Autologous Memory-like NK Cell Therapy With BHV-1100 (Formerly KP1237), Low Dose IL-2 in Multiple Myeloma Patients
Primary Purpose
Multiple Myeloma
Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
CIML NK Cells plus KP1237 and low dose IL-2
Sponsored by
About this trial
This is an interventional treatment trial for Multiple Myeloma focused on measuring Cell Therapy, CIML NK cell therapy, cytokine induced memory-like natural killer cell therapy, immunotherapy, antibody-dependent cell-mediated cytotoxicity, ADCC, CD38 positive, CD38+, plasma cells, multiple myeloma, hematological malignancies
Eligibility Criteria
Inclusion Criteria:
- Had measurable disease according to Standard Diagnostic Criteria at the time of initial Multiple Myeloma diagnosis
- Meets criteria for symptomatic multiple myeloma at the time of induction chemotherapy
- Is transplant eligible based on clinician judgement
- Willing to undergo ASCT in first remission
- Achieve partial response or better with induction chemotherapy prior to ASCT according to the International Myeloma Working Group (IMWG) Uniform Response Criteria for Multiple Myeloma
- Be MRD+ disease upon restaging prior to stem cell collection and ASCT
- Eastern Cooperative Oncology Group (EGOG) performance status score of less than 2
- Life expectancy greater than six months
- Have no evidence of active or decompensated heart failure, no recent history (past 6 months) acute myocardial infarction, no evidence of severe valvular disease and must have a LVEF over 50% at the time of transplant evaluation
- Adequate kidney function
- No evidence of moderate/severe restrictive or obstructive lung disease at the time of transplant evaluation
- Adequate bone marrow function
- Be willing to undergo CD34+ cell collection for stem cell transplant
- Be willing to undergo leukapherisis
- Adequate hepatic function
- If of child-bearing potential, be willing to follow birth control and pregnancy testing practice as recommended
- Be willing to undergo bone marrow aspirate and biopsy as per treatment plan
Exclusion Criteria:
- Prior autologous or allogeneic hematopoietic stem cell transplant
- Prior cellular therapies, including NK cell therapy
- Prior treatment with monoclonal antibodies
- Prior treatment with melphalan
- Prior treatment with immunosuppressive or immunomodulatory agents within 30 days of enrollment
- Disease progression at the time of enrollment
- Non secretory multiple myeloma (defined as normal serum and urine immunofixation and normal serum free light chain assay)
- History of plasma cell leukemia at any time prior to enrollment
- Patients seropositive for the human immunodeficiency virus (HIV)
- Uncontrolled, Hepatitis C Virus or Hepatitis B Virus infection
- Patient receiving other investigational or anti-myeloma drugs within 30 days of enrollment
- Patients with active clinically significant autoimmune diseases
- Patients with active, clinically significant cancer other than multiple myeloma
- Patients with neurological conditions that make difficult the assessment of neurologic toxicity of the Combination Product
Sites / Locations
- Dana Farber Cancer InstituteRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Newly diagnosed multiple myeloma patients
Arm Description
Newly diagnosed MM patients who have minimal residual disease (MRD+) in first remission prior to autologous stem cell transplant (ASCT)
Outcomes
Primary Outcome Measures
Dose limiting toxicities following Combination Product dministration
Incidence and severity of side effects related to the Combination Product
Secondary Outcome Measures
Rate of MRD conversion from positive to negative
Rate of MRD conversion from positive to negative
Rate of MRD conversion from positive to negative during the maintenance phase
Rate of PFS
Rate of OS
Best overall response rate per the International Myeloma Working Group (IMWG) Uniform Response Criteria for Multiple Myeloma
Incidence and severity of cytokine release syndrome per ASBMT consensus grading
Incidence and severity of other Immune-related toxicities by CTCAE version 5.0
PK of the KP1237 by determining plasma Cmax
PK of the KP1237 by determining plasma Cmin
PK of the KP1237 by determining plasma AUC
PK of the KP1237 by determining plasma t1/2
Full Information
NCT ID
NCT04634435
First Posted
October 21, 2020
Last Updated
August 28, 2023
Sponsor
Biohaven Pharmaceuticals, Inc.
Collaborators
Dana-Farber Cancer Institute
1. Study Identification
Unique Protocol Identification Number
NCT04634435
Brief Title
Autologous Memory-like NK Cell Therapy With BHV-1100 (Formerly KP1237), Low Dose IL-2 in Multiple Myeloma Patients
Official Title
A Phase 1 Study of Autologous Memory-like Natural Killer (NK) Cell Immunotherapy With BHV-1100 (Formerly KP1237) and IVIG Followed by Low Dose IL-2 as Early Post-Autologous Transplant Consolidation in Minimal Residual Disease Positive, Multiple Myeloma (MM) Patients in First or Second Remission
Study Type
Interventional
2. Study Status
Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
October 21, 2021 (Actual)
Primary Completion Date
October 2025 (Anticipated)
Study Completion Date
October 2026 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biohaven Pharmaceuticals, Inc.
Collaborators
Dana-Farber Cancer Institute
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is an open-label single center Phase 1a/1b study with the primary objective of establishing the safety and exploring the efficacy of infusing the ex vivo combination product of cytokine induced memory-like (CIML) NK cells plus KP1237 and low dose IL-2 in newly diagnosed MM patients who have minimal residual disease (MRD+) in first remission prior to autologous stem cell transplant (ASCT).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma
Keywords
Cell Therapy, CIML NK cell therapy, cytokine induced memory-like natural killer cell therapy, immunotherapy, antibody-dependent cell-mediated cytotoxicity, ADCC, CD38 positive, CD38+, plasma cells, multiple myeloma, hematological malignancies
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
25 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Newly diagnosed multiple myeloma patients
Arm Type
Experimental
Arm Description
Newly diagnosed MM patients who have minimal residual disease (MRD+) in first remission prior to autologous stem cell transplant (ASCT)
Intervention Type
Combination Product
Intervention Name(s)
CIML NK Cells plus KP1237 and low dose IL-2
Intervention Description
Single dose infusion of CIML NK Cells plus KP1237 followed by low dose IL-2
Primary Outcome Measure Information:
Title
Dose limiting toxicities following Combination Product dministration
Time Frame
100 days post Combination Product administration
Title
Incidence and severity of side effects related to the Combination Product
Time Frame
100 days post Combination Product administration
Secondary Outcome Measure Information:
Title
Rate of MRD conversion from positive to negative
Time Frame
90-100 days post-ASCT
Title
Rate of MRD conversion from positive to negative
Time Frame
1 year post-ASCT
Title
Rate of MRD conversion from positive to negative during the maintenance phase
Time Frame
Start of maintenance therapy 90-100 days post ASCT until disease progression (approximately 2-3 years)
Title
Rate of PFS
Time Frame
1 year post Combination Product administration
Title
Rate of OS
Time Frame
1 years post Combination Product administration
Title
Best overall response rate per the International Myeloma Working Group (IMWG) Uniform Response Criteria for Multiple Myeloma
Time Frame
90-100 days post-ASCT, 1 year post-ASCT, and overall during maintenance phase (approximately 3 years)
Title
Incidence and severity of cytokine release syndrome per ASBMT consensus grading
Time Frame
100 days post Combination Product administration
Title
Incidence and severity of other Immune-related toxicities by CTCAE version 5.0
Time Frame
100 days post Combination Product administration
Title
PK of the KP1237 by determining plasma Cmax
Time Frame
4 days post Combination Product administration
Title
PK of the KP1237 by determining plasma Cmin
Time Frame
4 days post Combination Product administration
Title
PK of the KP1237 by determining plasma AUC
Time Frame
4 days post Combination Product administration
Title
PK of the KP1237 by determining plasma t1/2
Time Frame
4 days post Combination Product administration
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Had measurable disease according to Standard Diagnostic Criteria at the time of initial Multiple Myeloma diagnosis
Meets criteria for symptomatic multiple myeloma at the time of induction chemotherapy
Is transplant eligible based on clinician judgement
Willing to undergo ASCT in first remission
Achieve partial response or better with induction chemotherapy prior to ASCT according to the International Myeloma Working Group (IMWG) Uniform Response Criteria for Multiple Myeloma
Be MRD+ disease upon restaging prior to stem cell collection and ASCT
Eastern Cooperative Oncology Group (EGOG) performance status score of less than 2
Life expectancy greater than six months
Have no evidence of active or decompensated heart failure, no recent history (past 6 months) acute myocardial infarction, no evidence of severe valvular disease and must have a LVEF over 50% at the time of transplant evaluation
Adequate kidney function
No evidence of moderate/severe restrictive or obstructive lung disease at the time of transplant evaluation
Adequate bone marrow function
Be willing to undergo CD34+ cell collection for stem cell transplant
Be willing to undergo leukapherisis
Adequate hepatic function
If of child-bearing potential, be willing to follow birth control and pregnancy testing practice as recommended
Be willing to undergo bone marrow aspirate and biopsy as per treatment plan
Exclusion Criteria:
Prior autologous or allogeneic hematopoietic stem cell transplant
Prior cellular therapies, including NK cell therapy
Prior treatment with monoclonal antibodies
Prior treatment with melphalan
Prior treatment with immunosuppressive or immunomodulatory agents within 30 days of enrollment
Disease progression at the time of enrollment
History of plasma cell leukemia at any time prior to enrollment
Patients seropositive for the human immunodeficiency virus (HIV)
Uncontrolled, Hepatitis C Virus or Hepatitis B Virus infection
Patient receiving other investigational or anti-myeloma drugs within 30 days of enrollment
Patients with active clinically significant autoimmune diseases
Patients with active, clinically significant cancer other than multiple myeloma
Patients with neurological conditions that make difficult the assessment of neurologic toxicity of the Combination Product
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Chief Medical Officer
Phone
203-404-0410
Email
clinicaltrials@biohavenpharma.com
Facility Information:
Facility Name
Dana Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Giada Bianchi, MD
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Autologous Memory-like NK Cell Therapy With BHV-1100 (Formerly KP1237), Low Dose IL-2 in Multiple Myeloma Patients
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