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Remestemcel-L

Phase 3

Grade B Acute Graft Versus Host Disease | Monoclonal antibody | Hematology |Mesoblast Limited|Last Updated: Mar 17, 2022

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment32

FDA Designations

No designations recorded

Clinical trial landscape

Remestemcel-L · 2 trials · 6 indications

Phase 3 2
NCT02652130Safety Follow-up of Treatment With Remestemcel-L in Pediatric Participants Who Have Failed to Respond to Steroid Treatment for Acute GVHDGrade B Acute Graft Versus Host Disease
COMPLETED32 Analytics
NCT02336230A Prospective Study of Remestemcel-L, Ex-vivo Cultured Adult Human Mesenchymal Stromal Cells, for the Treatment of Pediatric Participants Who Have Failed to Respond to Steroid Treatment for Acute Graft-Versus-Host Disease (aGVHD)Grade B aGVHD
COMPLETED55 Analytics
PHASE3COMPLETED
Safety Follow-up of Treatment With Remestemcel-L in Pediatric Participants Who Have Failed to Respond to Steroid Treatment for Acute GVHD
Grade B Acute Graft Versus Host DiseaseUnlock trial analytics
PHASE3COMPLETED
A Prospective Study of Remestemcel-L, Ex-vivo Cultured Adult Human Mesenchymal Stromal Cells, for the Treatment of Pediatric Participants Who Have Failed to Respond to Steroid Treatment for Acute Graft-Versus-Host Disease (aGVHD)
Grade B aGVHDUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival Rate Through Day 180
From Baseline Day 1 in the Study MSB-GVHD001 up to Day 180 in Study MSB-GVHD002 (180 days)

The overall survival rate is defined as the percentage of participants alive at the given time point. OS is defined as the time to death from the start of drug therapy.

Overall Response Rate (ORR) at Day 28 Post Initiation of Therapy
Day 28

ORR was defined as the percentage of participants who had achieved overall response. Overall response was defined as complete response (CR) plus partial response (PR) as per aGVHD response criteria. CR was defined as resolution of aGVHD in all involved organs. PR was defined as organ improvement of at least 1 stage without worsening of any other organ.

Secondary Endpoints

Overall Survival Rate at Day 180 for Participants Who Had Overall Response (OR) at Day 28 of Study MSB-GVHD001
From Baseline (Day 1) in the Study MSB-GVHD001 up to Day 180 in the Study MSB-GVHD002 (180 days)
Overall Survival (OS) Rate at Day 100 Post Initiation of Therapy
Day 100
OS Rate at Day 100 Post Initiation of Therapy, Stratified by Responder Status at Day 28
Day 100
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeOTHER

Treatment Arms

ArmTypeDescription
Safety populationEXPERIMENTALAll participants who were enrolled and had received at least 1 dose of remestemcel-L in Study MSB-GVHD001.
Remestemcel-L 2×10^6 MSCs/kgEXPERIMENTALParticipants were treated with intravenous (IV) remestemcel-L at a dose of 2×10\^6 mesenchymal stromal cells (MSCs)/kilogram (kg) actual body weight at Screening, twice per week, for each of 4 consecutive weeks (initial therapy) given at least 3 days apart and no more than 5 days apart for any infusion. Eligible participants received an additional once per week infusion, for each of 4 consecutive weeks (continued therapy) of remestemcel-L and twice per week infusions, for each of 4 consecutive weeks (aGVHD flare therapy) of remestemcel-L at the same initial therapy dose of 2×10\^6 MSCs/kg actual body weight at Screening.

Interventions

NameTypeDescription
Remestemcel-LBIOLOGICALNo intervention was given in Study MSB-GVHD002 (NCT02652130). It was a safety follow-up trial of remestemcel-L-treated participants from Study MSB-GVHD001.
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Eligibility Criteria

Age Range2 Months to 17 Years
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion Criteria: * Participants must have participated in MSB-GVHD001 and have received at least one infusion of remestemcel-L. * Participant or participant's authorized representative must be capable of providing written informed consent. Assent, if applicable, must also be collected when requi...

Countries:United States
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Frequently asked questions about Remestemcel-L

What is Remestemcel-L used for?

Remestemcel-L is an investigational cell therapy being studied for the treatment of Grade B acute graft versus host disease (aGVHD), a complication that can occur after a stem cell transplant. It is being evaluated in pediatric patients who have failed to respond to steroid treatment for this condition.

Who makes Remestemcel-L?

Remestemcel-L is being developed by Mesoblast Limited, a biopharmaceutical company. Mesoblast is publicly traded on the NASDAQ under the ticker symbol MESO.

What phase is Remestemcel-L in?

Remestemcel-L is in Phase 3 clinical development. It is an investigational therapy and has not been approved by the FDA. Clinical trials are being conducted to evaluate its safety and effectiveness in treating acute graft versus host disease.

What clinical trials is Remestemcel-L in?

Remestemcel-L has been studied in two completed Phase 3 clinical trials. The primary trial, NCT02336230, enrolled 55 pediatric participants with steroid-refractory acute graft versus host disease. A follow-up safety study, NCT02652130, enrolled 32 participants. Both trials were conducted in the United States.

How does Remestemcel-L work?

Remestemcel-L is a preparation of ex-vivo cultured adult human mesenchymal stromal cells. These cells are thought to modulate the immune response, potentially reducing the inflammation that drives graft versus host disease. The exact mechanism of action is still being studied in clinical trials.

Is Remestemcel-L the same as a monoclonal antibody?

No, Remestemcel-L is not a monoclonal antibody. It is a cell therapy consisting of cultured adult human mesenchymal stromal cells. While it is sometimes classified under the modality of monoclonal antibody in some databases, its mechanism is based on cellular therapy rather than antibody-based targeting.