Clinical Trial of BP1001 (L-Grb-2 Antisense Oligonucleotide) in CML, AML, ALL & MDS
A Phase I Clinical Trial to Study the Safety, Pharmacokinetics, and Efficacy of BP1001 (L-Grb-2 Antisense Oligonucleotide) in Patients With Refractory or Relapsed Acute Myeloid Leukemia, Philadelphia Chromosome Positive Chronic Myelogenous Leukemia, or Acute Lymphoblastic Leukemia, and Myelodysplastic Syndrome
This date has not been verified as actual or estimated.
Primary Completion
March 30, 2017
Actual (reported)
Study Completion
March 30, 2017
Actual (reported)
Brief Summary
The first goal of this clinical research study is to find the highest safe dose of BP1001, a liposomal Growth Factor Receptor Bound Protein-2 antisense oligodeoxynucleotide (L-Grb2 AS), for patients with Philadelphia Chromosome positive CML, AML, ALL and MDS. The response of the leukemia to this treatment will also be studied. The second goal of this clinical research study is to evaluate the safety and toxicity of the combination of BP1001 and concurrent low-dose ara-C (LDAC) in patients with AML.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Estimated enrollment
60 participants
Study completion date
March 30, 2017
Actual (reported)
Listed locations
1 countries · 1 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
June 2010
Date type not reported
This date has not been verified as actual or estimated.
Liposomal Grb-2 treatment of CML, AML, CLL, MDSLiposomal Grb-2 with LDAC for AML
Outcome Measures
Primary Outcomes (2)
Safety of BP1001
Evaluate toxicity, tolerance, and MTD of escalating doses of BP1001
30 days
Safety of BP1001 in combination with LDAC
Evaluate safety and toxicity of the combination of BP1001 and concurrent LDAC using non-hematologic and hematologic measures per NCI CTCAE criteria.
30 days
Secondary Outcomes (3)
Optimal biologically active dose
30 days
Study Arms (2)
BP1001
EXPERIMENTAL
Subjects are treated with open-label study drug (BP1001) in a dose-escalation model.
Drug: BP1001
BP1001 in combination with LDAC
EXPERIMENTAL
AML subjects are treated with open-label escalating study drug (BP1001) in combination with low dose ara-C (LDAC)
Drug: BP1001 in combination with LDAC
Interventions
BP1001Drug
Study drug (BP1001) is constituted in normal saline, administered by IV on twice weekly for 28 days.
Also known as: Liposomal Grb-2, L-Grb-2, BP-100-1.01
BP1001
BP1001 in combination with LDACDrug
Study drug (BP1001) is constituted in normal saline, administered by IV twice weekly for 28 days. Low dose ara-C (LDAC) is self administered twice daily for 10 consecutive days during the 28 day cycle.
Eligibility Criteria
Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Male or female patients 18 years of age or older
A diagnosis of refractory or relapsed AML, or Ph+ CML (in chronic, accelerated or blast phase, or acute lymphoblastic leukemia, or myelodysplastic syndrome.
Ohanian M, Tari Ashizawa A, Garcia-Manero G, Pemmaraju N, Kadia T, Jabbour E, Ravandi F, Borthakur G, Andreeff M, Konopleva M, Lim M, Pierce S, O'Brien S, Alvarado Y, Verstovsek S, Wierda W, Kantarjian H, Cortes J. Liposomal Grb2 antisense oligodeoxynucleotide (BP1001) in patients with refractory or relapsed haematological malignancies: a single-centre, open-label, dose-escalation, phase 1/1b trial. Lancet Haematol. 2018 Apr;5(4):e136-e146. doi: 10.1016/S2352-3026(18)30021-8. Epub 2018 Mar 14.
Also known as: Liposomal Grb-2, L-Grb-2, BP-100-1.01, low dose ara-C
BP1001 in combination with LDAC
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
One of the following parameters is required to meet criteria for accelerated phase CML:
Blasts in Peripheral Blood or Bone Marrow ≥15%
Promyelocytes and Blasts in Peripheral Blood or Bone Marrow ≥30%
PB or BM basophils ≥20%
Thrombocytopenia \<100 x 103/ml, not resulting from therapy
Blast phase is defined as ≥30% blasts in peripheral blood or bone marrow, or presence of extramedullary disease, except for liver or spleen.
Patients with CML must have demonstrated resistance and/or intolerance to therapy with at least 2 tyrosine kinase inhibitors (TKI)
Patients with AML and ALL should have received at least 1 prior treatment regimen and either failed to achieve response or relapsed on treatment
Patients with MDS should have failed prior therapy with a hypomethylating agent or, if associated with a 5q- chromosomal abnormality, lenalidomide. NOTE: Patients with 5q- unable to receive or intolerant to lenalidomide are also eligible.
Have clinically adequate hepatic and renal functions as defined by:
ALT\<2x ULN
Serum creatinine concentration \<2x ULN
Serum bilirubin \<2x ULN
+6 more criteria
You may not qualify if:
Serious intercurrent medical illnesses which would interfere with the ability of the patient to carry out the treatment program
Pregnant or breastfeeding women
Patients who have uncontrolled active infection
Patients who have received another investigational product within the longer of 14 days or 5 half-lives of the previous product
Any history of adverse reaction or hypersensitivity to LDAC
Part B: BP1001 with Concurrent LDAC Dose-Expansion Cohorts
Enrollment in the dose-expansion cohorts (DEC) will be limited to only those patients with a diagnosis of refractory or relapsed AML(except acute promyelocytic leukemia) or those who are refractory to at least 1 prior therapy regimen and no more than 1 prior salvage regimen.
Contact the study team to confirm eligibility.
Immunoproliferative Disorders
Immune System Diseases
Bone Marrow Diseases
Myeloproliferative Disorders
Chronic Disease
Disease Attributes
Pathologic Processes
Pathological Conditions, Signs and Symptoms
Intervention Hierarchy (Ancestors)
CytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsArabinonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides
Study Completion
March 30, 2017
Actual (reported)
Last Updated
May 28, 2020
Record last verified: 2020-05
Source record
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Source: ClinicalTrials.gov.
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