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A Study Evaluating the Safety and Pharmacokinetics of Escalating Doses of Forimtamig in Participants With Relapsed or Refractory Multiple Myeloma (r/r MM)

Primary Purpose

Multiple Myeloma

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Forimtamig
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Myeloma

Eligibility Criteria

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

Inclusion Criteria:

  • Previously diagnosed with Multiple Myeloma (MM) based on standard criteria.
  • Dose Escalation Phase and Dose Expansion Phase: Participants with r/r MM who have previously received therapy with an Immunomodulatory drug (IMiD) and Proteasome Inhibitor (PI) and are intolerant to or have no other option for standard-of-care treatment according to the Investigator.
  • Life expectancy of at least 12 weeks.
  • Agreement to provide protocol-specific biopsy material.
  • AEs from prior anti-cancer therapy resolved to Grade =<1.
  • Measurable disease.
  • For female participants of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse), use contraceptive measures and refrain from donating eggs.
  • For male participants: agreement to remain abstinent (refrain from heterosexual intercourse), use contraceptive measures and refrain from donating sperm.

Exclusion Criteria:

  • Inability to comply with protocol-mandated hospitalization and activities restrictions.
  • Pregnant or breastfeeding, or intending to become pregnant during the study or within 3 months after the last dose of study drug.
  • Prior use of any monoclonal antibody, radioimmunoconjugate, or antibody-drug conjugate for MM treatment within 2 weeks before first RO7425781 administration.
  • Prior treatment with systemic immunotherapeutic agents within 2 weeks before first RO7425781 administration.
  • Treatment-related, immune-mediated AEs associated with prior immunotherapeutic agents.
  • Treatment with radiotherapy, any chemotherapeutic agent, or treatment with any other anti-cancer agent (investigational or otherwise) within 2 weeks, prior to first RO7425781 administration. Limited field palliative radiotherapy for bone pain or for soft tissue lesions is allowed.
  • Autologous or allogeneic stem cell transplantation (SCT) within 100 days prior to first RO7425781 infusion and/or signs of chronic graft versus host disease or ongoing immunosuppressive medication.
  • Prior solid organ transplantation.
  • Active auto-immune disease or flare within 6 months prior to start of study treatment
  • Any medical condition or abnormality in clinical laboratory tests that, in the Investigator's or Medical Monitor's judgment, precludes the participant's safe participation in and completion of the study, or which could affect compliance with the protocol or interpretation of results.

Sites / Locations

  • Peter MacCallum Cancer CenterRecruiting
  • UZ GentRecruiting
  • Rigshospitalet; Hæmatologisk Klinik, Klinisk Afprøvnings Team KATRecruiting
  • CHRU Lille - Hôpital Claude Huriez; Service des Maladies du SangRecruiting
  • CHU NANTES - Hôtel Dieu; Service d'Hematologie Clinique
  • Hopital De Haut Leveque; Hematologie Clinique
  • IRCCS Istituto Nazionale dei Tumori di Napoli - Pascale Ematologia OncologicaRecruiting
  • Policlinico S.Orsola-Malpighi;Istituto di Ematologia "Seragnoli"Recruiting
  • Fond. IRCCS Istituto Nazionale Tumori; S. C. EmatologiaRecruiting
  • Instituto Clinico Humanitas; Med Onc & HematRecruiting
  • Seoul National University HospitalRecruiting
  • Asan Medical Center
  • Hospital Universitario Marques de Valdecilla; Servicio de Hematologia
  • Clinica Universitaria de Navarra; Servicio de HematologiaRecruiting
  • Hospital Clinico Universitario de Salamanca;Servicio de HematologiaRecruiting
  • University College London Hospitals NHS Foundation Trust; NIHR UCLH Clinical Research FacilityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Part I: Dose Escalation

Part II: Dose Expansion

Arm Description

Participants will receive forimtamig as intravenous (IV) infusion and/or subcutaneous (SC) injection in a step-up dosing fashion.

Dose Expansion cohorts with IV and/or SC administration, respectively, will be initiated at the Recommended Phase 2 Doses (RP2Ds) determined in Part I: Dose Escalation phase.

Outcomes

Primary Outcome Measures

Percentage of Participants with Adverse Events (AEs)
Percentage of Participants with Dose Limiting Toxicities (DLTs)

Secondary Outcome Measures

Objective Response Rate (ORR)
Duration of Response (DOR)
Progression-Free Survival (PFS)
Overall Survival (OS)
Percentage of Participants with Anti-Drug Antibodies (ADAs) to Forimtamig
Maximum Concentration (Cmax) of Forimtamig
Time of Maximum Concentration (Tmax) of Forimtamig
Minimum Concentration (Cmin) of Forimtamig
SC Bioavailability (F) of Forimtamig
Apparent Clearance (CL/F) of Forimtamig
Volume of Distribution at Steady State (Vss) of Forimtamig (IV only)
Area Under the Curve (AUC) at Various Time Intervals of Forimtamig

Full Information

First Posted
September 17, 2020
Last Updated
October 3, 2023
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT04557150
Brief Title
A Study Evaluating the Safety and Pharmacokinetics of Escalating Doses of Forimtamig in Participants With Relapsed or Refractory Multiple Myeloma (r/r MM)
Official Title
An Open-Label, Multicenter, Phase I Study Evaluating the Safety and Pharmacokinetics of Escalating Doses of Forimtamig (RO7425781) in Participants With Relapsed or Refractory Multiple Myeloma
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 11, 2020 (Actual)
Primary Completion Date
August 15, 2026 (Anticipated)
Study Completion Date
August 15, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a first-in-human, open-label, uncontrolled, multi-center, monotherapy, dose-escalation and dose expansion study. Forimtamig will be administered to participants with r/r MM for whom no standard-of-care treatment exists or who are intolerant to those established therapies. The study consists of two parts: dose-escalation of forimtamig (Part 1) and a randomized dose expansion of forimtamig (Part 2).

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
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
480 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part I: Dose Escalation
Arm Type
Experimental
Arm Description
Participants will receive forimtamig as intravenous (IV) infusion and/or subcutaneous (SC) injection in a step-up dosing fashion.
Arm Title
Part II: Dose Expansion
Arm Type
Experimental
Arm Description
Dose Expansion cohorts with IV and/or SC administration, respectively, will be initiated at the Recommended Phase 2 Doses (RP2Ds) determined in Part I: Dose Escalation phase.
Intervention Type
Drug
Intervention Name(s)
Forimtamig
Other Intervention Name(s)
RO7425781
Intervention Description
Forimtamig will be administered via IV/SC administration. The RP2Ds determined during Part I: Dose Escalation will be administered during Part II: Dose Expansion. Forimtamig will be administered as per the dosing schedule defined in Part I.
Primary Outcome Measure Information:
Title
Percentage of Participants with Adverse Events (AEs)
Time Frame
Up to 104 weeks
Title
Percentage of Participants with Dose Limiting Toxicities (DLTs)
Time Frame
Cycle 1 Day 1 up to Cycle 1 Day 35
Secondary Outcome Measure Information:
Title
Objective Response Rate (ORR)
Time Frame
Up to 104 weeks
Title
Duration of Response (DOR)
Time Frame
Up to 104 weeks
Title
Progression-Free Survival (PFS)
Time Frame
Up to 104 weeks
Title
Overall Survival (OS)
Time Frame
Up to 104 weeks
Title
Percentage of Participants with Anti-Drug Antibodies (ADAs) to Forimtamig
Time Frame
Up to 104 weeks
Title
Maximum Concentration (Cmax) of Forimtamig
Time Frame
Up to 104 weeks
Title
Time of Maximum Concentration (Tmax) of Forimtamig
Time Frame
Up to 104 weeks
Title
Minimum Concentration (Cmin) of Forimtamig
Time Frame
Up to 104 weeks
Title
SC Bioavailability (F) of Forimtamig
Time Frame
Up to 104 weeks
Title
Apparent Clearance (CL/F) of Forimtamig
Time Frame
Up to 104 weeks
Title
Volume of Distribution at Steady State (Vss) of Forimtamig (IV only)
Time Frame
Up to 104 weeks
Title
Area Under the Curve (AUC) at Various Time Intervals of Forimtamig
Time Frame
Up to 104 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Previously diagnosed with Multiple Myeloma (MM) based on standard criteria. Dose Escalation Phase and Dose Expansion Phase: Participants with r/r MM who have previously received therapy with an Immunomodulatory drug (IMiD) and Proteasome Inhibitor (PI) and are intolerant to or have no other option for standard-of-care treatment according to the Investigator. Life expectancy of at least 12 weeks. Agreement to provide protocol-specific biopsy material. AEs from prior anti-cancer therapy resolved to Grade =<1. Measurable disease. For female participants of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse), use contraceptive measures and refrain from donating eggs. For male participants: agreement to remain abstinent (refrain from heterosexual intercourse), use contraceptive measures and refrain from donating sperm. Exclusion Criteria: Inability to comply with protocol-mandated hospitalization and activities restrictions. Pregnant or breastfeeding, or intending to become pregnant during the study or within 3 months after the last dose of study drug. Prior use of any monoclonal antibody, radioimmunoconjugate, or antibody-drug conjugate for MM treatment within 2 weeks before first forimtamig administration. Prior treatment with systemic immunotherapeutic agents within 2 weeks before first forimtamig administration. Treatment-related, immune-mediated AEs associated with prior immunotherapeutic agents. Treatment with radiotherapy, any chemotherapeutic agent, or treatment with any other anti-cancer agent (investigational or otherwise) within 2 weeks, prior to first forimtamig administration. Limited field palliative radiotherapy for bone pain or for soft tissue lesions is allowed. Autologous or allogeneic stem cell transplantation (SCT) within 100 days prior to first forimtamig infusion and/or signs of chronic graft versus host disease or ongoing immunosuppressive medication. Prior solid organ transplantation. Active auto-immune disease or flare within 6 months prior to start of study treatment Any medical condition or abnormality in clinical laboratory tests that, in the Investigator's or Medical Monitor's judgment, precludes the participant's safe participation in and completion of the study, or which could affect compliance with the protocol or interpretation of results.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Reference Study ID Number: BP42233 https://forpatients.roche.com/
Phone
888-662-6728 (U.S. and Canada)
Email
global-roche-genentech-trials@gene.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
Facility Name
Peter MacCallum Cancer Center
City
North Melbourne
State/Province
Victoria
ZIP/Postal Code
3051
Country
Australia
Individual Site Status
Recruiting
Facility Name
UZ Gent
City
Gent
ZIP/Postal Code
9000
Country
Belgium
Individual Site Status
Recruiting
Facility Name
Rigshospitalet; Hæmatologisk Klinik, Klinisk Afprøvnings Team KAT
City
København Ø
ZIP/Postal Code
2100
Country
Denmark
Individual Site Status
Recruiting
Facility Name
CHRU Lille - Hôpital Claude Huriez; Service des Maladies du Sang
City
Lille
ZIP/Postal Code
59037
Country
France
Individual Site Status
Recruiting
Facility Name
CHU NANTES - Hôtel Dieu; Service d'Hematologie Clinique
City
Nantes
ZIP/Postal Code
44093
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Hopital De Haut Leveque; Hematologie Clinique
City
Pessac
ZIP/Postal Code
33604
Country
France
Individual Site Status
Active, not recruiting
Facility Name
IRCCS Istituto Nazionale dei Tumori di Napoli - Pascale Ematologia Oncologica
City
Napoli
State/Province
Campania
ZIP/Postal Code
80131
Country
Italy
Individual Site Status
Recruiting
Facility Name
Policlinico S.Orsola-Malpighi;Istituto di Ematologia "Seragnoli"
City
Bologna
State/Province
Emilia-Romagna
ZIP/Postal Code
40138
Country
Italy
Individual Site Status
Recruiting
Facility Name
Fond. IRCCS Istituto Nazionale Tumori; S. C. Ematologia
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20133
Country
Italy
Individual Site Status
Recruiting
Facility Name
Instituto Clinico Humanitas; Med Onc & Hemat
City
Rozzano
State/Province
Lombardia
ZIP/Postal Code
20089
Country
Italy
Individual Site Status
Recruiting
Facility Name
Seoul National University Hospital
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Asan Medical Center
City
Seoul
ZIP/Postal Code
05505
Country
Korea, Republic of
Individual Site Status
Withdrawn
Facility Name
Hospital Universitario Marques de Valdecilla; Servicio de Hematologia
City
Santander
State/Province
Cantabria
ZIP/Postal Code
39008
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Clinica Universitaria de Navarra; Servicio de Hematologia
City
Pamplona
State/Province
Navarra
ZIP/Postal Code
31008
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Clinico Universitario de Salamanca;Servicio de Hematologia
City
Salamanca
ZIP/Postal Code
37007
Country
Spain
Individual Site Status
Recruiting
Facility Name
University College London Hospitals NHS Foundation Trust; NIHR UCLH Clinical Research Facility
City
London
ZIP/Postal Code
W1T 7HA
Country
United Kingdom
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).

Learn more about this trial

A Study Evaluating the Safety and Pharmacokinetics of Escalating Doses of Forimtamig in Participants With Relapsed or Refractory Multiple Myeloma (r/r MM)

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