Dibotatug for Bone Marrow Failure

(BMF Trial)

Not yet recruiting at 9 trial locations
DB
Overseen ByDren Bio Central Contact
Age: 18+
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: Dren Bio
Must be taking: ATG, CSA
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called Dibotatug (DR-01) to determine its safety and effectiveness for people with bone marrow failure syndromes, specifically various types of aplastic anemia (a condition where the bone marrow doesn't produce enough blood cells). Participants will receive the treatment through an IV infusion for 20 weeks, and those who respond well may continue for up to 48 weeks. This trial may suit individuals with severe aplastic anemia or transfusion-dependent non-severe aplastic anemia who have not found success with other treatments. As a Phase 1, Phase 2 trial, this research aims to understand how the treatment works in people and measure its effectiveness in an initial, smaller group, offering participants a chance to be among the first to benefit from this innovative therapy.

Is there any evidence suggesting that Dibotatug (DR-01) is likely to be safe for humans?

Research has shown that Dibotatug (DR-01) is promising in terms of safety. Early data from previous studies suggest that Dibotatug is generally well-tolerated, with most patients not experiencing severe side effects. One study tested Dibotatug on patients with bone marrow failure and showed positive results without major safety issues. Additionally, in patients with blood cancers such as leukemia and lymphoma, Dibotatug maintained a good safety record. These findings suggest that Dibotatug is generally safe, though individual experiences may vary.12345

Why do researchers think this study treatment might be promising?

Dibotatug (DR-01) is unique because it targets bone marrow failure with a novel approach. Unlike standard treatments that may involve blood transfusions or stem cell transplants, Dibotatug is administered via IV infusion, potentially offering a more straightforward and less invasive option. Researchers are excited about Dibotatug because it could provide a new mechanism of action that enhances bone marrow function, potentially leading to better outcomes for patients with fewer side effects.

What evidence suggests that Dibotatug might be an effective treatment for Bone Marrow Failure?

Research has shown that Dibotatug (DR-01), the investigational treatment in this trial, offers promising results for treating bone marrow failure. In studies with patients who have certain blood cancers, Dibotatug improved symptoms in 86% of specific groups. The treatment was well-tolerated, with no deaths linked to it, suggesting relative safety. Early studies also indicate potential benefits for various blood disorders, offering hope for wider use. Although more research is needed, these initial findings encourage those considering participation in clinical trials.14678

Who Is on the Research Team?

WH

Wan-Jen Hong, MD

Principal Investigator

Dren Bio

Are You a Good Fit for This Trial?

This trial is for adults diagnosed with bone marrow failure syndromes, such as aplastic anemia or related blood disorders. Participants should not have other serious health issues that could interfere with the study.

Inclusion Criteria

My severe aplastic anemia returned after a response to ATG or CSA treatment.
RR-TD-NSAA participants must meet criteria for transfusion dependence: RBC transfusion dependence defined as transfusion of ≥ 2 units of RBCs in the past 56 days or platelet transfusion dependence defined as transfusion of ≥ 1 unit of apheresis platelets in the past 28 days
Participants entering the Extension Treatment Period must have signed informed consent form for the Extension Treatment Period
See 9 more

Exclusion Criteria

I am planning to have a stem cell transplant for aplastic anemia.
I have an infection that is not getting better or needs hospital care.
Total bilirubin > 1.5 × upper limit of normal (ULN) or > 3 × ULN if known Gilbert's disease
See 14 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive 20 weeks of dosing with dibotatug via IV infusion

20 weeks

Extended Treatment (optional)

Participants with a CR or PR by Week 24 may continue dosing through Week 48

24 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

52 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Dibotatug (DR-01)

Trial Overview

The study is testing a new drug called Dibotatug (DR-01) to see if it is safe and effective in treating bone marrow failure conditions. All participants will receive this medication, and researchers will closely monitor their response.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Dibotatug (DR-01)Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Dren Bio

Lead Sponsor

Trials
6
Recruited
280+

Citations

A Phase 1/​2 Study to Evaluate the Safety and Efficacy of ...

Study DR-01-HEM-001 is an open-label Phase 1/2 study evaluating the safety and efficacy of dibotatug in adult patients with BMF syndromes.

Results from the First Phase 1 Clinical Study of DR-01, a ...

There were no DR-01 related deaths. Efficacy: Part A enrolled 21 patients with CTL. 74% were resistant/intolerant to the most recent line of therapy and 26% ...

DR-01 for Leukemia and Lymphoma

Initial studies showed encouraging results in patients with certain types of leukemia and lymphoma. While more research is needed, these early results suggest ...

Dibotatug Is Safe and Shows Activity in R/R Cytotoxic T/NK ...

The therapy yielded durable efficacy across various histologic subgroups, notably reaching an 86% ORR in patients with SPTCL and a median ...

A drug, DR-01, to treat large granulocytic leukemia or ...

To find out:The highest dose of DR-01 that's safe to giveIf DR-01 is safe and works well to treat large granulocytic leukemia or certain T-cell or NK-cell ...

dibotatug (DR-01) / Dren Bio

Preliminary safety and efficacy data show that dibotatug is well-tolerated. Response rates are promising with deep and durable responses. Bone Marrow ...

A Study of DR-01 in Subjects With Large Granular ...

This is a multicenter, first-in-human, Phase 1/2 study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and anti-tumor activity of DR- ...

Updated clinical data and biomarker analyses from the ...

DR-01 continues to demonstrate promising safety and efficacy, BLM-deficient bone marrow and spleen cells of BLM knockout mice.