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A Study Evaluating ABT-199 in Multiple Myeloma Subjects Who Are Receiving Bortezomib and Dexamethasone as Standard Therapy

Primary Purpose

Relapsed/Refractory Multiple Myeloma

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
ABT-199
bortezomib
dexamethasone
Sponsored by
AbbVie
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Relapsed/Refractory Multiple Myeloma focused on measuring relapsed/refractory multiple myeloma, relapsed multiple myeloma, refractory multiple myeloma, multiple myeloma

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Eastern Cooperative Oncology Group (ECOG) performance score less than or equal to 1
  • Diagnosis of multiple myeloma previously treated with at least 1 prior line of therapy (dose escalation only) or (safety expansion only) received treatment with a proteasome inhibitor or an IMiD(r) or immunomodulatory agent (e.g., thalidomide, lenalidomide). Induction therapy and following stem cell transplant are considered a single line of therapy.
  • Measurable disease at Screening: Serum monoclonal protein greater than or equal to 1 g/dL by protein electrophoresis, or greater than or equal to 200 mg monoclonal protein in the urine on 24-hr electrophoresis, or serum immunoglobulin free light chain greater than or equal to 10 mg/dL and abnormal serum immunoglobulin kappa to lambda free light chain ratio.
  • Subjects with a history of autologous or allogenic stem cell transplant must have adequate bone marrow independent of any growth factor support, and have recovered from any transplant related toxicity(s); and either greater than 100 days post-autologous transplant (prior to first dose of study drug) or greater than or equal to 6 months post-allogenic transplant (prior to first dose of study drug) and not have active graft-versus-host disease (i.e., requiring treatment).
  • Subject must have adequate coagulation, renal, and hepatic function, per laboratory reference range at Screening.

Exclusion Criteria:

  • Exhibits evidence of other clinically significant uncontrolled condition(s), including, but not limited to: uncontrolled systemic infection (viral, bacterial, or fungal), diagnosis of fever and neutropenia within 1 week prior to first dose of study drug
  • Cardiovascular disability status of New York Heart Association Class greater than or equal to 2. Class 2 is defined as cardiac disease in which patients are comfortable at rest but ordinary physical activity results in fatigue, palpitations, dyspnea or anginal pain.
  • Significant history of renal, neurologic, psychiatric, endocrinologic, metabolic, immunologic, cardiovascular, pulmonary or hepatic disease, that in the opinion of the investigator, would adversely affect his/her participation in the study.
  • History of other active malignancies other than multiple myeloma within the past 3 years prior to study entry, with the following exceptions: adequately treated in situ carcinoma of the cervix uteri, basal cell carcinoma of the skin or localized squamous cell carcinoma of the skin, previous malignancy confined and surgically resected (or treated with other modalities) with curative intent.
  • Tested positive for HIV or hepatitis.

Sites / Locations

  • University of Arizona Cancer Center - North Campus /ID# 117876
  • Mayo Clinic /ID# 121495
  • Northwestern University Feinberg School of Medicine /ID# 117477
  • University of Michigan Hospitals /ID# 80353
  • Mayo Clinic - Rochester /ID# 77235
  • Peter MacCallum Cancer Ctr /ID# 79553
  • Royal Melbourne Hospital /ID# 79533
  • CHRU Lille - Hôpital Claude Huriez /ID# 77234
  • CHU de Nantes, Hotel Dieu -HME /ID# 78773

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

ABT-199 + BTZ/Dex Dose Escalation Cohorts

ABT-199 + BTZ/Dex Safety Expansion Cohort

Arm Description

Evaluate the safety and pharmacokinetics profile of ABT-199 administered with standard therapy bortezomib and dexamethasone in a dose escalation scheme in approximately 54 subjects.

Safety expansion cohort to further evaluate recommended phase two dose (RPTD) of ABT-199 administered with standard therapy bortezomib and dexamethasone in approximately 12 subjects.

Outcomes

Primary Outcome Measures

Determination of peak concentration (Cmax) of ABT-199
Blood samples for pharmacokinetic analysis of ABT-199 will be collected at designated timepoints
Determine maximum tolerated dose (MTD), and recommended phase two dose (RPTD) of ABT-199
ABT-199 will be dose-escalated until the largest dose is reached that is determined to be safe based on adverse event reporting and dose-limiting toxicities information from all subjects.
Number of participants with adverse events
Collect all adverse events at each visit.
Determination of trough concentration (Ctrough) of ABT-199
Blood samples for pharmacokinetic analysis of ABT-199 will be collected at designated timepoints
Determination of area under the concentration versus time curve (AUC) of ABT-199
Blood samples for pharmacokinetic analysis of ABT-199 will be collected at designated timepoints
Determine recommended phase two dose (RPTD) of ABT-199
ABT-199 will be dose-escalated until the largest dose is reached that is determined to be safe based on adverse event reporting and dose-limiting toxicities information from all subjects.

Secondary Outcome Measures

Duration of Response
Number of days from the day of initial response is objectively documented to the day that disease progression is objectively documented
Objective Response Rate
The proportion of subjects with response using International Myeloma Working Group (IMWG) response criteria will be computed for all subjects with active disease at baseline (in the opinion of the investigator)
Time to Disease Progression
Number of days from the date of the first dose of ABT-199 to the date of the subject's disease progression.

Full Information

First Posted
December 13, 2012
Last Updated
July 29, 2021
Sponsor
AbbVie
Collaborators
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01794507
Brief Title
A Study Evaluating ABT-199 in Multiple Myeloma Subjects Who Are Receiving Bortezomib and Dexamethasone as Standard Therapy
Official Title
A Phase 1b Study Evaluating the Safety and Pharmacokinetics of ABT-199 in Relapsed or Refractory Multiple Myeloma Subjects Who Are Receiving Bortezomib and Dexamethasone as Their Standard Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
November 19, 2012 (Actual)
Primary Completion Date
July 16, 2019 (Actual)
Study Completion Date
July 16, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AbbVie
Collaborators
Genentech, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objectives of this study are to assess the safety profile, characterize pharmacokinetics (PK) and determine the dosing schedule, maximum tolerated dose (MTD), and the recommended phase two dose (RPTD) of ABT-199 when administered in subjects with relapsed /refactory multiple myeloma who are receiving bortezomib and dexamethasone as their standard therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Relapsed/Refractory Multiple Myeloma
Keywords
relapsed/refractory multiple myeloma, relapsed multiple myeloma, refractory multiple myeloma, multiple myeloma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
66 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ABT-199 + BTZ/Dex Dose Escalation Cohorts
Arm Type
Experimental
Arm Description
Evaluate the safety and pharmacokinetics profile of ABT-199 administered with standard therapy bortezomib and dexamethasone in a dose escalation scheme in approximately 54 subjects.
Arm Title
ABT-199 + BTZ/Dex Safety Expansion Cohort
Arm Type
Experimental
Arm Description
Safety expansion cohort to further evaluate recommended phase two dose (RPTD) of ABT-199 administered with standard therapy bortezomib and dexamethasone in approximately 12 subjects.
Intervention Type
Drug
Intervention Name(s)
ABT-199
Intervention Description
ABT-199 at cohort-defined dosing schedules and dose levels. ABT-199 at defined dose and schedule for Safety Expansion cohort
Intervention Type
Drug
Intervention Name(s)
bortezomib
Intervention Description
Bortezomib at cohort-defined dosing schedules and dose levels. Bortezomib at defined dose and schedule for Safety Expansion cohort
Intervention Type
Drug
Intervention Name(s)
dexamethasone
Intervention Description
Dexamethasone at cohort-defined dosing schedules and dose levels. Dexamethasone at defined dose and schedule for Safety Expansion cohort.
Primary Outcome Measure Information:
Title
Determination of peak concentration (Cmax) of ABT-199
Description
Blood samples for pharmacokinetic analysis of ABT-199 will be collected at designated timepoints
Time Frame
Approximately 5 days in Cycle 1 then on Day 1 of Cycles 2,4,6,8
Title
Determine maximum tolerated dose (MTD), and recommended phase two dose (RPTD) of ABT-199
Description
ABT-199 will be dose-escalated until the largest dose is reached that is determined to be safe based on adverse event reporting and dose-limiting toxicities information from all subjects.
Time Frame
Minimum first cycle of dosing (21 days)
Title
Number of participants with adverse events
Description
Collect all adverse events at each visit.
Time Frame
From subject's first dose of ABT-199 until 30 days after subject's last dose of ABT-199; up to 2 years following last subject first dose.
Title
Determination of trough concentration (Ctrough) of ABT-199
Description
Blood samples for pharmacokinetic analysis of ABT-199 will be collected at designated timepoints
Time Frame
Approximately 5 days in Cycle 1 then on Day 1 of Cycles 2,4,6,8
Title
Determination of area under the concentration versus time curve (AUC) of ABT-199
Description
Blood samples for pharmacokinetic analysis of ABT-199 will be collected at designated timepoints
Time Frame
Approximately 5 days in Cycle 1 then on Day 1 of Cycles 2,4,6,8
Title
Determine recommended phase two dose (RPTD) of ABT-199
Description
ABT-199 will be dose-escalated until the largest dose is reached that is determined to be safe based on adverse event reporting and dose-limiting toxicities information from all subjects.
Time Frame
Minimum first cycle of dosing (21 days
Secondary Outcome Measure Information:
Title
Duration of Response
Description
Number of days from the day of initial response is objectively documented to the day that disease progression is objectively documented
Time Frame
Measured up to 48 months after the last subject has enrolled in the study
Title
Objective Response Rate
Description
The proportion of subjects with response using International Myeloma Working Group (IMWG) response criteria will be computed for all subjects with active disease at baseline (in the opinion of the investigator)
Time Frame
Measured up to 48 months after the last subject has enrolled in the study
Title
Time to Disease Progression
Description
Number of days from the date of the first dose of ABT-199 to the date of the subject's disease progression.
Time Frame
Measured up to 48 months after the last subject has enrolled in the study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Eastern Cooperative Oncology Group (ECOG) performance score less than or equal to 1 Diagnosis of multiple myeloma previously treated with at least 1 prior line of therapy (dose escalation only) or (safety expansion only) received treatment with a proteasome inhibitor or an IMiD(r) or immunomodulatory agent (e.g., thalidomide, lenalidomide). Induction therapy and following stem cell transplant are considered a single line of therapy. Measurable disease at Screening: Serum monoclonal protein greater than or equal to 1 g/dL by protein electrophoresis, or greater than or equal to 200 mg monoclonal protein in the urine on 24-hr electrophoresis, or serum immunoglobulin free light chain greater than or equal to 10 mg/dL and abnormal serum immunoglobulin kappa to lambda free light chain ratio. Subjects with a history of autologous or allogenic stem cell transplant must have adequate bone marrow independent of any growth factor support, and have recovered from any transplant related toxicity(s); and either greater than 100 days post-autologous transplant (prior to first dose of study drug) or greater than or equal to 6 months post-allogenic transplant (prior to first dose of study drug) and not have active graft-versus-host disease (i.e., requiring treatment). Subject must have adequate coagulation, renal, and hepatic function, per laboratory reference range at Screening. Exclusion Criteria: Exhibits evidence of other clinically significant uncontrolled condition(s), including, but not limited to: uncontrolled systemic infection (viral, bacterial, or fungal), diagnosis of fever and neutropenia within 1 week prior to first dose of study drug Cardiovascular disability status of New York Heart Association Class greater than or equal to 2. Class 2 is defined as cardiac disease in which patients are comfortable at rest but ordinary physical activity results in fatigue, palpitations, dyspnea or anginal pain. Significant history of renal, neurologic, psychiatric, endocrinologic, metabolic, immunologic, cardiovascular, pulmonary or hepatic disease, that in the opinion of the investigator, would adversely affect his/her participation in the study. History of other active malignancies other than multiple myeloma within the past 3 years prior to study entry, with the following exceptions: adequately treated in situ carcinoma of the cervix uteri, basal cell carcinoma of the skin or localized squamous cell carcinoma of the skin, previous malignancy confined and surgically resected (or treated with other modalities) with curative intent. Tested positive for HIV or hepatitis.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
AbbVie Inc.
Organizational Affiliation
AbbVie
Official's Role
Study Director
Facility Information:
Facility Name
University of Arizona Cancer Center - North Campus /ID# 117876
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85719-1478
Country
United States
Facility Name
Mayo Clinic /ID# 121495
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32224
Country
United States
Facility Name
Northwestern University Feinberg School of Medicine /ID# 117477
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611-2927
Country
United States
Facility Name
University of Michigan Hospitals /ID# 80353
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Mayo Clinic - Rochester /ID# 77235
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905-0001
Country
United States
Facility Name
Peter MacCallum Cancer Ctr /ID# 79553
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3000
Country
Australia
Facility Name
Royal Melbourne Hospital /ID# 79533
City
Parkville
State/Province
Victoria
ZIP/Postal Code
3050
Country
Australia
Facility Name
CHRU Lille - Hôpital Claude Huriez /ID# 77234
City
Lille CEDEX
State/Province
Hauts-de-France
ZIP/Postal Code
59045
Country
France
Facility Name
CHU de Nantes, Hotel Dieu -HME /ID# 78773
City
Nantes
ZIP/Postal Code
44093
Country
France

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
28847998
Citation
Moreau P, Chanan-Khan A, Roberts AW, Agarwal AB, Facon T, Kumar S, Touzeau C, Punnoose EA, Cordero J, Munasinghe W, Jia J, Salem AH, Freise KJ, Leverson JD, Enschede SH, Ross JA, Maciag PC, Verdugo M, Harrison SJ. Promising efficacy and acceptable safety of venetoclax plus bortezomib and dexamethasone in relapsed/refractory MM. Blood. 2017 Nov 30;130(22):2392-2400. doi: 10.1182/blood-2017-06-788323. Epub 2017 Aug 28.
Results Reference
background
PubMed Identifier
26707935
Citation
Matulis SM, Gupta VA, Nooka AK, Hollen HV, Kaufman JL, Lonial S, Boise LH. Dexamethasone treatment promotes Bcl-2 dependence in multiple myeloma resulting in sensitivity to venetoclax. Leukemia. 2016 May;30(5):1086-93. doi: 10.1038/leu.2015.350. Epub 2015 Dec 28.
Results Reference
derived

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A Study Evaluating ABT-199 in Multiple Myeloma Subjects Who Are Receiving Bortezomib and Dexamethasone as Standard Therapy

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