Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
A Phase IIb open label study evaluates the safety and efficacy of repeat doses of BPC2001 in combination with standard of care treatment for the prevention of acute graft-vs-host-disease (aGvHD) in subjects following Haploidentical Stem Cell Transplantation (Haplo-SCT).
This is an open-label, single center, single-arm study to evaluate six weekly doses of BPC2001 in combination with standard of care treatment (Beijing Protocol) for the prevention of aGvHD in subjects following Haplo-SCT. The study includes a Safety Run-in Phase to assess the safety and tolerability of 30 days DLT after the first dose of BPC2001 followed by an Expansion Phase in which the efficacy of 6 weekly doses of BPC2001 in addition to standard of care for GvHD prophylaxis will be assessed.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Safety run-in and Expansion | Experimental | Safety Run-in Phase: Up to 2 cohorts of at least 3 subjects will be enrolled in the Safety Run-in Phase. The Safety Run in Phase will enroll at least 6 subjects in total. Initially, 3 subjects will be enrolled, treated, and assessed for the dose-limiting toxicity (DLT). Expansion Phase: Once a dose/schedule with an acceptable safety/PK profile is determined by the SRC, enrollment will continue to the Expansion Phase. The Expansion Phase will enroll 44 subjects. The dose of BPC2001 will be tentatively 100 μg/kg on a weekly basis for 6 doses, and the specific dose and/or schedule will be determined by the SRC based on the data of the Safety Run-in Phase. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BPC-2001 | Drug | Subjects will receive 6 weekly doses of BPC2001, 100 μg/kg via IV administration after completion of Haplo-SCT. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Grades II-IV aGVHD | To assess the incidence of Grades II-IV aGvHD by Day 100 (D100) after the last infusion of stem cell (the Mount Sinai aGvHD International Consortium [MAGIC] criteria) | Day 100 after the last infusion of stem cell |
| AE of BPC2001 in addition to the graft-versus-host disease (GvHD) prophylaxis regimen | Incidence, nature, and severity of treatment-emergent adverse events (AEs) | 1 year post-transplant |
| SAE of BPC2001 in addition to the graft-versus-host disease (GvHD) prophylaxis regimen | Incidence, nature, and severity of serious adverse events (SAEs) | 1 year post-transplant |
| Lab test values of BPC2001 in addition to the graft-versus-host disease (GvHD) prophylaxis regimen | Incidence, nature, and severity of laboratory test values (complete blood count, serum chemistry test, coagulation test and urinalysis) | 1 year post-transplant |
| Vital sign of BPC2001 in addition to the graft-versus-host disease (GvHD) prophylaxis regimen | Incidence, nature, and severity of vital sign measures including temperature, blood pressure (systolic/diastolic), pulse, and respiratory rate | 1 year post-transplant |
| Graft failure of BPC2001 in addition to the graft-versus-host disease (GvHD) prophylaxis regimen | Incidence, nature, and severity of graft failure | 1 year post-transplant |
| Measure | Description | Time Frame |
|---|---|---|
| Grades II-IV aGVHD | Acute GVHD will be graded and assessed within 180 days post-transplant | Day 180 post-transplant |
| Total and moderate-severe cGvHD | Incidence of total and moderate-severe cGvHD assessment |
Not provided
Inclusion Criteria:
Male or female ages ≥18 and ≤ 65 years.
Before the start of the trial, the subject or his/her guardian is sufficient to understand and voluntarily sign the written informed consent form (ICF).
Subjects have a hematologic malignancy as defined below and are considered candidates for haplo-SCT:
Organ function tolerated for transplantation:
Subject is suitable for myeloablative haplotype related donor transplant.
Subject is suitable for receiving first alloHSCT.
The transplant donor must meet the following criteria:
Source of allografts: using G-CSF as the mobilizing agent to mobilize PBSC transplant; bone marrow or cord blood is not allowed.
Karnofsky Performance Status (KPS) score ≥ 60 points.
Is a Candidate for anti-GvHD prophylaxis, including ATG, calcineurin inhibitor (CsA or tacrolimus [FK 506]) in combination with MTX and MMF.
Female subjects of childbearing potential must have a negative serum pregnancy test prior to enrollment and must have agreed to use a double barrier method of contraception from the time of signing the ICF to 90 days after the last dose of investigational drug.
Male subjects must agree to use effective contraception from the time of signing the ICF to 90 days after the last dose of investigational drug.
Exclusion Criteria:
Any subjects who meet any of the following criteria will be excluded from study entry:
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nicole Shih, MSC | Contact | +886-2-2542-6789 | 503 | nicoleshih@biophoenixco.com |
| Name | Affiliation | Role |
|---|---|---|
| Xiaodong Mo, PhD | Peking University People's Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University People's Hospital | Recruiting | Beijing | Beijing Municipality | 100044 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | 7.General Office of National Health Commission. Clinical Application Management Standards for Allogeneic Hematopoietic Stem Cell Transplantation Technology (2022 Edition). | ||
| 30833742 | Background | Ciurea SO, Al Malki MM, Kongtim P, Fuchs EJ, Luznik L, Huang XJ, Ciceri F, Locatelli F, Aversa F, Castagna L, Bacigalupo A, Martelli M, Blaise D, Ben Soussan P, Arnault Y, Handgretinger R, Roy DC, O'Donnell PV, Bashey A, Solomon S, Romee R, Gayoso J, Lazarus HM, Ballen K, Savani BN, Mohty M, Nagler A. The European Society for Blood and Marrow Transplantation (EBMT) consensus recommendations for donor selection in haploidentical hematopoietic cell transplantation. Bone Marrow Transplant. 2020 Jan;55(1):12-24. doi: 10.1038/s41409-019-0499-z. Epub 2019 Mar 4. | |
| 24916508 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D006086 | Graft vs Host Disease |
| ID | Term |
|---|---|
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C103873 | KRN 7000 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Day 180 and 1 year post-transplant |
| Non-relapse Mortality (NRM) Rates | The probability of mortality not preceded by relapse of the underlying malignancy will be estimated | Day 100, Day 180 and 1 year post-transplant |
| Disease-free Survival (DFS) | The probability of survival without relapse of the underlying malignancy will be estimated | Day 180 and 1 year post-transplant |
| GvHD-free, Relapse Free Survival (GRFS) | The probability of survival without relapse of the underlying malignancy, without severe (grades 3-4) acute GVHD, and without chronic GVHD requiring systemic immunosuppression will be estimated | Day 180 and 1 year post-transplant |
| Overall Survival (OS) | The probability of survival will be estimated | Day 180 and 1 year post-transplant |
| PK Profile_Cmax after a single dose of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: maximum observed concentration (Cmax) after a single dose | Day 0 through Day 35 |
| PK Profile_Tmax after a single dose of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: time to maximum concentration (Tmax) after a single dose | Day 0 through Day 35 |
| PK Profile_AUC0-t after a single dose of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: area under the concentration versus time curve from time 0 to the time point of the last measurable concentration (AUC0-t) after a single dose | Day 0 through Day 35 |
| PK Profile_AUC0-inf after a single dose of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: area under the concentration versus time curve from time 0 extrapolated to infinite (AUC0-inf) after a single dose | Day 0 through Day 35 |
| PK Profile_t1/2 after a single dose of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: terminal half-life (t1/2) after a single dose | Day 0 through Day 35 |
| PK Profile_CL after a single dose of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: clearance (CL) after a single dose | Day 0 through Day 35 |
| PK Profile_Vd after a single dose of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: volume of distribution (Vd) after a single dose | Day 0 through Day 35 |
| PK Profile_Cmax after multiple doses of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: Cmax after multiple doses | Day 0 through Day 35 |
| PK Profile_Tmax after multiple doses of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: Tmax after multiple doses | Day 0 through Day 35 |
| PK Profile_AUC0-t after multiple doses of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: AUC0-t after multiple doses | Day 0 through Day 35 |
| PK Profile_AUC0-inf after multiple doses of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: AUC0-inf after multiple doses | Day 0 through Day 35 |
| PK Profile_t1/2 after multiple doses of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: t1/2 after multiple doses | Day 0 through Day 35 |
| PK Profile_Ctrough after multiple doses of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: trough concentration (Ctrough) after multiple doses | Day 0 through Day 35 |
| PK Profile_CLss after multiple doses of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: clearance at steady state (CLss) after multiple doses | Day 0 through Day 35 |
| PK Profile_Vss after multiple doses of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: volume of distribution at steady state (Vss) after multiple doses | Day 0 through Day 35 |
| PK Profile_ARCmax after multiple doses of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: accumulation factors ARCmax after multiple doses | Day 0 through Day 35 |
| PK Profile_ARAUC after multiple doses of BPC2001 | To calculate the PK parameters of the total drug and free drug (if feasible) in the plasma sample, including but not limited to: ARAUC after multiple doses | Day 0 through Day 35 |
| Background |
| Wang Y, Chang YJ, Xu LP, Liu KY, Liu DH, Zhang XH, Chen H, Han W, Chen YH, Wang FR, Wang JZ, Chen Y, Yan CH, Huo MR, Li D, Huang XJ. Who is the best donor for a related HLA haplotype-mismatched transplant? Blood. 2014 Aug 7;124(6):843-50. doi: 10.1182/blood-2014-03-563130. Epub 2014 Jun 10. |
| 21145405 | Background | Duramad O, Laysang A, Li J, Ishii Y, Namikawa R. Pharmacologic expansion of donor-derived, naturally occurring CD4(+)Foxp3(+) regulatory T cells reduces acute graft-versus-host disease lethality without abrogating the graft-versus-leukemia effect in murine models. Biol Blood Marrow Transplant. 2011 Aug;17(8):1154-68. doi: 10.1016/j.bbmt.2010.11.022. Epub 2010 Dec 8. |
| 19713461 | Background | Socie G, Blazar BR. Acute graft-versus-host disease: from the bench to the bedside. Blood. 2009 Nov 12;114(20):4327-36. doi: 10.1182/blood-2009-06-204669. Epub 2009 Aug 27. |
| 39134482 | Background | Hematopoietic Stem Cell Application Group, Chinese Society of Hematology, Chinese Medical Association. [Chinese expert consensus on the diagnosis and treatment of acute graft-versus-host disease after hematopoietic stem cell transplantation (2024)]. Zhonghua Xue Ye Xue Za Zhi. 2024 Jun 14;45(6):525-533. doi: 10.3760/cma.j.cn121090-20240608-00214. Chinese. |
| Background | 1. Huang Xiaojun. Haploidentical Hematopoietic Stem Cell Transplantation Beijing Protocol, Chinese Journal of Organ Transplantation. 2017;38(2): 65-68. |