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A Phase I/II Study of BI-505 in Conjunction With Autologous Stem Cell Transplant in Multiple Myeloma

Primary Purpose

Multiple Myeloma

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
BI-505
High dose melphalan
Autologous stem cell transplantation
Sponsored by
BioInvent International AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Myeloma

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • A diagnosis of multiple myeloma by 2014 IMWG criteria and have been recommended to undergo HDM + ASCT as a standard-of-care therapy for their multiple myeloma.
  • Subjects must have adequate vital organ function and functional status for HDM + ASCT
  • Subjects must have collected and cryopreserved ≥4x106 hematopoietic stem cells per kg of actual body weight that are suitable for use in autologous stem cell transplantation in the judgment of the investigator.
  • At the time of enrollment, subjects must have had at least a partial response, as defined by IMWG criteria and in comparison to baseline/pre-treatment parameters, to an induction regimen containing lenalidomide and/or bortezomib.
  • Subjects must have measurable disease according to one of the following criteria:

    1. Serum M-spike ≥0.1 g/dl
    2. Urine M-spike >200 mg in a 24-hour urine collection
    3. Involved serum free light chain above the upper limit of normal and a serum free light chain ratio outside the normal range.
  • At the time of enrollment, subjects must be within 12 months of the first dose of initial/induction therapy, and the anticipated day of ASCT must be within 12 months of the first dose of initial/induction therapy

Exclusion Criteria:

  • Prior allogeneic or autologous hematopoietic stem cell transplant
  • Current active infections, including HIV and hepatitis C and B
  • Autoimmune disease requiring ongoing immunosuppressive therapy.
  • History of atrial fibrillation or flutter, including paroxysmal atrial fibrillation or flutter.
  • History of transient ischemic attack or stroke.
  • At the time of enrollment, subjects must not have required multi-agent continuous-infusion cytotoxic chemotherapy (e.g., regimens such as D-PACE) as part of their initial/induction therapy.

Sites / Locations

  • Perelman School of Medicine/Hospital of the Univ. of Pennsylvania/Abramson Cancer Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

HDM+ASCT

BI-505

Arm Description

Standard of care; High dose Melphalan + Autologous Stem Cell Transplantation

Biweekly infusions of BI-505 in addition to High dose Melphalan + Autologous Stem Cell Transplantation

Outcomes

Primary Outcome Measures

Phase I: Determine the safety and feasibility of administering BI-505 in conjunction with HDM+ASCT in multiple myeloma patients
UNK
Phase II: Determine the effect of BI-505 on rate of stringent complete response for multiple myeloma patients with measurable disease pre-ASCT.
UNK

Secondary Outcome Measures

Determine the effect of BI-505 on rate of stringent complete response (sCR) at day 100 in subgroups stratified according to response to initial therapy (+/- VGPR).
UNK
Determine the effect of BI-505 administered in conjunction with HDM + ASCT on IMWG response category (PR, VGPR, CR, sCR) at one year post-ASCT and progression-free survival.
UNK
Evaluate the effect of BI-505 on MRD-negative rate at day 100 and change in MRD status at day 100 compared to baseline.
UNK
Evaluate anti-myeloma effect of BI-505 monotherapy, prior to HDM + ASCT
UNK
Evaluate bone marrow immune cell composition and phenotype, including macrophage infiltration and expression of intracellular adhesion molecule (ICAM)-1 expression on multiple myeloma plasma cells, as potential biomarkers of response to BI-505
UNK
Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing Cmax
Maximum Plasma Concentration (Cmax)
Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing Tmax
Time to reach Cmax (Tmax)
Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing AUC
Area under the curve (AUC)
Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing CL
Clearance (CL)
Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing Vss
Volume of distribution at steady state (Vss)
Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing t1/2
Elimination half-life (t1/2)

Full Information

First Posted
April 18, 2016
Last Updated
March 10, 2020
Sponsor
BioInvent International AB
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1. Study Identification

Unique Protocol Identification Number
NCT02756728
Brief Title
A Phase I/II Study of BI-505 in Conjunction With Autologous Stem Cell Transplant in Multiple Myeloma
Official Title
A Randomized Phase I/II Study of BI-505 in Conjunction With High-dose Melphalan and Autologous Stem Cell Transplantation for Multiple Myeloma
Study Type
Interventional

2. Study Status

Record Verification Date
March 2020
Overall Recruitment Status
Terminated
Why Stopped
Full clinical hold from FDA
Study Start Date
May 2016 (Actual)
Primary Completion Date
December 2016 (Actual)
Study Completion Date
December 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioInvent International AB

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to investigate the safety and efficacy of administering BI-505 in conjunction with high dose melphalan and stem cell transplantation in multiple myeloma patients.
Detailed Description
N/A study is closed

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
5 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HDM+ASCT
Arm Type
Active Comparator
Arm Description
Standard of care; High dose Melphalan + Autologous Stem Cell Transplantation
Arm Title
BI-505
Arm Type
Experimental
Arm Description
Biweekly infusions of BI-505 in addition to High dose Melphalan + Autologous Stem Cell Transplantation
Intervention Type
Biological
Intervention Name(s)
BI-505
Intervention Description
Treatment with BI-505 10 mg/kg bi-weekly infusion, up to 9 doses over 4 months
Intervention Type
Other
Intervention Name(s)
High dose melphalan
Intervention Description
High dose melphalan (HDM)
Intervention Type
Other
Intervention Name(s)
Autologous stem cell transplantation
Intervention Description
Autologous stem cell transplantation (ASCT)
Primary Outcome Measure Information:
Title
Phase I: Determine the safety and feasibility of administering BI-505 in conjunction with HDM+ASCT in multiple myeloma patients
Description
UNK
Time Frame
Adverse events will be assessed within 30 days of ASCT in the safety part of the study.
Title
Phase II: Determine the effect of BI-505 on rate of stringent complete response for multiple myeloma patients with measurable disease pre-ASCT.
Description
UNK
Time Frame
At Day 100 after ASCT
Secondary Outcome Measure Information:
Title
Determine the effect of BI-505 on rate of stringent complete response (sCR) at day 100 in subgroups stratified according to response to initial therapy (+/- VGPR).
Description
UNK
Time Frame
Day 100 after ASCT
Title
Determine the effect of BI-505 administered in conjunction with HDM + ASCT on IMWG response category (PR, VGPR, CR, sCR) at one year post-ASCT and progression-free survival.
Description
UNK
Time Frame
At one year and up to three years after ASCT
Title
Evaluate the effect of BI-505 on MRD-negative rate at day 100 and change in MRD status at day 100 compared to baseline.
Description
UNK
Time Frame
Day 100
Title
Evaluate anti-myeloma effect of BI-505 monotherapy, prior to HDM + ASCT
Description
UNK
Time Frame
Prior to HDM + ASCT (from Day -17 until Day 0)
Title
Evaluate bone marrow immune cell composition and phenotype, including macrophage infiltration and expression of intracellular adhesion molecule (ICAM)-1 expression on multiple myeloma plasma cells, as potential biomarkers of response to BI-505
Description
UNK
Time Frame
Day 100 compared to Baseline (Day -17 and Day -2)
Title
Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing Cmax
Description
Maximum Plasma Concentration (Cmax)
Time Frame
All dosing visits throughout the study (up to 9 biweekly infusions of BI-505). Day -17, day -3, day 11, day 25, day 39, day 53, day 67, day 81, day 95, day 123
Title
Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing Tmax
Description
Time to reach Cmax (Tmax)
Time Frame
All dosing visits throughout the study (up to 9 biweekly infusions of BI-505). Day -17, day -3, day 11, day 25, day 39, day 53, day 67, day 81, day 95, day 123
Title
Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing AUC
Description
Area under the curve (AUC)
Time Frame
All dosing visits throughout the study (up to 9 biweekly infusions of BI-505). Day -17, day -3, day 11, day 25, day 39, day 53, day 67, day 81, day 95, day 123
Title
Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing CL
Description
Clearance (CL)
Time Frame
All dosing visits throughout the study (up to 9 biweekly infusions of BI-505). Day -17, day -3, day 11, day 25, day 39, day 53, day 67, day 81, day 95, day 123
Title
Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing Vss
Description
Volume of distribution at steady state (Vss)
Time Frame
All dosing visits throughout the study (up to 9 biweekly infusions of BI-505). Day -17, day -3, day 11, day 25, day 39, day 53, day 67, day 81, day 95, day 123
Title
Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing t1/2
Description
Elimination half-life (t1/2)
Time Frame
All dosing visits throughout the study (up to 9 biweekly infusions of BI-505). Day -17, day -3, day 11, day 25, day 39, day 53, day 67, day 81, day 95, day 123

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: A diagnosis of multiple myeloma by 2014 IMWG criteria and have been recommended to undergo HDM + ASCT as a standard-of-care therapy for their multiple myeloma. Subjects must have adequate vital organ function and functional status for HDM + ASCT Subjects must have collected and cryopreserved ≥4x106 hematopoietic stem cells per kg of actual body weight that are suitable for use in autologous stem cell transplantation in the judgment of the investigator. At the time of enrollment, subjects must have had at least a partial response, as defined by IMWG criteria and in comparison to baseline/pre-treatment parameters, to an induction regimen containing lenalidomide and/or bortezomib. Subjects must have measurable disease according to one of the following criteria: Serum M-spike ≥0.1 g/dl Urine M-spike >200 mg in a 24-hour urine collection Involved serum free light chain above the upper limit of normal and a serum free light chain ratio outside the normal range. At the time of enrollment, subjects must be within 12 months of the first dose of initial/induction therapy, and the anticipated day of ASCT must be within 12 months of the first dose of initial/induction therapy Exclusion Criteria: Prior allogeneic or autologous hematopoietic stem cell transplant Current active infections, including HIV and hepatitis C and B Autoimmune disease requiring ongoing immunosuppressive therapy. History of atrial fibrillation or flutter, including paroxysmal atrial fibrillation or flutter. History of transient ischemic attack or stroke. At the time of enrollment, subjects must not have required multi-agent continuous-infusion cytotoxic chemotherapy (e.g., regimens such as D-PACE) as part of their initial/induction therapy.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alfred Garfall, MD
Organizational Affiliation
Div of Hema/Onc, Dept.of Med, Perelman Center Advanced Med, Philadelphia PA
Official's Role
Principal Investigator
Facility Information:
Facility Name
Perelman School of Medicine/Hospital of the Univ. of Pennsylvania/Abramson Cancer Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Phase I/II Study of BI-505 in Conjunction With Autologous Stem Cell Transplant in Multiple Myeloma

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