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Investigator(s):
Steven Z. Pavletic, M.D., M.S. Principal Investigator Phone: 301-402-4899 Fax: 301-451-5578 pavletis@mail.nih.gov
Referral Contact(s):
Kristen Cole, R.N., B.S.N., O.C.N. Research Nurse Specialist Phone: 301-451-6569 colekr@mail.nih.gov	Zetta Blacklock, R.N., B.S., B.S.N. Transplant Coordinator Phone: 301-594-2056 Fax: 301-451-5578 bblacklock@mail.nih.gov	Sheila Phang, R.N., M.S. Transplant Coordinator Phone: 301-435-9379 Fax: 301-451-5578 sphang@mail.nih.gov

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Key Eligibility Criteria:

• 18–75 years of age
• Diagnosis of moderate or severe chronic graft-versus-host disease (cGvHD) after allogeneic HSCT
• cGvHD that did not respond to high-dose corticosteroids (average 0.5 mg/kg/d prednisone for > 8 weeks) or second-line systemic therapy
• Karnofsky performance score ≥ 60%
• Not pregnant or breast feeding
• Women of childbearing potential and men must agree to use effective forms of contraception
• No hypersensitivity to thalidomide, lenalidomide or pomalidomide
• No serious medical condition that places the subject at an unacceptable risk if he or she were to participate in the study or confounds the ability to interpret data from the study, including, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements

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Study Outline:

• Screening with a physical examination, medical history, blood and urine tests, lung function test and imaging studies
• Eligible participants will take pomalidomide capsules once a day for 4-week periods called cycles
• Treatment will be monitored with frequent blood tests; imaging studies; saliva samples, skin and mouth tissue biopsies will also be collected during treatment
• Treatment will continue for six cycles (6 months), unless the cGvHD gets worse or side effects are too severe
• If the cGvHD has improved at the end of the six cycles, participants may be able to continue to take pomalidomide for up to six more cycles

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Additional Information:

• This trial will be conducted at the NIH Clinical Center in Bethesda, MD. It is open to patients who meet the eligibility requirements, regardless of where they live in the United States.
• There is no charge for medical care received at NIH Clinical Center.
• PDQ (Physicians Data Query) - provides additional details about this study for health care providers.

Reviewed: 3/20/13
Updated: 11/14/12