ClinicalTrials.gg
TerminatedNCT05252416Updated Nov 28, 2025

(VELA) Study of BLU-222 in Advanced Solid Tumors

A Phase 1 interventional study of BLU-222 and Carboplatin in Advanced Solid Tumors, HR+ Breast Cancer and CCNE1 Amplification, sponsored by Blueprint Medicines Corporation. Terminated at 23 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-11-28.

Sponsored by Blueprint Medicines Corporation (part of Sanofi) · Phase 1, Interventional, and Treatment

Why this study was terminated
This trial was terminated prior to the initiation of Phase 2 for reasons not due to safety concerns.

From the registry’s dates

  • Primary completion was Jul 2025, 1 year 4 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
50
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 1/2, open-label, first-in-human (FIH) study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and anticancer activity of BLU-222, a selective inhibitor of CDK2.

02

Conditions studied

  • Advanced Solid Tumors
  • HR+ Breast Cancer
  • CCNE1 Amplification
  • HER2-negative Breast Cancer
  • Ovarian Cancer
  • Endometrial Cancer
  • Gastric Cancer
  • Esophageal Adenocarcinoma
  • Carcinosarcoma

Keywords

  • CDK2
  • CCNE1
  • Platinum-resistance
  • Platinum-refractory
  • CDK4/6i
  • Ribociclib
  • Carboplatin
  • Fulvestrant
  • ER+ Breast Cancer
03

In context

Ovarian Neoplasms

3,381 studies on the registry are indexed under Ovarian Neoplasms; 790 are open to participants now.

This study's enrollment of 50 is close to the median of 54 across 2,548 interventional studies indexed under Ovarian Neoplasms.

Browse Ovarian Neoplasms studies →

Lead sponsor

Blueprint Medicines Corporation is the lead sponsor of 32 studies on the registry; 6 are open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 3 (21%) have results posted.

First submitted before Blueprint Medicines Corporation became part of Sanofi.

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

04

Who can participate

Ages eligible
18 Years and older
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

  1. Advanced solid tumors that has progressed beyond standard of care OR
  2. HR+ - BC that has progressed following treatment with a CDK4/6 inhibitor OR
  3. Endometrial and gastric cancer that has progressed after at least 2 prior therapies (including one prior platinum therapy) OR
  4. Platinum or platinum resistant ovarian cancer CCNE1 amplified tumors that have progressed beyond standard of care

Exclusion criteria

Exclusion Criteria:

  1. Have visceral crisis, lymphangitic spread, or .
  2. Have received the following anticancer therapy:

    a. Previous therapy with CDK2i, PKMYT1i, or WEE1i, except in Part 1A where up to 10 patients who previously received PKMYT1i, or WEE1 inhibitor will be permitted.

  3. Have central nervous system (CNS) or spinal cord compression that is associated with progressive neurological symptoms or requires increasing doses of to control the CNS disease.
  4. Have known intracranial hemorrhage and/or bleeding diatheses.
  5. Have clinically active ongoing ILD of any etiology, including drug-induced ILD, and radiation pneumonitis within 28 days prior to initiation of study treatment.
  6. Have any unresolved toxicities from prior therapy greater than Grade 1 or that have not resolved to baseline at the time of starting the study.
  7. Have mean resting > 450 msec in men or QTcF > 470 msec in women, a history of prolonged QT syndrome or Torsades de pointes, or a familial history of prolonged QT syndrome.
  8. Have , uncontrolled, cardiovascular disease including congestive heart failure Grade III or IV according to the classification; myocardial infarction or unstable angina within the previous 6 months, uncontrolled hypertension, or clinically significant, uncontrolled arrhythmias, including bradyarrhythmia that may cause QT prolongation (eg, Type II second degree heart block or third-degree heart block).
  9. Have a history of another primary other than completely resected carcinomas in situ) that has been diagnosed or required therapy within 2 years prior to initiation of study treatment.
  10. Have known active, uncontrolled infection (viral, bacterial, or fungal), including tuberculosis, virus (HBV), virus, AIDS-related illness, or COVID-19 infection (symptoms and a positive test result).
  11. Requires treatment with a prohibited medication or herbal remedy that cannot be discontinued at least 2 weeks before the start of study drug administration.
  12. Have planned major surgical procedure within 14 days of the first dose of study drug (procedures such as central venous catheter placement, tumor needle , and feeding tube placement are not considered major surgical procedures).
  13. Unwilling or unable to comply with scheduled visits, study drug administration plan, laboratory tests, or other study procedures and study restrictions.
  14. Patient is a woman who is not or surgically sterile, and is unwilling to abstain from sexual intercourse or employ highly effective OR is a man who is not surgically sterile, and is unwilling to abstain from sexual intercourse or employ highly effective contraception
  15. Patient is a pregnant female
Terms in these criteria, in plain language(15)

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.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    BLU-222 Monotherapy

    Dose Escalation: Multiple doses for BLU-222 for oral administration Dose Expansion: Oral dose of BLU-222 as determined during Dose Escalation

    Drug: BLU-222

  • Experimental
    BLU-222 + Carboplatin

    Dose Escalation: Multiple doses for BLU-222 for oral administration at doses deemed appropriate based on BLU-222 Monotherapy arm and multiple doses of Carboplatin at the approved dose. Dose Expansion: Oral dose of BLU-222 as determined during Dose Escalation and Carboplatin IV infusion at approved dose

    Drug: BLU-222 · Drug: Carboplatin

  • Experimental
    BLU-222 + Ribociclib + Fulvestrant

    Dose Escalation: Multiple doses for BLU-222 for oral administration at doses deemed appropriate based on BLU-222 Monotherapy arm along with Ribociclib and Fulvestrant at the approved doses. Dose Expansion: Oral dose of BLU-222 as determined during dose escalation and approved doses of Ribociclib and Fulvestrant

    Drug: BLU-222 · Drug: Ribociclib · Drug: Fulvestrant

  • Experimental
    BLU-222 + Fulvestrant

    Dose Expansion: Oral dose of BLU-222 as determined during Dose Escalation + fulvestrant at the approved dose

    Drug: BLU-222 · Drug: Fulvestrant

Interventions

06

What researchers measure

Primary outcomes

  1. [Phase 1] Determine the maximum tolerated dose (MTD) of BLU-222

    Time frame: Approximately 21 months

  2. [Phase 1] Determine the recommended Phase 2 dose (RP2D) of BLU-222

    Time frame: Approximately 21 months

  3. [Phase 1] Rate and severity of adverse events

    Time frame: Approximately 21 months

  4. [Phase 2] Overall response rate (ORR)

    Time frame: Approximately 43 months

  5. [Phase 2] Rate and severity of adverse events

    Time frame: Approximately 43 months

Secondary outcomes

  1. [Phase 1] Overall response rate (ORR)

    Time frame: Approximately 21 months

  2. [Phase 1] Time of last quantifiable plasma drug concentration (Tlast)

    Time frame: Approximately 21 months

  3. [Phase 1] Area under the plasma concentration time curve from time 0 to 12 hours (AUC0-12)

    Time frame: Approximately 21 months

  4. [Phase 1] Area under the plasma concentration time curve from time 0 to 24 hours (AUC0-24)

    Time frame: Approximately 21 months

  5. [Phase 1] Trough concentration (Ctrough)

    Time frame: Approximately 21 months

  6. [Phase 1] Apparent volume of distribution (Vz/F)

    Time frame: Approximately 21 months

  7. [Phase 1] Terminal elimination half-life (t½)

    Time frame: Approximately 21 months

  8. [Phase 1] Apparent oral clearance(CL/F)

    Time frame: Approximately 21 months

  9. [Phase 1] Accumulation ratio (R)

    Time frame: Approximately 21 months

  10. [Phase 1] To assess treatment-induced modulation of biomarkers

    Time frame: Approximately 21 months

  11. [Phase 1 and Phase 2] Duration of Response (DOR)

    Time frame: Approximately 43 months

  12. [Phase 1 and Phase 2] Disease control rate (DCR)

    Time frame: Approximately 43 months

  13. [Phase 1 and Phase 2] Clinical benefit rate (CBR)

    Time frame: Approximately 43 months

  14. [Phase 1 and Phase 2] Progression free survival (PFS)

    Time frame: Approximately 43 months

  15. [Phase 1 and Phase 2] Change in CA-125 levels

    Time frame: Approximately 43 months

  16. [Phase 1 and Phase 2] Maximum plasma drug concentration (Cmax)

    Time frame: Approximately 43 months

  17. [Phase 1 and Phase 2] Time to maximum plasma drug concentration (Tmax)

    Time frame: Approximately 43 months

  18. [Phase 1 and Phase 2] Last measurable concentration (Clast)

    Time frame: Approximately 43 months

  19. [Phase 1 and Phase 2] Area under the concentration-time curve from time 0 to the time of the last measured concentration AUC(0-last)

    Time frame: Approximately 43 months

  20. [Phase 2] Overall survival (OS)

    Time frame: Approximately 43 months

07

Study locations

23 sites
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
  • UCSF Helen Diller Family Comprehensive Cancer Center
    San Francisco, California 94158, United States
  • Stanford Women's Cancer Center
    Stanford, California 94305, United States
  • Florida Cancer Specialists
    Sarasota, Florida 34232, United States
  • University of Chicago Medical Center
    Chicago, Illinois 60637, United States
  • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center (SKCCC)
    Baltimore, Maryland 21287, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • Henry Ford Health System
    Detroit, Michigan 48202, United States
  • Columbia University Herbert Irving Comprehensive Cancer Center
    New York, New York 10032, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • Montefiore Medical Center
    New York, New York 10461, United States
  • UNC Hospitals at Chapel Hill - The University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27514, United States
  • OU Health Stephenson Cancer Center
    Oklahoma City, Oklahoma 73104, United States
  • Hospital of the Fox Chase Cancer Center
    Philadelphia, Pennsylvania 19111, United States
  • Vanderbilt Breast Center at One Hundred Oaks
    Nashville, Tennessee 37204, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • University of Utah - Huntsman Cancer Institute - PPDS
    Salt Lake City, Utah 84112, United States
  • University of Virginia Comprehensive Cancer Center
    Charlottesville, Virginia 22903, United States
  • Fondazione IRCCS Istituto Nazionale dei Tumori
    Milan, 20133, Italy
  • Instituto Europeo di Oncologia
    Milan, 20141, Italy
  • Fondazione Policlinico Universitario A Gemelli-Rome
    Rome, 00168, Italy
  • St Bartholomew's Hospital
    London, Middlesex EC1A 7BE, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05252416
Responsible party
Sponsor
First posted
Feb 23, 2022
Start date
Apr 7, 2022
Primary completion
Jul 4, 2025
Completion
Jul 4, 2025
Last update
Nov 28, 2025

Oversight

Data monitoring committee
Yes
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 Nov 2025. You cannot join it, but the record below documents what was studied.

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