ClinicalTrials.gg
TerminatedNCT03733249Updated Sep 26, 2023Results posted

Long Term Follow-up Study for Patients Enrolled on the BP-004 Clinical Study

A Phase 1/2 interventional study of Rimiducid and rivogenlecleucel in Acute Lymphoblastic Leukemia, Leukemia, Acute Myeloid (AML), Child and Lymphoma, Non-Hodgkin, sponsored by Bellicum Pharmaceuticals. Terminated at 1 site in Italy. Open to participants aged 1 Month to 18 Years. Per ClinicalTrials.gov, last updated 2023-09-26.

Sponsored by Bellicum Pharmaceuticals · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 10 months after the study started (first participant enrolled Jan 2017, registered Nov 2018).
Phase
Phase 1/2
Study type
Interventional
Enrollment
187
Allocation
Not applicable
Ages
1 Month to 18 Years
Sex
All
01

Study summary

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.

Read the detailed description

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.

02

Conditions studied

  • 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

Keywords

  • Long term follow up
  • Gene-modified cells
  • ALL
  • AML
  • hematologic neoplasms
  • hematologic malignancies
  • anemia
  • congenital cytopenia
  • primary immune deficiencies
  • hemoglobinopathy
03

In context

Precursor Cell Lymphoblastic Leukemia-Lymphoma

2,584 studies on the registry are indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma; 473 are open to participants now.

This study's enrollment of 187 is above the median of 40 across 1,952 interventional studies indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma.

Browse Precursor Cell Lymphoblastic Leukemia-Lymphoma studies →

Lead sponsor

Bellicum Pharmaceuticals is the lead sponsor of 15 studies on the registry; none are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 5 (71%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Month to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Signed written 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

Exclusion Criteria:

  • Lack of parents'/guardian's for children who are minors
  • Loss of allograft prior to 6 months
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
187 participants (actual)

Study arms

  • Experimental
    Rimiducid and 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.

    Drug: Rimiducid · Biological: rivogenlecleucel

Interventions

  • Rimiducid is administered to treat chronic graft versus host disease

    Also known as: AP1903

  • donor T-cells modified with iCasp safety switch

    Also known as: BPX-501

06

What researchers measure

Primary outcomes

  1. Overall Survival

    Overall survival (OS) in both malignant and non-malignant subpopulations at 1 and 2 years in the Intent-to-Treat (ITT) Population

    Time frame: 1 and 2 years after rivogenlecleucel infusion

  2. Incidence of Disease-free Survival

    KM Parameter Estimates of disease-free survival (DFS) in the non-malignant subpopulation at 1 and 2 years in the Intent-to-Treat (ITT) Population

    Time frame: 1 and 2 years after rivogenlecleucel infusion

  3. Relapse-free Survival

    Kaplan-Meier Parameter Estimates of Relapse-free survival rate (number of patients survived without experiencing a recurrence) at the 1-year and 2-year timepoints in the Intent-to-Treat (ITT) Population in the malignant study arm (patients with a malignant reason for their transplant). ITT Population: Includes all patients treated with HSCT who received rivogenlecleucel at the dose of 1×10E6 cells/kg

    Time frame: 1 and 2 years after rivogenlecleucel infusion

07

Results

Posted Sep 26, 2023

Participant flow

Study BP-404 was the long-term follow-up for patients enrolled in the BP-004 study at the Italian site as well as patients in Saudi Arabia (patients enrolled and treated in the UK who moved back after hematopoietic stem cell transplantation. The below participant flow information pertains to all patients in the BP-004 study (NCT02065869)

Participant flow — Overall Study
MilestoneRimiducid and Rivogenlecleucel
Started184
Patients receiving rivogenlecleucel (bpx-501 safety population)171
Intent-to-treat population142
Patients receiving at least 1 dose of rimiducid16
Completed149
Not completed35
Withdrew: Death7
Withdrew: Disease relapse16
Withdrew: Lost to follow-up4
Withdrew: No rivogenlecleucel cells infused (non-evaluable)7
Withdrew: Withdrawal by subject1

Outcome measures

PrimaryOverall Survival

Overall survival (OS) in both malignant and non-malignant subpopulations at 1 and 2 years in the Intent-to-Treat (ITT) Population

Time frame:
1 and 2 years after rivogenlecleucel infusion
Reported as:
Count of participants · Participants
Overall Survival
ParticipantsMalignantNon-malignant
1 Year — Event Occurred83
1 Year — Censored38
1 Year — At Risk [Defined as: Total participants - (Event Occurred + Censored)]5169
2 Years — Event Occurred84
2 Years — Censored413
2 Years — At Risk [Defined as: Total participants - (Event Occurred + Censored)]5063
PrimaryIncidence of Disease-free Survival

KM Parameter Estimates of disease-free survival (DFS) in the non-malignant subpopulation at 1 and 2 years in the Intent-to-Treat (ITT) Population

Time frame:
1 and 2 years after rivogenlecleucel infusion
Reported as:
Count of participants · Participants
Incidence of Disease-free Survival
ParticipantsNon-malignant
1 Year — Event occurred4
1 Year — Censored7
1 Year — At Risk [defined as: Total participants - (Event occurred + Censored)]69
2 Years — Event occurred5
2 Years — Censored12
2 Years — At Risk [defined as: Total participants - (Event occurred + Censored)]63
PrimaryRelapse-free Survival

Kaplan-Meier Parameter Estimates of Relapse-free survival rate (number of patients survived without experiencing a recurrence) at the 1-year and 2-year timepoints in the Intent-to-Treat (ITT) Population in the malignant study arm (patients with a malignant reason for their transplant). ITT Population: Includes all patients treated with HSCT who received rivogenlecleucel at the dose of 1×10E6 cells/kg

Time frame:
1 and 2 years after rivogenlecleucel infusion
Reported as:
Count of participants · Participants
Relapse-free Survival
ParticipantsMalignant
1 Year — Event Occurred12
1 Year — Censored0
1 Year — At Risk50
2 Years — Event Occurred13
2 Years — Censored1
2 Years — At Risk48

Adverse events

Collected over 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]).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Rivogenlecleucel (BPX-501) Safety Population7/171 (4.1%)52/171 (30.4%)140/171 (81.9%)
Rimiducid Safety Population0/16 (0%)7/16 (43.8%)9/16 (56.3%)
Most frequent serious events
Showing 10 of 55
Most frequent serious events
EventRivogenlecleucel (BPX-501) Safety PopulationRimiducid Safety Population
Acute graft versus host diseaseImmune system disorders4/1712/16
Gastrointestinal haemorrhageGastrointestinal disorders1/1711/16
Parotid gland enlargementGastrointestinal disorders1/1711/16
SepsisInfections and infestations1/1711/16
Septic shockInfections and infestations1/1711/16
Staphylococcal bacteraemiaInfections and infestations1/1711/16
Central nervous system lesionNervous system disorders1/1711/16
EncephalopathyNervous system disorders1/1711/16
Pulmonary hypertensionRespiratory, thoracic and mediastinal disorders1/1711/16
Respiratory distressRespiratory, thoracic and mediastinal disorders1/1711/16
Most frequent other events
Showing 10 of 24
Most frequent other events
EventRivogenlecleucel (BPX-501) Safety PopulationRimiducid Safety Population
Acute graft versus host diseaseImmune system disorders48/1713/16
Cytomegalovirus infectionInfections and infestations34/1710/16
PyrexiaGeneral disorders33/1710/16
RashSkin and subcutaneous tissue disorders21/1710/16
DiarrheaGastrointestinal disorders20/1710/16
VomitingGastrointestinal disorders20/1710/16
PruritusSkin and subcutaneous tissue disorders12/1710/16
Adenovirus infectionInfections and infestations11/1710/16
Chronic graft versus host diseaseImmune system disorders5/1711/16
SepsisInfections and infestations1/1711/16

Baseline characteristics

HSCT safety population: All enrolled patients who received hematopoietic stem cell transplantation

Age, Continuous
Age, Continuous(years)Rimiducid and Rivogenlecleucel
Median5.8 (0.1 to 18.1)
Age, Customized
Age, Customized(Participants)Rimiducid and Rivogenlecleucel
< 2 years43
2 to < 12 years105
12 to ≤ 18 years35
18 to ≤ 26 years1
Sex: Female, Male
Sex: Female, Male(Participants)Rimiducid and Rivogenlecleucel
Female83
Male101
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Rimiducid and Rivogenlecleucel
Hispanic or Latino8
Not Hispanic or Latino176
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Rimiducid and Rivogenlecleucel
American Indian or Alaska Native0
Asian10
Native Hawaiian or Other Pacific Islander0
Black or African American0
White162
More than one race1
Unknown or Not Reported11
08

Study locations

1 site
  • IRCCS Ospedale Pediatrico Bambino Gesù
    Rome, 00161, Italy
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 26, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03733249
Lead sponsor
Bellicum Pharmaceuticals
Responsible party
Sponsor
First posted
Nov 7, 2018
Start date
Jan 2017
Primary completion
Jun 30, 2020
Completion
Apr 14, 2023
Results posted
Sep 26, 2023
Last update
Sep 26, 2023

Study contacts

Bellicum Pharmaceuticals
study director · Bellicum Pharmaceuticals, Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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