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Uproleselan

Phase 2

Multiple Myeloma | Small molecule | Oncology |GlycoMimetics, Inc.|Last Updated: Dec 15, 2023

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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment51
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04682405Uproleselan (GMI-1271) for GI Toxicity Prophylaxis During Melphalan-Conditioned Autologous Hematopoietic Cell Transplantation (Auto-HCT) for Multiple Myeloma (MM)PHASE2 COMPLETED 51May 5, 2021Nov 11, 2022Dec 15, 20231 United States
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Study Endpoints
Primary Endpoints
Change in Diarrhea as Assessed Per CTCAE v5.0
From day -3 to date of discharge or day 14 (whichever is sooner) (up to be 18 days)

Grade 0 is defined as no diarrhea, or no change from baseline. Grade 1 is defined as an increase of \<4 stools per day over baseline; mild increase in ostomy output compared to baseline. Grade 2 is defined as an increase of 4-6 stools per day over baseline; moderate increase in ostomy output compared to baseline; limiting instrumental ADL. Grade 3 is defined as an increase of \>=7 stools per day over baseline; hospitalization indicated; severe increase in ostomy output compared to baseline; limited self care ADL. Grade 4 is defined as life-threatening consequences; urgent intervention indicated. Grade 5 is defined as death.

Secondary Endpoints
Change in Oral Mucositis as Assessed Per CTCAE v5.0
From day -3 to date of discharge or day 14 (whichever is sooner) (up to be 18 days)
Change in Esophagitis as Assessed Per CTCAE v5.0
From day -3 to date of discharge or day 14 (whichever is sooner) (up to be 18 days)
Change in Gastritis as Assessed Per CTCAE v5.0
From day -3 to date of discharge or day 14 (whichever is sooner) (up to be 18 days)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeSUPPORTIVE_CARE
Treatment Arms
ArmTypeDescription
Uproleselan + Standard of Care MelphalanEXPERIMENTAL* On the evening of Day -3, patients will receive dose #1 of uproleselan * On the following morning of Day -2 (12 +/- 2 hours from prior dose), patients will receive dose #2 of uproleselan * On the evening of Day -2 (12 +/- 2 hours from prior dose), patients will receive dose #3 of uproleselan * On Day -2 following completion of dose #3 of uproleselan, the patient will be administered the conditioning dose of melphalan (200mg/m\^2) as per institutional practice. * On the following morning of Day -1 (12 +/- 2 hours from prior dose), patients will receive dose #4 of uproleselan * On the evening of Day -1 (12 +/- 2 hours from prior dose), patients will receive dose #5 of uproleselan * On the following morning of Day 0 (12 +/- 2 hours from prior dose) patients will receive dose #6 (final dose) of uproleselan * On Day 0, 4 hours (+/- 2 hours) after the final dose of uproleselan, the patient will be infused with the HSC product. The patient will remain inpatient until engraftment
Placebo + Standard of Care MelphalanPLACEBO_COMPARATOR* On the evening of Day -3, patients will receive dose #1 of placebo * On the following morning of Day -2 (12 +/- 2 hours from prior dose), patients will receive dose #2 of placebo On the evening of Day -2 (12 +/- 2 hours from prior dose), patients will receive dose #3 of placebo. * On Day -2 following completion of dose #3 of placebo, the patient will be administered the conditioning dose of melphalan (200mg/m\^2) as per institutional practice. * On the following morning of Day -1 (12 +/- 2 hours from prior dose), patients will receive dose #4 of placebo. * On the evening of Day -1 (12 +/- 2 hours from prior dose), patients will receive dose #5 of placebo. * On the following morning of Day 0 (12 +/- 2 hours from prior dose) patients will receive dose #6 (final dose) of placebo. * On Day 0, 4 hours (+/- 2 hours) after the final dose of placebo, the patient will be infused with the HSC product. The patient will remain inpatient until engraftment
Interventions
NameTypeDescription
UproleselanDRUGProvided by study
PlaceboDRUGProvided by study
MelphalanDRUG-Standard of care
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Biopsy-confirmed multiple myeloma (MM) (per IMWG criteria). * Undergoing first auto-HCT for MM in first partial response (PR) or better * Conditioning regimen to be single agent melphalan (200 mg/m\^2) * Adults 18 to 75 years of age, inclusive * ECOG performance status ≤ 2 * M...

Countries:United States
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