Patient demographics, baseline characteristics, and disease characteristics
. | Itacitinib . | Total (N = 29) . | |
---|---|---|---|
First line (n = 12) . | Steroid refractory* (n = 17) . | ||
Itacitinib dose received, n (%) | |||
200 mg qd | 6 (50.0) | 8 (47.1) | 14 (48.3) |
300 mg qd | 6 (50.0) | 9 (52.9) | 15 (51.7) |
Age, median (range), y | 55.0 (27-71) | 49.0 (18-64) | 51.0 (18-71) |
Sex, n (%) | |||
Male | 6 (50.0) | 14 (82.4) | 20 (69.0) |
Female | 6 (50.0) | 3 (17.6) | 9 (31.0) |
Race, n (%) | |||
White | 10 (83.3) | 14 (82.4) | 24 (82.8) |
African American | 1 (8.3) | 1 (5.9) | 2 (6.9) |
Asian | 1 (8.3) | 1 (5.9) | 2 (6.9) |
Other | 0 (0) | 1 (5.9) | 1 (3.4) |
ECOG PS, n (%) | |||
0 | 2 (16.7) | 0 (0) | 2 (6.9) |
1 | 6 (50.0) | 7 (41.2) | 13 (44.8) |
2 | 4 (33.3) | 9 (52.9) | 13 (44.8) |
3 | 0 (0) | 1 (5.9) | 1 (3.4) |
Underlying malignancies, n (%) | |||
Acute myeloid leukemia | 6 (50.0) | 5 (29.4) | 11 (37.9) |
Acute lymphoblastic leukemia | 1 (8.3) | 6 (35.3) | 7 (24.1) |
Lymphoma | 1 (8.3) | 0 (0) | 1 (3.4) |
Myelodysplastic syndrome | 4 (33.3) | 2 (11.8) | 6 (20.7) |
Other | 0 (0) | 4 (23.5) | 4 (13.8) |
Donor type, n (%) | |||
Matched related | 1 (8.3) | 5 (29.4) | 6 (20.7) |
Matched unrelated | 3 (25.0) | 8 (47.1) | 11 (37.9) |
Haploidentical related (nonsibling) | 1 (8.3) | 0 (0) | 1 (3.4) |
Haploidentical unrelated | 2 (16.7) | 0 (0) | 2 (6.9) |
Mismatched unrelated | 4 (33.3) | 4 (23.5) | 8 (27.6) |
Other | 1 (8.3) | 0 (0) | 1 (3.4) |
Graft type, n (%) | |||
Peripheral blood stem cells | 8 (66.7) | 13 (76.5) | 21 (72.4) |
Bone marrow | 3 (25.0) | 3 (17.6) | 6 (20.7) |
Umbilical cord blood | 0 (0) | 1 (5.9) | 1 (3.4) |
Stem cells and cord blood | 1 (8.3) | 0 (0) | 1 (3.4) |
Conditioning regimen, n (%) | |||
Myeloablative | 9 (75.0) | 11 (64.7) | 20 (69.0) |
Reduced intensity | 2 (16.7) | 6 (35.3) | 8 (27.6) |
Other | 1 (8.3) | 0 (0) | 1 (3.4) |
History of cytopenias, n (%) | |||
Anemia | 9 (75.0) | 6 (35.3) | 15 (51.7) |
Thrombocytopenia | 2 (16.7) | 11 (64.7) | 13 (44.8) |
Pancytopenia | 3 (25.0) | 5 (29.4) | 8 (27.6) |
Febrile neutropenia | 2 (16.7) | 3 (17.6) | 5 (17.2) |
Neutropenia | 2 (16.7) | 3 (17.6) | 5 (17.2) |
Leukopenia | 1 (8.3) | 1 (5.9) | 2 (6.9) |
GVHD characteristics, n (%) | |||
Organ involvement | |||
Lower GI | 6 (50.0) | 11 (64.7) | 17 (58.6) |
Skin | 4 (33.3) | 9 (52.9) | 13 (44.8) |
Upper GI | 5 (41.7) | 4 (23.5) | 9 (31.0) |
Liver | 0 (0) | 5 (29.4) | 5 (17.2) |
Isolated skin | 4 (33.3) | 2 (11.8) | 6 (20.7) |
Skin plus upper GI | 0 (0) | 2 (11.8) | 2 (6.9) |
>1 organ involved | 11 (91.7) | 15 (88.2) | 26 (89.7) |
≥2 organs involved | 4 (33.3) | 10 (58.8) | 14 (48.3) |
Minnesota grade, n (%) | |||
II to IV | 11 (91.7) | 17 (100) | 28 (96.6) |
III/IV | 5 (41.7) | 13 (76.5) | 18 (62.1) |
CIBMTR grade, n (%) | |||
B to D | 11 (91.7) | 17 (100.0) | 28 (96.6) |
C/D | 7 (58.3) | 10 (58.8) | 17 (58.6) |
Minnesota risk score, n (%) | |||
Standard | 7 (58.3) | 4 (23.5) | 11 (37.9) |
High | 5 (41.7) | 13 (76.5) | 18 (62.1) |
. | Itacitinib . | Total (N = 29) . | |
---|---|---|---|
First line (n = 12) . | Steroid refractory* (n = 17) . | ||
Itacitinib dose received, n (%) | |||
200 mg qd | 6 (50.0) | 8 (47.1) | 14 (48.3) |
300 mg qd | 6 (50.0) | 9 (52.9) | 15 (51.7) |
Age, median (range), y | 55.0 (27-71) | 49.0 (18-64) | 51.0 (18-71) |
Sex, n (%) | |||
Male | 6 (50.0) | 14 (82.4) | 20 (69.0) |
Female | 6 (50.0) | 3 (17.6) | 9 (31.0) |
Race, n (%) | |||
White | 10 (83.3) | 14 (82.4) | 24 (82.8) |
African American | 1 (8.3) | 1 (5.9) | 2 (6.9) |
Asian | 1 (8.3) | 1 (5.9) | 2 (6.9) |
Other | 0 (0) | 1 (5.9) | 1 (3.4) |
ECOG PS, n (%) | |||
0 | 2 (16.7) | 0 (0) | 2 (6.9) |
1 | 6 (50.0) | 7 (41.2) | 13 (44.8) |
2 | 4 (33.3) | 9 (52.9) | 13 (44.8) |
3 | 0 (0) | 1 (5.9) | 1 (3.4) |
Underlying malignancies, n (%) | |||
Acute myeloid leukemia | 6 (50.0) | 5 (29.4) | 11 (37.9) |
Acute lymphoblastic leukemia | 1 (8.3) | 6 (35.3) | 7 (24.1) |
Lymphoma | 1 (8.3) | 0 (0) | 1 (3.4) |
Myelodysplastic syndrome | 4 (33.3) | 2 (11.8) | 6 (20.7) |
Other | 0 (0) | 4 (23.5) | 4 (13.8) |
Donor type, n (%) | |||
Matched related | 1 (8.3) | 5 (29.4) | 6 (20.7) |
Matched unrelated | 3 (25.0) | 8 (47.1) | 11 (37.9) |
Haploidentical related (nonsibling) | 1 (8.3) | 0 (0) | 1 (3.4) |
Haploidentical unrelated | 2 (16.7) | 0 (0) | 2 (6.9) |
Mismatched unrelated | 4 (33.3) | 4 (23.5) | 8 (27.6) |
Other | 1 (8.3) | 0 (0) | 1 (3.4) |
Graft type, n (%) | |||
Peripheral blood stem cells | 8 (66.7) | 13 (76.5) | 21 (72.4) |
Bone marrow | 3 (25.0) | 3 (17.6) | 6 (20.7) |
Umbilical cord blood | 0 (0) | 1 (5.9) | 1 (3.4) |
Stem cells and cord blood | 1 (8.3) | 0 (0) | 1 (3.4) |
Conditioning regimen, n (%) | |||
Myeloablative | 9 (75.0) | 11 (64.7) | 20 (69.0) |
Reduced intensity | 2 (16.7) | 6 (35.3) | 8 (27.6) |
Other | 1 (8.3) | 0 (0) | 1 (3.4) |
History of cytopenias, n (%) | |||
Anemia | 9 (75.0) | 6 (35.3) | 15 (51.7) |
Thrombocytopenia | 2 (16.7) | 11 (64.7) | 13 (44.8) |
Pancytopenia | 3 (25.0) | 5 (29.4) | 8 (27.6) |
Febrile neutropenia | 2 (16.7) | 3 (17.6) | 5 (17.2) |
Neutropenia | 2 (16.7) | 3 (17.6) | 5 (17.2) |
Leukopenia | 1 (8.3) | 1 (5.9) | 2 (6.9) |
GVHD characteristics, n (%) | |||
Organ involvement | |||
Lower GI | 6 (50.0) | 11 (64.7) | 17 (58.6) |
Skin | 4 (33.3) | 9 (52.9) | 13 (44.8) |
Upper GI | 5 (41.7) | 4 (23.5) | 9 (31.0) |
Liver | 0 (0) | 5 (29.4) | 5 (17.2) |
Isolated skin | 4 (33.3) | 2 (11.8) | 6 (20.7) |
Skin plus upper GI | 0 (0) | 2 (11.8) | 2 (6.9) |
>1 organ involved | 11 (91.7) | 15 (88.2) | 26 (89.7) |
≥2 organs involved | 4 (33.3) | 10 (58.8) | 14 (48.3) |
Minnesota grade, n (%) | |||
II to IV | 11 (91.7) | 17 (100) | 28 (96.6) |
III/IV | 5 (41.7) | 13 (76.5) | 18 (62.1) |
CIBMTR grade, n (%) | |||
B to D | 11 (91.7) | 17 (100.0) | 28 (96.6) |
C/D | 7 (58.3) | 10 (58.8) | 17 (58.6) |
Minnesota risk score, n (%) | |||
Standard | 7 (58.3) | 4 (23.5) | 11 (37.9) |
High | 5 (41.7) | 13 (76.5) | 18 (62.1) |
qd, once daily.
Of 18 patients with steroid-refractory aGVHD, 1 patient randomized to 300 mg itacitinib did not receive study treatment and was excluded from the safety and efficacy analyses.