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
| Registry | NCT03733249 |
|---|---|
| Status | Terminated |
| Phase | Phase 1 / Phase 2 |
| Study type | Interventional; na, single group, masking: none, treatment |
| Enrollment | 187 (Actual) |
| Sponsor | Bellicum Pharmaceuticals (Industry) |
| Conditions | Acute 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 |
| Interventions | Rimiducid, rivogenlecleucel (Drug, biological) |
| Dates | start 2017-01-01, primary completion 2020-06-30, completion 2023-04-14, first posted 2018-11-07, last updated 2023-09-26 |
| Locations | 1 site in Italy |
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All trials for Acute Lymphoblastic Leukemia All trials for Leukemia, Acute Myeloid (AML), Child All trials of Rimiducid All trials of rivogenlecleucel
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.
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.
| Arm | Type | Interventions | Description |
|---|---|---|---|
| Rimiducid and Rivogenlecleucel | Experimental | Drug: Rimiducid; Biological: rivogenlecleucel | Rimiducid: 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. |
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
| Milestone | Rimiducid and Rivogenlecleucel |
|---|---|
| Started | 184 |
| Patients receiving rivogenlecleucel (bpx-501 safety population) | 171 |
| Intent-to-treat population | 142 |
| Patients receiving at least 1 dose of rimiducid | 16 |
| Completed | 149 |
| Not completed | 35 |
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]).
| Arm | Deaths | Serious adverse events | Other adverse events |
|---|---|---|---|
| Rivogenlecleucel (BPX-501) Safety Population | 7/171 (4.1%) | 52/171 (30.4%) | 140/171 (81.9%) |
| Rimiducid Safety Population | 0/16 (0.0%) | 7/16 (43.8%) | 9/16 (56.3%) |
| Term | Organ system | Rivogenlecleucel (BPX-501) Safety Population | Rimiducid Safety Population |
|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | 1/171 | 0/16 |
| Autoimmune haemolytic anaemia | Blood and lymphatic system disorders | 2/171 | 0/16 |
| Cytopenia | Blood and lymphatic system disorders | 1/171 | 0/16 |
| Haemolytic anaemia | Blood and lymphatic system disorders | 1/171 | 0/16 |
| Histiocytosis haematophagic | Blood and lymphatic system disorders | 1/171 | 0/16 |
| Neutropenia | Blood and lymphatic system disorders | 1/171 | 0/16 |
| Thrombocytopenia | Blood and lymphatic system disorders | 1/171 | 0/16 |
| Thrombotic microangiopathy | Blood and lymphatic system disorders | 2/171 | 0/16 |
| Pericardial effusion | Cardiac disorders | 1/171 | 0/16 |
| Pneumopericardium | Cardiac disorders | 1/171 | 0/16 |
| Diplopia | Eye disorders | 1/171 | 0/16 |
| Diarrhoea | Gastrointestinal disorders | 2/171 | 0/16 |
| Gastrointestinal haemorrhage | Gastrointestinal disorders | 1/171 | 1/16 |
| Haematemesis | Gastrointestinal disorders | 1/171 | 0/16 |
| Pancreatitis | Gastrointestinal disorders | 1/171 | 0/16 |
| Parotid gland enlargement | Gastrointestinal disorders | 1/171 | 1/16 |
| Vomiting | Gastrointestinal disorders | 2/171 | 0/16 |
| Device damage | General disorders | 2/171 | 0/16 |
| Malaise | General disorders | 1/171 | 0/16 |
| Medical device complication | General disorders | 1/171 | 0/16 |
| Pyrexia | General disorders | 7/171 | 0/16 |
| Acute graft versus host disease | Immune system disorders | 4/171 | 2/16 |
| Adenovirus infection | Infections and infestations | 2/171 | 0/16 |
| Bacterial sepsis | Infections and infestations | 1/171 | 0/16 |
| Cytomegalovirus infection | Infections and infestations | 3/171 | 0/16 |
| Device related infection | Infections and infestations | 3/171 | 0/16 |
| Encephalitis | Infections and infestations | 2/171 | 0/16 |
| Escherichia infection | Infections and infestations | 2/171 | 0/16 |
| Gastroenteritis rotavirus | Infections and infestations | 1/171 | 0/16 |
| Infection | Infections and infestations | 1/171 | 0/16 |
| Klebsiella infection | Infections and infestations | 1/171 | 0/16 |
| Pharyngitis | Infections and infestations | 1/171 | 0/16 |
| Pseudomonas infection | Infections and infestations | 1/171 | 0/16 |
| Respiratory tract infection | Infections and infestations | 1/171 | 0/16 |
| Sepsis | Infections and infestations | 1/171 | 1/16 |
| Septic shock | Infections and infestations | 1/171 | 1/16 |
| Staphylococcal bacteraemia | Infections and infestations | 1/171 | 1/16 |
| Staphylococcal infection | Infections and infestations | 1/171 | 0/16 |
| Staphylococcal sepsis | Infections and infestations | 2/171 | 0/16 |
| Varicella zoster virus infection | Infections and infestations | 2/171 | 0/16 |
| Fall | Injury, poisoning and procedural complications | 1/171 | 0/16 |
| Juvenile chronic myelomonocytic leukaemia | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/171 | 0/16 |
| Central nervous system lesion | Nervous system disorders | 1/171 | 1/16 |
| Encephalopathy | Nervous system disorders | 1/171 | 1/16 |
| Miller Fisher syndrome | Nervous system disorders | 1/171 | 0/16 |
| Posterior reversible encephalopathy syndrome | Nervous system disorders | 1/171 | 0/16 |
| Cystitis haemorrhagic | Renal and urinary disorders | 1/171 | 0/16 |
| Acute respiratory distress syndrome | Respiratory, thoracic and mediastinal disorders | 1/171 | 0/16 |
| Cardiopulmonary failure | Respiratory, thoracic and mediastinal disorders | 1/171 | 0/16 |
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | 1/171 | 0/16 |
| Pulmonary haemorrhage | Respiratory, thoracic and mediastinal disorders | 1/171 | 0/16 |
| Pulmonary hypertension | Respiratory, thoracic and mediastinal disorders | 1/171 | 1/16 |
| Respiratory distress | Respiratory, thoracic and mediastinal disorders | 1/171 | 1/16 |
| Hypotension | Vascular disorders | 1/171 | 0/16 |
| Pelvic venous thrombosis | Vascular disorders | 1/171 | 0/16 |
| Term | Organ system | Rivogenlecleucel (BPX-501) Safety Population | Rimiducid Safety Population |
|---|---|---|---|
| Cytomegalovirus infection | Infections and infestations | 34/171 | 0/16 |
| Adenovirus infection | Infections and infestations | 11/171 | 0/16 |
| Human herpesvirus 6 infection | Infections and infestations | 9/171 | 0/16 |
| Acute graft versus host disease | Immune system disorders | 48/171 | 3/16 |
| Rash | Skin and subcutaneous tissue disorders | 21/171 | 0/16 |
| Pruritus | Skin and subcutaneous tissue disorders | 12/171 | 0/16 |
| Diarrhea | Gastrointestinal disorders | 20/171 | 0/16 |
| Vomiting | Gastrointestinal disorders | 20/171 | 0/16 |
| Nausea | Gastrointestinal disorders | 10/171 | 0/16 |
| Pyrexia | General disorders | 33/171 | 0/16 |
| Chronic graft versus host disease | Immune system disorders | 5/171 | 1/16 |
| Sepsis | Infections and infestations | 1/171 | 1/16 |
| Septic shock | Infections and infestations | 1/171 | 1/16 |
| Staphylococcal infection | Infections and infestations | 1/171 | 1/16 |
| Gastrointestinal hemorrhage | Gastrointestinal disorders | 1/171 | 1/16 |
| Parotid gland enlargement | Gastrointestinal disorders | 1/171 | 1/16 |
| Central nervous system lesion | Nervous system disorders | 1/171 | 1/16 |
| Encephalopathy | Nervous system disorders | 1/171 | 1/16 |
| Pulmonary hypertension | Respiratory, thoracic and mediastinal disorders | 1/171 | 1/16 |
| Respiratory distress | Respiratory, thoracic and mediastinal disorders | 2/171 | 1/16 |
| Right ventricular failure | Cardiac disorders | 1/171 | 1/16 |
| Hypokalemia | Metabolism and nutrition disorders | 2/171 | 1/16 |
| Confusional state | Psychiatric disorders | 1/171 | 1/16 |
| Skin discoloration | Skin and subcutaneous tissue disorders | 1/171 | 1/16 |
| Facility | City | Country | Status |
|---|---|---|---|
| IRCCS Ospedale Pediatrico Bambino Gesù | Rome | Italy |