Overview
Sponsor-declared trial summary
Systemic Mastocytosis
The primary objective of this rollover study is to evaluate the long term-safety of avapritini as assessed by incidence of SAEs, AESIs and AEs leading to discontinuation
Key facts
- Sponsor
- Blueprint Medicines Corp.
- Participant type
- Patients
- Age range
- 18-64 years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 5 Nov 2024 → ongoing
- Decision date (initial)
- 2024-10-08
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- Yes
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Therapy
The primary objective of this rollover study is to evaluate the long term-safety of avapritini as assessed by incidence of SAEs, AESIs and AEs leading to discontinuation
Secondary objectives 1
- The secondary objective of this rollover study is to provide access to avapritinib for patients who had clinical benefit from avapritinib treatment in a Blueprint Medicines sponsored study.
Conditions and MedDRA coding
Systemic Mastocytosis
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | PT | 10042949 | Systemic mastocytosis | 100000004864 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 6
- Participated in a Blueprint Medicines sponsored avapritinib clinical study and is either receiving or on interrupted treatment with avapritinib. If the patient has been on drug hold for over 56 days, the Medical Monitor should be consulted prior to enrollment and study drug administration. The Sponsor reserves the right to not roll over patients who have been on drug hold for an extended time period. - Inclusion of pediatric patients with CNS tumors applies in Canada only.
- Completed the parent study treatment requirements and demonstrated compliance with the parent study requirements, as assessed by the Principal Investigator.
- Continue to clinically benefit from treatment with avapritinib, as determined by the Principal Investigator from the parent study.
- Able to give written informed consent. Written informed consent must be obtained prior to enrolling in the rollover study and receiving the study treatment. If consent cannot be expressed in writing, then the consent must be formally documented and witnessed, ideally via an independent trusted witness. For pediatric patients, the informed consent may be obtained from the patient’s parent or legal guardian. Parent(legal guardian consent will be determinde by local, regional and/or national guidelines.
- Agree to continue to use highly effective contraception as defined in this protocol.
- Female patients of childbearing potential must have negative highly sensitive serum pregnancy test within 20 days before the first dose of avapritinib. Pregnancy will be documented by a serum beta human chorionic gonadotropin (β-hCG) pregnancy test consistent with pregnancy. Women with β-hCG values that are within the range for pregnancy but are not pregnant (false-positives) may be enrolled with written approval of the Sponsor after pregnancy has been excluded. Women of non-childbearing potential (postmenopausal, hysterectomy, bilateral salpingectomy, or bilateral oophorectomy) do not require a serum β-hCG pregnancy test."
Exclusion criteria 3
- Patient is participating in another interventional study.
- Patient is unwilling or unable to comply with study procedures and study restrictions.
- Patient is pregnant and/or breastfeeding.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- no primary end points
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
PRD8835309 · Product
- Active substance
- Avapritinib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 39 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- BLUEPRINT MEDICINES
- Paediatric formulation
- No
- Orphan designation
- No
PRD8835310 · Product
- Active substance
- Avapritinib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 0 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 39 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- BLUEPRINT MEDICINES
- Paediatric formulation
- No
- Orphan designation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Blueprint Medicines Corp.
- Sponsor organisation
- Blueprint Medicines Corp.
- Address
- 45 Sidney Street
- City
- Cambridge
- Postcode
- 02139-4133
- Country
- United States
Scientific contact point
- Organisation
- Blueprint Medicines Corp.
- Contact name
- Medical Monitor
Public contact point
- Organisation
- Blueprint Medicines Corp.
- Contact name
- Medical Monitor
Third parties 3
| Organisation | City, country | Duties |
|---|---|---|
| Endpoint Clinical Inc. ORG-100040567
|
Wakefield, United States | Interactive response technologies (IRT) |
| PPD Development LP ORG-100011560
|
Wilmington, United States | Code 13, Other |
| Syneos Health Netherlands B.V. ORG-100013861
|
Amsterdam, Netherlands | On site monitoring, Code 12, Code 2, Code 5, Data management, E-data capture |
Locations
4 EU/EEA countries · 5 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Authorised, recruiting | 7 | 1 |
| Italy | Ongoing, recruiting | 2 | 1 |
| Netherlands | Authorised, recruiting | 7 | 2 |
| Norway | Authorised, recruiting | 10 | 1 |
| Rest of world
United Kingdom
|
— | 34 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Belgium | 2024-12-03 | ||||
| Italy | 2025-01-14 | 2025-01-14 | |||
| Netherlands | 2024-12-05 | ||||
| Norway | 2024-11-05 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 26 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2024-514969-18-00_redacted | Amd 3 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | N/A |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_IT | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements_NO | N/A |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_Recruitment and Informed Consent procedure_BE | N/A |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main | 3.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF main_NO | 3.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnancy | 2.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnancy_NO | 2.4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_DUT_Redacted | 3.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_FRE_Redacted | 3.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_DUT_Redacted | 2.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_FRE_Redacted | 2.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF Main_IT | 3.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF Pregnancy and Birth_IT | 2.2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_GP Letter_IT | 2.1.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E1_Avapritinib SmPC | n/a |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_AYVAKIT USPI | n/a |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_AYVAKYT | n/a |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_DUT_2024-514969-18-00 | Amd 3 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_ENG_2024-514969-18-00 | Amd 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_FRE_2024-514969-18-00 | Amd 3 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_FRE_2024-514969-18-00_TC | Amd 3 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_GER_2024-514969-18-00 | Amd 3 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_IT_2024-514969-18-00 | Amd 3 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_NOR_2024-514969-18-00 | Amd 3 |
Application history
3 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-06-07 | Netherlands | Acceptable 2024-10-07
|
2024-10-08 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-10-16 | Acceptable | 2024-10-21 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-12-19 | Netherlands | Acceptable 2026-03-30
|
2026-03-30 |