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Phase 1b Study Evaluating OPomD in Relapsed or Refractory Multiple Myeloma (INTREPID-1)

Primary Purpose

Relapsed or Refractory Multiple Myeloma

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Immediate Release (IR) Formulation
Gastro-Retentive (GR) Formulation
Dexamethasone
Pomalidomide
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Relapsed or Refractory Multiple Myeloma focused on measuring Multiple Myeloma

Eligibility Criteria

18 Years - 100 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria

  • Subject must have a pathologically documented, definitively diagnosed, multiple myeloma relapsed, or refractory progressive disease after at least 2 lines of therapy for multiple myeloma. Prior therapeutic treatment or regimens must include a proteasome inhibitor and lenalidomide.
  • Subject must be willing and able to undergo bone marrow aspirate per protocol (with or without bone marrow biopsy per institutional guidelines).
  • Measurable disease (assessed within 28 days prior to day 1)
  • Eastern Cooperative Oncology Group (ECOG) performance status of <= 2.
  • Other Inclusion Criteria May Apply

Exclusion Criteria

  • Currently receiving treatment in another investigational device or drug study, or less than 28 days or 5 half-lives whichever is shorter since ending treatment on another investigational device or drug study(s).
  • Previously received an allogeneic stem cell transplant and the occurrence of one or more of the following: received the transplant within 6 months prior to study day 1;received immunosuppressive therapy within the last 3 months prior to study day 1;having signs or symptoms of acute or chronic graft-versus-host disease.
  • Autologous stem cell transplant < 90 days prior to study day 1.
  • Multiple myeloma with IgM subtype.
  • POEMs syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes).
  • Plasma cell leukemia (> 2.0 X109/L circulating plasma cells by standard differential).
  • Waldenstrom's macroglobulinemia.
  • Other Exclusion Criteria May Apply

Sites / Locations

  • Research Site
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Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Part 1 Arm 1

Part 1 Arm 2

Part 2 Arm 1

Part 2 Arm 2

Arm Description

Oprozomib (Immediate Release) plus dexamethasone

Oprozomib (Gastro-retentive) plus dexamethasone

Oprozomib (Immediate release) plus pomalidomide and dexamethasone

Oprozomib (Gastro-retentive) plus pomalidomide and dexamethasone

Outcomes

Primary Outcome Measures

Determine the maximum tolerated dose for each formulation of oprozomib in combination with pomalidomide and dexamethasone
Incidence of treatment-related adverse events for all subjects on continued oprozomib treatment
Incidence of treatment-emergent adverse events
Number of patients with changes in laboratory test results

Secondary Outcome Measures

Maximum observed concentration (Cmax)
Time to Cmax (tmax)
Area under the concentration-time curve
Overall response
Best overall response
Progression free survival
Duration of response

Full Information

First Posted
October 18, 2016
Last Updated
December 6, 2022
Sponsor
Amgen
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1. Study Identification

Unique Protocol Identification Number
NCT02939183
Brief Title
Phase 1b Study Evaluating OPomD in Relapsed or Refractory Multiple Myeloma
Acronym
INTREPID-1
Official Title
(INTREPID-1) A Phase 1b Study Evaluating the Safety, Tolerability, Pharmacokinetics and Efficacy of Oprozomib in Combination With Pomalidomide and Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Completed
Study Start Date
January 17, 2017 (Actual)
Primary Completion Date
October 6, 2022 (Actual)
Study Completion Date
October 6, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Amgen

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A study evaluating two new formulations of oprozomib plus pomalidomide and dexamethasone in patients with relapsed refractory multiple myeloma.
Detailed Description
A multicenter, non-randomized, open-label, dose-exploration study evaluating two new formulations of oprozomib plus pomalidomide and dexamethasone in patients with relapsed refractory multiple myeloma. The study will be conducted in two parts. Part 1 will evaluate the formulations of oprozomib in combination with dexamethasone only. Part 2 will evaluate the formulations of oprozomib administered at increasing dose levels (dose escalation) in combination with pomalidomide and dexamethasone.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Part 1 Arm 1
Arm Type
Experimental
Arm Description
Oprozomib (Immediate Release) plus dexamethasone
Arm Title
Part 1 Arm 2
Arm Type
Experimental
Arm Description
Oprozomib (Gastro-retentive) plus dexamethasone
Arm Title
Part 2 Arm 1
Arm Type
Experimental
Arm Description
Oprozomib (Immediate release) plus pomalidomide and dexamethasone
Arm Title
Part 2 Arm 2
Arm Type
Experimental
Arm Description
Oprozomib (Gastro-retentive) plus pomalidomide and dexamethasone
Intervention Type
Drug
Intervention Name(s)
Immediate Release (IR) Formulation
Intervention Description
Immediate Release (IR) Formulation
Intervention Type
Drug
Intervention Name(s)
Gastro-Retentive (GR) Formulation
Intervention Description
Gastro-Retentive (GR) Formulation
Intervention Type
Drug
Intervention Name(s)
Dexamethasone
Intervention Description
Dexamethasone
Intervention Type
Drug
Intervention Name(s)
Pomalidomide
Intervention Description
Pomalidomide
Primary Outcome Measure Information:
Title
Determine the maximum tolerated dose for each formulation of oprozomib in combination with pomalidomide and dexamethasone
Time Frame
The primary analysis will be based on subject data collected up to 2 months from the date of last subject enrollment
Title
Incidence of treatment-related adverse events for all subjects on continued oprozomib treatment
Time Frame
Data collected up to 2 months from the date of last subject enrollment.
Title
Incidence of treatment-emergent adverse events
Time Frame
Data collected up to 2 months from the date of last subject enrollment.
Title
Number of patients with changes in laboratory test results
Time Frame
The primary analysis will be based on subject data collected up to 2 months from the date of last subject enrollment
Secondary Outcome Measure Information:
Title
Maximum observed concentration (Cmax)
Time Frame
At the highest concentration of drug in the blood.
Title
Time to Cmax (tmax)
Time Frame
time to achieve Cmax.
Title
Area under the concentration-time curve
Time Frame
time 0 to the time of last quantifiable concentration (AUClast)
Title
Overall response
Time Frame
All efficacy assessments will follow IMWG uniform response criteria and be performed every 4 weeks (± 1 week).
Title
Best overall response
Time Frame
All efficacy assessments will follow IMWG uniform response criteria and be performed every 4 weeks (± 1 week).
Title
Progression free survival
Time Frame
4 months
Title
Duration of response
Time Frame
4 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria Subject must have a pathologically documented, definitively diagnosed, multiple myeloma relapsed, or refractory progressive disease after at least 2 lines of therapy for multiple myeloma. Prior therapeutic treatment or regimens must include a proteasome inhibitor and lenalidomide. Subject must be willing and able to undergo bone marrow aspirate per protocol (with or without bone marrow biopsy per institutional guidelines). Measurable disease (assessed within 28 days prior to day 1) Eastern Cooperative Oncology Group (ECOG) performance status of <= 2. Other Inclusion Criteria May Apply Exclusion Criteria Currently receiving treatment in another investigational device or drug study, or less than 28 days or 5 half-lives whichever is shorter since ending treatment on another investigational device or drug study(s). Previously received an allogeneic stem cell transplant and the occurrence of one or more of the following: received the transplant within 6 months prior to study day 1;received immunosuppressive therapy within the last 3 months prior to study day 1;having signs or symptoms of acute or chronic graft-versus-host disease. Autologous stem cell transplant < 90 days prior to study day 1. Multiple myeloma with IgM subtype. POEMs syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes). Plasma cell leukemia (> 2.0 X109/L circulating plasma cells by standard differential). Waldenstrom's macroglobulinemia. Other Exclusion Criteria May Apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD
Organizational Affiliation
Amgen
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
West Hollywood
State/Province
California
ZIP/Postal Code
90069
Country
United States
Facility Name
Research Site
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Facility Name
Research Site
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Research Site
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637-6613
Country
United States
Facility Name
Research Site
City
Bethesda
State/Province
Maryland
ZIP/Postal Code
20817
Country
United States
Facility Name
Research Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Research Site
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States
Facility Name
Research Site
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
Research Site
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
Facility Name
Research Site
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Facility Name
Research Site
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Research Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Research Site
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Facility Name
Research Site
City
Clayton
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia
Facility Name
Research Site
City
Murdoch
State/Province
Western Australia
ZIP/Postal Code
6150
Country
Australia
Facility Name
Research Site
City
Perth
State/Province
Western Australia
ZIP/Postal Code
6000
Country
Australia
Facility Name
Research Site
City
Gent
ZIP/Postal Code
9000
Country
Belgium
Facility Name
Research Site
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2N 2T9
Country
Canada
Facility Name
Research Site
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2C1
Country
Canada
Facility Name
Research Site
City
Rotterdam
ZIP/Postal Code
3015 CE
Country
Netherlands
Facility Name
Research Site
City
Salamanca
State/Province
Castilla León
ZIP/Postal Code
37007
Country
Spain
Facility Name
Research Site
City
Pamplona
State/Province
Navarra
ZIP/Postal Code
31008
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
IPD Sharing Time Frame
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication (or other new use) have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
IPD Sharing Access Criteria
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors, and if not approved, may be further arbitrated by a Data Sharing Independent Review Panel. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
IPD Sharing URL
https://www.amgen.com/datasharing
Links:
URL
http://www.amgentrials.com
Description
AmgenTrials clinical trials website

Learn more about this trial

Phase 1b Study Evaluating OPomD in Relapsed or Refractory Multiple Myeloma

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