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Acute-graft-versus-host DiseasePhase 3SHIELDNCT05149365

Sitagliptin for Prevention of aGVHD After Alternative Donor Transplation

A Phase 3 study testing Sitagliptin + Standard Prophylaxis and Standard Prophylaxis in people with Acute-graft-versus-host Disease and Allogeneic Hematopoietic Stem Cell Transplantation, run by The First Affiliated Hospital of Soochow University at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Primary Objective: It is hypothesized that the efficacy of Sitagliptin would reduce the incidence of grade II-IV acute Graft Versus Host Disease (GVHD) by day +100 post-transplant in patients undergoing alternative donor (related haploid or unrelated donor ) allogeneic Hematopoietic Stem Cell Transplantation (HSCT)… Read more about this study

Who is it for?
Ages 18 to 60 years
What is being tested?
Sitagliptin + Standard Prophylaxis and Standard Prophylaxis
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
190 participants
Where
1 siteChina
Study dates
22 Dec 2021to 16 Jun 2025
Phase
Phase 3
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 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patient age ≥ 18 to ≤ 60 years
  • Eastern Cooperative Oncology Group (ECOG)score 0-2 points / Karnofsky score ≧80
  • To receive allogeneic hematopoietic stem cell transplantation from related haploid or unrelated donor
  • The pretreatment of modified Bu/Cy+ATG scheme was planned.
  • Patients with malignant hematological diseases indicated by transplantation and in complete remission (CR) state.
  • Expected survival ≥ 3 months
  • Signed written informed consent (Patient must be capable of understanding the investigational nature, potential risks and benefits of the study, and able to provide valid informed consent)
  • Agree to use effective contraception

Who cannot join

  • Prior allogeneic hematopoietic stem cell transplant
  • Allergy/intolerance to Sitagliptin
  • There are contraindications for Sitagliptin use.
  • Moderate or severe renal insufficiency
  • Patients with diabetes mellitus requiring insulin secretagogues and/or insulin
  • Human immunodeficiency virus or active hepatitis C virus or active hepatitis B virus infection
Show all 12Show fewer
  • Active infection that is difficult to control
  • Vital organ function cannot tolerate transplantation
  • Other malignant tumors outside the blood system, except the following diseases: malignant tumors that have been cured for 3 years without active lesions; Adequate treatment of non-melanoma skin cancer without active foci of malignant amygdala and carcinoma in situ
  • There is evidence that may interfere with the study or make patients at risk of serious complications or medical conditions, including but not limited to serious cardiovascular diseases (such as New York heart association class III or IV heart disease over the past six months of myocardial infarction, unstable type of cardiac arrhythmias) or unstable angina and/or severe lung disease (e.g. History of severe obstructive pulmonary disease and symptomatic bronchospasm)
  • Pregnant or lactating women
  • Any life-threatening medical condition or organ system dysfunction considered by the investigator may endanger the patient's safety by interfering with the absorption or metabolism of sitagliptin or putting study results at unnecessary risk

Trial locations and contacts

1 site in 1 country.

China1 site
  • The First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology

    Suzhou, Jiangsu, 215000

Other trials in China

About this study

Official title: Sitagliptin Efficacy and Safety for Prevention of Acute Graft Versus Host Disease in Patients Receiving Alternative Donor Allogeneic Hematopoietic Stem Cell Transplantation

Primary Objective:

It is hypothesized that the efficacy of Sitagliptin would reduce the incidence of grade II-IV acute Graft Versus Host Disease (GVHD) by day +100 post-transplant in patients undergoing alternative donor (related haploid or unrelated donor ) allogeneic Hematopoietic Stem Cell Transplantation (HSCT) and receiving standard GVHD prophylaxis.

Read more

Secondary Objectives

The following descriptive secondary objectives will be studied:

  1. Determine the tolerability and potential toxicity of sitagliptin in patients undergoing allogeneic HSCT.
  2. Determine the cumulative incidence of grades II-IV acute GVHD by day +100.
  3. To investigate the cumulative incidence of grades III-IV acute GVHD.
  4. To investigate the engraftment kinetics of absolute neutrophil count and platelets.
  5. To evaluate the incidence of Cytomegalovirus (CMV), Epstein-Barr virus (EBV) and other infections occurring during the 100 days post-transplant.
  6. To study non-relapse mortality (NRM) at day +100, and 1 year post-transplant.
  7. Determine the overall survival at 1 year post-transplant.
  8. Determine the incidence of chronic GVHD.
  9. Determine the cumulative incidence of relapse of the primary hematological malignancy.
Read the detailed description

This is a Prospective, Multi-center, Open-label, Randomized, Controlled clinical trial of Sitagliptin for the prevention and safety of aGVHD after Alternative Donor hematopoietic stem cell transplantation.

190 adult patients with hematologic malignancies receiving haploid or unrelated donor sourced HSCT are planned to be enrolled competitively in this study from 5 clinical centers in China. These patients will be randomly assigned to two groups of 95 patients each, which one is experimental group and the other is control group. 95 patients in experimental group will receive Sitagliptin combined with Standard prophylaxis for GVHD. 95 patients in the control group will receive Standard prophylaxis regimen for GVHD of Alternative Donor HSCT.

Control group uses antithymocyte immunoglobulin (ATG)+cyclosporin A (CSA)+MMF+MTX for GVHD prophylaxis with the details as follows: CSA 3mg/kg continuous i.v. drip, start before Day -7, change to p.o. when gastrointestinal function recovers with a dose of 5mg/kg as two divided doses, maintaining CSA within 150-250ng/ml(If CsA cannot be tolerated, tacrolimus may be used as an alternative.); MTX 15mg/m2,Day +1, 10mg/m2,Days +3, +6, and +11; MMF 0.5g bid, starting from Day -7 to day +30 for one month; ATG 2.5mg/kg/d, Day -4 to Day -1.

Experimental group will take Sitagliptin orally from d-1 to d+14 in addition to Standard Prophylaxis Regimen.

With regard to the content of dose reduction of CSA (including time and reduction rate), it is recommended for patients with hematologic malignancies in standard risk group to start to reduce dose after 3-6 months in the absence of GVHD and reoccurrence. The specific reduction rate can be determined at each site; the patients with GVHD will be managed by routine practice in this site.

Being tested
Sitagliptin + Standard Prophylaxis, Standard Prophylaxis
Keywords
Sitagliptin, Alternative Donor

What participants receive

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

  • Sitagliptin + Standard ProphylaxisDrug

    Also called Cyclosporine (CsA),Methotrexate (MTX), Mycopherol ester (MMF) and Antithymic Globulin

    Sitagliptin 600 mg ever 12 hours orally will be given starting from the day before transplantation through day +14 after transplantation and Standard prophylaxis regimen

  • Standard ProphylaxisDrug

    Also called Cyclosporine (CsA),Methotrexate (MTX), Mycopherol ester (MMF) and Antithymic Globulin

    Standard prophylaxis regimen for GVHD of Alternative Donor HSCT, include Cyclosporine (CsA),Methotrexate (MTX), Mycopherol ester (MMF) and Antithymic Globulin

Study groups in NCT05149365
Study groupRoleWhat they receive
Sitagliptin GroupExperimental95 adult patients with hematologic malignancies receiving Alternative Donor HSCT, who will receive Sitagliptin combined with Standard prophylaxis regimen for GVHD of Alternative Donor HSCT.
Receives: Drug: Sitagliptin + Standard Prophylaxis
Standard GroupActive comparator95 adult patients with hematologic malignancies receiving Alternative Donor HSCT, who will only receive Standard prophylaxis regimen for GVHD of Alternative Donor HSCT
Receives: Drug: Standard Prophylaxis

What is being measured

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

  1. Development Grade II-IV Acute GVHD by Day +100 Following Transplantation

    Percent of patients and the 95% Confidence interval who have Grade II-IV Acute GVHD by 100 days following transplantation. Only patients who were on the study for at least 100 days post transplantation were included in the analysis.

    Measured: up to 100 days

Secondary outcomes (10)
  1. Development Grade II-IV Acute GVHD at Day +100

    Fine-Gray and Cause-specific COX methods will be used to conduct a competing risk analysis. Time until grade II-IV acute GVHD will be calculated from transplant through grade II-IV acute GVHD or death from GVHD. Patients who relapsed or died from causes other than GVHD will be considered a competing risk population and calculated from time of transplant until relapse or death. Otherwise, patients will be censored and calculated from transplant until the last known alive date. The cumulative incidence percentage of grade II-IV acute GVHD at day +100 was calculated along with a 95% confidence interval.

    Measured: 100 days from transplant

  2. Percentage of Patients With Grade III-IV Acute GVHD at Day +100

    Fine-Gray and Cause-specific COX methods will be used to conduct a competing risk analysis. Time until grade III-IV acute GVHD will be calculated from transplant until grade III-IV acute GVHD or death from GVHD. Patients who relapsed or died from causes other than GVHD will be considered a competing risk and calculated from time of transplant until relapse or death. Otherwise, patients will be censored and calculated from transplant until the last known alive date. The cumulative incidence percentage of grade II-IV acute GVHD at day +100 was calculated along with a 95% confidence interval.

    Measured: 100 days from transplant

  3. Cumulative incidence of early transplant-related death (TRM) within 100 days after transplantation

    Percent of patients and the 95% Confidence interval who died within 100 days after transplantation.

    Measured: 100 days from transplant

  4. Median Time to Engraftment of Neutrophils

    Time to neutrophil engraftment will be analyzed by the Kaplan-Meier method. The time to engraftment of neutrophils is defined as the time from day 0 to the date of the first of three consecutive days after transplantation during which the absolute neutrophils count (ANC) is at least 0.5 x109/l. Patients who did not have neutrophil engraftment before death will be censored at the date of death. The median and 95% confidence intervals were calculated.

    Measured: up to 1 month

  5. Median Time to Engraftment of Platelets

    Time to platelet engraftment will be analyzed by the Kaplan-Meier method. The time to engraftment of platelets is defined as the time from day 0 to the first of seven consecutive Complete Blood Counts (CBCs) obtained on different days after transplantation during which the platelet count is at least 20 x109/l. The CBCs obtained should be at least seven days after the most recent platelet transfusion. The median and 95% confidence intervals were calculated.

    Measured: up to 4 months

  6. Number of Unique Patients With Infections by Day +100

    Number of unique patients who had each type of infection (i.e., viral, bacterial, fungal, etc.) during the 100 days post transplant. A patient could have more than one type of infection.

    Measured: 100 days from transplant

  7. Percentage of Patients With Non-relapse Mortality (NRM) at +1 Year

    Kaplan-Meier methods will be used to conduct a competing risk analysis. Time until non-relapse death will be calculated from transplant until death. Patients who died from relapse will be considered a competing risk and calculated from time of transplant until death. Otherwise, patients will be censored and calculated from transplant until the last known alive date. The cumulative incidence percentage of non-relapse mortality at day +365 was calculated along with a 95% confidence interval.

    Measured: 1 year from transplant

  8. Percentage of Patients Surviving at +1 Year

    Duration of time from the start of treatment to time of death due to any causes. Patients who do not die will be censored on their last known alive date. Kaplan-Meier methods will be used and the median and 95% confidence intervals will be calculated. The cumulative incidence percentage of survival at day +365 was calculated along with a 95% confidence interval.

    Measured: 1 year from transplant

  9. Percentage of Patients Diagnosed With Chronic GVHD at 1 Year

    Patients surviving at least 100 days will be evaluable for chronic GVHD. The cumulative incidence of chronic GVHD (total, and mild, moderate, severe) will be described using deaths from causes other than chronic GVHD considered as a competing risk. Kaplan-Meier methods will be used to conduct a competing risk analysis. Time until chronic GVHD will be calculated from transplant until chronic GVHD or death from GVHD. Patients who relapsed or died from causes other than GVHD will be considered a competing risk and calculated from time of transplant until relapse or death. Otherwise, patients will be censored and calculated from transplant until the last known alive date. The cumulative incidence percentage at 1 year will calculated along with a 95% confidence interval.

    Measured: 1 year from transplant

  10. Percentage of Patients With Relapse of the Primary Hematological Malignancy at 1 Year

    Kaplan-Meier methods will be used to conduct a competing risk analysis. Time until relapse will be calculated from transplant until relapse or death from relapse. Patients who died from causes other than relapse will be considered a competing risk and calculated from time of transplant until death. Otherwise, patients will be censored and calculated from transplant until the last known alive date. The cumulative incidence percentage of relapse at day +365 was calculated along with a 95% confidence interval.

    Measured: 1 year from transplant

Timeline

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

  1. First posted8 Dec 2021
  2. Study start22 Dec 2021
  3. Primary completion24 Sep 2023
  4. Study completion16 Jun 2025

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Prospective, Multi-center, Open-label, Randomized, Controlled Clinical Trial
Masking
None (open label)
Enrolment
190 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05149365
Sponsor's protocol ID
SZ-GVHD 06
Acronym
SHIELD
Status last verified
Jun 2025
First submitted
25 Nov 2021
Last updated
10 Feb 2026
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 Sitagliptin + Standard Prophylaxis and Standard Prophylaxis in people with Acute-graft-versus-host Disease and Allogeneic Hematopoietic Stem Cell Transplantation, run by The First Affiliated Hospital of Soochow University at 1 site 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 8 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: finished, as of the sponsor's last update on 10 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Development Grade II-IV Acute GVHD by Day +100 Following Transplantation (time frame: up to 100 days). 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 10 Feb 2026.

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