BElumosudil for Bronchiolitis Obliterans Prevention/Therapy (BEBOP)
Part of paid clinical trials in Stanford, California.
- Sponsor
- Dana-Farber Cancer Institute
- Study ID
- NCT05922761
- Phase
- PHASE2
- Status
- Recruiting
Conditions
- Bronchiolitis Obliterans
- Bronchiolitis Obliterans Syndrome
- Chronic Graft Versus Host Disease
- Lung Diseases
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Belumosudil — DRUGKinase inhibitor, tablet taken orally
- Fluticasone — DRUGVia inhalation by metered-dose inhaler.
- Azithromycin — DRUGSemi-synthetic macrolide antibiotic, taken orally
- Prednisone — DRUGCorticosteroid, taken orally
- Montelukast — DRUGLeukotriene Receptor Antagonist, taken orally
Study Details
The goal of this research study is to test the efficacy of a novel immunosuppressive agent, belumosudil, in allogeneic hematopoietic stem cell transplant (HSCT) recipients who have been newly diagnosed or have developing (early stage) bronchiolitis obliterans syndrome (BOS). The name of the study drugs involved in this study are: * Belumosudil (an immunotherapy) * Fluticasone (an intranasal corticosteroid) * Azithromycin (an antibiotic) * Montelukast (a leukotriene receptor antagonist) * Prednisone (a corticosteroid)
Key Dates
- Start date
- May 31, 2024
- Status verified
- Feb 2026
- Primary completion
- Jun 30, 2027
- Completion
- Dec 31, 2027
Study Design
- Enrollment
- 45 participants (estimated)
- Allocation
- NON_RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: Cohort A: Belumosudil + Standard of Care Medications30 participants with bronchiolitis obliterans syndrome (BOS) will complete study procedures as follows: * Drug diary * CT scans at Cycles 3 and 7 and at End of Treatment. * Cycle 1 * Day 1 - 28 of 28-day cycle: Predetermined dose of Belumosudil 1x daily. * Predetermined doses of Fluticasone, Montelukast, and Prednisone 1x daily. * Predetermined dose of azithromycin 3 days per treatment week. * Cycle 2 - 3 * Day 1 - 28 of 28-day cycle: Predetermined dose of Belumosudil 1x daily. * Predetermined doses of Fluticasone Montelukast 1x daily. Predetermined doses of Prednisone 1x daily at treating physician's discretion. * Predetermined dose of azithromycin 3 days per treatment week. * Cycle 4 - 12 * Day 1 - 28 of 28-day cycle: Predetermined dose of Belumosudil 1x daily. * Predetermined doses of Fluticasone and Montelukast 1x daily. * Predetermined dose of azithromycin 3 days per treatment week.
- Experimental: Cohort B: Belumosudil15 participants with signs concerning developing BOS will complete study procedure as follows: * Drug diary * CT scans at Cycles 3 and 7 and at End of Treatment. * Cycle 1 - 12 - Day 1 - 28 of 28-day cycle: Predetermined dose of Belumosudil 1x daily.
Primary Outcome Measure
24-week Overall Response Rate (ORR) [Cohort A] [ Time Frame: up to 24 weeks. ]
Central Contacts
- Corey Cutler, MD, MPH617-632-5946
Locations (6)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Stanford University School of Medicine | Stanford | California | 94305 | Joe L Hsu, MD Joe L Hsu, MD (PRINCIPAL_INVESTIGATOR) |
| Boston Children's Hospital | Boston | Massachusetts | 02215 | |
| Brigham and Women's Hospital | Boston | Massachusetts | 02215 | |
| Dana-Farber Cancer Institute | Boston | Massachusetts | 02115 | Corey Cutler, MD, MPH (PRINCIPAL_INVESTIGATOR) |
| University of Michigan | Ann Arbor | Michigan | 48109 | Gregory A Yanik, MD, BS (PRINCIPAL_INVESTIGATOR) |
| Fred Hutchinson Cancer Center | Seattle | Washington | 98109 | Guang-Shing Cheng Guang-Shing Cheng, MD (PRINCIPAL_INVESTIGATOR) |
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