Study to Evaluate Efficacy and Safety of Avapritinib (BLU-285)

  • Research type

    Research Study

  • Full title

    An Open-label, Single Arm, Phase 2 Study to Evaluate Efficacy and Safety of Avapritinib (BLU-285), A Selective KIT Mutation-targeted Tyrosine Kinase Inhibitor, in Patients with Advanced Systemic Mastocytosis

  • IRAS ID

    245587

  • Contact name

    Dr Deepti Radia

  • Contact email

    Deepti.Radia@gstt.nhs.uk

  • Sponsor organisation

    Blueprint Medicines Corporation

  • Eudract number

    2017-004836-13

  • Clinicaltrials.gov Identifier

    NCT03580655

  • Clinicaltrials.gov Identifier

    124159, IND Number

  • Duration of Study in the UK

    4 years, 11 months, 12 days

  • Research summary

    This research study is an open label study designed to investigate the safety and effectiveness of an experimental drug called avapritinib (also known as BLU-285), when given to individuals who have been diagnosed with Advanced Systemic Mastocytosis (ASM).
    Mast cells are produced in the bone marrow, the spongy tissue found in the hollow centres of some bones, and live longer than normal cells. They're an important part of the immune system and help fight infection. Mast cells also play a major role in allergic reactions by releasing histamine and other molecules into the bloodstream.
    Mastocytosis is a condition that occurs when mast cells accumulate in skin and/or internal organs such as the liver, spleen, bone marrow, and small intestines and cause abnormal organ function. The signs and symptoms vary based on which part(s) of the body are affected.
    Systemic mastocytosis (SM) is a fatal disease of the blood with no known cure and, when aggressive, can be fatal within four years of diagnosis. Some people with SM may experience episodes of severe symptoms that last 15-30 minutes, often with specific triggers such as physical exertion or stress. Symptoms can include itching, vomiting, diarrhoea, muscle/ joint pain, mood changes, headaches and tiredness.
    This study aims to recruit approximately 60 participants globally. There will be an 8 week screening period during which eligibility will be assessed. Eligible participants will begin treatment with avapritinib at a dose of 200 mg once a day, in 28-day cycles. After at least 8 weeks of treatment, the dose can be escalated to 300mg once daily at the discretion of the investigator.
    Dosing will continue unless the individual’s disease worsens, they have side-effects related to the treatment that prevent continuation, or they wish to stop treatment for any reason. Participants are expected to participate for 12 months.

  • REC name

    East of England - Cambridge South Research Ethics Committee

  • REC reference

    18/EE/0306

  • Date of REC Opinion

    5 Dec 2018

  • REC opinion

    Further Information Favourable Opinion