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Acute Skin Graft Versus Host Disease (GVHD)Phase 1NCT07801248

Topical Ruxolitinib in Acute Skin GVHD (Graft Versus Host Disease)

A Phase 1 study testing Ruxolitinib 1.5% cream in people with Acute Skin Graft Versus Host Disease (GVHD), run by Children's Hospital Medical Center, Cincinnati at 1 site in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record

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Trial summary

The purpose of this study is to see if ruxolitinib, a Janus Kinase (JAK) 1/2 inhibitor, is safe for people who have acute skin graft versus host disease (GVHD) following allogenic hematopoietic stem cell transplantation (HSCT). Read more about this study

Who is it for?
Ages 2 to 35 years
What is being tested?
Ruxolitinib 1.5% cream
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteUnited States
Study dates
1 Oct 2026to Oct 2029
Phase
Phase 1

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 2 to 35 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Age ≥2 through age 35 years
  • Acute skin GVHD (any grade).
  • Underlying diagnosis of malignancy.
  • No concurrent systemic immune suppression to treat acute GVHD. This excludes agents like calcineurin inhibitors, mycophenolate mofetil, and abatacept which prevent acute GVHD and are not used for treatment as per clinical practice may continue.
  • Use of prior topical steroids or topical tacrolimus will be allowed but these will need to be discontinued 24 hours prior to study enrollment.

Who cannot join

  • Active uncontrolled skin infections.
  • History of allergic reactions to topical ruxolitinib.
  • Concomitant steroids or have received investigational therapies within the previous 30 days.

Trial locations and contacts

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

Monica Trapp, BSN, RN, TCTCN contact

513-803-8574

monica.trapp@cchmc.org

United States1 site
  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

    Monica Trapp, BSN, RN, TCTCN, 513-803-8574, monica.trapp@cchmc.org

    Zahra Hudda, MD

Other trials in United States

About this study

Official title: Efficacy of Topical Ruxolitinib in Acute Skin GVHD: A Pilot Study

The purpose of this study is to see if ruxolitinib, a Janus Kinase (JAK) 1/2 inhibitor, is safe for people who have acute skin graft versus host disease (GVHD) following allogenic hematopoietic stem cell transplantation (HSCT).

Read the detailed description

The purpose of this study is to see if ruxolitinib, a Janus Kinase (JAK) 1/2 inhibitor, is safe for people who have acute skin graft versus host disease (GVHD) following allogenic hematopoietic stem cell transplantation (HSCT). This is a single arm, open-label pilot study. There is no randomization. This study will enroll approximately 10 patients with underlying malignancies with acute skin GVHD. Participants will be treated with topical ruxolitinib for 28 days or until the end of treatment if earlier resolution of GVHD is achieved.

Being tested
Ruxolitinib 1.5% cream

What participants receive

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

  • Ruxolitinib 1.5% creamDrug

    Ruxolitinib is a Janus Kinase (JAK) 1/2 inhibitor. JAKs are intracellular tyrosine kinases that play an important role in the development and function of immune cells that are involved in the pathogenesis of acute GVHD.

    For this study, ruxolitinib cream will be manufactured by Incyte and stored and distributed by the investigational pharmacy at Cincinnati Children's Hospital Medical Center (CCHMC) using standard operating procedures. Ruxolitinib 1.5% cream will be applied as a thin film topically twice a day to areas of erythroderma and pruritus. Participants and guardians will receive an informational instruction sheet describing the amount, frequency, and technique of applying the cream. Patients may continue to use standard of care GVHD prophylaxis and moisturizers.

Study groups in NCT07801248
Study groupRoleWhat they receive
RuxolitinibExperimentalRuxolitinib 1.5% cream will be applied topically twice a day to areas of erythroderma and pruritus.
Receives: Drug: Ruxolitinib 1.5% cream

What is being measured

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

  1. Number of patients with a clinical response at Day 7 (± 3 days)

    Participants will be evaluated by monitoring the clinical response, tolerability and safety of topical ruxolitinib at Day 7 (± 3 days). Patients who respond by Day 7 (± 3 days) will continue treatment until resolution of symptoms or till Day 28 (± 3 days).

    Measured: From enrollment to Day 7 (± 3 days)

  2. Number of patients with a clinical response at Day 28 (± 3 days)

    Participants will be evaluated by monitoring the clinical response, tolerability and safety of topical ruxolitinib at Day 28 (± 3 days).

    Measured: From enrollment to Day 28 (± 3 days)

Secondary outcomes (3)
  1. Number of patients needing systemic immune suppression due to lack of response from progressive symptoms or adverse events secondary to topical ruxolitinib

    Measured: From enrollment to Day 28 (± 3 days)

  2. Number of patients with a relapse of primary malignancy by 1 year post HSCT

    Measured: From enrollment to 1 year post HSCT

  3. Blood ruxolitinib concentration levels at documented body surface area (BSA) applications and their association with adverse effects and relapse rates.

    Measured: Day 7 (± 3 days)

Timeline

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

  1. First posted3 Sep 2026
  2. Study start1 Oct 2026 (estimated)
  3. Primary completionOct 2029 (estimated)
  4. Study completionOct 2029 (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 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Single arm, open-label pilot study. No randomization
Masking
None (open label)
Enrolment
10 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07801248
Sponsor's protocol ID
2025-0873
Status last verified
Sep 2026
First submitted
28 Aug 2026
Last updated
8 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

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