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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Miss Rebecca Collings
+44 (0)121 371 7868
RATinG@trials.bham.ac.uk


Study Location:

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Be Part of Research - Trial Details - Investigating the use of lenzilumab for acute graft versus host disease (when transplanted stem cells attack the body’s cells)

Investigating the use of lenzilumab for acute graft versus host disease (when transplanted stem cells attack the body’s cells)

Medical Conditions

Graft versus host disease following allogeneic stem cell transplantation


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Acute graft-versus-host disease (aGvHD) is a serious complication of stem cell transplantation where the donated stem cells view the recipient’s body as foreign and attack the body. This is normally managed with steroids but some patients don’t respond well to treatment. Identification of new safe and effective treatments for resistant aGVHD is very important.
Patients with aGVHD respond differently to treatment. Evidence from research carried out in the US and Germany has shown that blood tests can identify patients with high-risk aGvHD who might respond less well to treatment.
GM-CSF (granulocyte monocyte-colony stimulating factor) is a protein that controls the growth of blood cells and has recently been shown to be important in the development of acute GvHD. Lenzilumab is an antibody that targets GM-CSF and blocks its activity. Lenzilumab has been used successfully for the treatment of other diseases but has not been tested previously for treating aGvHD.
The aim of this study is to find out how effective and safe lenzilumab is for treating patients with high-risk aGvHD. The researchers will be looking at whether the drug is safe, the effects lenzilumab has on aGVHD, and how long these effects last.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Jan 2022 01 Jan 2025

Eligible patients will have their blood assessed for its biomarker risk category. Patients who are high-risk may be eligible for an interventional group. In stage 1 20 patients will receive lenzilumab, and in stage 2 240 patients will be randomly allocated to receive lenzilumab or placebo (dummy drug). Patients who are low-risk may be eligible for stage 2 (observational) which does involve trial treatment. Participants receiving trial treatment will receive doses at weeks 0, 2, 5, 8, 11 and 14 for a total of 6 doses over 14 weeks. The visits may include a physical examination, vital signs, assessment of GvHD and disease, blood tests and a quality of life assessment.


Patients aged 16 years and over with acute GvHD following allogenic stem cell transplantation.

You can take part if:



You may not be able to take part if:


All Cohorts:1. Any additional treatment for GvHD excluding continuance of current prophylaxis or re-institution of drugs previously used for prophylaxis2. Patients requiring treatment with topical steroids only3. Known HIV or active hepatitis B/C (currently receiving treatment)4. Patients treated with >4 days of steroids for aGvHD (maximum of 20 mg for other indications)5. Female patients who are pregnant or breastfeeding. All women of childbearing potential must have a negative pregnancy test before registration/randomisation

Stage 1 and Stage 2 - Randomised Cohort:1. Adults of reproductive potential not willing to use appropriate, highly effective, contraception during the specified period


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Freeman Hospital
    Freeman Road High Heaton
    Newcastle upon Tyne
    NE7 7DN
  • University Hospital of Wales
    Heath Park
    Cardiff
    CF14 4XW
  • The Royal London Hospital
    80 Newark Street
    London
    E1 2ES
  • John Radcliffe Hospital
    Headley Way Headington
    Oxford
    OX3 9DU
  • St James's University Hospital
    Beckett Street
    Leeds
    LS9 7TF
  • Derriford Hospital
    Derriford Road Crownhill
    Plymouth
    PL6 8DH
  • Queen Elizabeth Hospital
    Mindelsohn Way Edgbaston
    Birmingham
    B15 2GW
  • King's College Hospital
    Denmark Hill
    London
    SE5 9RS
  • Leicester Royal Infirmary
    Infirmary Square
    Leicester
    LE1 5WW
  • Bristol Royal Infirmary
    Marlborough Street
    Bristol
    BS2 8HW
  • The Christie
    550 Wilmslow Road Withington
    Manchester
    M20 4BX
  • Queens Medical Centre
    Nottingham University Hospital Derby Road
    Nottingham
    NG7 2UH
  • University College London Hospital
    250 Euston Road
    London
    NW1 2PG
  • Addenbrookes Hospital
    Hills Road
    Cambridge
    CB2 0QQ
  • St Mary's Hospital
    Oxford Road
    Manchester
    M13 9WL
  • The Royal Liverpool University Hospital
    Prescot Street
    Liverpool
    L7 8XP
  • Gartnavel Royal Hospital
    1055 Great Western Road
    Glasgow
    G12 0XH

There is no guaranteed benefit to taking part in this study. The main aim of the study is to see if lenzilumab is a safe and effective treatment for high-risk acute GvHD. The information collected during this study may help improve treatment for other people with acute GvHD in the future.
Having blood taken may cause some discomfort, bleeding or bruising where the needle enters the body and, in rare cases, light-headedness and fainting. Participants may experience side effects but will be carefully checked by a doctor for any problems. There may be risks or side effects of the study drugs that are unknown at this time. Participants will be checked by a doctor throughout their time in the study and can withdraw at any time.


The study is sponsored by University of Birmingham and funded by Leukaemia UK; The IMPACT network (UK); Humaingen, Inc..




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Read full details for Trial ID: ISRCTN42585840

Or CPMS 51332

Last updated 08 May 2024

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