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Hematologic MalignanciesPhase 1NCT03320642

GRAVITAS-119: Itacitinib in Combination With Calcineurin Inhibitor-Based Interventions for the Prophylaxis of Graft-Versus Host Disease

A Phase 1 study testing Itacitinib and Calcineurin inhibitor in people with Hematologic Malignancies, run by Incyte Corporation at 17 sites in 4 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to assess the impact and safety of itacitinib in combination with calcineurin inhibitor (CNI)-based interventions for the prophylaxis of graft-versus-host-disease (GVHD). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hematologic Malignancies
What is being tested?
Itacitinib and Calcineurin inhibitor
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
84 participants
Where
17 sitesin 4 countries
Study dates
27 Feb 2018to 17 Feb 2022
Phase
Phase 1
Are there results?
None posted in the registry

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects with acute leukemia, chronic myelogenous leukemia, or myelodysplasia with no circulating blasts and < 5% blasts in the bone marrow.
  • Subjects with non-Hodgkin lymphoma, including but not limited to chronic lymphocytic leukemia/small lymphocytic lymphoma, follicular, marginal zone, diffuse large B cell, or mantle cell lymphoma must have chemosensitive disease at time of transplant. Subjects with Hodgkin lymphoma with chemosensitive disease at the time of transplant.
  • Must be candidates for reduced-intensity conditioning regimens.
  • Must be candidates for peripheral blood stem cell transplants.
  • Karnofsky Performance Status score ≥ 70% or Eastern Cooperative Oncology Group Performance Status score of 0 to 2.
  • Serum creatinine ≤ 2.0 mg/dL or creatinine clearance ≥ 40 mL/min measured or calculated by Cockcroft-Gault equation.
  • Be willing to avoid pregnancy or fathering children.

Who cannot join

  • Has previously received an allogenic hematopoietic stem cell transplant.
  • Presence of an active uncontrolled infection.
  • Known HIV infection.
  • Active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection that requires treatment or at risk for HBV reactivation.
  • Prior malignancies.
  • Severe organ dysfunction.
Show all 12Show fewer
  • Prior treatment with a JAK inhibitor or with an investigational agent, device, or procedure within 21 days of enrollment.
  • Currently breastfeeding.
  • Known allergies, hypersensitivity, or intolerance to any of the study medications.
  • Receipt of live (including attenuated) vaccines during the study, or anticipation of need for such a vaccine during the study.
  • History of primary idiopathic myelofibrosis or any severe marrow fibrosis that would prolong neutrophil engraftment to > 28 days after transplant.
  • Post-transplant maintenance therapy for the hematologic malignancy or plans to initiate maintenance therapy during study treatment.

Trial locations and contacts

17 sites in 4 countries.

17 sites in 4 countries

United States9 sites
  • Winship Cancer Institute of Emory University

    Atlanta, Georgia, 30322

  • Anschutz Cancer Pavilion - University of Colorado

    Aurora, Colorado, 80045

  • University of Maryland - Greenebaum Cancer Center

    Baltimore, Maryland, 21201

  • The Ohio State University

    Columbus, Ohio, 43210

  • John Theurer Cancer Center, Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • Loyola University Medical Center

    Maywood, Illinois, 60153

  • Froedtert Hospital and the Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Washington University School of Medicine

    St Louis, Missouri, 63110

Other trials in United States

France3 sites
  • Chru de Lille Hopital Claude Huriez

    Lille, 59037

  • Centre Hospitalier Universitaire de Nantes (Chu de Nantes) - Hotel-Dieu

    Nantes, 44093

  • Chu Vandoeuvre-Les-Nancy, Hopital Brabois

    Vandœuvre-lès-Nancy, 54500

Other trials in France

Italy3 sites
  • Azienda Socio Sanitaria Territoriale Papa Giovanni Xxiii (Presidio Papa Giovanni Xxiii)

    Bergamo, 24127

  • Azienda Ospedaliera San Gerardo Di Monza

    Monza, 20900

  • Comitato Di Bioetica Della Fondazione Irccs Policlinico San Matteo

    Pavia, 27100

Other trials in Italy

Spain2 sites
  • Hospital Puerta de Hierro

    Majadahonda, 28222

  • Hospital Clinico Universitario de Valencia

    Valencia, 46010

Other trials in Spain

About this study

Official title: GRAVITAS-119: A Single-Arm, Open-Label, Phase 1 Study of Itacitinib in Combination With Calcineurin Inhibitor-Based Interventions for the Prophylaxis of Graft-Versus Host Disease

The purpose of this study is to assess the impact and safety of itacitinib in combination with calcineurin inhibitor (CNI)-based interventions for the prophylaxis of graft-versus-host-disease (GVHD).

Being tested
Itacitinib, Calcineurin inhibitor
Keywords
Acute leukemia, chronic myelogenous leukemia, myelodysplasia, chronic lymphocytic leukemia/small lymphocytic lymphoma, follicular, marginal zone, diffuse large B-cell, Hodgkin's lymphoma, mantle cell lymphoma, Janus kinase inhibitor, graft-versus-host disease
Medical subject headings
Hematologic Neoplasms, Leukemia, Myelogenous, Chronic, BCR-ABL Positive, Anemia, Refractory, with Excess of Blasts, Leukemia, Lymphocytic, Chronic, B-Cell, Hodgkin Disease, Lymphoma, Mantle-Cell, Graft vs Host Disease

What participants receive

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

  • ItacitinibDrug

    Also called INCB039110

    Itacitinib administered orally once daily at the protocol-defined dose.

  • Calcineurin inhibitorDrug

    The CNI-based prophylaxis regimen will be identified by the investigator before the subject's enrollment and will consist of the combination of tacrolimus/methotrexate, cyclosporine A/mycophenolate mofetil or tacrolimus plus post-treatment cyclophosphamide. Antithymocyte globulin may be included at the treating investigator's discretion with the tacrolimus/methotrexate or cyclosporine A/mycophenolate mofetil combinations.

Study groups in NCT03320642
Study groupRoleWhat they receive
Itacitinib + Calcineurin Inhibitor (CNI) -Based InterventionsExperimentalItacitinib in combination with a CNI-based intervention.
Receives: Drug: Itacitinib; Drug: Calcineurin inhibitor

What is being measured

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

  1. Proportion of participants with hematologic recovery when itacitinib is added to GVHD prophylaxis treatment

    Hematologic recovery defined as demonstrating both neutrophil recovery (ANC ≥ 500/mm^3 for 3 consecutive measurements) and platelet recovery (platelet count ≥ 20,000/mm^3 with no requirement for platelet transfusion in the preceding 3 days).

    Measured: Day 28

Secondary outcomes (11)
  1. GVHD relapse-free survival rate

    Defined as the proportion of subjects who do not experience Grade III-IV acute GVHD (aGVHD), chronic GVHD (cGVHD) requiring systemic therapy, malignancy relapse or progression, or death due to any cause.

    Measured: Days 100, 180 and 365

  2. Relapse-free survival

    Defined as the interval between enrollment and malignancy relapse or progression, or death, whichever occurs first.

    Measured: Up to 1 year

  3. Transplant-related mortality

    Defined as the proportion of subjects who die due to causes other than malignancy relapse or progression.

    Measured: Up to 1 year

  4. Median time to neutrophil and platelet engraftment

    Defined as the median time to achieve neutrophil and platelet engraftment.

    Measured: Up to Day 28

  5. Percentage of participants who achieve neutrophil and platelet engraftment

    Defined as the median time to achieve engraftment and hematologic recovery at prespecified time points.

    Measured: Up to Day 28

  6. Donor Chimerism

    Measured: Up to Day 28

  7. Proportion of subjects who are diagnosed with Grade II-IV aGVHD, by each grade and by Grade III/IV

    Measured to assess the incidence of aGVHD.

    Measured: Days 100 and Days 180

  8. Proportion of subjects who are diagnosed with cGVHD by grade (mild, moderate, or severe)

    Measured to assess the incidence of cGVHD.

    Measured: Up to 1 year

  9. Infection rate

    Defined as the proportion of subjects who demonstrate an infection and/or cytomegalovirus reactivation.

    Measured: Up to 1 year

  10. Overall survival

    Defined as the interval between enrollment and death due to any cause.

    Measured: Up to 1 year

  11. Participants with Grade 3-5 treatment-emergent adverse events (TEAEs)

    TEAE is defined as either an adverse event (AE) reported for the first time or worsening of a pre-existing condition after the first dose of study treatment.

    Measured: Up to approximately 200 days

Timeline

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

  1. First posted25 Oct 2017
  2. Study start27 Feb 2018
  3. Primary completion25 Feb 2021
  4. Study completion17 Feb 2022

Why it stopped: Study terminated by sponsor

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
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
84 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03320642
Sponsor's protocol ID
INCB 39110-119/GRAVITAS-119
Other IDs
2017-002922-19, 2017
Status last verified
Oct 2025
First submitted
16 Oct 2017
Last updated
21 Oct 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Itacitinib and Calcineurin inhibitor in people with Hematologic Malignancies, run by Incyte Corporation at 17 sites in 4 countries.

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 7 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: stopped early, as of the sponsor's last update on 21 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in United States, France, Italy, Spain. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study was stopped early (reason given: Study terminated by sponsor). Results are not available in the source record.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of participants with hematologic recovery when itacitinib is added to GVHD prophylaxis treatment (time frame: Day 28). 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 21 Oct 2025.

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