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A Study of CC-99712, a BCMA Antibody-Drug Conjugate, in Participants With Relapsed and Refractory Multiple Myeloma

Primary Purpose

Multiple Myeloma

Status
Active
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
CC-99712
BMS-986405
Sponsored by
Celgene
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Myeloma focused on measuring Multiple Myeloma, Relapsed and refractory, CC-99712, BCMA, Antibody drug conjugate, BMS-986405

Eligibility Criteria

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

Participants must satisfy the following criteria to be enrolled in the study:

Inclusion

  • Participant is ≥ 18 years of age at the time of signing the ICF.
  • Participant has a history of multiple myeloma (MM) with relapsed and/or refractory disease
  • Participant must have measurable disease.
  • Participant has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1.

Exclusion Criteria

  • Participant has symptomatic central nervous system involvement of MM.
  • Participant had a prior autologous stem cell transplant ≤ 3 months prior to starting CC-99712.
  • Participant had a prior allogeneic stem cell transplant with either standard or reduced intensity conditioning ≤ 6 months prior to starting CC-99712 or is on systemic immunosuppression for graft-versus host disease.
  • Subject is a pregnant or lactating female.
  • Subject has known human immunodeficiency virus (HIV) infection.
  • Subject has active hepatitis B or C (HBV/HCV) infection.

Other protocol-defined inclusion/exclusion criteria apply

Sites / Locations

  • Local Institution - 107
  • Local Institution - 105
  • Local Institution - 103
  • Local Institution - 106
  • Local Institution - 101
  • Local Institution - 104
  • Local Institution - 102
  • Local Institution - 202
  • Local Institution - 201
  • Institut Paoli Calmettes
  • CHU Montpellier - Hôpital Saint Eloi
  • Hopital Saint Antoine
  • Centre Hospitalier Lyon Sud
  • Local Institution - 501
  • Local Institution - 405
  • Local Institution - 401
  • Local Institution - 402
  • Local Institution - 404
  • Local Institution - 403

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Arm 1 (CC-99712 monotherapy)

Arm 2 (CC-99712 and BMS-986405 combination)

Arm Description

CC-99712 will be administered via intravenous (IV) infusion.

CC-99712 will be administered via IV infusion. BMS-986405 will be administered orally.

Outcomes

Primary Outcome Measures

Adverse Events (AEs)
Number of participants with adverse event
Maximum Tolerated Dose (MTD) in participants with relapsed and refractory MM
Is defined as the highest dose that causes DLTs in no more than 33% of patient population during the first cycle of treatment.
Dose Limiting Toxicity (DLT) in participants with relapsed and refractory MM
Is defined as any of the following toxicities occurring within the DLT assessment window

Secondary Outcome Measures

Overall Response Rate (ORR)
Is defined as the proportion of participants who achieve a partial response or better (eg, Partial response (PR), Very good partial response (VGPR), Complete response (CR) or sCR), according to IMWG response criteria.
Time to Response
Is defined as the time from the first CC-99712 dose date to the date of first documented response (PR or better).
Duration of Response
Is defined as the time from the earliest date of documented response (≥ PR) to the first documented disease progression or death, whichever occurs first.
Progression-free Survival (PFS)
Is defined as the time from the first dose of CC-99712 to progressive disease (PD) or death from any cause, whichever occurs first.
Overall Survival (OS)
Is defined as the time from the first dose of CC-99712 to death from any cause.
Pharmacokinetics- Cmax
Maximum plasma concentration of drug
Pharmacokinetics- Tmax
Time to peak (maximum) serum concentration
Pharmacokinetics- AUC(TAU)
Area under the serum concentration time-curve
Pharmacokinetics- CLT
Total body clearance of the drug from the serum
Pharmacokinetics- Ctrough
Lowest concentration of drug immediately prior to administration of the next dose
Presence and frequency of ADA using a validated bridging immunoassay with electrochemiluminescence detection
Anti-CC-99712 antibodies

Full Information

First Posted
July 25, 2019
Last Updated
October 3, 2023
Sponsor
Celgene
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1. Study Identification

Unique Protocol Identification Number
NCT04036461
Brief Title
A Study of CC-99712, a BCMA Antibody-Drug Conjugate, in Participants With Relapsed and Refractory Multiple Myeloma
Official Title
A Phase 1, Multicenter, Open-label, Dose Finding Study of CC-99712, a BCMA Antibody-Drug Conjugate, in Subjects With Relapsed and Refractory Multiple Myeloma
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
August 26, 2019 (Actual)
Primary Completion Date
April 23, 2024 (Anticipated)
Study Completion Date
April 23, 2024 (Anticipated)

3. Sponsor/Collaborators

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

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
Study CC-99712-MM-001 is an open-label, Phase 1, dose escalation (Part A) and expansion (Part B), First-in-Human (FIH) clinical study of CC-99712 in monotherapy or combination with BMS-986405 in participants with relapsed and refractory multiple myeloma (MM). The dose escalation part (Part A) of the study will evaluate the safety and tolerability of escalating doses of CC-99712, administered intravenously (IV) in monotherapy (Arm 1) or combination with BMS-986405 (Arm 2), to determine the maximum tolerated dose (MTD) of CC-99712 guided by a Bayesian logistic regression model (BLRM). A modified accelerated titration design will also be used for Arm 1 and Arm 2. The MTD may be established separately for CC-99712 administered at Q3W and/ or Q4W schedules. The expansion part (Part B) will further evaluate the safety and efficacy of CC-99712 in monotherapy (Arm 1) or combination (Arm 2) administered at or below the MTD in selected expansion cohorts in order to determine the RP2D. One or more doses or dosing regimens may be selected for cohort expansion. All participants will be treated until confirmed disease progression per IMWG criteria, unacceptable toxicity, or participants//Investigator decision to withdraw.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma
Keywords
Multiple Myeloma, Relapsed and refractory, CC-99712, BCMA, Antibody drug conjugate, BMS-986405

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Arm 1 (CC-99712 monotherapy)
Arm Type
Experimental
Arm Description
CC-99712 will be administered via intravenous (IV) infusion.
Arm Title
Arm 2 (CC-99712 and BMS-986405 combination)
Arm Type
Experimental
Arm Description
CC-99712 will be administered via IV infusion. BMS-986405 will be administered orally.
Intervention Type
Drug
Intervention Name(s)
CC-99712
Intervention Description
CC-99712
Intervention Type
Drug
Intervention Name(s)
BMS-986405
Other Intervention Name(s)
GSI (Gamma secretase inhibitor)
Intervention Description
BMS-986405
Primary Outcome Measure Information:
Title
Adverse Events (AEs)
Description
Number of participants with adverse event
Time Frame
From enrollment until at least 42 days after completion of study treatment
Title
Maximum Tolerated Dose (MTD) in participants with relapsed and refractory MM
Description
Is defined as the highest dose that causes DLTs in no more than 33% of patient population during the first cycle of treatment.
Time Frame
Up to 28 days
Title
Dose Limiting Toxicity (DLT) in participants with relapsed and refractory MM
Description
Is defined as any of the following toxicities occurring within the DLT assessment window
Time Frame
Up to 28 days
Secondary Outcome Measure Information:
Title
Overall Response Rate (ORR)
Description
Is defined as the proportion of participants who achieve a partial response or better (eg, Partial response (PR), Very good partial response (VGPR), Complete response (CR) or sCR), according to IMWG response criteria.
Time Frame
Up to 3 years
Title
Time to Response
Description
Is defined as the time from the first CC-99712 dose date to the date of first documented response (PR or better).
Time Frame
Up to 3 years
Title
Duration of Response
Description
Is defined as the time from the earliest date of documented response (≥ PR) to the first documented disease progression or death, whichever occurs first.
Time Frame
Up to 3 years
Title
Progression-free Survival (PFS)
Description
Is defined as the time from the first dose of CC-99712 to progressive disease (PD) or death from any cause, whichever occurs first.
Time Frame
Up to 3 years
Title
Overall Survival (OS)
Description
Is defined as the time from the first dose of CC-99712 to death from any cause.
Time Frame
Up to 3 years
Title
Pharmacokinetics- Cmax
Description
Maximum plasma concentration of drug
Time Frame
Up to 3 years
Title
Pharmacokinetics- Tmax
Description
Time to peak (maximum) serum concentration
Time Frame
Up to 3 years
Title
Pharmacokinetics- AUC(TAU)
Description
Area under the serum concentration time-curve
Time Frame
Up to 3 years
Title
Pharmacokinetics- CLT
Description
Total body clearance of the drug from the serum
Time Frame
Up to 3 years
Title
Pharmacokinetics- Ctrough
Description
Lowest concentration of drug immediately prior to administration of the next dose
Time Frame
Up to 3 years
Title
Presence and frequency of ADA using a validated bridging immunoassay with electrochemiluminescence detection
Description
Anti-CC-99712 antibodies
Time Frame
Up to 3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Participants must satisfy the following criteria to be enrolled in the study: Inclusion Participant is ≥ 18 years of age at the time of signing the ICF. Participant has a history of multiple myeloma (MM) with relapsed and/or refractory disease Participant must have measurable disease. Participant has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1. Exclusion Criteria Participant has symptomatic central nervous system involvement of MM. Participant had a prior autologous stem cell transplant ≤ 3 months prior to starting CC-99712. Participant had a prior allogeneic stem cell transplant with either standard or reduced intensity conditioning ≤ 6 months prior to starting CC-99712 or is on systemic immunosuppression for graft-versus host disease. Subject is a pregnant or lactating female. Subject has known human immunodeficiency virus (HIV) infection. Subject has active hepatitis B or C (HBV/HCV) infection. Other protocol-defined inclusion/exclusion criteria apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bristol-Myers Squibb
Organizational Affiliation
Bristol-Myers Squibb
Official's Role
Study Director
Facility Information:
Facility Name
Local Institution - 107
City
La Jolla
State/Province
California
ZIP/Postal Code
92093
Country
United States
Facility Name
Local Institution - 105
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34232
Country
United States
Facility Name
Local Institution - 103
City
Buffalo
State/Province
New York
ZIP/Postal Code
14263
Country
United States
Facility Name
Local Institution - 106
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Local Institution - 101
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
Local Institution - 104
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
Local Institution - 102
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Facility Name
Local Institution - 202
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada
Facility Name
Local Institution - 201
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H1T 2M4
Country
Canada
Facility Name
Institut Paoli Calmettes
City
Marseille Cedex 9
ZIP/Postal Code
13273
Country
France
Facility Name
CHU Montpellier - Hôpital Saint Eloi
City
Montpellier CEDEX 5
ZIP/Postal Code
34295
Country
France
Facility Name
Hopital Saint Antoine
City
Paris
ZIP/Postal Code
75571
Country
France
Facility Name
Centre Hospitalier Lyon Sud
City
Pierre Bénite
ZIP/Postal Code
69495
Country
France
Facility Name
Local Institution - 501
City
Bologna
ZIP/Postal Code
40138
Country
Italy
Facility Name
Local Institution - 405
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Local Institution - 401
City
Madrid
ZIP/Postal Code
28041
Country
Spain
Facility Name
Local Institution - 402
City
Salamanca
ZIP/Postal Code
37007
Country
Spain
Facility Name
Local Institution - 404
City
Sevillla
ZIP/Postal Code
41013
Country
Spain
Facility Name
Local Institution - 403
City
Valencia
ZIP/Postal Code
46026
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Information relating to our policy on data sharing and the process for requesting data can be found at the following link: https://www.celgene.com/research-development/clinical-trials/clinical-trials-data-sharing/
IPD Sharing Time Frame
See Plan Description
IPD Sharing Access Criteria
See Plan Description
IPD Sharing URL
https://www.bms.com/researchers-and-partners/clinical-trials-and-research/disclosure-commitment.html
Links:
URL
https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
Description
BMS Clinical Trial Information
URL
https://www.bmsstudyconnect.com/s/US/English/USenHome
Description
BMS Clinical Trial Patient Recruiting
URL
https://www.fda.gov/Safety/MedWatch/SafetyInformation/default.htm
Description
FDA Safety Alerts and Recalls

Learn more about this trial

A Study of CC-99712, a BCMA Antibody-Drug Conjugate, in Participants With Relapsed and Refractory Multiple Myeloma

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