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bsi-201+ topotecan

Phase 2

Ovarian Cancer | Small molecule | Oncology |Sanofi|Trials Updated: Sep 14, 2022

bsi-201+ topotecan target and mechanism

Molecular targetPARP1
Target classEnzyme
ModalitySmall molecule

Also known as BSI-201 (iniparib), BSI-201

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials6
Total Enrollment427

FDA Designations

No designations recorded

bsi-201+ topotecan clinical trials

bsi-201+ topotecan · 6 trials · 4 indications

Phase 2 3Phase 1 3
NCT01033123A Single-Arm Study Evaluating Carboplatin/Gemcitabine in Combination With BSI-201 in Patients With Platinum-Sensitive Recurrent Ovarian CancerOvarian Cancer
COMPLETED41 Analytics
NCT01033292A Single-Arm Study Evaluating Carboplatin/Gemcitabine in Combination With BSI-201 in Patients With Platinum-Resistant Recurrent Ovarian CancerOvarian Cancer
COMPLETED43 Analytics
NCT00687687Evaluation of Paclitaxel (Taxol, NSC #673089), Carboplatin (Paraplatin, NSC #241240), and BSI-201 (NSC #746045, IND #71,677) in the Treatment of Advanced, Persistent, or Recurrent Uterine CarcinosarcomaUterine Carcinosarcoma
COMPLETED22 Analytics
PHASE2COMPLETED
A Single-Arm Study Evaluating Carboplatin/Gemcitabine in Combination With BSI-201 in Patients With Platinum-Sensitive Recurrent Ovarian Cancer
Ovarian CancerUnlock trial analytics
PHASE2COMPLETED
A Single-Arm Study Evaluating Carboplatin/Gemcitabine in Combination With BSI-201 in Patients With Platinum-Resistant Recurrent Ovarian Cancer
Ovarian CancerUnlock trial analytics
PHASE2COMPLETED
Evaluation of Paclitaxel (Taxol, NSC #673089), Carboplatin (Paraplatin, NSC #241240), and BSI-201 (NSC #746045, IND #71,677) in the Treatment of Advanced, Persistent, or Recurrent Uterine Carcinosarcoma
Uterine CarcinosarcomaUnlock trial analytics

Study Endpoints

Primary Endpoints

To evaluate the objective response rate (ORR) of gemcitabine/carboplatin in combination with BSI-201
Until progressive disease or death
Clinical response rate
6 months
To determine the Maximum Tolerated Dose (MTD) of BSI-201, administered as an IV infusion in patients with newly diagnosed malignant glioma when given with temozolomide (TMZ) after the completion of standard radiation therapy and concomitant TMZ
10 weeks
safety and efficacy
ongoing
Response rate (CR + PR)
every 2 cycles
Maximum tolerated dose
After one cycle

Secondary Endpoints

To determine the nature and degree of toxicity of gemcitabine/carboplatin in combination with BSI-201
30 days after last BSI-201 exposure
To evaluate progression-free survival (PFS) of gemcitabine/carboplatin in combination with BSI-201
until progressive disease or death
Clinical Response
8 months
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BSI-201EXPERIMENTALBSI-201 in combination with gemcitabine and carboplatin.
Pacitaxel/Carboplatin/IniparibEXPERIMENTALParticipants will be administered pacitaxel, carboplatin and BSI-201 (Iniparib) in 21 day treatment cycles. Treatment will continue until disease progression or adverse effects prohibit further therapy.
1EXPERIMENTAL -
2EXPERIMENTALBSI-201 + temozolomide
3EXPERIMENTALbsi-201 + gemcitabine
4EXPERIMENTALbsi-201 + carboplatin/paclitaxel
IniparibEXPERIMENTAL -
Iniparib/irinotecanEXPERIMENTAL -

Interventions

NameTypeDescription
BSI-201DRUGIV infusion, 5.6 mg/kg
paclitaxelDRUGPaclitaxel will be administered IV over 3 hours on Day 1 every 21 days.
carboplatinDRUGCarboplatin will be administered intravenously (IV) over 30 minutes on day 1 after pacitaxel administration, every 21 days.
BSI-201 (Iniparib)DRUGBSI-201 will be administered IV over one hour twice weekly beginning on day 1 (doses of BSI-201 must be separated by at least 2 days).
bsi-201 plus temozolomideDRUGBSI-201 given iv. 2x weekly, temozolomide given orally
bsi-201 + topotecanDRUG21 day cycle
bsi-201 + temozolomideDRUG28 day cycle
bsi-201 + gemcitabineDRUG28 day cycle
bsi-201 + carboplatin/paclitaxelDRUG21 day cycle
irinotecanDRUGIrinotecan administered weekly, IV.
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Eligibility Criteria

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

Inclusion Criteria: * At least 18 years of age * Histological diagnosis of epithelial ovarian carcinoma, fallopian tube cancer, or primary peritoneal carcinoma * Completion of only one previous course of chemotherapy which contained a platinum therapy, with sensitivity to that regimen. "Platinum-se...

Countries:United States
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Competitive Landscape -Ovarian Cancer 244 trials

Top 20 of 60 competitors

CompanyTickerTrialsLead PhaseDrugs
GSK plc Sponsored ADRGSK7PHASE3Niraparib, Dostarlimab, Mocertatug rezetecan
AstraZeneca PLCAZN21PHASE3Olaparib, Durvalumab, AZD5335, Torvutatug samrotecan, Datopotamab deruxtecan
Merck & Co., Inc.MRK16PHASE3Pembrolizumab, Sacituzumab tirumotecan, Raludotatug Deruxtecan, Patritumab Deruxtecan, MK-6255
Eli Lilly and CompanyLLY8PHASE3Sofetabart Mipitecan, Gemcitabine, Abemaciclib, LY4101174, LY3537982
AbbVie, Inc.ABBV14PHASE3Mirvetuximab soravtansine, Brimonidine eye, IMGN151, ABBV-400, ABBV-901
Bristol-Myers Squibb CompanyBMY4PHASE3Nivolumab, BMS-986340, Pumitamig, BMS-986463, BMS-986500
Genmab A/S Sponsored ADRGMAB7PHASE3Rina-S, GEN1047 is a bispecific antibody that induces T-cell mediated cytotoxicity of B7H4-positive tumor cells
Pfizer Inc.PFE4PHASE3Avelumab, Lorlatinib, Talazoparib, Axitinib, Utomilumab
Corcept Therapeutics Incorporated.CORT2PHASE3Relacorilant
Verastem, Inc.VSTM5PHASE3Avutometinib, Defactinib
Incyte CorporationINCY3PHASE3INCB123667
Zentalis Pharmaceuticals, Inc.ZNTL3PHASE3Azenosertib
Imunon, Inc.IMNN3PHASE3IMNN-001
Regeneron Pharmaceuticals, Inc.REGN5PHASE2Ubamatamab, Cemiplimab, Fianlimab, REGN10597, REGN5668
Novartis AG Sponsored ADRNVS5PHASE2Spartalizumab, Dabrafenib, trametinib, KFA115, Tulmimetostat
Genelux Corp.GNLX1PHASE3Olvimulogene nanivacirepvec
BeOne Medicines Ltd. Sponsored ADRONC3PHASE3Pamiparib, BG-C9074, BG-68501, BGB-43395
Xencor, Inc.XNCR3PHASE2vudalimab, XmAb541, XmAb808
Exelixis, Inc.EXEL2PHASE2Cabozantinib
Jazz Pharmaceuticals Public Limited CompanyJAZZ1PHASE2Zanidatamab
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Frequently asked questions about bsi-201+ topotecan

What is BSI-201 plus topotecan?

BSI-201 plus topotecan is an investigational oncology combination built around BSI-201, also known as iniparib, a small molecule PARP1 inhibitor. It has been studied in solid tumors including glioblastoma, ovarian cancer, and uterine carcinosarcoma. The combination remains in clinical development and is not an approved therapy.

What does BSI-201 target?

BSI-201 targets PARP1, an enzyme involved in DNA repair. By inhibiting PARP1, the agent is designed to interfere with tumor cell DNA damage repair. In the studied regimens it has been given alongside chemotherapy agents such as carboplatin, gemcitabine, paclitaxel, and topotecan in solid tumor settings.

Who makes BSI-201?

BSI-201 is developed by Sanofi, which trades under the ticker SNY. Sanofi has sponsored and supported clinical evaluation of the PARP1 inhibitor both as a single agent and in chemotherapy combinations across several tumor types, including ovarian cancer, glioblastoma, and uterine carcinosarcoma.

What phase is BSI-201 in?

BSI-201 is in Phase 1 development overall, with the studied combination regimens reaching Phase 2 in some trials. It is investigational and has not been approved for any indication. Reported trials are completed, and no active studies of BSI-201 are currently listed.

What clinical trials is BSI-201 in?

Completed studies include NCT00687765, a Phase 1 trial of BSI-201 in newly diagnosed malignant glioma with 126 patients, and NCT00687687, a Phase 2 trial in uterine carcinosarcoma. Two Phase 2 ovarian cancer studies, NCT01033292 and NCT01033123, evaluated carboplatin and gemcitabine with BSI-201.

Is BSI-201 the same as iniparib?

Yes, BSI-201 is also known as iniparib. Published trial titles and registry records use both names for the same small molecule PARP1 inhibitor. Related naming variants include BSI-201 plus topotecan and BSI-201 plus temozolomide, which refer to specific chemotherapy combinations rather than separate drugs.