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临床试验/EUCTR2020-005173-28-AT
EUCTR2020-005173-28-AT进行中(未招募)1 期

A Randomized, Double-Blind, Placebo-Controlled Phase 2/3 Study of BLU-263 in Indolent Systemic Mastocytosis - HARBOR

Blueprint Medicines Corporation0 个研究点目标入组 463 人开始时间: 2021年7月23日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
463

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • All Patients
  • 1. Patient must be = 16 years of age at the time of signing the informed consent/assent. (In France, Sweden, Germany, and Spain, only patients
  • who are = 18 years of age are allowed).
  • 2. Patient must have an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 to 2.
  • With ISM in Part 1 and Part 2
  • 3. Patient must have moderate-to-severe symptoms based on minimum mean total symptom score (TSS) of the ISM Symptom Assessment Form
  • (ISM-SAF) over the 14-day eligibility screening period.
  • With ISM in Part 1, Part 2 and PK groups
  • 4. Patient has confirmed diagnosis of ISM, confirmed by Central Pathology Review of BM biopsy and central review of B- and C-findings
  • by WHO diagnostic criteria. Archival biopsy may be used if completed within the past 12 months.
  • 5. Patient must have failed to achieve adequate symptom control for 1 or more Baseline symptoms, as determined by the Investigator, with at
  • least 2 of the following symptomatic therapies administered: H1 blockers, H2 blockers, proton-pump inhibitors, leukotriene inhibitors, cromolyn sodium, corticosteroids, or omalizumab.
  • 6. Patients must have BSC for ISM symptom management stabilized for at least 14 days prior to starting screening procedures.
  • 7. For patients receiving corticosteroids, the dose must be = 20 mg/d prednisone or equivalent, and the dose must be stable for = 14 days.
  • With mMCAS in Part M
  • 8. Patients must have mMCAS, confirmed by Central Pathology Review of BM biopsy. An archival biopsy may be used if completed within the past
  • 9. Patients must have tryptase < 20 ng/mL.
  • 10. Patients must have KIT D816V in PB or BM and/or CD25+ Mast cells in BM.
  • 11. Patients must have symptoms consistent with mast cell activation (despite BSC) in at least two organ systems characterized by cutaneous
  • flushing, tachycardia, syncope, hypotension, diarrhea, nausea, vomiting and GI cramping and sBT levels above 8 ng/mL OR Severe (Ring and
  • Messmer grading = II), recurrent anaphylaxis, including but not limited to hymenoptera venom, drug or food, regardless of sBT levels.
  • With ISM in PK Groups
  • 12. Accrual may be limited to patients who have specific disease manifestations (ie, GI involvement) or are taking acid-reducing agents to better explore the impact of these features on PK.
  • With SSM in Part S:
  • 13.Patient has confirmed diagnosis of SSM, confirmed by Central Pathology Review of BM biopsy and central review of B- and C-findings by WHO 2022 diagnostic criteria . No archival BM biopsies will be accepted without approval from the Sponsor.
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 3
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 435
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 25

排除标准

  • Key Exclusion Criteria:
  • 1. Patient has been diagnosed with any of the following WHO SM subclassifications: cutaneous mastocytosis only, SM-AHN, ASM, MCL, Mast cell sarcoma.
  • 2. Patient has been diagnosed with another myeloproliferative disorder.
  • 3. Patient has organ damage C-findings attributable to SM.
  • 4. Patient has a QT interval corrected using Fridericia's formula (QTcF) > 470 msec (for females) or > 450 msec (for males).
  • 5. Patient has clinically significant, uncontrolled, cardiovascular disease.
  • 6. Patient has previously received treatment with any selective KIT inhibitors (avapritinib, bezuclastinib, and ripretinib).
  • 7. Patient has a history of a primary malignancy that has been diagnosed or required therapy within 3 years. The following prior malignancies are not exclusionary: completely resected basal cell and squamous cell skin cancer, curatively treated localized prostate cancer, and completely resected carcinoma in situ of any site.
  • 8. Time since any cytoreductive therapy including mastinib and midostaurin should be at least 5 half-lives or 14 days (whichever is longer), and for cladribine, interferon alpha, pegylated interferon, or antibody therapy < 28 days or 5 half-lives of the drug (whichever is longer), before beginning the screening period.
  • 9. Patient has received radiotherapy or PUVA therapy < 14 days before beginning the screening period.
  • 10. Patient has known active SARS-CoV-2infection (Germany Only).
  • 11. Patients not eligible for an MRI due to contraindications (eg, patients with implanted defibrillators or other metallic devices not approved for MRI [Germany only]).

研究者

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