Chronic Graft Versus Host DiseasePhase 3ROCKnrol-1NCT06143891
A Study to Test an Oral Medicine, Belumosudil, in Combination With Corticosteroids in Participants at Least 12 Years of Age With Newly Diagnosed Chronic Graft Versus Host Disease.
A Phase 3 study testing Belumosudil, Prednisone and Prednisolone in people with Chronic Graft Versus Host Disease, run by Sanofi at 151 sites in 24 countries.
Trial summary
This is a parallel, Phase 3, two-arm study for the treatment of newly diagnosed moderate or severe chronic GVHD. The study duration for a participant includes up to 4 weeks for screening; a treatment period until clinically meaningful cGVHD progression (defined as progression requiring addition of new systemic… Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Chronic Graft Versus Host Disease
- What is being tested?
- Belumosudil, Prednisone and Prednisolone
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 260 participants
- Where
- 151 sitesin 24 countries
- Study dates
- 23 Jan 2024to 29 Sep 2028
- 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 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Patients must be at least 12 years of age inclusive, at the time of signing the informed consent
- Participants who have undergone allogenic HCT with newly diagnosed moderate to severe cGVHD according to NIH consensus diagnosis and staging criteria (2014)
- Participants who require systemic treatment with corticosteroids for cGVHD
- Participants who have not received any prior systemic treatment for cGVHD (including ECP)
- If participants are receiving other immunosuppressive agents for the prophylaxis or treatment of acute GVHD, the dose should be under the threshold pre-defined in protocol
- For adult participants, the body weight should be ≥40 kg. For adolescent participants, the body weight should be ≥30 kg
- Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- Participants or their legally authorized representative must be capable of giving signed informed consent
Who cannot join
- Participants are excluded from the study if any of the following criteria apply:
- Medical conditions
- Any evidence (histologic, cytogenetic, molecular, hematologic, or mixed) of progressive or relapsed underlying disease after the most recent allogeneic HCT
- Post-transplant lymphoproliferative disease within 4 weeks prior to randomization
- Female participants who are pregnant or breastfeeding
- Unable to tolerate a prednisone equivalent dose of corticosteroids ≥ 1 mg/kg/day Prior/concomitant therapy
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- Participant has had previous exposure to belumosudil.
- Received any previous systemic treatment for cGVHD with the following exception: Corticosteroids for cGVHD received within 7 days prior to the planned administration of IMP only if in the interest of participant.
- Prior/concurrent clinical study experience
- Received any investigational agents, or any investigational device or procedure, or prohibited therapy for this study within 28 days or 5 elimination half-lives prior to randomization, whichever is longer Diagnostic assessments
- Karnofsky (if aged ≥16 years)/Lansky (if aged <16 years) Performance Score of < 60
- Platelets <25 x 109/L. Platelet transfusion is not allowed within 3 days before the screening hematological test
- Absolute neutrophil count (ANC) <0.5 x 109/L. The use of granulocyte-colony stimulating factor (G-CSF) is not allowed to reach this level during screening
- Estimated Glomerular Filtration Rate (eGFR) <30 mL/min/1.73 m2 using the MDRD-4 variable formula (if aged ≥18 years) or using the Bedside Schwartz formula (if aged <18 years)
- Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) >3 x ULN without liver cGVHD or>5 × ULN with liver) cGVHD
- Total bilirubin >1.5 × (ULN) (>3 × ULN if Gilbert syndrome)
- Participant has forced expiratory volume in 1 second (FEV1) of predicted ≤39% or has lung score of 3 according to NIH consensus diagnostic and staging criteria (2014)
- History or other evidence of severe illness or any other conditions that would make the participant, in the opinion of the Investigator, unsuitable for the study (such as malabsorption syndromes, poorly controlled psychiatric disease or coronary artery disease)
- Known history of human immunodeficiency virus (HIV)
- Active viral disease including hepatitis B virus (HBV) or hepatitis C virus (HCV)
- Active uncontrolled cytomegalovirus (CMV) and Epstein-Barr virus (EBV) infection. Infections are considered controlled if appropriate therapy has been instituted and, at the time of screening, no signs of infection worsening are present according to Investigator's judgement
- Diagnosed or treated for another malignancy other than the underlying disease allogeneic HCT was indicated for, within 3 years prior to randomization with the exception of complete resection of basal cell carcinoma or squamous cell carcinoma of the skin, an in-situ malignancy, or low risk prostate cancer after curative therapy
- Unable to swallow tablets
- Participant not suitable for participation, whatever the reason, as judged by the Investigator, including medical or clinical conditions, or participants potentially at risk of noncompliance to study procedures
- Any active, uncontrolled infections assessed to be clinically significant by the Investigator
Trial locations and contacts
151 sites in 24 countries.
151 sites in 24 countries
United States24 sites
St. David's South Austin Medical Center- Site Number : 8400002
Austin, Texas, 78704
Johns Hopkins Hospital- Site Number : 8400033
Baltimore, Maryland, 21287
Dana Farber Cancer Institute Site Number : 8400005
Boston, Massachusetts, 02115
UNC Children's Hospital- Site Number : 8400025
Chapel Hill, North Carolina, 27514
University of Virginia Comprehensive Cancer Center-Site Number : 8400031
Charlottesville, Virginia, 22903
Northwestern University- Site Number : 8400017
Chicago, Illinois, 60611
Oncology Hematology Care - Kenwood- Site Number : 8400030
Cincinnati, Ohio, 45236
The Ohio State University Comprehensive Cancer Center (OSUCCC) - The James Cancer Hospital and Solove Research Institute- Site Number : 8400026
Columbus, Ohio, 43210
Texas Oncology - Dallas - Worth Street- Site Number : 8400010
Dallas, Texas, 75246
The Hope Clinic of Emory University- Site Number : 8400020
Decatur, Georgia, 30030
Karmanos Cancer Institute - Detroit- Site Number : 8400013
Detroit, Michigan, 48201
City of Hope National Medical Center- Site Number : 8400001
Duarte, California, 91010
Indiana University Health University Hospital- Site Number : 8400006
Indianapolis, Indiana, 46202
University of Kentucky Chandler Medical Center- Site Number : 8400024
Lexington, Kentucky, 40536
University of Arkansas for Medical Sciences-Site Number : 8400019
Little Rock, Arkansas, 72205
University of Wisconsin Carbone Cancer Center-Site Number : 8400029
Madison, Wisconsin, 53792
Sarah Cannon Research Institute Site Number : 8400003
Nashville, Tennessee, 37203
AdventHealth Orlando- Site Number : 8400023
Orlando, Florida, 32803
UPMC Hillman Cancer Center- Site Number : 8400008
Pittsburgh, Pennsylvania, 15232
Oregon Health and Science University- Site Number : 8400027
Portland, Oregon, 97239
Texas Transplant Institute - Methodist Hospital- Site Number : 8400037
San Antonio, Texas, 78229
University of California San Francisco - Parnassus Heights- Site Number : 8400035
San Francisco, California, 94143
Fred Hutchinson Cancer Research Center- Site Number : 8400004
Seattle, Washington, 98109
Atrium Health Wake Forest Baptist Medical Center - Winston-Salem - Medical Center Boulevard- Site Number : 8400007
Winston-Salem, North Carolina, 27157
China16 sites
Investigational Site Number : 1560019
Beijing, 100050
Investigational Site Number : 1560012
Changchun, 130021
Investigational Site Number : 1560010
Changsha, 410008
Investigational Site Number : 1560011
Fuzhou, 350001
Investigational Site Number : 1560005
Guangzhou, 510000
Investigational Site Number : 1560002
Hangzhou, 310003
Investigational Site Number : 1560014
Hefei, 230001
Investigational Site Number : 1560008
Jinan, 250001
Investigational Site Number : 1560007
Jinan, 250014
Investigational Site Number : 1560001
Suzhou, 215006
Investigational Site Number : 1560006
Suzhou, 215025
Investigational Site Number : 1560003
Tianjin, 300020
Investigational Site Number : 1560004
Tianjin, 300020
Investigational Site Number : 1560013
Wuhan, 430022
Investigational Site Number : 1560015
Wuhan, 430030
Investigational Site Number : 1560009
Zhengzhou, 450008
Italy12 sites
Investigational Site Number : 3800003
Bergamo, 24127
Investigational Site Number : 3800004
Bologna, 40138
Investigational Site Number : 3800005
Genoa, Genova, 16132
Investigational Site Number : 3800009
Milan, Milano, 20132
Investigational Site Number : 3800011
Pavia, 27100
Investigational Site Number : 3800010
Perugia, 06156
Investigational Site Number : 3800006
Reggio Calabria, 89133
Investigational Site Number : 3800001
Rome, Roma, 00168
Investigational Site Number : 3800002
Rozzano, Milano, 20089
Investigational Site Number : 3800012
Torette, Ancona, 60020
Investigational Site Number : 3800007
Turin, Torino, 10126
Investigational Site Number : 3800008
Udine, 33100
Spain10 sites
Investigational Site Number : 7240005
Barcelona, Catalunya [Cataluña], 08036
ICO Institut Català d'Oncologia-Site Number : 7240006
Barcelona, Catalunya [Cataluña], 08908
Investigational Site Number : 7240004
Madrid, 28007
Hospital Niño Jesús-Site Number : 7240002
Madrid, 28009
Hospital Regional Universitarioa de Malaga-Site Number : 7240003
Málaga, 29010
Hospital Universitario de Salamanca-Site Number : 7240007
Salamanca, 37007
Investigational Site Number : 7240011
Santander, Cantabria, 39008
Hospital Universitario Virgen del Rocío.-Site Number : 7240008
Seville, 41013
Investigational Site Number : 7240012
Valencia, 46010
Hospital Universitari i Politècnic La Fe-Site Number : 7240001
Valencia, 46026
Germany9 sites
Investigational Site Number : 2760007
Berlin, 13353
Investigational Site Number : 2760003
Cologne, 50937
Investigational Site Number : 2760001
Dresden, 01307
Investigational Site Number : 2760005
Freiburg im Breisgau, 79106
Investigational Site Number : 2760002
Hamburg, 20246
Investigational Site Number : 2760010
Kiel, 24105
Investigational Site Number : 2760009
Münster, 48149
Investigational Site Number : 2760006
Regensburg, 93053
Investigational Site Number : 2760008
Tübingen, 72076
France8 sites
Institut Paoli Calmettes-Investigational Site Number : 2500004
Marseille, 13273
CHU Hotel Dieu-Investigational Site Number : 2500005
Nantes, 44093
Investigational Site Number : 2500003
Paris, 75010
Investigational Site Number : 2500001
Paris, 75571
CHU Bordeaux-Hôpital Haut-Lévêque-Investigational Site Number : 2500002
Pessac, 33600
Hôpital Lyon Sud-Investigational Site Number : 2500007
Pierre-Bénite, 69310
Hôpital Pontchaillou - CHU de Rennes-Investigational Site Number : 2500008
Rennes, 35033
Investigational Site Number : 2500006
Vandœuvre-lès-Nancy, 54511
Argentina6 sites
Investigational Site Number : 0320005
Buenos Aires, 1227
Investigational Site Number : 0320003
Buenos Aires, 1280
Investigational Site Number : 0320001
Buenos Aires, 1426
Investigational Site Number : 0320002
Buenos Aires, 1431
Investigational Site Number : 0320004
Córdoba, 5000
Investigational Site Number : 0320006
Pilar, Buenos Aires, 1629
Belgium6 sites
Investigational Site Number : 0560006
Bruges, 8000
UZ Gent-Investigational Site Number : 0560003
Ghent, 9000
UZ Leuven-Investigational Site Number : 0560001
Leuven, Vlaams-Brabant, 3000
CHU de Liège-Investigational Site Number : 0560004
Liège, 4000
AZ Delta-Investigational Site Number : 0560002
Roeselare, 8800
Cliniques Universitaires St. Luc-Investigational Site Number : 0560005
Woluwe, Brussels Capital, 1200
Canada6 sites
Investigational Site Number : 1240007
Calgary, Alberta, T2N 5G2
Hôpital Maisonneuve Rosemont-Investigational Site Number : 1240001
Montreal, Quebec, H1T 2M4
CHU Sainte-Justine-Site Number : 1240003
Montreal, Quebec, H3T1C5
Investigational Site Number : 1240002
Montreal, Quebec, H4A 3J1
Investigational Site Number : 1240008
Saskatoon, Saskatchewan, S7N 4H4
Investigational Site Number : 1240005
Toronto, Ontario, M5G 2M9
Israel6 sites
Investigational Site Number : 3760002
Haifa, 3109601
Investigational Site Number : 3760005
Jerusalem, 9112001
Investigational Site Number : 3760006
Petah Tikva, 4920235
Investigational Site Number : 3760003
Ramat Gan, 5262100
Investigational Site Number : 3760004
Ramat Gan, 5262100
Investigational Site Number : 3760001
Tel Aviv, 6423906
Turkey (Türkiye)6 sites
Investigational Site Number : 7920006
Adana, 01120
Investigational Site Number : 7920002
Ankara, 06200
Investigational Site Number : 7920004
Ankara, 06560
Investigational Site Number : 7920001
Ankara, 06620
Investigational Site Number : 7920005
Istanbul, 34010
Investigational Site Number : 7920003
Izmir, 35100
Brazil5 sites
Hospital de Clinicas da Universidade Federal do Parana- Site Number : 0760008
Curitiba, Paraná, 80060-900
INCA - Hospital do Câncer - Rio de Janeiro - Praça Da Cruz Vermelha- Site Number : 0760007
Rio de Janeiro, 20230-130
Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760006
São José do Rio Preto, São Paulo, 15090-000
Hospital das Clinicas FMUSP- Site Number : 0760004
São Paulo, 05403-000
Hospital Israelita Albert Einstein- Site Number : 0760003
São Paulo, 05651-901
United Kingdom5 sites
Investigational Site Number : 8260006
Cardiff, Cardiff [Caerdydd Gb-crd], CF14 4XW
Investigational Site Number : 8260003
Leeds, LS9 7TF
Investigational Site Number : 8260002
London, London, City of, SE5 9RL
Investigational Site Number : 8260001
Manchester, M20 4BX
Investigational Site Number : 8260004
Newcastle upon Tyne, NE7 7DN
Australia4 sites
Investigational Site Number : 0360003
Brisbane, Queensland, 4029
Investigational Site Number : 0360001
Melbourne, Victoria, 3000
Investigational Site Number : 0360004
Murdoch, Western Australia, 6150
Investigational Site Number : 0360005
Westmead, New South Wales, 2145
Czechia4 sites
Interni hematologicka a onkologicka klinika Fakultni nemocnice Brno-Site Number : 2030003
Brno, 62500
IV. Interni hematologicka klinika, Fakultni nemocnice Hradec Kralove-Site Number : 2030002
Hradec Králové, 50005
Klinika hematoonkologie, Fakultni nemocnice Ostrava-Site Number : 2030001
Ostrava, 70852
Ustav hematologie a krevni transfuze-Site Number : 2030004
Prague, 128 00
Netherlands4 sites
Amsterdam Universitair Medisch Centrum-Site Number : 5280005
Amsterdam, 1081 HV
Investigational Site Number : 5280003
Groningen, 9713 GR
Investigational Site Number : 5280002
Rotterdam, 3015 CE
Investigational Site Number : 5280001
Utrecht, 3584 CS
South Korea4 sites
Investigational Site Number : 4100002
Seoul, Seoul-teukbyeolsi, 03080
Investigational Site Number : 4100003
Seoul, Seoul-teukbyeolsi, 03722
Investigational Site Number : 4100004
Seoul, Seoul-teukbyeolsi, 06351
Investigational Site Number : 4100001
Seoul, Seoul-teukbyeolsi, 06591
Austria3 sites
Investigational Site Number : 0400003
Graz, 8036
Investigational Site Number : 0400001
Linz, 4020
Investigational Site Number : 0400004
Vienna, 1090
Denmark3 sites
Department of hematology-Investigational Site Number : 2080001
Aarhus, Jutland, 8200
Rigshospitalet Copenhagen University Hospital-Investigational Site Number : 2080002
Copenhagen, Capital, 2100
Odense University Hospital-Investigational Site Number : 2080003
Odense, Funen, 5000
Sweden3 sites
Investigational Site Number : 7520003
Gothenburg, 413 45
Investigational Site Number : 7520001
Huddinge, 141 57
Investigational Site Number : 7520002
Lund, 221 85
Greece2 sites
Nosokomeio Paidon I Agia Sofia-Site Number : 3000002
Athens, 115 27
General Hospital of Thessaloniki "George Papanikolaou"-Site Number : 3000001
Thessaloniki, 570 10
Poland2 sites
Investigational Site Number : 6160001
Gdansk, Pomeranian Voivodeship, 80-952
Investigational Site Number : 6160008
Szczecin, 71-252
Portugal2 sites
Investigational Site Number : 6200003
Lisbon, 1099-023
Investigational Site Number : 6200002
Lisbon, 1649-035
About this study
Official title: A Randomized, Double-blind, Multicenter, Phase 3 Study to Evaluate Efficacy and Safety of Belumosudil in Combination With Corticosteroids Versus Placebo in Combination With Corticosteroids in Participants at Least 12 Years of Age With Newly Diagnosed Chronic Graft Versus Host Disease (cGVHD)
This is a parallel, Phase 3, two-arm study for the treatment of newly diagnosed moderate or severe chronic GVHD.
The study duration for a participant includes up to 4 weeks for screening; a treatment period until clinically meaningful cGVHD progression (defined as progression requiring addition of new systemic treatment for cGVHD), relapse/recurrence of the underlying disease, participant starts new systemic treatment for cGVHD or experiences an unacceptable toxicity, at the request of the participants or the investigators, or until the end of study is reached, whichever comes first; at least 30 days follow-up of adverse events (AEs) after the last dose until resolution or stabilization, if applicable; and long-term follow-up until death or study close-out, whichever comes first.
Read the detailed description
Up to 2.5 years
- Conditions
- Chronic Graft Versus Host Disease
- Being tested
- Belumosudil, Placebo, Prednisone, Prednisolone
- Medical subject headings
- Bronchiolitis Obliterans Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BelumosudilDrug
Also called SAR445761/ KD025, REZUROCK
Pharmaceutical form:Tablet-Route of administration:oral
PlaceboDrug
Pharmaceutical form:Table-Route of administration:oral
PrednisoneDrug
Pharmaceutical form:Tablet-Route of administration:oral
PrednisoloneDrug
Pharmaceutical form:Tablet-Route of administration:oral
| Study group | Role | What they receive |
|---|---|---|
| Belumosudil | Experimental | Participants will receive belumosudil 200 mg tablets per os(PO) once daily (QD) per 28-day cycles starting on Day 1 until discontinuation criteria are met or until end of study
Note: 200mg two times a day (BID) is used in some cases, when the subject is taking a proton pump inhibitor or a strong CYP3A4 inducer) Receives: Drug: Belumosudil; Drug: Prednisone; Drug: Prednisolone |
| Placebo | Placebo comparator | Participants will receive matching placebo tablets PO QD per 28-day cycles starting on Day 1 until discontinuation criteria are met or until end of study Receives: Drug: Placebo; Drug: Prednisone; Drug: Prednisolone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Event-Free Survival (EFS)
From the date of randomization to the date of any predefined event, whichever occurs first
Measured: Until the end of the study (up to 2.5 years since first patient in).
Secondary outcomes (13)
Modified Lee Symptom Scale (mLSS)
Proportion of participants who achieve a clinically relevant reduction in mLSS of at least 6 points from baseline (Only in participants at least 18 years of age)
Measured: Until the end of the study (up to 2.5 years since first patient in).
Durable overall response rate
Proportion of participants who achieve an overall response (PR or CR) as per 2014 NIH consensus response criteria by 48 weeks and maintained the response for a duration of at least 6 months
Measured: Until the end of the study (up to 2.5 years since first patient in).
Rate of corticosteroid withdrawal
Proportion of participants who successfully discontinue all systemic corticosteroids for cGVHD for at least 30 days before the occurrence of cGVHD progression, or start of a new systemic treatment for cGVHD, relapse or recurrence of the underlying disease, or unacceptable toxicity
Measured: Until the end of the study (up to 2.5 years since first patient in).
Overall response rate (ORR)
Proportion of participants who achieve an overall response (CR or PR) as per 2014 NIH consensus response criteria at any time before the start of new systemic treatment for cGVHD
Measured: Until the end of the study (up to 2.5 years since first patient in).
ORR by 24 weeks
Proportion of participants who achieve an overall response (CR or PR) as per 2014 NIH consensus response criteria by 24 weeks (Cycle 7 Day 1) before the start of new systemic treatment for cGVHD
Measured: Until the end of the study (up to 2.5 years since first patient in).
Duration of response (DOR)
Time from the date of the first response to the date of cGVHD progression, start of new systemic treatment for cGVHD, or death, whichever occurs first. DOR is determined only for participants who achieved overall response (PR or CR) as per 2014 NIH consensus response criteria
Measured: Until the end of the study (up to 2.5 years since first patient in).
Dose reduction in corticosteroid
Proportion of participants with a reduction in daily corticosteroid dose
Measured: Until the end of the study (up to 2.5 years since first patient in).
Failure Free Survival (FFS)
Failure Free Survival (FFS) is defined as the time from the date of randomization to the date of start of a new systemic treatment for cGVHD, relapse or recurrence of the underlying disease, or death, whichever occurs first.
Measured: Until the end of the study (up to 2.5 years since first patient in).
Change in patient reported outcome (PRO)
Change from baseline in Patient-Reported Outcomes Measurement Information System Global Health (PROMIS-GH) (Only in participants at least 18 years of age) and the European Quality of Life Group Questionnaire with 5 Dimensions and 5 Levels (EQ5D5L)
Measured: Until the end of the study (up to 2.5 years since first patient in).
Number of participants with treatment-emergent adverse events [TEAEs], serious TEAEs, and adverse events of special interest (AESIs)
Measured: Until the end of the study (up to 2.5 years since first patient in).
Overall survival
The time from the date of randomization to the date of death due to any cause
Measured: Until the end of the study (up to 2.5 years since first patient in).
Time to response (TTR)
Time to Response is defined as the time from randomization to the date the patient has first response (CR or PR).
Measured: Until the end of study (up to 2.5 years since first patient in)
Response by organ
Proportion of participants who achieve CR or PR as per NIH consensus response criteria (2014) at any time point in each involved organ and before the start of a new systemic therapy for cGVHD.
Measured: Until the end of study (up to 2.5 years since first patient in)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Nov 2023
- Study start23 Jan 2024
- Primary completion29 Sep 2028 (estimated)
- Study completion29 Sep 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Graft Versus Host DiseaseStudies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 260 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06143891
- Sponsor's protocol ID
- EFC17757
- Other IDs
- 2023-505394-32, U1111-1280-4918, 2023
- Acronym
- ROCKnrol-1
- Status last verified
- Oct 2026
- First submitted
- 16 Nov 2023
- Last updated
- 16 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Study at a glance
From the registry record, last updated by the sponsor on 16 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Multicenter, Phase 3 Study to Evaluate Efficacy and Safety of Belumosudil in Combination With Corticosteroids Versus Placebo in Combination With Corticosteroids in Participants at Least 12 Years of Age With Newly Diagnosed Chronic Graft Versus Host Disease (cGVHD)
- ClinicalTrials.gov ID
- NCT06143891
- Acronym / sponsor ID
- ROCKnrol-1 / EFC17757
- Conditions
- Chronic Graft Versus Host Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 260 participants (estimated)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- 23 Jan 2024 (actual)
- Primary completion
- 29 Sep 2028 (estimated)
- Study completion
- 29 Sep 2028 (estimated)
- First posted
- 22 Nov 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a parallel, Phase 3, two-arm study for the treatment of newly diagnosed moderate or severe chronic GVHD.
The study duration for a participant includes up to 4 weeks for screening; a treatment period until clinically meaningful cGVHD progression (defined as progression requiring addition of new systemic treatment for cGVHD), relapse/recurrence of the underlying disease, participant starts new systemic treatment for cGVHD or experiences an unacceptable toxicity, at the request of the participants or the investigators, or until the end of study is reached, whichever comes first; at least 30 days follow-up of adverse events (AEs) after the last dose until resolution or stabilization, if applicable; and long-term follow-up until death or study close-out, whichever comes first.
Detailed description
Up to 2.5 years
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Belumosudil | Experimental | Drug: Belumosudil, Drug: Prednisone, Drug: PrednisoloneParticipants will receive belumosudil 200 mg tablets per os(PO) once daily (QD) per 28-day cycles starting on Day 1 until discontinuation criteria are met or until end of study Note: 200mg two times a day (BID) is used in some cases, when the subject is taking a proton pump inhibitor or a strong CYP3A4 inducer) |
| Placebo | Placebo comparator | Drug: Placebo, Drug: Prednisone, Drug: PrednisoloneParticipants will receive matching placebo tablets PO QD per 28-day cycles starting on Day 1 until discontinuation criteria are met or until end of study |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (8 listed)
- Patients must be at least 12 years of age inclusive, at the time of signing the informed consent
- Participants who have undergone allogenic HCT with newly diagnosed moderate to severe cGVHD according to NIH consensus diagnosis and staging criteria (2014)
- Participants who require systemic treatment with corticosteroids for cGVHD
- Participants who have not received any prior systemic treatment for cGVHD (including ECP)
- If participants are receiving other immunosuppressive agents for the prophylaxis or treatment of acute GVHD, the dose should be under the threshold pre-defined in protocol
Key exclusion criteria (25 listed)
- Medical conditions
- Any evidence (histologic, cytogenetic, molecular, hematologic, or mixed) of progressive or relapsed underlying disease after the most recent allogeneic HCT
- Post-transplant lymphoproliferative disease within 4 weeks prior to randomization
- Female participants who are pregnant or breastfeeding
- Unable to tolerate a prednisone equivalent dose of corticosteroids ≥ 1 mg/kg/day Prior/concomitant therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BelumosudilAlso: SAR445761/ KD025, REZUROCKPharmaceutical form:Tablet-Route of administration:oral | Drug | Belumosudil |
| PlaceboPharmaceutical form:Table-Route of administration:oral | Drug | Placebo |
| PrednisonePharmaceutical form:Tablet-Route of administration:oral | Drug | Belumosudil, Placebo |
| PrednisolonePharmaceutical form:Tablet-Route of administration:oral | Drug | Belumosudil, Placebo |
Primary outcome
Event-Free Survival (EFS)
Time frame: Until the end of the study (up to 2.5 years since first patient in).
From the date of randomization to the date of any predefined event, whichever occurs first
13 secondary outcomes
Modified Lee Symptom Scale (mLSS)
Time frame: Until the end of the study (up to 2.5 years since first patient in).
Durable overall response rate
Time frame: Until the end of the study (up to 2.5 years since first patient in).
Rate of corticosteroid withdrawal
Time frame: Until the end of the study (up to 2.5 years since first patient in).
Overall response rate (ORR)
Time frame: Until the end of the study (up to 2.5 years since first patient in).
ORR by 24 weeks
Time frame: Until the end of the study (up to 2.5 years since first patient in).
Duration of response (DOR)
Time frame: Until the end of the study (up to 2.5 years since first patient in).
Dose reduction in corticosteroid
Time frame: Until the end of the study (up to 2.5 years since first patient in).
Failure Free Survival (FFS)
Time frame: Until the end of the study (up to 2.5 years since first patient in).
Change in patient reported outcome (PRO)
Time frame: Until the end of the study (up to 2.5 years since first patient in).
Number of participants with treatment-emergent adverse events [TEAEs], serious TEAEs, and adverse events of special interest (AESIs)
Time frame: Until the end of the study (up to 2.5 years since first patient in).
Overall survival
Time frame: Until the end of the study (up to 2.5 years since first patient in).
Time to response (TTR)
Time frame: Until the end of study (up to 2.5 years since first patient in)
Response by organ
Time frame: Until the end of study (up to 2.5 years since first patient in)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Oct 2026.
- EFC17757 Plain Language Results SummaryLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
151 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Belumosudil, Prednisone and Prednisolone in people with Chronic Graft Versus Host Disease, run by Sanofi at 151 sites in 24 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 8 inclusion and 25 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: under way, not looking for participants, as of the sponsor's last update on 16 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 151 sites in United States, China, Italy, Spain, Germany and 19 more countries. 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. Some participants in this study may receive a placebo. 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?
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?
Event-Free Survival (EFS) (time frame: Until the end of the study (up to 2.5 years since first patient in).). 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 16 Oct 2026.