Immune Thrombocytopenic PurpuraPhase 1/2ITPNCT02273960
Study to Evaluate Safety and Efficacy in Adult Subjects With ITP
A Phase 1/2 study testing BMS-986004 75 mg IV, BMS-986004 225 mg IV and BMS-986004 675 mg IV in people with Immune Thrombocytopenic Purpura, run by Bristol-Myers Squibb at 20 sites in 8 countries.
Trial summary
The purpose of this study is to assess the safety and tolerability of BMS-986004 when administered in subjects with ITP. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Immune Thrombocytopenic Purpura
- What is being tested?
- BMS-986004 75 mg IV, BMS-986004 225 mg IV and BMS-986004 675 mg IV
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 46 participants
- Where
- 20 sitesin 8 countries
- Study dates
- 17 Nov 2014to 22 Jan 2018
- Phase
- Phase 1/2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- ≥18 years old, diagnosed with persistent or chronic ITP
Who cannot join
- Secondary immune thrombocytopenia
- Drug induced thrombocytopenia
Trial locations and contacts
20 sites in 8 countries.
20 sites in 8 countries
United States6 sites
Emory University
Atlanta, Georgia, 30322
Mass General Hospital
Boston, Massachusetts, 02114
Columbus Regional Research Institute
Columbus, Georgia, 31904
Univ. Of Southern Calif. /Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Rutgers- Robert Wood Johnson Medical School
New Brunswick, New Jersey, 08903
Georgetown University Medical Center
Washington D.C., District of Columbia, 20007
United Kingdom4 sites
Local Institution
Glasgow, Lanarkshire, G4 OSF
Local Institution
London, Greater London, NW1 2PG
Local Institution
London, E1 1BB
Local Institution
Manchester, Greater Manchester, M13 9WL
Poland3 sites
Oddzial Kliniczny Hematologii i Profilaktyki Chorob Nowotworowych
Chorzów, 41-500
Specjalistyczny Gabinet Lekarski Prof. dr hab. Krzysztof Giannopoulos
Lublin, 20-601
Local Institution
Warsaw, 02-106
Australia2 sites
Local Institution
Brisbane, Queensland, 4102
Local Institution
Randwick, New South Wales, 2031
Russia2 sites
Local Institution
Saint Petersburg, 194356
Local Institution
Smolensk
Canada1 site
Hamilton Health Sciences/Mc Master Univ Med Ctre
Hamilton, Ontario, L8S 4K1
About this study
Official title: Open Label, Adaptive Design, Ascending, Multiple-Dose Study to Evaluate Safety and Efficacy of BMS-986004 in Adult Subjects With Primary Immune Thrombocytopenia (ITP)
The purpose of this study is to assess the safety and tolerability of BMS-986004 when administered in subjects with ITP.
- Conditions
- Immune Thrombocytopenic Purpura
- Being tested
- BMS-986004 75 mg IV, BMS-986004 225 mg IV, BMS-986004 675 mg IV, BMS-986004 1500 mg IV
- Medical subject headings
- Purpura, Thrombocytopenic, Idiopathic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BMS-986004 75 mg IVDrug
BMS-986004 (75 mg) infusion (50 ml) administered in 120 minutes
BMS-986004 225 mg IVDrug
BMS-986004 (225 mg) infusion (100 ml) administered in 120 minutes
BMS-986004 675 mg IVDrug
BMS-986004 (675 mg) infusion (100 ml) administered in 120 minutes
BMS-986004 1500 mg IVDrug
BMS-986004 (1500 mg) infusion (100 ml) administered in 120 minutes
| Study group | Role | What they receive |
|---|---|---|
| Arm A: BMS-986004 | Experimental | BMS-986004 solution intravenously (IV) as specified Receives: Drug: BMS-986004 75 mg IV |
| Arm B: BMS-986004 | Experimental | BMS-986004 solution intravenously as specified Receives: Drug: BMS-986004 225 mg IV |
| Arm C: BMS-986004 | Experimental | BMS-986004 solution intravenously as specified Receives: Drug: BMS-986004 675 mg IV |
| Arm D: BMS-986004 | Experimental | BMS-986004 solution intravenously as specified Receives: Drug: BMS-986004 1500 mg IV |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs): Short Term and Long Term
The primary objective to establish safety was measured by the primary endpoints of AEs and SAEs for both Short term and Long term periods
Measured: Day 1 to Day 141 (Short term) and Day 1 to Day 398 (Long term)
Number of ECG Abnormalities
The primary objective to establish safety was measured by investigator identified Electrocardiogram Abnormalities for both Short term and Long term periods. ECG parameters included heart rate, PR interval, QRS interval, and QTcF interval (QT interval corrected for heart rate)
Measured: Day 1 to Day 141 (Short term) and Day 1 to Day 398 (Long term)
Number of Laboratory Abnormalities of Safety Biomarkers: d-Dimer and Thrombin Anti-Thrombin (TAT)
D-dimer and thrombin antithrombin (TAT) in plasma were quantified as measures of thromboembolism risk. D-dimer was evaluated by Enzyme linked immune sorbent assay (ELISA) method (D-dimer reference range 0-0.63 micrograms/milliliters fibrinogen equivalent units [mcg/ml FEU]). TAT reference range 0-4.1 ng/ml.
Measured: Day 1 to Day 141 (Short term) and Day 1 to Day 398 (Long Term)
Secondary outcomes (6)
Response Rate (RR) of BMS-986004: Short Term and Long Term
Overall Response Rate (ORR) was defined as the proportion of participants who achieved a complete response (CR) or response (R). CR was defined as platelet count ≥ 100,000/mm3 and absence of bleeding. R was defined as platelet count ≥ 30,000/mm3 and at least 2-fold increase from the baseline count and absence of bleeding.
Measured: Day 1 to Day 141 (Short term) and Day 1 to Day 398 (Long term)
Maximum Observed Serum Concentration (Cmax) of BMS-986004
Pharmacokinetic parameter (Cmax) of BMS-986004, derived from serum concentration versus time. who have adequate PK profiles. On study Day 57, non-responders in each treatment group other than the 1500 mg group were dose escalated to the starting dose of the next higher treatment group.
Measured: Day 1 (0 hour [h], 2h, 24h, 72h, 168h), Day 15 (0h), Day 29 (0h), Day 43 (0h, 168h), Day 57 (0h, 2h), Day 71 (0h, 2h, 24h, 96h, 168h), Day 85 (0h, 336h, 672h, 1008h, 1344h)
Area Under the Concentration-time Curve in One Dosing Interval [AUC(TAU)] of BMS-986004
Pharmacokinetics of BMS-986004 were derived from serum concentration versus time data. AUC(TAU) = Area under the concentration-time curve in one dosing interval. On study Day 57, non-responders in each treatment group other than the 1500 mg group were dose escalated to the starting dose of the next higher treatment group.
Measured: Day 1 (0 hour [h], 2h, 24h, 72h, 168h), Day 15 (0h), Day 29 (0h), Day 43 (0h, 168h), Day 57 (0h, 2h), Day 71 (0h, 2h, 24h, 96h, 168h), Day 85 (0h, 336h, 672h, 1008h, 1344h)
Trough Observed Serum Concentration (Ctrough) of BMS-986004
Pharmacokinetics of BMS-986004 were derived from serum concentration versus time data. Ctrough = Trough observed serum concentration. On study Day 57, non-responders in each treatment group other than the 1500 mg group were dose escalated to the starting dose of the next higher treatment group.
Measured: Day 1 (0 hour [h], 2h, 24h, 72h, 168h), Day 15 (0h), Day 29 (0h), Day 43 (0h, 168h), Day 57 (0h, 2h), Day 71 (0h, 2h, 24h, 96h, 168h), Day 85 (0h, 336h, 672h, 1008h, 1344h)
Total Body Clearance (CLT) of BMS-986004
Pharmacokinetics of BMS-986004 were derived from serum concentration versus time data. On study Day 57, non-responders in each treatment group other than the 1500 mg group were dose escalated to the starting dose of the next higher treatment group.
Measured: Day 1 (0 hour [h], 2h, 24h, 72h, 168h), Day 15 (0h), Day 29 (0h), Day 43 (0h, 168h), Day 57 (0h, 2h), Day 71 (0h, 2h, 24h, 96h, 168h), Day 85 (0h, 336h, 672h, 1008h, 1344h)
AUC Accumulation Index (AI_AUC) of BMS-986004
AUC accumulation index (AI_AUC) = ratio of AUC(TAU) at steady state to AUC(TAU) after the first dose of BMS-986004. On study Day 57, non-responders in each treatment group other than the 1500 mg group were dose escalated to the starting dose of the next higher treatment group.
Measured: Day 1 (0 hour [h], 2h, 24h, 72h, 168h), Day 15 (0h), Day 29 (0h), Day 43 (0h, 168h), Day 57 (0h, 2h), Day 71 (0h, 2h, 24h, 96h, 168h), Day 85 (0h, 336h, 672h, 1008h, 1344h)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Oct 2014 (estimated)
- Study start17 Nov 2014
- Primary completion22 Jan 2018
- Study completion22 Jan 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Immune Thrombocytopenic PurpuraStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 46 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02273960
- Sponsor's protocol ID
- IM140-103
- Other IDs
- 2014-001429-33, 2014
- Acronym
- ITP
- Status last verified
- Jul 2019
- First submitted
- 3 Oct 2014
- Last updated
- 16 Jul 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Jul 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Open Label, Adaptive Design, Ascending, Multiple-Dose Study to Evaluate Safety and Efficacy of BMS-986004 in Adult Subjects With Primary Immune Thrombocytopenia (ITP)
- ClinicalTrials.gov ID
- NCT02273960
- Acronym / sponsor ID
- ITP / IM140-103
- Conditions
- Immune Thrombocytopenic Purpura
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 46 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 17 Nov 2014 (actual)
- Primary completion
- 22 Jan 2018 (actual)
- Study completion
- 22 Jan 2018 (actual)
- First posted
- 24 Oct 2014 (estimated)
- Results
- Posted 1 Apr 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the safety and tolerability of BMS-986004 when administered in subjects with ITP.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Arm A: BMS-986004 | Experimental | Drug: BMS-986004 75 mg IVBMS-986004 solution intravenously (IV) as specified |
| Arm B: BMS-986004 | Experimental | Drug: BMS-986004 225 mg IVBMS-986004 solution intravenously as specified |
| Arm C: BMS-986004 | Experimental | Drug: BMS-986004 675 mg IVBMS-986004 solution intravenously as specified |
| Arm D: BMS-986004 | Experimental | Drug: BMS-986004 1500 mg IVBMS-986004 solution intravenously as specified |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- ≥18 years old, diagnosed with persistent or chronic ITP
Key exclusion criteria (2 listed)
- Secondary immune thrombocytopenia
- Drug induced thrombocytopenia
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BMS-986004 75 mg IVBMS-986004 (75 mg) infusion (50 ml) administered in 120 minutes | Drug | Arm A: BMS-986004 |
| BMS-986004 225 mg IVBMS-986004 (225 mg) infusion (100 ml) administered in 120 minutes | Drug | Arm B: BMS-986004 |
| BMS-986004 675 mg IVBMS-986004 (675 mg) infusion (100 ml) administered in 120 minutes | Drug | Arm C: BMS-986004 |
| BMS-986004 1500 mg IVBMS-986004 (1500 mg) infusion (100 ml) administered in 120 minutes | Drug | Arm D: BMS-986004 |
Primary outcome
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs): Short Term and Long Term
Time frame: Day 1 to Day 141 (Short term) and Day 1 to Day 398 (Long term)
The primary objective to establish safety was measured by the primary endpoints of AEs and SAEs for both Short term and Long term periods
Number of ECG Abnormalities
Time frame: Day 1 to Day 141 (Short term) and Day 1 to Day 398 (Long term)
The primary objective to establish safety was measured by investigator identified Electrocardiogram Abnormalities for both Short term and Long term periods. ECG parameters included heart rate, PR interval, QRS interval, and QTcF interval (QT interval corrected for heart rate)
Number of Laboratory Abnormalities of Safety Biomarkers: d-Dimer and Thrombin Anti-Thrombin (TAT)
Time frame: Day 1 to Day 141 (Short term) and Day 1 to Day 398 (Long Term)
D-dimer and thrombin antithrombin (TAT) in plasma were quantified as measures of thromboembolism risk. D-dimer was evaluated by Enzyme linked immune sorbent assay (ELISA) method (D-dimer reference range 0-0.63 micrograms/milliliters fibrinogen equivalent units [mcg/ml FEU]). TAT reference range 0-4.1 ng/ml.
6 secondary outcomes
Response Rate (RR) of BMS-986004: Short Term and Long Term
Time frame: Day 1 to Day 141 (Short term) and Day 1 to Day 398 (Long term)
Maximum Observed Serum Concentration (Cmax) of BMS-986004
Time frame: Day 1 (0 hour [h], 2h, 24h, 72h, 168h), Day 15 (0h), Day 29 (0h), Day 43 (0h, 168h), Day 57 (0h, 2h), Day 71 (0h, 2h, 24h, 96h, 168h), Day 85 (0h, 336h, 672h, 1008h, 1344h)
Area Under the Concentration-time Curve in One Dosing Interval [AUC(TAU)] of BMS-986004
Time frame: Day 1 (0 hour [h], 2h, 24h, 72h, 168h), Day 15 (0h), Day 29 (0h), Day 43 (0h, 168h), Day 57 (0h, 2h), Day 71 (0h, 2h, 24h, 96h, 168h), Day 85 (0h, 336h, 672h, 1008h, 1344h)
Trough Observed Serum Concentration (Ctrough) of BMS-986004
Time frame: Day 1 (0 hour [h], 2h, 24h, 72h, 168h), Day 15 (0h), Day 29 (0h), Day 43 (0h, 168h), Day 57 (0h, 2h), Day 71 (0h, 2h, 24h, 96h, 168h), Day 85 (0h, 336h, 672h, 1008h, 1344h)
Total Body Clearance (CLT) of BMS-986004
Time frame: Day 1 (0 hour [h], 2h, 24h, 72h, 168h), Day 15 (0h), Day 29 (0h), Day 43 (0h, 168h), Day 57 (0h, 2h), Day 71 (0h, 2h, 24h, 96h, 168h), Day 85 (0h, 336h, 672h, 1008h, 1344h)
AUC Accumulation Index (AI_AUC) of BMS-986004
Time frame: Day 1 (0 hour [h], 2h, 24h, 72h, 168h), Day 15 (0h), Day 29 (0h), Day 43 (0h, 168h), Day 57 (0h, 2h), Day 71 (0h, 2h, 24h, 96h, 168h), Day 85 (0h, 336h, 672h, 1008h, 1344h)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jul 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- BMS Clinical Trial InformationLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
20 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing BMS-986004 75 mg IV, BMS-986004 225 mg IV and BMS-986004 675 mg IV in people with Immune Thrombocytopenic Purpura, run by Bristol-Myers Squibb at 20 sites in 8 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 20 sites in United States, United Kingdom, Poland, Australia, Russia and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 1 Apr 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs): Short Term and Long Term (time frame: Day 1 to Day 141 (Short term) and Day 1 to Day 398 (Long term)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jul 2019; AzTrials last refreshed its copy on 7 Nov 2026.