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A Study of ARRY-520 and Bortezomib Plus Dexamethasone in Patients With Relapsed/Refractory Multiple Myeloma

Primary Purpose

Multiple Myeloma, Plasma Cell Leukemia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ARRY-520, KSP(Eg5) inhibitor; intravenous
Bortezomib, proteasome inhibitor; intravenous or subcutaneous
Dexamethasone, steroid; oral
Filgrastim, granulocyte-colony stimulating factor (G-CSF); subcutaneous
ARRY-520, KSP(Eg5) inhibitor; intravenous
Bortezomib, proteasome inhibitor; intravenous or subcutaneous
Filgrastim, granulocyte-colony stimulating factor (G-CSF); subcutaneous
Sponsored by
Array Biopharma, now a wholly owned subsidiary of Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Myeloma, Plasma Cell Leukemia focused on measuring relapsed multiple myeloma, plasma cell dyscrasia, plasmacytoma, kinesin spindle protein, anti-mitotic

Eligibility Criteria

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

Key Inclusion Criteria (Part 1 and Part 2):

  • Confirmed relapsed or refractory MM (measurable disease) or PCL.
  • Prior treatment regimens for Part 1: Patients should have received at least 2 prior treatment regimens. Prior treatment must have included at least one full cycle of a proteasome inhibitor (e.g., bortezomib or carfilzomib) and at least one full cycle of an IMiD (e.g., thalidomide, lenalidomide or pomalidomide).
  • Prior treatment regimens for Part 2: Patients should have received 1 to 3 prior treatment regimens. Prior treatment could have included bortezomib only if the disease was not refractory to treatment with bortezomib (refractory defined as documented progression on therapy or within 60 days of completing treatment with bortezomib).
  • The disease should have progressed per IMWG criteria during or after the last prior treatment regimen.
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1.
  • Adequate hematology laboratory values without transfusion support and without hematological growth factor support within 2 weeks of screening.
  • Adequate liver and renal function.
  • Additional criteria exist.

Key Exclusion Criteria (Part 1 and Part 2):

  • Primary amyloidosis.
  • Peripheral neuropathy ≥ Grade 2 or neuropathy with pain, regardless of grade.
  • Concomitant malignancies or previous malignancies with less than a 3-year disease free interval at the time of enrollment (patients with adequately resected basal or squamous cell carcinoma of the skin, carcinoma in situ of the cervix or Stage A low grade prostate cancer may enroll irrespective of the time of diagnosis).
  • Autologous or allogeneic stem cell or bone marrow transplant within 3 months prior to first dose of study drug.
  • Treatment with an investigational medicinal product or device within 28 days prior to first dose of study drug.
  • Cytotoxic therapy or monoclonal antibodies within 21 days prior to first dose of study drug.
  • Radiotherapy within 21 days prior to first dose of study drug (if the radiation portal covered ≤ 5% of the bone marrow reserve, the patient may be enrolled irrespective of the end date of radiotherapy).
  • Major surgery within 14 days and minor surgery within 7 days prior to first dose of study drug.
  • Corticosteroid doses > 10 mg/day of prednisone or equivalent within 14 days prior to first dose of study drug.
  • Known positive serology for the human immunodeficiency virus (HIV), hepatitis B and/or active hepatitis C.
  • Additional criteria exist.

Sites / Locations

  • Clearview Cancer Institute
  • Arizona Clinical Research Center, Inc.
  • City of Hope
  • Emory University, Winship Cancer Institute
  • Associates in Oncology/Hematology
  • University of Michigan Comprehensive Cancer Center
  • Karmanos Cancer Institute
  • NYU Cancer Center
  • Mount Sinai Medical Center
  • Charleston Hematology Oncology Associates
  • The Jones Clinic
  • Vanderbilt-Ingram Cancer Center
  • Baylor Charles A. Sammons Cancer Center at Dallas

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

ARRY-520 (Schedule 1) + bortezomib + G-CSF

ARRY-520 (Schedule 1) + bortezomib + dexamethasone + G-CSF

ARRY-520 (Schedule 2) + bortezomib + dexamethasone + G-CSF

Arm Description

Outcomes

Primary Outcome Measures

Characterize the safety profile of the study drug in combination with bortezomib ± dexamethasone + G-CSF in terms of adverse events, clinical laboratory tests and electrocardiograms.
Establish the maximum tolerated dose (MTD) of the study drug in combination with bortezomib ± dexamethasone + G-CSF.
Assess the efficacy of study drug in combination with bortezomib ± dexamethasone + G-CSF in terms of best overall response

Secondary Outcome Measures

Assess the efficacy of study drug in combination with bortezomib ± dexamethasone + G-CSF in terms of duration of response, time to progression, treatment-free interval and time to next treatment.
Characterize the safety profile of the study drug in combination with bortezomib ± dexamethasone + G-CSF in terms of adverse events, clinical laboratory tests and electrocardiograms.
Assess the pharmacokinetic (PK) drug interactions between ARRY-520 and bortezomib in terms of plasma concentration-time profiles.

Full Information

First Posted
November 24, 2010
Last Updated
September 28, 2020
Sponsor
Array Biopharma, now a wholly owned subsidiary of Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT01248923
Brief Title
A Study of ARRY-520 and Bortezomib Plus Dexamethasone in Patients With Relapsed/Refractory Multiple Myeloma
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
December 2010 (undefined)
Primary Completion Date
March 2016 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Array Biopharma, now a wholly owned subsidiary of Pfizer

4. Oversight

5. Study Description

Brief Summary
This is a Phase 1 study during which patients with relapsed or refractory multiple myeloma (MM) or plasma cell leukemia (PCL) will receive investigational study drug ARRY-520 and bortezomib, with or without dexamethasone, with granulocyte-colony stimulating factor (G-CSF) support. This study has 2 parts. In the first part, patients will receive increasing doses of study drug (2 dosing schedules will be evaluated) in combination with (1) bortezomib with G-CSF support or (2) bortezomib and dexamethasone with G-CSF support, in order to achieve the highest dose of study drug possible that will not cause unacceptable side effects. Approximately 45 patients from the US will be enrolled in Part 1 (Active, not recruiting). In the second part of this study, patients will receive the best dose(s) and schedule(s) of study drug, in combination with bortezomib ± dexamethasone + G-CSF, determined from the first part of the study and will be followed to see what side effects the combination causes and what effectiveness the combination has, if any, in treating the cancer. Approximately 42 patients from the US will be enrolled in Part 2 (Active, not recruiting).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma, Plasma Cell Leukemia
Keywords
relapsed multiple myeloma, plasma cell dyscrasia, plasmacytoma, kinesin spindle protein, anti-mitotic

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
ARRY-520 (Schedule 1) + bortezomib + G-CSF
Arm Type
Experimental
Arm Title
ARRY-520 (Schedule 1) + bortezomib + dexamethasone + G-CSF
Arm Type
Experimental
Arm Title
ARRY-520 (Schedule 2) + bortezomib + dexamethasone + G-CSF
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
ARRY-520, KSP(Eg5) inhibitor; intravenous
Intervention Description
Part 1: multiple dose, escalating; Part 2: multiple dose, single schedule.
Intervention Type
Drug
Intervention Name(s)
Bortezomib, proteasome inhibitor; intravenous or subcutaneous
Intervention Description
Part 1: standard of care; Part 2: standard of care determined in Part 1.
Intervention Type
Drug
Intervention Name(s)
Dexamethasone, steroid; oral
Intervention Description
Part 1: standard of care; Part 2: standard of care determined in Part 1.
Intervention Type
Drug
Intervention Name(s)
Filgrastim, granulocyte-colony stimulating factor (G-CSF); subcutaneous
Intervention Description
Part 1: standard of care; Part 2: standard of care.
Intervention Type
Drug
Intervention Name(s)
ARRY-520, KSP(Eg5) inhibitor; intravenous
Intervention Description
Part 1: multiple dose, escalating
Intervention Type
Drug
Intervention Name(s)
Bortezomib, proteasome inhibitor; intravenous or subcutaneous
Intervention Description
Part 1: standard of care
Intervention Type
Drug
Intervention Name(s)
Filgrastim, granulocyte-colony stimulating factor (G-CSF); subcutaneous
Intervention Description
Part 1: standard of care
Primary Outcome Measure Information:
Title
Characterize the safety profile of the study drug in combination with bortezomib ± dexamethasone + G-CSF in terms of adverse events, clinical laboratory tests and electrocardiograms.
Time Frame
Part 1
Title
Establish the maximum tolerated dose (MTD) of the study drug in combination with bortezomib ± dexamethasone + G-CSF.
Time Frame
Part 1
Title
Assess the efficacy of study drug in combination with bortezomib ± dexamethasone + G-CSF in terms of best overall response
Time Frame
Part 2
Secondary Outcome Measure Information:
Title
Assess the efficacy of study drug in combination with bortezomib ± dexamethasone + G-CSF in terms of duration of response, time to progression, treatment-free interval and time to next treatment.
Time Frame
Part 1 and Part 2
Title
Characterize the safety profile of the study drug in combination with bortezomib ± dexamethasone + G-CSF in terms of adverse events, clinical laboratory tests and electrocardiograms.
Time Frame
Part 2
Title
Assess the pharmacokinetic (PK) drug interactions between ARRY-520 and bortezomib in terms of plasma concentration-time profiles.
Time Frame
Part 2

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria (Part 1 and Part 2): Confirmed relapsed or refractory MM (measurable disease) or PCL. Prior treatment regimens for Part 1: Patients should have received at least 2 prior treatment regimens. Prior treatment must have included at least one full cycle of a proteasome inhibitor (e.g., bortezomib or carfilzomib) and at least one full cycle of an IMiD (e.g., thalidomide, lenalidomide or pomalidomide). Prior treatment regimens for Part 2: Patients should have received 1 to 3 prior treatment regimens. Prior treatment could have included bortezomib only if the disease was not refractory to treatment with bortezomib (refractory defined as documented progression on therapy or within 60 days of completing treatment with bortezomib). The disease should have progressed per IMWG criteria during or after the last prior treatment regimen. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1. Adequate hematology laboratory values without transfusion support and without hematological growth factor support within 2 weeks of screening. Adequate liver and renal function. Additional criteria exist. Key Exclusion Criteria (Part 1 and Part 2): Primary amyloidosis. Peripheral neuropathy ≥ Grade 2 or neuropathy with pain, regardless of grade. Concomitant malignancies or previous malignancies with less than a 3-year disease free interval at the time of enrollment (patients with adequately resected basal or squamous cell carcinoma of the skin, carcinoma in situ of the cervix or Stage A low grade prostate cancer may enroll irrespective of the time of diagnosis). Autologous or allogeneic stem cell or bone marrow transplant within 3 months prior to first dose of study drug. Treatment with an investigational medicinal product or device within 28 days prior to first dose of study drug. Cytotoxic therapy or monoclonal antibodies within 21 days prior to first dose of study drug. Radiotherapy within 21 days prior to first dose of study drug (if the radiation portal covered ≤ 5% of the bone marrow reserve, the patient may be enrolled irrespective of the end date of radiotherapy). Major surgery within 14 days and minor surgery within 7 days prior to first dose of study drug. Corticosteroid doses > 10 mg/day of prednisone or equivalent within 14 days prior to first dose of study drug. Known positive serology for the human immunodeficiency virus (HIV), hepatitis B and/or active hepatitis C. Additional criteria exist.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
Clearview Cancer Institute
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35805
Country
United States
Facility Name
Arizona Clinical Research Center, Inc.
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85715
Country
United States
Facility Name
City of Hope
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Facility Name
Emory University, Winship Cancer Institute
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Associates in Oncology/Hematology
City
Rockville
State/Province
Maryland
ZIP/Postal Code
20850
Country
United States
Facility Name
University of Michigan Comprehensive Cancer Center
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Karmanos Cancer Institute
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
NYU Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Mount Sinai Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Charleston Hematology Oncology Associates
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29414
Country
United States
Facility Name
The Jones Clinic
City
Germantown
State/Province
Tennessee
ZIP/Postal Code
38138
Country
United States
Facility Name
Vanderbilt-Ingram Cancer Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37212
Country
United States
Facility Name
Baylor Charles A. Sammons Cancer Center at Dallas
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Study of ARRY-520 and Bortezomib Plus Dexamethasone in Patients With Relapsed/Refractory Multiple Myeloma

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