Trial of the Efficacy and Safety of Short and Long Course Radiation Therapy With/Without BMX-001

ConditionRectal Cancer
Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Nebraska

About this trial

In this Phase 2 study, we will conduct an efficacy and safety study of the combination of investigational drug BMX-001, with short-course radiotherapy (SCRT) or long-course chemoradiotherapy (LCCRT) as part of total neoadjuvant therapy in newly diagnosed rectal adenocarcinoma (RAC) patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with pathologically confirmed locally advanced rectal adenocarcinoma who will be receiving total neoadjuvant therapy regimen with curative intent.

AJCC stage II to III rectal adenocarcinoma that will require total neoadjuvant therapy.

Adult, age > or equal to 18 years (for Nebraska, age of consent is ≥19 years old)

ECOG Performance Status 0-2

Disqualifiers

Breast-feeding or pregnant

Active infection requiring IV antibiotics 7 days before enrollment

Prior, unrelated malignancy requiring current active treatment with the exception of cervical carcinoma in situ, basal cell or carcinoma of the skin, invasive cancers with a 5-year disease-free interval, resected cancer of the bladder or low-grade (Gleason 6 or less) prostate cancer

Prior history of rectal adenocarcinoma (RAC)

Trial design

Design model

Parallel

Treatments tested in this trial

  • BMX-001

    Drug

    Loading dose of 28 mg per subject, followed by maintenance doses of 14 mg per subject twice per week.

Treatment groups

118 Participants
are divided into 4 treatment groups
Group A: Arm AExperimental treatment 1 intervention
Group B: Arm BNo intervention 0 interventions
Group C: Arm CExperimental treatment 1 intervention
Group D: Arm DNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Efficacy of BMX-001 as measured by Grade 3 and above associated with gastrointestinal Toxicities

Grade 3 and above radiation-associated gastrointestinal, genitourinary, skin and hematologic toxicity (SCRT or LCCRT) including frequency, severity and duration of rectal bleeding, rectal pain, diarrhea, dysuria, hematuria, urinary frequency, radiation dermatitis and thrombocytopenia

Time frame
Three weeks (During and 2 weeks after RT)
2

Efficacy of BMX-001 as measured by Grade 3 and above associated with genitourinary Toxicities

Grade 3 and above radiation-associated gastrointestinal, genitourinary, skin and hematologic toxicity (SCRT or LCCRT) including frequency, severity and duration of rectal bleeding, rectal pain, diarrhea, dysuria, hematuria, urinary frequency, radiation dermatitis and thrombocytopenia

Time frame
Three weeks (During and 2 weeks after RT)
3

Efficacy of BMX-001 as measured by Grade 3 and above associated with skin Toxicities

Grade 3 and above radiation-associated gastrointestinal, genitourinary, skin and hematologic toxicity (SCRT or LCCRT) including frequency, severity and duration of rectal bleeding, rectal pain, diarrhea, dysuria, hematuria, urinary frequency, radiation dermatitis and thrombocytopenia

Time frame
Three weeks (During and 2 weeks after RT)
4

Efficacy of BMX-001 as measured by Grade 3 and above associated with hematologic Toxicities

Grade 3 and above radiation-associated gastrointestinal, genitourinary, skin and hematologic toxicity (SCRT or LCCRT) including frequency, severity and duration of rectal bleeding, rectal pain, diarrhea, dysuria, hematuria, urinary frequency, radiation dermatitis and thrombocytopenia

Time frame
Three weeks (During and 2 weeks after RT)

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Nebraska

Lead sponsor

BioMimetix JV, LLC

Collaborator