocorticoids

    Measured: Week 24

  9. Changes in the Functional Assessment of Cancer Therapy - Bone Marrow Transplantation (FACT-BMT)

    The FACT-BMT scale is a tool used to evaluate the quality of life (QOL) of patients after hematopoietic stem cell transplantation, the scale is filled out by the person closest to the patient, and each question has five possible answers on a scale of 0-4. Answer each question item based on the patient's actual situation in the past week, and mark the corresponding number with a "√"

    Measured: Through study completion, an average of 2 year

  10. Changes in 5-level EQ-5D (EQ-5D-5L)

    The scoring criteria of EQ-5D-5L scale include five dimensions: action ability, self-care ability, daily activity ability, pain or discomfort, anxiety or depression. After selecting a level for each dimension, a specific rating can be obtained. For example, if an individual chooses "slightly difficult" in terms of action ability, they will score 2 points on that dimension (from 0 to 5, where 0 indicates no difficulty and 5 indicates inability/very serious difficulty)

    Measured: Through study completion, an average of 2 year

  11. Adverse events (AE)

    The incidence and severity of adverse events (AE) and serious adverse events (SAE), as well as abnormal laboratory test indicators.

    Measured: Through study completion, an average of 2 year

  12. Cmax

    The maximum concentration of medication that enters the bloodstream after administration

    Measured: Day 1, day 8 on cycle 1: 0.5 hour pre-dose, 0.5 hour after dose, day 1 cycle 2: 0.5 hour pre-dose, 2 hours after dose, day 1 cycle 4: 0.5 hour pre-dose, 3 hours after dose, day 1 cycle 6: 0.5 hour pre-dose, 4 hours after dose (28 days as a cycle)

  13. Ctrough

    After multiple administrations, the blood drug concentration reaches a relatively stable state, which is called the steady-state concentration

    Measured: Day 1, day 8 on cycle 1: 0.5 hour pre-dose, 0.5 hour after dose, day 1 cycle 2: 0.5 hour pre-dose, 2 hours after dose, day 1 cycle 4: 0.5 hour pre-dose, 3 hours after dose, day 1 cycle 6: 0.5 hour pre-dose, 4 hours after dose (28 days as a cycle)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Nov 2024
  2. Study start20 Nov 2024
  3. Primary completionOct 2029 (estimated)
  4. Study completionDec 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
182 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06682169
Sponsor's protocol ID
TQ05105-III-01
Status last verified
Dec 2025
First submitted
6 Nov 2024
Last updated
8 Dec 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Rovadicitinib, Imatinib and Methotrexate in people with Graft-versus-host Disease, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 41 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 8 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 41 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact He Huang, Doctor (13605714822, hehuangyu@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Objective remission rate in the 24th week (ORR) (time frame: Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Dec 2025.

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