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Plinabulin

Phase 3

Chemotherapy-induced Neutropenia | Small molecule | Hematology |BeyondSpring, Inc.|Last Updated: Aug 29, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment275
FDA Designations
BREAKTHROUGH_THERAPYPRIORITY_REVIEW
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03102606Plinabulin vs. Pegfilgrastim in Patients With Solid Tumors Receiving Docetaxel Myelosuppressive Chemotherapy Phase 3PHASE3 COMPLETED 105May 29, 2018Feb 8, 2021Aug 29, 202418 United States, China +2
NCT04227990Plinabulin iv Solution in Prevention of TAC Induced NeutropeniaPHASE2 COMPLETED 115Nov 27, 2017Jan 3, 2019Jan 18, 202011 China, Ukraine
NCT04345900Plinabulin vs. Pegfilgrastim in Patients With Solid Tumors Receiving Docetaxel Myelosuppressive Chemotherapy Phase 2PHASE2 COMPLETED 55Apr 5, 2017Apr 20, 2018May 16, 202419 United States, China +2
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Study Endpoints
Primary Endpoints
Duration of Severe Neutropenia (DSN)
21 Days

Duration of severe neutropenia (ANC \< 0.5 × 109/L)

DSN
At the end of Cycle 1 (each cycle is 21 days)

Duration of Grade 4 neutropenia (ANC \< 0.5 × 109/L)

Secondary Endpoints
Change in Estimated Mean Bone Pain Score
Day 1 through 8 in Cycle 1 (each cycle is 21 days)
Change in Patients With at Least 30% Platelet Count From Baseline in Cycle 1
Anytime during Cycle 1 (each cycle is 21 days)
Proportion of Patients With Neutrophil-to-lymphocyte Ratio (NLR) > 5
15 Days
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Docetaxel (75 mg/m2) + pegfilgrastim (6 mg) + placebo matching plinabulinACTIVE_COMPARATORArm 1
Docetaxel (75 mg/m2) + plinabulin (40 mg) + placebo matching pegfilgrastimEXPERIMENTALArm 2
TAC + Pegfilgrastim (6 mg)ACTIVE_COMPARATOR -
TAC + Plinabulin 10 mg/m^2EXPERIMENTAL -
TAC + Plinabulin 20 mg/m^2EXPERIMENTAL -
TAC + Plinabulin 30 mg/m^2EXPERIMENTAL -
TAC + Pegfilgrastim (1.5 mg) + Plinabulin (20 mg/m^2)EXPERIMENTAL -
TAC + Pegfilgrastim (3 mg) + Plinabulin (20 mg/m^2)EXPERIMENTAL -
TAC + Pegfilgrastim (6 mg) + Plinabulin (20 mg/m^2)EXPERIMENTAL -
20 mg/m^2 PlinabulinEXPERIMENTAL75 mg/m\^2 Docetaxel + 20 mg/m\^2 Plinabulin
10 mg/m^2 PlinabulinEXPERIMENTAL75 mg/m\^2 Docetaxel + 10 mg/m\^2 Plinabulin
5 mg/m^2 PlinabulinEXPERIMENTAL75 mg/m\^2 Docetaxel + 5 mg/m\^2 Plinabulin
6 mg PegfilgrastimACTIVE_COMPARATOR75 mg/m\^2 Docetaxel + 6 mg Pegfilgrastim
Interventions
NameTypeDescription
PlinabulinDRUGPlinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes).
PegfilgrastimDRUGPEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow.
Saline PlaceboOTHERPlacebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
D5W PlaceboOTHERPlacebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel, doxorubicin, and cyclophosphamide (TAC)DRUGDocetaxel is a type of chemotherapy medicine called an taxane. Doxorubicin is a type of chemotherapy medicine called an anthracycline. Cyclophosphamide is a type of chemotherapy medicine called an alkylating agent.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites18

Inclusion Criteria: 1. At least ≥ 18 years of age (male or female) at the time of signing the informed consent form. 2. ECOG performance status of 0 to 1. 3. Patients with: Phase 2 only: • Advanced or metastatic NSCLC failing platinum-based therapy Phase 3 only: * Advanced or metasta...

Countries:United StatesChinaRussiaUkraine
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