Rezurock (belumosudil) / Romeck Pharma, Sanofi 
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  • ||||||||||  Sarclisa (isatuximab-irfc) / Sanofi
    Trial completion date, Trial primary completion date, Combination therapy:  Isatuximab in Combination With Novel Agents in RRMM - Master Protocol (clinicaltrials.gov) -  May 27, 2024   
    P1/2,  N=197, Recruiting, 
    Trial completion date: Dec 2027 --> Mar 2028 | Trial primary completion date: Dec 2027 --> Jun 2027
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi, Thymoglobulin (anti-thymocyte globulin (rabbit)) / Sanofi
    Enrollment closed, Immunomodulating:  Immunological Tolerance in Patients With Mismatched Kidney Transplants (clinicaltrials.gov) -  May 23, 2024   
    P1,  N=16, Active, not recruiting, 
    Trial completion date: Dec 2027 --> Mar 2028 | Trial primary completion date: Dec 2027 --> Jun 2027 Recruiting --> Active, not recruiting
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi, Jakafi (ruxolitinib) / Incyte, Imbruvica (ibrutinib) / AbbVie, J&J
    Clinical guideline, Journal:  ERS/EBMT clinical practice guideline on treatment of pulmonary chronic graft-versus-host disease in adults. (Pubmed Central) -  Apr 1, 2024   
    Following the ERS standardised methodology, we conducted systematic reviews to address these questions and used the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach to develop recommendations.The resulting guideline addresses common therapeutic options (inhalation therapy, fluticasone-azithromycin-montelukast, imatinib, ibrutinib, ruxolitinib, belumosudil, extracorporeal photopheresis and lung transplantation), as well as other aspects of general management, such as lung functional and radiological follow-up and pulmonary rehabilitation, for adults with pulmonary cGvHD phenotype bronchiolitis obliterans syndrome. These recommendations include important advancements that could be incorporated in the management of adults with pulmonary cGvHD, primarily aimed at improving and standardising treatment and improving outcomes.
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi
    P2 data, Clinical Trial,Phase II, Journal:  A phase II study of belumosudil for chronic graft-versus-host disease in patients who failed at least one line of systemic therapy in China. (Pubmed Central) -  Mar 31, 2024   
    P2
    These recommendations include important advancements that could be incorporated in the management of adults with pulmonary cGvHD, primarily aimed at improving and standardising treatment and improving outcomes. Belumosudil treatment demonstrated a favorable benefit-risk balance in treating cGVHD patients who previously have had standard corticosteroid therapy in China where approved second-line setting is absent.
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi, Rituxan (rituximab) / Roche
    Enrollment open:  Belumosudil and Rituximab for Primary Treatment of Chronic Graft-Versus-Host-Disease (clinicaltrials.gov) -  Mar 12, 2024   
    P2,  N=25, Recruiting, 
    The weak correlation between mRSS and DNN-Fibrosis Score contrasted with our previous findings that we attribute to batch effects from staining protocols between our published and our current analysis which may be overcome with analyses of larger cohorts. Not yet recruiting --> Recruiting
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi, Jakafi (ruxolitinib) / Novartis, Incyte, Imbruvica (ibrutinib) / AbbVie, J&J
    207 - REACHing for ROCKstars - Updates in Chronic Graft Versus Host Disease (Ballroom D) -  Feb 27, 2024 - Abstract #HOPA2024HOPA_54;    
    Additionally, a brief review of novel agents and studies that are in process or case studies that have been completed will be reviewed. The focus of the presentation will be on interventions that pharmacists can make while treating cGVHD and clinical pearls for currently approved options.Learning Objectives:
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi
    Pulmonary Chronic GVHD Manifesting as Photograph Negative Pulmonary Edema (San Diego Convention Center, Area D (Hall A-B2, Ground Level)) -  Feb 20, 2024 - Abstract #ATS2024ATS_6223;    
    He had a history of skin, gastrointestinal and ocular cGVHD, for which he was prescribed belumosudil with adequate disease control...Glucocorticoids are first line for treatment, followed by immune modulating therapies such as JAK inhibitors or serine/threonine kinase inhibitors. Prompt identification of pulmonary cGVHD is essential to impacting the course of this disease, which includes the recognition of ILDs as part of the spectrum of postallogeneic HSCT complications.
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi
    SAFETY AND EFFICACY OF THE ROCK2-INHIBITOR BELUMOSUDIL IN CGVHD TREATMENT  (CLYDE) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_2505;    
    In summary, belumosudil was well tolerated and induced a remarkable response in a heavily pretreated cohort of cGvHD patients within a real-world setting. Further prospective trials are needed to determine the duration of response and the impact on GvHD-related mortality.
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi
    SAFETY AND EFFICACY OF THE ROCK2-INHIBITOR BELUMOSUDIL IN CGVHD TREATMENT  (ePoster area) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_2504;    
    In summary, belumosudil was well tolerated and induced a remarkable response in a heavily pretreated cohort of cGvHD patients within a real-world setting. Further prospective trials are needed to determine the duration of response and the impact on GvHD-related mortality.
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi
    EFFECTOR SITE IMMUNE DYNAMICS IN REFRACTORY CHRONIC GRAFT-VERSUS-HOST DISEASE: A ROCKSTAR TRIAL COMPANION STUDY AFTER BELUMOSUDIL TREATMENT (CLYDE) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_1386;    
    P2
    Further prospective trials are needed to determine the duration of response and the impact on GvHD-related mortality. After 6 months of belumosudil treatment in patients with oral cGVHD, there were significant dose and tissue-specific decreases in collagen levels and in IL-17 in the oral mucosa along with key salivary cytokine levels, suggesting a ROCK2 inhibition-induced reduction in tissue fibrosis and inflammation in the oral cavity
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi
    EFFECTOR SITE IMMUNE DYNAMICS IN REFRACTORY CHRONIC GRAFT-VERSUS-HOST DISEASE: A ROCKSTAR TRIAL COMPANION STUDY AFTER BELUMOSUDIL TREATMENT (ePoster area) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_1385;    
    P2
    After 6 months of belumosudil treatment in patients with oral cGVHD, there were significant dose and tissue-specific decreases in collagen levels and in IL-17 in the oral mucosa along with key salivary cytokine levels, suggesting a ROCK2 inhibition-induced reduction in tissue fibrosis and inflammation in the oral cavity After 6 months of belumosudil treatment in patients with oral cGVHD, there were significant dose and tissue-specific decreases in collagen levels and in IL-17 in the oral mucosa along with key salivary cytokine levels, suggesting a ROCK2 inhibition-induced reduction in tissue fibrosis and inflammation in the oral cavity
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi
    BELUMOSUDIL FOR SEVERE, REFRACTORY CHRONIC GVHD IN PEDIATRIC PATIENT: CASE REPORT (ePoster area) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_1037;    
    Belumosudil also demonstrated a favorable benefit At that moment patient was given rituximab with no clinical improvement...Lung GvHD was diagnosed and he started with methotrexate and steroid therapy
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi
    Enrollment open:  BElumosudil for Bronchiolitis Obliterans Prevention/Therapy (BEBOP) (clinicaltrials.gov) -  Jan 17, 2024   
    P2,  N=45, Recruiting, 
    Not yet recruiting --> Recruiting | Initiation date: Apr 2024 --> Jan 2024 Not yet recruiting --> Recruiting
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi, Jakafi (ruxolitinib) / Novartis, Incyte
    Combination Ruxolitinib and Belumosudil Is Tolerable and Induces Responses Despite Treatment Failure As Monotherapies () -  Dec 11, 2023 - Abstract #TCTASTCTCIBMTR2024TCT_ASTCT_CIBMTR_1057;    
    The combination is tolerable, may be utilized after failure of both as monotherapies with excellent response, delays the need for alternative therapies, and facilitates tapering of corticosteroids. Continued analysis is warranted to assess durability of response, though there may be overlapping downstream effects of STAT3 and STAT5.
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi
    Effector Site Immune Dynamics in Refractory Chronic Graft-Versus-Host Disease: A Rockstar Trial Companion Study after Belumosudil Treatment. () -  Dec 11, 2023 - Abstract #TCTASTCTCIBMTR2024TCT_ASTCT_CIBMTR_1032;    
    Our real-world study indicates a similar experience to the clinical trial and supports the use of belumosudil in SR/SD cGVHD. After 6 months of belumosudil treatment in patients with skin and oral cGVHD, there was a significant dose-dependent and tissue-specific decrease in collagen levels and reduction in IL-17 and TGF-beta-1 cytokine levels, suggesting a ROCK2 inhibition-induced reduction in tissue fibrosis, as marked by collagen content, and inflammation.
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi, Jakafi (ruxolitinib) / Novartis, Incyte
    Journal:  Belumosudil and ruxolitinib combination for treatment of refractory chronic graft-versus-host disease. (Pubmed Central) -  Dec 10, 2023   
    FFS was 44.1% (41.6% in the 200-mg QD arm and 46.7% in the 200-mg BID arm) at 3 years for all patients and 51.8% (49.1% in the 200-mg QD arm and 54.4% in the 200-mg BID arm) for responders, showing good control of cGVHD and long-term tolerability. No abstract available
  • ||||||||||  Sarclisa (isatuximab-irfc) / Sanofi
    Enrollment change, Trial completion date, Trial primary completion date, Combination therapy:  Isatuximab in Combination With Novel Agents in RRMM - Master Protocol (clinicaltrials.gov) -  Dec 7, 2023   
    P1/2,  N=197, Recruiting, 
    No abstract available N=123 --> 197 | Trial completion date: Nov 2028 --> Dec 2027 | Trial primary completion date: Nov 2028 --> Dec 2027
  • ||||||||||  axatilimab (SNDX-6352) / Syndax Pharma, Incyte
    Safety and Efficacy of Axatilimab in Patients with Chronic Graft-Versus-Host Disease (AGAVE-201) (Stars at Night B1 (Ballroom Level, Henry B. Gonzalez Convention Center); in-person) -  Dec 5, 2023 - Abstract #TCTASTCTCIBMTR2024TCT_ASTCT_CIBMTR_675;    
    P2
    N=123 --> 197 | Trial completion date: Nov 2028 --> Dec 2027 | Trial primary completion date: Nov 2028 --> Dec 2027 The ORR (95% CI) by Cycle 7 was 73.8% (62.7
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi
    Enrollment closed, Trial completion date, Trial primary completion date:  ROCKstar: Efficacy and Safety of KD025 in Subjects With cGVHD After At Least 2 Prior Lines of Systemic Therapy (clinicaltrials.gov) -  Nov 29, 2023   
    P2,  N=159, Active, not recruiting, 
    The ORR (95% CI) by Cycle 7 was 73.8% (62.7 Recruiting --> Active, not recruiting | Trial completion date: Jan 2026 --> Dec 2023 | Trial primary completion date: Jan 2026 --> Dec 2023
  • ||||||||||  Rezurock (belumosudil) / Romeck Pharma, Sanofi
    Journal:  DeFilipp Z, Kim HT, Yang Z, et (Pubmed Central) -  Nov 21, 2023   
    Not yet recruiting --> Recruiting No abstract available
  • ||||||||||  axatilimab (SNDX-6352) / Syndax Pharma, Incyte
    Safety and Efficacy of Axatilimab at 3 Different Doses in Patients with Chronic Graft-Versus-Host Disease (AGAVE-201) (SDCC - Hall A) -  Nov 3, 2023 - Abstract #ASH2023ASH_3215;    
    P1/2, P2
    Axatilimab treatment of refractory cGVHD in heavily pretreated patients resulted in robust clinical activity and durable responses in all 3 dose cohorts, with the highest ORR and least toxicity at the 0.3 mg/kg Q2W dose. Adverse events consisted primarily of transient laboratory abnormalities and other on-target effects known to be associated with CSF-1R block.