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INCA034176

Phase 3

Chronic Graft-versus-host-disease | Small molecule | Immunology |Incyte Corporation|Last Updated: Jun 2, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment360
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06821542A Study to Evaluate Axatilimab Versus Best Available Therapy in Participants With Chronic Graft Versus Host Disease After at Least 2 Prior Lines of Systemic TherapyPHASE3 ACTIVE NOT_RECRUITING 9Jun 4, 2025Nov 30, 2032Mar 23, 2026130 Austria, Belgium +14
NCT06585774A Study to Evaluate Axatilimab and Corticosteroids as Initial Treatment for Chronic Graft-Versus-Host DiseasePHASE3 RECRUITING 240Jan 21, 2025Mar 31, 2030Jun 1, 2026122 United States, Australia +11
NCT06263478A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Axatilimab Monotherapy in Japanese Participants With Recurrent or Refractory Active Chronic Graft-Versus-Host DiseasePHASE3 ACTIVE NOT_RECRUITING 21Jul 30, 2024Mar 30, 2027Jan 7, 202616 Japan
NCT07124078A Study to Evaluate Axatilimab Versus Best Available Therapy in Pediatric Participants With Chronic Graft-Versus-Host Disease After at Least 2 Prior Lines of Systemic Therapy (AGAVE-256)PHASE2 RECRUITING 60May 20, 2026Jul 31, 2029Jun 2, 202641 United States, Belgium +4
NCT06843408A Ph1b/2 Study of Axatilimab Monotherapy in Chinese Participants With Recurrent or Refractory cGVHDPHASE1 RECRUITING 30Jun 25, 2025Dec 31, 2027Feb 3, 20269 China
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Study Endpoints
Primary Endpoints
Objective Response (OR) at 6 months
6 months

Defined for each treatment group as complete response (CR) or partial response (PR) at 6 months (Cycle 7 Day 1, 28-day cycles) in the absence of new systemic therapy for cGVHD. Responses defined by the 2014 NIH consensus criteria.

Event Free Survival (EFS)
Up to 3 years

Defined from the date of randomization to the date of any predefined event, whichever occurs first.

Overall Response Rate in the First 6 Cycles
Up to Cycle 7 (Day 169)

The overall response rate will be assessed by the number of participants with objective response by Cycle 7 (28-day cycles), Day 1, with responses defined by the 2014 NIH consensus criteria.

Number of participants with Treatment-emergent Adverse Events (TEAEs)
Up to 2 years and 30 days

Defined as adverse events reported for the first time or worsening of a pre-existing event, occurring after the first dose.

Objective Response in the First 6 Cycles
Up to Cycle 7 (Day 169)

The overall response rate will be assessed by the number of participants with objective response by Cycle 7 (28-day cycles), Day 1, with responses defined by the 2014 NIH Consensus Development Project on Criteria for Clinical Trials in cGVHD.

Secondary Endpoints
Failure-free survival (FFS)
Up to 5 years
Proportion of participants with a ≥ 7-point improvement in modified Lee Symptom Scale (mLSS) total score
Up to 5 years
Overall Response at 12 months
12 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
AxatilimabEXPERIMENTALAxatilimab at the protocol-defined dose.
Best available Treatment (BAT)EXPERIMENTALBest Available Therapy (BAT) will be selected by the Investigator for each participant. BAT may not include experimental agents (i.e. those not approved for the treatment of any indication) as well as a limited number of other selected drugs in accordance with the protocol-defined requirements.
Axatilimab + CorticosteroidsEXPERIMENTALAxatilimab and Corticosteroids at the protocol-defined dose.
Placebo + CorticosteroidsEXPERIMENTALMatching placebo and Corticosteroids at the protocol-defined dose.
Axatilimab DoseEXPERIMENTALAxatilimab at the protocol-defined dose.
Part 1 Safety EvaluationEXPERIMENTALAxatilimab at the protocol-defined dose.
Part 2 Efficacy EvaluationEXPERIMENTALAxatilimab at the protocol-defined dose.
Interventions
NameTypeDescription
INCA034176DRUGIV infusion
Best Available Therapy (BAT)DRUGBest Available Therapy (BAT) will be selected by the Investigator for each participant. BAT may not include experimental agents (i.e. those not approved for the treatment of any indication) as well as a limited number of other selected drugs in accordance with the protocol-defined requirements.
PlaceboDRUGIV infusion
CorticosteroidsDRUGOral/IV Infusion
Best available Treatment (BAT)DRUGBest Available Therapy (BAT) will be selected by the Investigator for each participant. BAT may not include experimental agents (i.e. those not approved for the treatment of any indication) as well as a limited number of other selected drugs in accordance with the protocol-defined requirements.
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Eligibility Criteria
Age Range12 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites130

Inclusion Criteria: * Age ≥ 12 years at the time of signing the ICF. * Active, moderate to severe cGVHD, requiring systemic immune suppression. * Participants with refractory or recurrent cGVHD who have received at least 2 lines of systemic therapy, including corticosteroids and ruxolitinib. * Conc...

Countries:AustriaBelgiumCzechiaFinlandFranceGermanyGreeceIrelandItalyNetherlandsNorwayPortugalSpainSwedenSwitzerlandUnited KingdomUnited StatesAustraliaCanadaDenmarkJapanChina
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Recent Changes (Last 90 Days)
LOWJun 2, 2026NCT06585774lastUpdatePostDate: changed
LOWJun 2, 2026NCT07124078startDate: changed
LOWJun 2, 2026NCT07124078startDate: changed
LOWJun 2, 2026NCT06585774lastUpdatePostDate: changed
LOWJun 2, 2026NCT07124078startDate: changed
LOWJun 2, 2026NCT06585774lastUpdatePostDate: changed
LOWMay 27, 2026NCT07124078lastUpdatePostDate: changed
LOWMay 27, 2026NCT06585774lastUpdatePostDate: changed
LOWMay 27, 2026NCT07124078lastUpdatePostDate: changed
LOWMay 27, 2026NCT06585774lastUpdatePostDate: changed
LOWMay 26, 2026NCT07124078primaryCompletionDate: changed
LOWMay 26, 2026NCT06843408primaryCompletionDate: changed
LOWMay 26, 2026NCT06585774primaryCompletionDate: changed
LOWMay 26, 2026NCT06263478primaryCompletionDate: changed
LOWMay 26, 2026NCT06821542primaryCompletionDate: changed
LOWMay 24, 2026NCT06585774studyFirstPostDate: changed
LOWMay 24, 2026NCT07124078studyFirstPostDate: changed
LOWMay 24, 2026NCT06843408studyFirstPostDate: changed
LOWMay 24, 2026NCT06263478studyFirstPostDate: changed
LOWMay 24, 2026NCT06821542studyFirstPostDate: changed