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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in United States

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

Other trials in United Kingdom

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

Other trials in Poland

Australia2 sites
  • Local Institution

    Brisbane, Queensland, 4102

  • Local Institution

    Randwick, New South Wales, 2031

Other trials in Australia

Russia2 sites
  • Local Institution

    Saint Petersburg, 194356

  • Local Institution

    Smolensk

Other trials in Russia

Canada1 site
  • Hamilton Health Sciences/Mc Master Univ Med Ctre

    Hamilton, Ontario, L8S 4K1

Other trials in Canada

Georgia1 site
  • Local Institution

    Tbilisi, 0112

Other trials in Georgia

Moldova1 site
  • Local Institution

    Chisinau, MD 2025

Other trials in Moldova

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.

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 groups in NCT02273960
Study groupRoleWhat they receive
Arm A: BMS-986004ExperimentalBMS-986004 solution intravenously (IV) as specified
Receives: Drug: BMS-986004 75 mg IV
Arm B: BMS-986004ExperimentalBMS-986004 solution intravenously as specified
Receives: Drug: BMS-986004 225 mg IV
Arm C: BMS-986004ExperimentalBMS-986004 solution intravenously as specified
Receives: Drug: BMS-986004 675 mg IV
Arm D: BMS-986004ExperimentalBMS-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.

  1. 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)

  2. 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)

  3. 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)
  1. 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)

  2. 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)

  3. 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)

  4. 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)

  5. 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)

  6. 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.

  1. First posted24 Oct 2014 (estimated)
  2. Study start17 Nov 2014
  3. Primary completion22 Jan 2018
  4. Study completion22 Jan 2018

Resources

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)
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
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

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.

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