Study of Venetoclax in Combination With Carfilzomib and Dexamethasone in Participants With Relapsed or Refractory Multiple Myeloma (MM)
Multiple Myeloma
About this trial
This is an interventional treatment trial for Multiple Myeloma focused on measuring Multiple Myeloma, Refractory myeloma, Relapsed myeloma, Relapsed or Refractory
Eligibility Criteria
Inclusion Criteria:
- Eastern Collaborative Oncology Group (ECOG) performance score of less than or equal to 2.
- Documented relapsed or progressive Multiple Myeloma (MM) on or after any regimen or is refractory to the most recent line of therapy.
- Positive for translocation t(11;14) as determined by an analytically validated Fluorescent In Situ Hybridization (FISH) assay per central laboratory testing.
- Received prior treatment with at least 1 prior line of therapy for MM.
- Measurable disease on Screening per International Myeloma Working Group (IMWG) criteria.
- Meets absolute neutrophil count, platelet count, hemoglobin, liver and kidney function laboratory values within 2 weeks prior to first dose of study drug.
Exclusion Criteria:
Has a pre-existing condition that is contraindicated including.
- Non-secretory or oligo-secretory MM
- Active plasma cell leukemia.
- Waldenström's macroglobulinemia.
- Primary amyloidosis.
- POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes).
- Active hepatitis B or C infection based on screening blood testing.
- Known active Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
- Significant cardiovascular disease.
- Major surgery within 4 weeks prior to first dose.
- Acute infections requiring antibiotic, antifungal or antiviral therapy within14 days prior to first dose.
- Peripheral neuropathy ≥ Grade 3 or ≥ Grade 2 with pain within 2 weeks prior to first dose.
- Uncontrolled diabetes or uncontrolled hypertension within 14 days prior to first dose.
- Any other medical condition that, in the opinion of the Investigator, would adversely affect the participant's participation in the study.
- History of other active malignancies, including myelodysplastic syndrome (MDS), within the past 3 years prior to study entry Other protocol defined inclusion/exclusion criteria could apply
Sites / Locations
- University of Alabama at Birmingham - Main /ID# 151405Recruiting
- University of Arkansas for Medical Sciences /ID# 151399
- Memorial Healthcare System /ID# 224862
- Emory University, Winship Cancer Institute /ID# 161710Recruiting
- The University of Chicago Medical Center /ID# 151395Recruiting
- Indiana Blood & Marrow Transpl /ID# 218862Recruiting
- University of Kentucky Chandler Medical Center /ID# 151407
- Central Maine Medical Center /ID# 218856
- University of Maryland School of Medicine /ID# 159721
- Washington University-School of Medicine /ID# 222651Recruiting
- Oncology Hematology Associates (OHA) - Springfield /ID# 218855Recruiting
- Duke Cancer Center /ID# 162062Recruiting
- University of Pennsylvania /ID# 151768Recruiting
- University of Texas Southwestern Medical Center /ID# 218336Recruiting
- Baylor Scott & White Medical Center- Temple /ID# 218252
- University of Utah /ID# 151397Recruiting
- Duplicate_VA Puget Sound Healthcare Syst /ID# 155369
- Aurora Health Care, Aurora Cancer Center /ID# 209612Recruiting
- Border Medical Oncology Research Unit Albury Wodonga Regional Cancer Centre /ID# 222200Recruiting
- Calvary Mater Newcastle /ID# 218739Recruiting
- Flinders Medical Centre /ID# 221345Recruiting
- Royal Hobart Hospital /ID# 217546Recruiting
- Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont /ID# 219172Recruiting
- Debreceni Egyetem Klinikai Kozpont /ID# 217624Recruiting
- Semmelweis Egyetem /ID# 217626Recruiting
- Del-pesti Centrumkorhaz Orszagos Hematologiai es Infektologiai Intezet /ID# 217625Recruiting
- Auxilio Mutuo Cancer Center /ID# 157853Recruiting
- VA Caribbean Healthcare System /ID# 157854
- Hospital Universitario Germans Trias i Pujol /ID# 218006Recruiting
- Hospital Clinic de Barcelona /ID# 218007Recruiting
- Hospital General Universitario Gregorio Maranon /ID# 218005Recruiting
- Hospital Universitario Ramon y Cajal /ID# 220925Recruiting
Arms of the Study
Arm 1
Experimental
Venetoclax + Carfilzomib + Dexamethasone
Part 1: Evaluate the safety and pharmacokinetic profiles while providing information to determine the appropriate doses of venetoclax and carfilzomib (VenKd) to be used in the VenKd combination in approximately 18 participants. The dose levels are Venetoclax 400 mg or 800 mg; Carfilzomib 20/27 mg/m2, 20/70 mg/m2, and/or 20/56 mg/m2; Dexamethasone 40 mg Part 2: Further evaluate the safety and efficacy profile of the VenKd combination selected after completion of Part 1 in approximately 22 additional participants. Participants may discontinue Kd but may continue receiving venetoclax once daily (QD) as monotherapy. Part 3: Further evaluation of the efficacy of the VenKd combination after completion of Part 1 and Part 2 in 7 additional participants. Part 4, An additional 65 participants t(11;14) positive will receive varying doses of the VenKd combination or carfilzomib and dexamethasone