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horse anti-thymocyte globulin

Phase 2

Aplastic Anemia | Small molecule | Hematology |BioLineRx Ltd.|Last Updated: Dec 29, 2020

Target and mechanism

ModalitySmall molecule

Also known as horse anti-thymocyte globulin (hATG)

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment11

FDA Designations

No designations recorded

Clinical trial landscape

horse anti-thymocyte globulin · 1 trial · 2 indications

Phase 2 1
NCT02462252Phase IIA Open Label Study to Evaluate Efficacy and Safety of BL-8040 Followed by (hATG), Cyclosporine and Methyprednisolone in Adult Subjects With Aplastic Anemia or Hypoplastic Myelodysplastic SyndromeAplastic Anemia
COMPLETED11 Analytics
PHASE2COMPLETED
Phase IIA Open Label Study to Evaluate Efficacy and Safety of BL-8040 Followed by (hATG), Cyclosporine and Methyprednisolone in Adult Subjects With Aplastic Anemia or Hypoplastic Myelodysplastic Syndrome
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Study Endpoints

Primary Endpoints

Response Rate
up to 6 months (180 days)

95% confidence interval (CI) will be calculated for subjects who achieve Complete response (CR), Partial response (PR), for all AA and MDS subjects, and hematological improvement (HI) for MDS subjects only. Measurement in percentages (%)

Secondary Endpoints

Toxicity
study treatment duration (180 days) plus 30 days following last dose of last treatment
general safety
up to end of study treatment (180 days)
tolerability
up to end of end of study treatment (180 days)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BL-8040 plus hATG, methylprednisolone, cyclosporineEXPERIMENTALBL-8040 0.75mg/kg will be administered Subcutaneously (SC ) on Days 1-10, then on first 5 days of months 2-6. Standard therapy: hATG: Days 11-14: 40mg/kg/day IV over 6-8 hours, in all AA subjects, or in MDS subjects less than 55 years old. 35mg/kg/day IV over 6-8 hours in MDS subjects 55 years and older. Standard therapy: methylprednisolone: Days 11-14: 40mg/kg/day IV over 6-8 hours, in all AA subjects, or in MDS subjects less than 55 years old. 35mg/kg/day IV over 6-8 hours in MDS subjects 55 years and older. Standard therapy: cyclosporine: 5mg/kg/day orally, given in 2 divided doses, starting on day 11 and continuing through Month 6 Day 30 (end of treatment)

Interventions

NameTypeDescription
BL-8040DRUGSubjects will receive subcutaneous (SC) injections of BL-8040 monotherapy on days 1-10 of the study. Beginning on Month 2 day 1, (M2/D1), and continuing monthly through Month 6, BL-8040 will be administered daily as part of the maintenance period for the first 5 days of each month.
horse anti-thymocyte globulin (hATG)DRUGFrom Day 11 through Day 14 of first month, subjects will receive hATG infusion over 6-8 hours each day.
MethylprednisoloneDRUGFrom Day 11-14 of first month, subjects receive infusion of methylprednisolone 30 minutes prior to hATG infusion. Treatment with methylprednisolone will continue for 30 days. (After day 14, subjects may receive oral prednisone dose equivalent to IV methylprednisolone dose. The oral dose will be tapered off over 30 days.
CyclosporineDRUGFrom Day 11 through end of treatment (Month 6 Day 30), subjects will receive oral dose of cyclosporine.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Adult men and women aged 18 and older 2. Patient must have the ability to understand the requirements of the study and provide informed consent. 3. Patients with the diagnosis of severe AA, who are not currently candidates for an allogeneic stem cell transplant, fulfilling th...

Countries:United States
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Competitive Landscape -Aplastic Anemia 4 trials

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