A Ph1/2 Study of EMB-06 in Participants With Relapsed or Refractory Myeloma
Primary Purpose
Relapsed or Refractory Multiple Myeloma
Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
EMB-06
Sponsored by
About this trial
This is an interventional treatment trial for Relapsed or Refractory Multiple Myeloma focused on measuring Phase I/II, Bispecific antibody, BCMA, CD3, EMB-06, Immuno-oncology, Dose escalation, Cohort expansion, Relapsed or Refractory Multiple Myeloma, Hematological malignancy
Eligibility Criteria
Inclusion Criteria:
- Willing and able to provide written informed consent.
- Patients who have been diagnosed with multiple myeloma according to IMWG diagnostic criteria 2014 and have relapsed or refractory multiple myeloma with at least one measurable lesion.
- The patient must have received at least two lines (for patients in the US, at least three lines which should include anti-CD38 antibody) of prior antimyeloma therapies, and must have received treatment with proteasome inhibitors, immunomodulatory agents, and if accessible, an anti-CD38 targeting monoclonal antibody.
- ECOG performance status 0 or 1 for phase I, and ≤2 for phase II.
- Adequate organ function and reasonable laboratory test results to participate in the trial.
- Highly effective contraception
Exclusion Criteria:
- Life expectancy is less than 3 months.
- Patient participated in any other clinical study within 1 month prior to enrollment in this clinical study.
- Patients with ongoing AE.
- Previously treated with any BCMA-targeted therapy.(Exception: in Phase 2 portion, partial patients who have received prior anti-BCMA ADC or BCMA targeted CAR-T can be enrolled)
- History of allogeneic stem cell transplantation.
Previously treated with the following anti-tumor therapy (prior to first dosing of EMB-06)
- Treated with monoclonal antibody for multiple myeloma within 28 days
- Treated with proteasome inhibitors within 14 days
- Treated with immunomodulatory agents within 14 days
- Treated with cytotoxic therapy within 14 days
- Received investigational drug within 28 days or at least 5 half-lives, whichever is shorter (if a, b, c, d not applicable)
- Received radiotherapy within 21 days. Except that the radiation portal covered ≤ 5% of the bone marrow reserve, the patient will be eligible to participate in the study regardless of the end date of radiation therapy
- Plasmapheresis within 7 days
- Patient received autologous stem cell transplantation within 12 weeks prior to the start of study treatment.
- Active or historically multiple myeloma related central nervous system involvement.
- Patients requiring high dose of systemic treatment with corticosteroids.
- Patients with active infections, including COVID-19, hepatitis, etc..
- History of severe allergic reactions
- Patients with severe or uncontrolled cardiovascular disorder requiring treatment
- Pre-existing other serious medical conditions
Sites / Locations
- Sunshine Coast Haematology and Oncology Clinic (SCHOC)Recruiting
- Cabrini Health
- Epworth HealthcareRecruiting
- One Clinical Research (OCR)Recruiting
- Beijing Jishuitan HospitalRecruiting
- Ruijin Hospital, Shanghai Jiaotong University School of MedicineRecruiting
- Peking University, Third HospitalRecruiting
- Guangdong Provincial People's HospitalRecruiting
- The First Affiliated Hospital of Zhejiang University School of MedicineRecruiting
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyRecruiting
- Henan Cancer HospitalRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
EMB-06
Arm Description
In Phase I part: participants enrolled at different time will receive EMB-06 by IV infusion at different ascending dose levels. In Phase II part: participants will receive EMB-06 by IV infusion at previously defined RP2D.
Outcomes
Primary Outcome Measures
Incidence and severity of adverse events
Incidence and severity of AE.
Incidence of serious adverse events (SAE)
Incidence of SAE
Incidence of dose interruptions.
Incidence of dose interruptions of EMB-06 during treatment as a measure of tolerability.
Dose intensity
Actual amount of drug taken by patients divided by the planned amount.
The incidence of DLTs during treatment.
The Dose Limiting Toxicities (DLTs) are based on drug related adverse events and are specifically defined in study protocol.
Overall Response Rate (ORR)
Measured by IMWG criteria, only applicable in Phase II part
Secondary Outcome Measures
Area under the serum concentration-time curve (AUC) of EMB-06.
Blood samples for serum PK analysis will be obtained (AUC).
Maximum serum concentration (Cmax) of EMB-06.
Blood samples for serum PK analysis will be obtained (Cmax).
Trough concentration (Ctrough) of EMB-06.
Blood samples for serum PK analysis will be obtained (Ctrough).
Average concentration over a dosing interval (Css, avg) of EMB-06.
Blood samples for serum PK analysis will be obtained (Css, avg).
Terminal half-life (T1/2) of EMB-06.
Blood samples for serum PK analysis will be obtained (T1/2).
Systemic clearance (CL) of EMB-06.
Blood samples for serum PK analysis will be obtained (CL).
Steady state volume of distribution (Vss) of EMB-06.
Blood samples for serum PK analysis will be obtained (Vss).
Progression free survival (PFS) of EMB-06 as assessed by IMWG criteria.
Preliminary anti-multiple myeloma activity of EMB-06 will be obtained (PFS).
Duration of response of EMB-06 as assessed by IMWG criteria
Preliminary anti-multiple myeloma activity of EMB-06 will be obtained (DOR).
Incidence and titer of anti-drug antibodies stimulated by EMB-06.
Antibodies to EMB-06 will be assessed to evaluate potential immunogenicity.
Full Information
NCT ID
NCT04735575
First Posted
January 28, 2021
Last Updated
August 31, 2023
Sponsor
Shanghai EpimAb Biotherapeutics Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT04735575
Brief Title
A Ph1/2 Study of EMB-06 in Participants With Relapsed or Refractory Myeloma
Official Title
A First-in-human, Phase I/II, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of EMB-06 in Patients With Relapsed or Refractory Multiple Myeloma
Study Type
Interventional
2. Study Status
Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
May 20, 2021 (Actual)
Primary Completion Date
December 1, 2023 (Anticipated)
Study Completion Date
March 1, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai EpimAb Biotherapeutics Co., Ltd.
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
The primary purpose of this study is to identify the recommended Phase 2 dose(s) (RP2Ds) and schedule assessed to be safe for EMB-06 and to characterize the safety and tolerability of EMB-06 at the RP2Ds. Pharmacokinetics (PK), immunogenicity, and the anti-multiple myeloma activity of EMB-06 will also be assessed.
Detailed Description
This is a Phase I/II, multi-center, open label, multiple-dose, first in human study, designed to assess safety and tolerability, and to identify the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) for EMB-06 in patients with relapsed or refractory multiple myeloma. Pharmacokinetics, pharmacodynamics, immunogenicity, and response will also be assessed.
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
Phase I/II, Bispecific antibody, BCMA, CD3, EMB-06, Immuno-oncology, Dose escalation, Cohort expansion, Relapsed or Refractory Multiple Myeloma, Hematological malignancy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Model Description
Dose escalation followed by Cohort Expansion Phase at the RP2D.
Masking
None (Open Label)
Allocation
N/A
Enrollment
66 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
EMB-06
Arm Type
Experimental
Arm Description
In Phase I part: participants enrolled at different time will receive EMB-06 by IV infusion at different ascending dose levels.
In Phase II part: participants will receive EMB-06 by IV infusion at previously defined RP2D.
Intervention Type
Biological
Intervention Name(s)
EMB-06
Intervention Description
EMB-06 is a FIT-Ig® bispecific antibody against BCMA and CD3.
Primary Outcome Measure Information:
Title
Incidence and severity of adverse events
Description
Incidence and severity of AE.
Time Frame
Screening up to follow-up (30 days after the last dose)
Title
Incidence of serious adverse events (SAE)
Description
Incidence of SAE
Time Frame
Screening up to follow-up (30 days after the last dose)
Title
Incidence of dose interruptions.
Description
Incidence of dose interruptions of EMB-06 during treatment as a measure of tolerability.
Time Frame
Screening up to follow-up (30 days after the last dose)
Title
Dose intensity
Description
Actual amount of drug taken by patients divided by the planned amount.
Time Frame
Screening up to follow-up (30 days after the last dose)
Title
The incidence of DLTs during treatment.
Description
The Dose Limiting Toxicities (DLTs) are based on drug related adverse events and are specifically defined in study protocol.
Time Frame
First infusion to the end of Cycle 1 (each cycle is 28 days)
Title
Overall Response Rate (ORR)
Description
Measured by IMWG criteria, only applicable in Phase II part
Time Frame
From the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, expected average 6 months
Secondary Outcome Measure Information:
Title
Area under the serum concentration-time curve (AUC) of EMB-06.
Description
Blood samples for serum PK analysis will be obtained (AUC).
Time Frame
Through treatment until EOT visit, expected average 6 months
Title
Maximum serum concentration (Cmax) of EMB-06.
Description
Blood samples for serum PK analysis will be obtained (Cmax).
Time Frame
Through treatment until EOT visit, expected average 6 months
Title
Trough concentration (Ctrough) of EMB-06.
Description
Blood samples for serum PK analysis will be obtained (Ctrough).
Time Frame
Through treatment until EOT visit, expected average 6 months
Title
Average concentration over a dosing interval (Css, avg) of EMB-06.
Description
Blood samples for serum PK analysis will be obtained (Css, avg).
Time Frame
Through treatment until EOT visit, expected average 6 months
Title
Terminal half-life (T1/2) of EMB-06.
Description
Blood samples for serum PK analysis will be obtained (T1/2).
Time Frame
Through treatment until EOT visit, expected average 6 months
Title
Systemic clearance (CL) of EMB-06.
Description
Blood samples for serum PK analysis will be obtained (CL).
Time Frame
Through treatment until EOT visit, expected average 6 months
Title
Steady state volume of distribution (Vss) of EMB-06.
Description
Blood samples for serum PK analysis will be obtained (Vss).
Time Frame
Through treatment until EOT visit, expected average 6 months
Title
Progression free survival (PFS) of EMB-06 as assessed by IMWG criteria.
Description
Preliminary anti-multiple myeloma activity of EMB-06 will be obtained (PFS).
Time Frame
From the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, expected average 6 months
Title
Duration of response of EMB-06 as assessed by IMWG criteria
Description
Preliminary anti-multiple myeloma activity of EMB-06 will be obtained (DOR).
Time Frame
From the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, expected average 6 months
Title
Incidence and titer of anti-drug antibodies stimulated by EMB-06.
Description
Antibodies to EMB-06 will be assessed to evaluate potential immunogenicity.
Time Frame
Up to End of Treatment Follow Up Period (30 days after the last dose)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Able to understand and willing to sign the informed consent form (ICF)
Patients who have been diagnosed with multiple myeloma according to IMWG diagnostic criteria 2014 and have relapsed or refractory multiple myeloma with at least one measurable lesion.
The patient must have received at least two lines (for patients in the US, at least three lines which should include anti-CD38 antibody) of prior antimyeloma therapies, and must have received treatment with proteasome inhibitors, immunomodulatory agents, and if accessible, an anti-CD38 targeting monoclonal antibody.
ECOG performance status 0 or 1 for phase I, and ≤2 for phase II.
Adequate organ function and reasonable laboratory test results to participate in the trial.
Highly effective contraception
Exclusion Criteria:
Life expectancy is less than 3 months.
Patient participated in any other clinical study within 1 month prior to enrollment in this clinical study.
Patients with ongoing AE.
Previously treated with any BCMA-targeted therapy.(Exception: in Phase 2 portion, up to 10 patients who have received prior anti-BCMA ADC or BCMA targeted CAR-T can be enrolled)
History of allogeneic stem cell transplantation.
Previously treated with the following anti-tumor therapy (prior to first dosing of EMB-06)
Treated with monoclonal antibody for multiple myeloma within 28 days
Treated with proteasome inhibitors within 14 days
Treated with immunomodulatory agents within 14 days
Treated with cytotoxic therapy within 14 days
Received investigational drug within 28 days or at least 5 half-lives, whichever is shorter (if a, b, c, d not applicable)
Received radiotherapy within 21 days. Except that the radiation portal covered ≤ 5% of the bone marrow reserve, the patient will be eligible to participate in the study regardless of the end date of radiation therapy
Plasmapheresis within 7 days
Patient received autologous stem cell transplantation within 12 weeks prior to the start of study treatment.
Active or historically multiple myeloma related central nervous system involvement.
Patients requiring high dose of systemic treatment with corticosteroids.
Patients with active infections, including COVID-19, hepatitis, etc..
History of severe allergic reactions
Patients with severe or uncontrolled cardiovascular disorder requiring treatment
Pre-existing other serious medical conditions
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Shuqi Zeng
Phone
+8618621781427
Email
shqzeng@epimab.com
First Name & Middle Initial & Last Name or Official Title & Degree
Zhongqi Wu
Phone
+8613501633946
Ext
+8613501633946
Email
zqwu@epimab.com
Facility Information:
Facility Name
Sunshine Coast Haematology and Oncology Clinic (SCHOC)
City
Buderim
State/Province
Queensland
ZIP/Postal Code
4556
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Susan Poechhacker, RN
Phone
+617 5456 5515
Email
spoechha@usc.edu.au
First Name & Middle Initial & Last Name & Degree
Sorab Shavaksha, MBBS
Facility Name
Cabrini Health
City
Melbourne
State/Province
Victoria
Country
Australia
Individual Site Status
Withdrawn
Facility Name
Epworth Healthcare
City
Richmond
State/Province
Victoria
ZIP/Postal Code
3121
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elena Bayly-McCredie, RN
Phone
+613 9483 6041
Email
Elena.Bayly-McCredie@epworth.org.au
First Name & Middle Initial & Last Name & Degree
Miles Prince, FRACP
Facility Name
One Clinical Research (OCR)
City
Nedlands
State/Province
Western Australia
ZIP/Postal Code
6009
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Samantha Blades, RN
Phone
+618 6279 9466
Email
samantha.blades@oneclinicalresearch.com.au
First Name & Middle Initial & Last Name & Degree
Scott McGregor, BPharm
Phone
+618 6279 9466
Email
scott.mcgregor@oneclinicalresearch.com.au
First Name & Middle Initial & Last Name & Degree
Peter Tan, FRACP
Facility Name
Beijing Jishuitan Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100035
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Li Bao
Facility Name
Ruijin Hospital, Shanghai Jiaotong University School of Medicine
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200020
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jianqing Mi
Facility Name
Peking University, Third Hospital
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hongmei Jing
Facility Name
Guangdong Provincial People's Hospital
City
Guangzhou
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Peilong Lai
Facility Name
The First Affiliated Hospital of Zhejiang University School of Medicine
City
Hangzhou
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhen Cai
Facility Name
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
City
Wuhan
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chunrui Li
Facility Name
Henan Cancer Hospital
City
Zhengzhou
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Qingsong Yin
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Ph1/2 Study of EMB-06 in Participants With Relapsed or Refractory Myeloma
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