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Long Term Follow-up Study for Patients Enrolled on the BP-004 Clinical Study

NCT03733249 — Phase 1 / Phase 2, Terminated, 187 participants, Bellicum Pharmaceuticals

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Follow-up of Phase 1/2 Study of CaspaCIDe T Cells (BPX-501) From an HLA-partially Matched Family Donor After Negative Selection of TCR αβ+T Cells in Pediatric Patients Affected by Hematological Disorders

RegistryNCT03733249
StatusTerminated
PhasePhase 1 / Phase 2
Study typeInterventional; na, single group, masking: none, treatment
Enrollment187 (Actual)
SponsorBellicum Pharmaceuticals (Industry)
ConditionsAcute Lymphoblastic Leukemia, Leukemia, Acute Myeloid (AML), Child, Lymphoma, Non-Hodgkin, Myelodysplastic Syndromes, Primary Immunodeficiency, Anemia, Aplastic, Hemoglobinopathies, Cytopenia, Fanconi Anemia, Diamond Blackfan Anemia, Thalassemia, Anemia, Sickle Cell
InterventionsRimiducid, rivogenlecleucel (Drug, biological)
Datesstart 2017-01-01, primary completion 2020-06-30, completion 2023-04-14, first posted 2018-11-07, last updated 2023-09-26
Locations1 site in Italy

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-Summary

This is a long-term follow up study evaluating the safety of BPX-501 T cells (rivogenlecleucel) and infused in pediatric patients previously enrolled on the BP-004 study.

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+Detailed description

Subjects enrolled on the BP-004 study who have completed or discontinued from the study, and are beyond Day 180 will be requested to enroll on this long-term follow up protocol. Long term follow up for gene therapy clinical and safety endpoints will continue up to 15 years.

+Arms and interventions

ArmTypeInterventionsDescription
Rimiducid and RivogenlecleucelExperimentalDrug: Rimiducid; Biological: rivogenlecleucelRimiducid: to treat uncontrolled GVHD in patients who have received rivogenlecleucel Rimiducid will be given at 0.4 mg/kg weight (intravenous infusion) No further rivogenlecleucel infusions are planned. Patients who received rivogenlecleucel in the BP-004 study will be evaluated for long-term safety and efficacy.
  • Rimiducid (Drug), also known as AP1903: Rimiducid is administered to treat chronic graft versus host disease
  • rivogenlecleucel (Biological), also known as BPX-501: donor T-cells modified with iCasp safety switch

+Outcome measures

Primary outcomes

  • Overall Survival [1 and 2 years after rivogenlecleucel infusion]: Overall survival (OS) in both malignant and non-malignant subpopulations at 1 and 2 years in the Intent-to-Treat (ITT) Population
  • Incidence of Disease-free Survival [1 and 2 years after rivogenlecleucel infusion]: KM Parameter Estimates of disease-free survival (DFS) in the non-malignant subpopulation at 1 and 2 years in the Intent-to-Treat (ITT) Population
  • Relapse-free Survival [1 and 2 years after rivogenlecleucel infusion]: Kaplan-Meier Parameter Estimates of Relapse-free survival rate (number of patients survived without experiencing a recurrence) at the 1-year and 2-year timepoints in the Intent-to-Treat (ITT) Population in the malignant study arm (patients with a malignant reason for their transplant). ITT Population: Includes all patients treated with HSCT who received rivogenlecleucel at the dose of 1×10E6 cells/kg

+Eligibility

Sex: All, ages: 1 Month to 18 Years

Inclusion Criteria:

* Signed written informed consent by the patient or the patient's guardian for children who are minors
* Enrolled on BP-004 protocol, received BPX-501 infusion, completed or discontinued from the study, and are beyond Day +180.

Exclusion Criteria:

* Lack of parents'/guardian's informed consent for children who are minors
* Loss of allograft prior to 6 months

+Posted results

Participant flow

MilestoneRimiducid and Rivogenlecleucel
Started184
Patients receiving rivogenlecleucel (bpx-501 safety population)171
Intent-to-treat population142
Patients receiving at least 1 dose of rimiducid16
Completed149
Not completed35

Outcome results

  • Overall Survival (Primary), Count of participants, Participants: Malignant 8; Non-malignant 3
  • Incidence of Disease-free Survival (Primary), Count of participants, Participants: Non-malignant 4
  • Relapse-free Survival (Primary), Count of participants, Participants: Malignant 12

Adverse events

Time frame: BP-404 is the long-term follow-up study of patients in the BP-004 study who were enrolled at the Italian and Saudi Arabia sites. Since a summary of AEs is not available for the long-term studies alone, the below AE data pertain to Study BP-004 (AEs assessed up to180 days post rivogenlecleucel administration for serious AEs (including all-cause mortality) and 30 days post rivogenlecleucel for non-serious AEs [30 and 7 days post rimiducid administration for serious/non-serious AEs respectively]).

ArmDeathsSerious adverse eventsOther adverse events
Rivogenlecleucel (BPX-501) Safety Population7/171 (4.1%)52/171 (30.4%)140/171 (81.9%)
Rimiducid Safety Population0/16 (0.0%)7/16 (43.8%)9/16 (56.3%)

Serious adverse events by term

TermOrgan systemRivogenlecleucel (BPX-501) Safety PopulationRimiducid Safety Population
AnaemiaBlood and lymphatic system disorders1/1710/16
Autoimmune haemolytic anaemiaBlood and lymphatic system disorders2/1710/16
CytopeniaBlood and lymphatic system disorders1/1710/16
Haemolytic anaemiaBlood and lymphatic system disorders1/1710/16
Histiocytosis haematophagicBlood and lymphatic system disorders1/1710/16
NeutropeniaBlood and lymphatic system disorders1/1710/16
ThrombocytopeniaBlood and lymphatic system disorders1/1710/16
Thrombotic microangiopathyBlood and lymphatic system disorders2/1710/16
Pericardial effusionCardiac disorders1/1710/16
PneumopericardiumCardiac disorders1/1710/16
DiplopiaEye disorders1/1710/16
DiarrhoeaGastrointestinal disorders2/1710/16
Gastrointestinal haemorrhageGastrointestinal disorders1/1711/16
HaematemesisGastrointestinal disorders1/1710/16
PancreatitisGastrointestinal disorders1/1710/16
Parotid gland enlargementGastrointestinal disorders1/1711/16
VomitingGastrointestinal disorders2/1710/16
Device damageGeneral disorders2/1710/16
MalaiseGeneral disorders1/1710/16
Medical device complicationGeneral disorders1/1710/16
PyrexiaGeneral disorders7/1710/16
Acute graft versus host diseaseImmune system disorders4/1712/16
Adenovirus infectionInfections and infestations2/1710/16
Bacterial sepsisInfections and infestations1/1710/16
Cytomegalovirus infectionInfections and infestations3/1710/16
Device related infectionInfections and infestations3/1710/16
EncephalitisInfections and infestations2/1710/16
Escherichia infectionInfections and infestations2/1710/16
Gastroenteritis rotavirusInfections and infestations1/1710/16
InfectionInfections and infestations1/1710/16
Klebsiella infectionInfections and infestations1/1710/16
PharyngitisInfections and infestations1/1710/16
Pseudomonas infectionInfections and infestations1/1710/16
Respiratory tract infectionInfections and infestations1/1710/16
SepsisInfections and infestations1/1711/16
Septic shockInfections and infestations1/1711/16
Staphylococcal bacteraemiaInfections and infestations1/1711/16
Staphylococcal infectionInfections and infestations1/1710/16
Staphylococcal sepsisInfections and infestations2/1710/16
Varicella zoster virus infectionInfections and infestations2/1710/16
FallInjury, poisoning and procedural complications1/1710/16
Juvenile chronic myelomonocytic leukaemiaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/1710/16
Central nervous system lesionNervous system disorders1/1711/16
EncephalopathyNervous system disorders1/1711/16
Miller Fisher syndromeNervous system disorders1/1710/16
Posterior reversible encephalopathy syndromeNervous system disorders1/1710/16
Cystitis haemorrhagicRenal and urinary disorders1/1710/16
Acute respiratory distress syndromeRespiratory, thoracic and mediastinal disorders1/1710/16
Cardiopulmonary failureRespiratory, thoracic and mediastinal disorders1/1710/16
PneumonitisRespiratory, thoracic and mediastinal disorders1/1710/16
Pulmonary haemorrhageRespiratory, thoracic and mediastinal disorders1/1710/16
Pulmonary hypertensionRespiratory, thoracic and mediastinal disorders1/1711/16
Respiratory distressRespiratory, thoracic and mediastinal disorders1/1711/16
HypotensionVascular disorders1/1710/16
Pelvic venous thrombosisVascular disorders1/1710/16

Other adverse events by term

TermOrgan systemRivogenlecleucel (BPX-501) Safety PopulationRimiducid Safety Population
Cytomegalovirus infectionInfections and infestations34/1710/16
Adenovirus infectionInfections and infestations11/1710/16
Human herpesvirus 6 infectionInfections and infestations9/1710/16
Acute graft versus host diseaseImmune system disorders48/1713/16
RashSkin and subcutaneous tissue disorders21/1710/16
PruritusSkin and subcutaneous tissue disorders12/1710/16
DiarrheaGastrointestinal disorders20/1710/16
VomitingGastrointestinal disorders20/1710/16
NauseaGastrointestinal disorders10/1710/16
PyrexiaGeneral disorders33/1710/16
Chronic graft versus host diseaseImmune system disorders5/1711/16
SepsisInfections and infestations1/1711/16
Septic shockInfections and infestations1/1711/16
Staphylococcal infectionInfections and infestations1/1711/16
Gastrointestinal hemorrhageGastrointestinal disorders1/1711/16
Parotid gland enlargementGastrointestinal disorders1/1711/16
Central nervous system lesionNervous system disorders1/1711/16
EncephalopathyNervous system disorders1/1711/16
Pulmonary hypertensionRespiratory, thoracic and mediastinal disorders1/1711/16
Respiratory distressRespiratory, thoracic and mediastinal disorders2/1711/16
Right ventricular failureCardiac disorders1/1711/16
HypokalemiaMetabolism and nutrition disorders2/1711/16
Confusional statePsychiatric disorders1/1711/16
Skin discolorationSkin and subcutaneous tissue disorders1/1711/16

+Locations (1)

FacilityCityCountryStatus
IRCCS Ospedale Pediatrico Bambino GesùRomeItaly

+Study documents

+Investigators

  • Bellicum Pharmaceuticals, Study director, Bellicum Pharmaceuticals

My Notes