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due to lack of enrollment and changes to the sponsor development portfolio
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The purpose of this study is to determine a safe dose of BPX-501 gene modified T cells infused after a haplo-identical stem cell transplant to facilitate engraftment and the safety of Rimiducid (AP1903) on day 7 to prevent GVHD.
This is a single arm dose finding study evaluating the safety and efficacy of a BPX 501 infusion (T cells genetically modified with the inducible Caspase 9 suicide gene) of 3x10E6 to 1X10E7 cells/kg followed by a Rimiducid infusion on day 7 after a partially mismatched, related, T cell-depleted hematopoietic cell transplantation (HCT) in patients with non-malignant diseases. The purpose of this clinical trial is to determine the dose of BPX 501 T cell infusion with subsequent planned infusion of Rimiducid which can facilitate engraftment and prevent the occurrence of GVHD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BPX-501 and Rimiducid | Experimental | Single administration of BPX-501 T cells post partially-mismatched, related T cell depleted HCT followed by Rimiducid infusion on day 7 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BPX-501 and Rimiducid | Biological | Single administration of BPX-501 T cells post partially-mismatched, related T cell depleted HCT followed by Rimiducid infusion on day 7 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events | To determine the safety (as defined by non-responsive Grade III-IV GVHD to rimiducid) of HCT with HLA-haploidentical CD34+ selected peripheral blood stem cell (PBSC) grafts and BPX 501 T cells followed by scheduled rimiducid infusion on Day 7. this outcome measure is reported as number of patients who experienced the AE of Grade III-IV GVHD that was not non-responsive to rimiducid (safety switch) administration. | 24 months |
| Engraftment | Determine the engraftment rate (defined as >50% donor CD3 chimerism) on day 28 after HCT with HLA-haploidentical CD34+ selected PBSC grafts per dose cohort of BPX 501 T cells followed by Rimiducid infusion on Day 7. NOTE: only one patient was enrolled who received the dose of 5x 10^6cell/kg dose of BPX-501 | Day 28 |
| Measure | Description | Time Frame |
|---|---|---|
| GvHD | To determine the incidence and severity of acute and chronic GVHD | Month 24 |
| Immune Reconstitution | Measure immune reconstitution |
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Inclusion Criteria:
Patient must meet eligibility criteria for allogeneic transplantation
Lack of suitable conventional donor (10/10 allele matched related or unrelated donor) or presence of rapidly progressive disease not permitting time to identify an unrelated donor
Males or females
Age < 55 years old and > 4 months
Diagnosis of a nonmalignant disorder considered treatable by HCT.
HLA typing will be performed at high resolution (allele level) for the HLA-A, -B, Cw, DRBl, and DQB1 loci.
i. A minimum match of 5/10 is required. ii. The donor and recipient must be identical, as determined by high resolution typing, in at least one allele of each of the following
If capable of reproduction, patient must agree to use contraception or abstinence to prevent pregnancy during the first year of enrollment and treatment.
Informed consent signed by patient (if ≥18 years old) or parent/guardian (if <18 years old).
Fanconi anemia patients ONLY i) Patients must meet one of the following criteria to be eligible for this study:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bellicum Pharmaceuticals Senior Director | Clinical Development | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fred Hutchinson Cancer ResearchCenter | Seattle | Washington | 98109 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | BPX-501 and Rimiducid | Single administration of BPX-501 T cells (5 x 10^6 cell/kg), post partially-mismatched, related T cell depleted HCT followed by Rimiducid infusion on day 7 BPX-501 and Rimiducid: Single administration of BPX-501 T cells post partially-mismatched, related T cell depleted HCT followed by Rimiducid infusion on day 7 NOTE: This study enrolled a single patient and was terminated early due to lack of enrolment |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Feb 22, 2021 | Sep 15, 2023 |
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| Month 24 |
| Infection Rates | Determine the risk for severe infections | Day 200 |
| Graft Rejection | Incidence of graft rejection | Month 24 |
| Rimiducid Activity | Time to resolution of acute and chronic GvHD following administration of Rimiducid | Month 24 |
| High Grade Toxicity | Rate of high grade toxicity | Month 24 |
| COMPLETED |
|
| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | BPX-501 and Rimiducid | Single administration of BPX-501 T cells (5 x 10^6 cell/kg), post partially-mismatched, related T cell depleted HCT followed by Rimiducid infusion on day 7 BPX-501 and Rimiducid: Single administration of BPX-501 T cells post partially-mismatched, related T cell depleted HCT followed by Rimiducid infusion on day 7 NOTE: This study enrolled a single patient and was terminated early due to lack of enrolment |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Full Range | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
| |||||||||||||||||
| Region of Enrollment | Number | participants |
| ||||||||||||||||||
| sickle cell disease | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Adverse Events | To determine the safety (as defined by non-responsive Grade III-IV GVHD to rimiducid) of HCT with HLA-haploidentical CD34+ selected peripheral blood stem cell (PBSC) grafts and BPX 501 T cells followed by scheduled rimiducid infusion on Day 7. this outcome measure is reported as number of patients who experienced the AE of Grade III-IV GVHD that was not non-responsive to rimiducid (safety switch) administration. | One subject was dosed with 5 x 106 cells of BPX-501 T cells and 0.4 mg/kg of rimiducid on Day 7. No efficacy data was gathered for this patient and patient was withdrawn from the Study by investigator's physician. The study was terminated early by Sponsor due to lack of enrolment | Posted | 24 months |
|
| |||||||||||||||||||
| Primary | Engraftment | Determine the engraftment rate (defined as >50% donor CD3 chimerism) on day 28 after HCT with HLA-haploidentical CD34+ selected PBSC grafts per dose cohort of BPX 501 T cells followed by Rimiducid infusion on Day 7. NOTE: only one patient was enrolled who received the dose of 5x 10^6cell/kg dose of BPX-501 | One subject was dosed with 5 x 106 cells of BPX-501 T cells and 0.4 mg/kg of rimiducid on Day 7. No efficacy data was gathered for this patient and patient was withdrawn from the Study by investigator's physician. The study was terminated early by Sponsor due to lack of enrolment | Posted | Day 28 |
|
| |||||||||||||||||||
| Secondary | GvHD | To determine the incidence and severity of acute and chronic GVHD | Not Posted | Month 24 | Participants | |||||||||||||||||||||
| Secondary | Immune Reconstitution | Measure immune reconstitution | Not Posted | Month 24 | Participants | |||||||||||||||||||||
| Secondary | Infection Rates | Determine the risk for severe infections | Not Posted | Day 200 | Participants | |||||||||||||||||||||
| Secondary | Graft Rejection | Incidence of graft rejection | Not Posted | Month 24 | Participants | |||||||||||||||||||||
| Secondary | Rimiducid Activity | Time to resolution of acute and chronic GvHD following administration of Rimiducid | Not Posted | Month 24 | Participants | |||||||||||||||||||||
| Secondary | High Grade Toxicity | Rate of high grade toxicity | Not Posted | Month 24 | Participants |
was intended for 24 months
Adverse events were collected via questioning or subject-reporting and were subsequently coded in tabular form using the MedDRA Version 21.0 adverse event dictionary and CTCAE designations (in lieu of Grade 1-4 classification)
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | BPX-501 and Rimiducid | Single administration of BPX-501 T cells (5 x 10^6 cell/kg), post partially-mismatched, related T cell depleted HCT followed by Rimiducid infusion on day 7 BPX-501 and Rimiducid: Single administration of BPX-501 T cells post partially-mismatched, related T cell depleted HCT followed by Rimiducid infusion on day 7 NOTE: This study enrolled a single patient who discontinued the study due to investigating physicians decision. The study was terminated early due to lack of enrolment. | 0 | 1 | 1 | 1 | 1 | 1 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| haemolysis | Blood and lymphatic system disorders | MedDRA Version 21.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Platelet Count Decreased | Investigations | MedDRA Version 21.0 | Systematic Assessment |
| |
| Haematocrit Decreased | Investigations | MedDRA Version 21.0 | Systematic Assessment |
| |
| Activated Partial Thromboplastin Time abnormality | Investigations | MedDRA Version 21.0 | Systematic Assessment |
| |
| Hypersensitivity | Immune system disorders | MedDRA Version 21.0 | Systematic Assessment |
| |
| Febrile Neutropenia | Blood and lymphatic system disorders | MedDRA Version 21.0 | Systematic Assessment |
| |
| Disseminated Intravascular Coagulation | Blood and lymphatic system disorders | MedDRA Version 21.0 | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Rivogenlecleucel Study Team | Bellicum Pharmaceuticals | (832) 384-1100 | clinicaltrials@bellicum.com |
| Prot_000.pdf |
| ID | Term |
|---|---|
| D000081207 | Primary Immunodeficiency Diseases |
| D051359 | Lymphohistiocytosis, Hemophagocytic |
| D000080984 | Congenital Bone Marrow Failure Syndromes |
| D006453 | Hemoglobinopathies |
| D008659 | Metabolic Diseases |
| D016511 | Severe Combined Immunodeficiency |
| D006105 | Granulomatous Disease, Chronic |
| D000081003 | Shwachman-Diamond Syndrome |
| D029503 | Anemia, Diamond-Blackfan |
| D019871 | Dyskeratosis Congenita |
| D005199 | Fanconi Anemia |
| D000755 | Anemia, Sickle Cell |
| D013789 | Thalassemia |
| D009083 | Mucopolysaccharidoses |
| D013106 | Sphingolipidoses |
| ID | Term |
|---|---|
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
| D015616 | Histiocytosis, Non-Langerhans-Cell |
| D015614 | Histiocytosis |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D000080983 | Bone Marrow Failure Disorders |
| D001855 | Bone Marrow Diseases |
| D006402 | Hematologic Diseases |
| D007232 | Infant, Newborn, Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D049914 | DNA Repair-Deficiency Disorders |
| D010585 | Phagocyte Bactericidal Dysfunction |
| D007960 | Leukocyte Disorders |
| D040181 | Genetic Diseases, X-Linked |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010188 | Exocrine Pancreatic Insufficiency |
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D008052 | Lipid Metabolism, Inborn Errors |
| D052439 | Lipid Metabolism Disorders |
| D008068 | Lipomatosis |
| D029502 | Anemia, Hypoplastic, Congenital |
| D000741 | Anemia, Aplastic |
| D000740 | Anemia |
| D012010 | Red-Cell Aplasia, Pure |
| D012868 | Skin Abnormalities |
| D000013 | Congenital Abnormalities |
| D012873 | Skin Diseases, Genetic |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D000745 | Anemia, Hemolytic, Congenital |
| D000743 | Anemia, Hemolytic |
| D002239 | Carbohydrate Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D016464 | Lysosomal Storage Diseases |
| D017520 | Mucinoses |
| D003240 | Connective Tissue Diseases |
| D020140 | Lysosomal Storage Diseases, Nervous System |
| D020739 | Brain Diseases, Metabolic, Inborn |
| D001928 | Brain Diseases, Metabolic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D008064 | Lipidoses |
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