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A Study of Modakafusp Alfa on Adult Participants With Relapsed/Refractory Multiple Myeloma (iinnovate-1)

Primary Purpose

Multiple Myeloma

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Modakafusp alfa
Dexamethasone
Sponsored by
Takeda
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Myeloma focused on measuring Drug Therapy

Eligibility Criteria

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

Inclusion Criteria:

For Parts 1 and 2:

1. Has MM defined by the IMWG criteria with evidence of disease progression and:

  • In need of additional myeloma therapy as determined by the investigator.
  • Has previously received at least 3 lines of myeloma therapy (for example, containing an Immunomodulatory imide drug [IMiD], a proteasome inhibitor [PI], an alkylating agent, and/or an anti-CD38 as single agents or in combination).
  • Is either refractory to or intolerant of at least 1 PI and a least 1 IMiD.

For Part 3:

  1. Has MM defined by the IMWG criteria with evidence of disease progression and:

    • In need of additional myeloma therapy as determined by the investigator.
    • Has previously received at least 3 lines of myeloma therapy.
    • Is refractory to at least 1 IMiD (ie, lenalidomide or pomalidomide [thalidomide excluded]), at least 1 PI (ie, bortezomib, ixazomib, or carfilzomib), and refractory to at least 1 anti-CD38 antibody (ie, daratumumab or isatuximab) and has demonstrated disease progression with the last therapy. Participants who are primary refractory, meaning they never achieved at least a MR with any previous treatment line, are not eligible.
  2. For participants in Part 2 and 3 only: Measurable disease is defined as :

    1. Serum M-protein ≥500 mg/dL (≥5 g/L)
    2. Urine M-protein ≥200 mg/24 hours.
    3. Serum free light chain (FLC) assay, with involved FLC level ≥10 mg/dL (≥100 mg/L) provided serum FLC ratio is abnormal.
  3. During Part 1 only, participants not meeting the above criteria for measurable disease should, at least, have measurable bone marrow plasmacytosis (greater than or equal to [≥ ] 10 percent [%]) and/or plasmacytoma (≥1 centimeter [cm] in diameter) detected by physical examination or imaging.
  4. Eastern Cooperative Oncology Group (ECOG) performance status of ≤2.

Exclusion Criteria:

For Parts 1 and 2:

  1. Has polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes (POEMS) syndrome, monoclonal gammopathy of unknown significance, smoldering myeloma, solitary plasmacytoma, amyloidosis, Waldenstrom macroglobulinemia or immunoglobulin M (IgM) myeloma, or lymphoplasmacytic lymphoma (LPL).
  2. Who have received autologous stem cell transplant (SCT) 60 days before first infusion of modakafusp alfa or participants who have received allogeneic SCT 6 months before first infusion. Graft-versus-host disease that is active or requires ongoing systemic immunosuppression.
  3. Has not recovered from adverse reactions to prior myeloma treatment or procedures (chemotherapy, immunotherapy, radiation therapy) to NCI CTCAE less than or equal to (≤) Grade 1 or baseline, except for sensory or motor neuropathy which should have recovered to ≤ Grade 2 or baseline.
  4. Has clinical signs of central nervous system involvement of MM.

For Part 3:

  • Hepatitis B virus (HBV) or hepatitis C virus (HCV) infection. Seropositive for hepatitis B (defined by a positive test for hepatitis B surface antigen [HBsAg]. Participants with resolved infection (that is, participants who are HBsAg negative but positive for antibodies to hepatitis B core antigen [anti-HBc] and/or antibodies to hepatitis B surface antigen [anti-HBs]) must be screened using real-time polymerase chain reaction (PCR) measurement of HBV DNA levels. Those who are PCR positive will be excluded.
  • In addition to the above criteria, participants must not have plasma cell leukemia or have had primary refractory MM, current central nervous system involvement of MM, myelodysplastic syndrome, myeloproliferative syndrome, or have had a second malignancy within the previous 3 years, except treated basal cell or localized squamous skin carcinomas, localized prostate cancer, cervical carcinoma in situ, resected colorectal adenomatous polyps, breast cancer in situ, or other malignancy for which the participant is not on active anticancer therapy.

Sites / Locations

  • Highlands Oncology Group
  • Los Angeles Cancer Network - Glendale Adventist Medical Center
  • University of California Irvine
  • Office of James R. Berenson MD
  • Smilow Cancer Hospital at Yale New Haven
  • Winship Cancer Institute of Emory University
  • Northwestern Medicine - Northwestern Medical Group
  • Loyola University Medical Center
  • Investigative Clinical Research of Indiana, LLC
  • June E. Nylen Cancer Center
  • Johns Hopkins Hospital
  • Boston Medical Center
  • Dana Farber Cancer InstituteRecruiting
  • Univeristy of Nebraska Medical CenterRecruiting
  • USOR - Comprehensive Cancer Centers of Nevada - Central Valley
  • John Theurer Cancer Center
  • Montefiore Medical Center
  • University of Rochester
  • Levine Cancer CenterRecruiting
  • Levine Cancer Institute - Concord
  • Duke University Medical Center
  • Gabrail Cancer Center
  • The Ohio State UniversityRecruiting
  • Oregon Health and Science University
  • University of PennsylvaniaRecruiting
  • Baptist Cancer Center - Memphis - Walnut Grove
  • Lumi Research
  • British Columbia Cancer Agency Vancouver Centre
  • Juravinski Cancer Centre
  • Centre de Recherche du CHUM
  • Sir Mortimer B. Davis Jewish General Hospital
  • Peking University People's HospitalRecruiting
  • Peking University Third HospitalRecruiting
  • Sun Yat-Sen University Cancer CenterRecruiting
  • Henan Cancer HospitalRecruiting
  • Wuhan Union HospitalRecruiting
  • Zhongnan Hospital of Wuhan UniversityRecruiting
  • Nanjing Drum Tower HospitalRecruiting
  • The First Affiliated Hospital of Soochow University - Suzhou First People's HospitalRecruiting
  • Shanghai Fourth People's HospitalRecruiting
  • Tianjin Medical University Cancer Institute & HospitalRecruiting
  • The First Affiliated Hospital, Zhejiang UniversityRecruiting
  • Institut de cancerologie Strasbourg Europe
  • Centre Hospitalier Universitaire Henri Mondor
  • Hopital Saint-Antoine
  • Hopital Necker-Enfants Malades
  • Centre Hospitalier Universitaire de Toulouse Hopital Purpan
  • Hopital Saint-Vincent de Paul - Lille
  • Centre Hospitalier Regional Universitaire de Lille
  • Centre Hospitalier Universitaire Nantes - Hotel Dieu
  • Centre Hospitalier Universitaire de Poitiers
  • Centre Hospitalier d'Argenteuil - Centre Hospitalier Victor Dupouy
  • Universitatsklinik Tubingen
  • Universitatsklinikum Leipzig
  • Evaggelismos General Hospital
  • Alexandra General Hospital of Athens
  • University Regional General Hospital of Patras
  • The Chaim Sheba Medical Center
  • Hadassah Medical Center
  • Tel Aviv Sourasky Medical Center
  • AON SS Antonio e Biagio e Cesare Arrigo
  • Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona
  • Azienda Ospedaliero-Universitaria di Bologna - Policlinico Sant'Orsola-Malpighi
  • Azienda Ospedaliero - Universitaria Policlinico - Vittorio Emanuele
  • Fondazione IRCCS Policlinico San Matteo
  • Nagoya City University HospitalRecruiting
  • Ogaki Municipal HospitalRecruiting
  • University Hospital Kyoto Prefectural University of MedicineRecruiting
  • National Hospital Organization Okayama Medical CenterRecruiting
  • Japanese Red Cross Medical CenterRecruiting
  • Chonnam National University Hwasun Hospital
  • Seoul National University Hospital
  • The Catholic University of Korea - Seoul St. Mary's Hospital
  • Oslo Universitetssykehus-Ulleval Hospital
  • Ad-Vance Medical Research
  • Hospital Espanol Auxilio Mutuo
  • Hospital Universitari Germans Trias i Pujol
  • Hospital Universitari Vall d'Hebron
  • Hospital Clinic de Barcelona
  • Hospital Universitario 12 de Octubre
  • Hospital Universitario Virgen de la Arrixaca
  • Hospital Universitario de Salamanca
  • Hospital Universitario Marques de Valdecilla
  • Tri-Service General Hospital
  • National Taiwan University Hospital
  • Ankara Universitesi
  • Ondokuz Mayis Universitesi Tp Fakultesi
  • University Hospitals Birmingham NHS Foundation Trust
  • Royal Cornwall Hospital NHS Trust
  • University College London Hospitals NHS Foundation Trust
  • Genesis Care - Milton Keynes
  • Oxford University Hospitals NHS Foundation Trust
  • The Royal Marsden NHS Foundation Trust
  • Genesis Care Windsor - Genesis Care UK Ltd.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Part 1 (Dose Escalation) Schedule A: Modakafusp alfa 0.001 Up to 14 mg/kg

Part 1 (Dose Escalation) Schedule B: Modakafusp alfa TBD

Part 1 (Dose Escalation) Schedule C: Modakafusp alfa TBD

Part 1 (Dose Escalation) Schedule D: Modakafusp alfa TBD

Part 2 (Dose Expansion): Modakafusp alfa TBD + Dexamethasone 40 mg

Part 3 (Dose Extension): Modakafusp alfa 120 mg

Part 3 (Dose Extension): Modakafusp alfa 240 mg

Arm Description

Modakafusp alfa 0.001 up to 14 milligram per kilogram (mg/kg), infusion, intravenously (IV), once every week (Q1W) on Days 1, 8, 15 and 22 of each 28-day treatment cycle up to 2 cycles, followed by once on Days 1 and 15 of each 28-day treatment cycle up to 4 cycles, followed by once on Day 1 of each 28-day treatment cycle until treatment discontinuation.

Modakafusp alfa TBD, infusion, IV, once every 2 weeks (Q2W) on Days 1 and 15 of each 28-day treatment cycle until treatment discontinuation. The starting dose will be decided by the investigators and sponsor representatives based on all available clinical information.

Modakafusp alfa TBD, infusion, IV, once every 3 weeks (Q3W) on Day 1 of each 21-day treatment cycle until treatment discontinuation. The starting dose will be decided by the investigators and sponsor representatives based on all available clinical information.

Modakafusp alfa TBD, infusion, IV, once every 4 weeks (Q4W) on Day 1 of each 28-day treatment cycle until treatment discontinuation. The starting dose will be decided by the investigators and sponsor representatives based on all available clinical information.

Dose(s) for Phase 2 will be based on safety and tolerability results from the preceding Phase 1 dose escalation cohorts. Participants in Phase 2 cohorts will receive modakafusp alfa TBD as a single agent. Participants in at least 1 cohort will receive modakafusp alfa TBD and modakafusp alfa TBD and dexamethasone 40 mg, orally, once weekly of each 28-day treatment cycle until treatment discontinuation.

Participants will receive modakafusp alfa 120 mg, infusion, IV, Q4W, for each 28-day treatment cycle until disease progression or treatment discontinuation.

Participants will receive modakafusp alfa 240 mg, infusion, IV, Q4W, for each 28-day treatment cycle until disease progression or treatment discontinuation.

Outcomes

Primary Outcome Measures

Part 1: Percentage of Participants Reporting one or More Treatment Emergent Adverse Events (TEAEs)
An adverse event (AE) is defined as any untoward medical occurrence in a participants administered a pharmaceutical product; the untoward medical occurrence does not necessarily have a causal relationship with this treatment. A TEAE is defined as any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug and within 30 days of the last administration of study drug.
Part 1: Percentage of Participants With Dose-limiting Toxicities (DLTs)
DLTs will be evaluated as per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 5.0. Nonhematologic TEAEs of NCI CTCAE Grade ≥3 clearly unrelated to the underlying disease and occurring during the first cycle will be considered DLTs.
Part 1: Percentage of Participants Reporting one or More Grade 3 TEAEs
TEAEs Grades will be evaluated as per NCI CTCAE, Version 5.0. Grade 1 scaled as Mild; Grade 2 scaled as Moderate; Grade 3 scaled as severe or medically significant but not immediately life-threatening; Grade 4 scaled as life-threatening consequences; and Grade 5 scaled as death related to AE.
Part 1: Percentage of Participants Reporting one or More Serious Adverse Events (SAEs)
An SAE is defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.
Part 1: Percentage of Participants Who Discontinue the Treatment Because of TEAE
A TEAE is defined as any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug and within 30 days of the last administration of study drug.
Part 1: Percentage of Participants With Dose Modifications: Dose Delay
Part 1: Percentage of Participants With Dose Modifications: Dose Interruptions
Part 1: Percentage of Participants With Dose Modifications: Dose Reductions
Part 1: Percentage of Participants With Clinically Significant Laboratory Values
Laboratory values will include hematology, chemistry, and urine analysis.
Part 1: Percentage of Participants With Clinically Significant Vital Signs Measurements
Vital signs will include temperature, pulse, respiratory rate, oxygen saturation, and blood pressure.
Part 2: Overall Response Rate (ORR)
ORR is defined as the percentage of participants who achieved a partial response rate (PR) or better during the study as defined by International Myeloma Working Group (IMWG) Uniform Response Criteria.
Part 3: Overall Response Rate (ORR) Assessed by Independent Review Committee (IRC)
ORR is defined as the percentage of participants who achieved a PR or better during the study as defined by IMWG Uniform Response Criteria assessed by IRC.

Secondary Outcome Measures

Part 1 and 2: Percentage of Participants With Dose-limiting Toxicities (DLTs)- Like Events
Percentage of participants with TEAEs meeting DLT definition that occur after phase (P) 1 Cycle (C) 1 will be reported. Toxicity will be evaluated as per the NCI CTCAE, Version 5.0. The hematologic TEAEs of Grade ≥3 clearly unrelated to the underlying disease and occur during the first cycle that is considered DLTs: Grade ≥3 hemolysis; Grade 4 neutropenia for >7 consecutive days; Grade 4 thrombocytopenia for >14 consecutive days; Grade 3 thrombocytopenia with clinically significant bleeding; Any other Grade ≥4 hematologic toxicity except for Grade 4 lymphopenia. An incomplete recovery from treatment-related toxicity causing >2-week delay in the next scheduled infusion before the initiation of C2 will be considered a DLT. Frequencies and other TEAEs occur over the course of extended treatment with study drug, including dose modification, treatment discontinuation, and clinically significant laboratory values and vital signs.
Part 1: Cmax: Maximum Observed Serum Concentration for Modakafusp alfa
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Part 1: Tmax: Time to Reach the Cmax for Modakafusp alfa
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Part 1: AUC∞: Area Under the Serum Concentration-time Curve from Time 0 to Infinity for Modakafusp alfa
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Part 1: AUClast: Area Under the Serum Concentration-time Curve from Time 0 to the Time of the Last Quantifiable Concentration for Modakafusp alfa
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Part 1: λz: Terminal Disposition Rate Constant for Modakafusp alfa
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Part 1: T1/2: Terminal Elimination Half-life for Modakafusp alfa
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Part 1: CL: Clearance for Modakafusp alfa
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Part 1: Vss: Volume of Distribution at Steady State for Modakafusp alfa
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Parts 1, 2 and 3: Percentage of Participants with Positive Anti-drug Antibodies (ADA)
Part 1: Objective Response Rate (ORR)
ORR is defined as the percentage of participants who achieved a PR or better during the study as defined by IMWG Uniform Response Criteria.
Parts 1 and 2: Clinical Benefit Rate (CBR)
CBR is defined as the percentage of participants who achieved MR or better during the study as defined by IMWG Uniform Response Criteria.
Parts 1 and 2: Disease Control Rate (DCR)
DCR is defined as the percentage of participants who achieved a stable disease (SD) or better during the study as defined by IMWG Uniform Response Criteria.
Parts 1, 2 and 3: Duration of Response (DOR)
DOR is defined as the time from the date of first documentation of response PR or better to the time of disease progression or death, whichever occurs first.
Parts 1 and 2: Time to Response
Time to response is defined as the time from first dose to the date of first documentation of response (PR or better).
Parts 1, 2 and 3: Progression Free Survival (PFS)
PFS is defined as the time from the date of enrollment until the date of PD or death due to any cause, whichever occurs first as defined by IMWG Criteria.
Parts 2 and 3: Overall Survival (OS)
Part 2: Cmax: Maximum Observed Serum Concentration for Modakafusp alfa
Part 2: AUC∞: Area Under the Serum Concentration-time Curve from Time 0 to Infinity for Modakafusp alfa
Part 2: AUClast: Area Under the Serum Concentration-time Curve from Time 0 to the Time of the Last Quantifiable Concentration for Modakafusp alfa
Part 2: λz: Terminal Disposition Rate Constant for Modakafusp alfa
Part 2: Tmax: Time to Reach the Cmax for Modakafusp alfa
Part 2: CL: Clearance for Modakafusp alfa
Part 2: Vss: Volume of Distribution at Steady State for Modakafusp alfa
Part 2: T1/2z: Terminal Elimination Half-life for Modakafusp alfa
Part 3: Objective Response Rate (ORR) by Investigator Assessment
ORR is defined as the percentage of participants who achieved a PR or better during the study as defined by IMWG Uniform Response Criteria assessed by investigators.
Part 3: Clinical Benefit Rate (CBR) by IRC and Investigator assessment
CBR is defined as the percentage of participants who achieved MR or better during the study as defined by IMWG Uniform Response Criteria.
Part 3: Duration of Clinical Benefit
Duration of clinical benefit is defined as the time from first documented evidence of confirmed MR or better until the earliest date of a confirmed PD per IMWG, or death among patients who achieve a confirmed MR or better.
Part 3: Disease Control Rate (DCR) by IRC and Investigator Assessment
DCR is defined as the percentage of participants who achieved a stable disease (SD) or better during the study as defined by IMWG Uniform Response Criteria.
Part 3: Duration of Disease Control
Duration of disease control is defined as the time from first documented evidence of SD or better until the earliest date of a confirmed PD per IMWG, or death among patients who achieve a SD or better.
Part 3: Time to Progression (TTP) by IRC and Investigator Assessment
TTP is defined as the time from the date of the first dose until the earliest date of confirmed PD per IMWG, or death due to PD.
Part 3: Rate of Minimal Residual Disease (MRD) Negativity Status at a Sensitivity of 10^-5 in Participants Achieving CR
MRD negativity at a sensitivity of 10^-5 is defined as patients who are MRD negative at a sensitivity of 10^-5 in patients achieving suspected complete response (CR). CR is defined as negative immunofixation of serum and urine, disappearance of any soft tissue plasmacytomas, and <5% plasma cells in bone marrow; in participants for whom only measurable disease is by serum FLC level, normal FLC ratio of 0.26 to 1.65 in addition to CR criteria is required.
Part 3:Duration of MRD Negativity Status at a Sensitivity of 10^-5 in Participants Achieving CR
Duration of MRD negativity (10^-5) is defined as the time from the first MRD negative status (10^-5) to the earliest date of the MRD positive status (10^-5), confirmed PD per IMWG or death.
Part 3: Percentage of Participants With Adverse Events (AEs)
An adverse event (AE) is defined as any untoward medical occurrence in a participants administered a pharmaceutical product; the untoward medical occurrence does not necessarily have a causal relationship with this treatment.
Part 3: Percentage of Participants With Serious Adverse Events (SAEs)
An SAE is defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.
Part 3: Percentage of Participants With Clinically Significant Laboratory Values
Laboratory values will include hematology, chemistry, and urine analysis.
Part 3: Number of Participants With Eastern Cooperative Oncology Group (ECOG) Status
ECOG is a grade, where grade 0: Normal activity. Grade 1: Symptoms but ambulatory. Grade 2: In bed <50% of the time. Grade 3: In bed >50% of the time. Grade 4: 100% bedridden. Grade 5: Dead.
Part 3: Health Care Utilization: Length of Hospital Stays
Part 3: Percentage of Participants With Neutralizing Antibodies (NAb)
Part 3: Health Care Utilization: Number of Participants With at Least One Medical Encounter
Healthcare resources used during medical encounters included hospitalizations, emergency room stays, or outpatient visits.
Part 3: Patient-reported Outcome (PRO): Instrument European Organisation for Research and Treatment of Cancer QLQ Questionnaire Multiple Myeloma Module (EORTC QLQ-MY20)
The EORTC QLQ-MY20 has 20 items across 4 independent subscales, 2 functional subscales (body image and future perspective), and 2 symptoms scales (disease symptoms and side effects of treatment). The QLQ-MY20 raw scores are converted into scale scores ranging from 0 to 100. For the symptom scales, lower scores represent better functioning. All items in this questionnaire have a recall period of 1 week.

Full Information

First Posted
July 11, 2017
Last Updated
September 20, 2023
Sponsor
Takeda
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1. Study Identification

Unique Protocol Identification Number
NCT03215030
Brief Title
A Study of Modakafusp Alfa on Adult Participants With Relapsed/Refractory Multiple Myeloma
Acronym
iinnovate-1
Official Title
A Phase 1/2 Open-label Study to Investigate the Safety and Tolerability, Efficacy, Pharmacokinetics, and Immunogenicity of Modakafusp Alfa (TAK-573) as a Single Agent in Patients With Relapsed Refractory Multiple Myeloma
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
October 4, 2017 (Actual)
Primary Completion Date
March 19, 2024 (Anticipated)
Study Completion Date
September 3, 2024 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The main aims of this 3-part study are as follows: Part 1: To determine any side effects from modakafusp alfa single treatment and how often they occur. The dose of modakafusp alfa will be increased a little at a time until the highest dose that does not cause harmful side effects is found. Part 2: To assess clinical activity of one or more dosing schedules of modakafusp alfa alone in participants with relapsed/refractory multiple myeloma. Dexamethasone standard dose will be administered with one or more selected dose of modakafusp alfa in selected group of participants. Part 3: To find the optimal dose with the more favorable risk-benefit profile of modakafusp alfa. Participants will receive modakafusp alfa at one of two doses which will be given through a vein.
Detailed Description
The drug being tested in this study, and which will be given through a vein, is called modakafusp alfa (TAK-573 ) as single agent or in combination with dexamethasone. The study will determine the safety, tolerability, and efficacy of modakafusp alfa as single agent and in combination with dexamethasone in participants with relapsed/refractory multiple myeloma (RRMM). The study consists of 3 Parts: Part 1: Dose Escalation, Part 2: Dose Expansion, Part 3: Dose Extension The study will enroll approximately 65 participants in Part 1, 35 in Part 2, and 236 in Part 3. Participants will be assigned to one of the following treatment groups in Parts 1 and 2 of the study. Participants will be randomly assigned in Part 3 of the study as given below: Part 1 (Dose Escalation) Schedule A: Modakafusp alfa 0.001 Up to 14 mg/kg Part 1 (Dose Escalation) Schedule B: Modakafusp alfa TBD Part 1 (Dose Escalation) Schedule C: Modakafusp alfa TBD

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma
Keywords
Drug Therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
336 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part 1 (Dose Escalation) Schedule A: Modakafusp alfa 0.001 Up to 14 mg/kg
Arm Type
Experimental
Arm Description
Modakafusp alfa 0.001 up to 14 milligram per kilogram (mg/kg), infusion, intravenously (IV), once every week (Q1W) on Days 1, 8, 15 and 22 of each 28-day treatment cycle up to 2 cycles, followed by once on Days 1 and 15 of each 28-day treatment cycle up to 4 cycles, followed by once on Day 1 of each 28-day treatment cycle until treatment discontinuation.
Arm Title
Part 1 (Dose Escalation) Schedule B: Modakafusp alfa TBD
Arm Type
Experimental
Arm Description
Modakafusp alfa TBD, infusion, IV, once every 2 weeks (Q2W) on Days 1 and 15 of each 28-day treatment cycle until treatment discontinuation. The starting dose will be decided by the investigators and sponsor representatives based on all available clinical information.
Arm Title
Part 1 (Dose Escalation) Schedule C: Modakafusp alfa TBD
Arm Type
Experimental
Arm Description
Modakafusp alfa TBD, infusion, IV, once every 3 weeks (Q3W) on Day 1 of each 21-day treatment cycle until treatment discontinuation. The starting dose will be decided by the investigators and sponsor representatives based on all available clinical information.
Arm Title
Part 1 (Dose Escalation) Schedule D: Modakafusp alfa TBD
Arm Type
Experimental
Arm Description
Modakafusp alfa TBD, infusion, IV, once every 4 weeks (Q4W) on Day 1 of each 28-day treatment cycle until treatment discontinuation. The starting dose will be decided by the investigators and sponsor representatives based on all available clinical information.
Arm Title
Part 2 (Dose Expansion): Modakafusp alfa TBD + Dexamethasone 40 mg
Arm Type
Experimental
Arm Description
Dose(s) for Phase 2 will be based on safety and tolerability results from the preceding Phase 1 dose escalation cohorts. Participants in Phase 2 cohorts will receive modakafusp alfa TBD as a single agent. Participants in at least 1 cohort will receive modakafusp alfa TBD and modakafusp alfa TBD and dexamethasone 40 mg, orally, once weekly of each 28-day treatment cycle until treatment discontinuation.
Arm Title
Part 3 (Dose Extension): Modakafusp alfa 120 mg
Arm Type
Experimental
Arm Description
Participants will receive modakafusp alfa 120 mg, infusion, IV, Q4W, for each 28-day treatment cycle until disease progression or treatment discontinuation.
Arm Title
Part 3 (Dose Extension): Modakafusp alfa 240 mg
Arm Type
Experimental
Arm Description
Participants will receive modakafusp alfa 240 mg, infusion, IV, Q4W, for each 28-day treatment cycle until disease progression or treatment discontinuation.
Intervention Type
Drug
Intervention Name(s)
Modakafusp alfa
Other Intervention Name(s)
TAK-573, TEV-48573
Intervention Description
Modakafusp alfa intravenous infusion.
Intervention Type
Drug
Intervention Name(s)
Dexamethasone
Intervention Description
Dexamethasone.
Primary Outcome Measure Information:
Title
Part 1: Percentage of Participants Reporting one or More Treatment Emergent Adverse Events (TEAEs)
Description
An adverse event (AE) is defined as any untoward medical occurrence in a participants administered a pharmaceutical product; the untoward medical occurrence does not necessarily have a causal relationship with this treatment. A TEAE is defined as any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug and within 30 days of the last administration of study drug.
Time Frame
Up to approximately 90 months
Title
Part 1: Percentage of Participants With Dose-limiting Toxicities (DLTs)
Description
DLTs will be evaluated as per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 5.0. Nonhematologic TEAEs of NCI CTCAE Grade ≥3 clearly unrelated to the underlying disease and occurring during the first cycle will be considered DLTs.
Time Frame
Up to Cycle 1 (cycle length is 28 days for Schedule A, B and D; 21 days for Schedule C)
Title
Part 1: Percentage of Participants Reporting one or More Grade 3 TEAEs
Description
TEAEs Grades will be evaluated as per NCI CTCAE, Version 5.0. Grade 1 scaled as Mild; Grade 2 scaled as Moderate; Grade 3 scaled as severe or medically significant but not immediately life-threatening; Grade 4 scaled as life-threatening consequences; and Grade 5 scaled as death related to AE.
Time Frame
Up to approximately 90 months
Title
Part 1: Percentage of Participants Reporting one or More Serious Adverse Events (SAEs)
Description
An SAE is defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.
Time Frame
Up to approximately 90 months
Title
Part 1: Percentage of Participants Who Discontinue the Treatment Because of TEAE
Description
A TEAE is defined as any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug and within 30 days of the last administration of study drug.
Time Frame
Up to approximately 90 months
Title
Part 1: Percentage of Participants With Dose Modifications: Dose Delay
Time Frame
Up to approximately 90 months
Title
Part 1: Percentage of Participants With Dose Modifications: Dose Interruptions
Time Frame
Up to approximately 90 months
Title
Part 1: Percentage of Participants With Dose Modifications: Dose Reductions
Time Frame
Up to approximately 90 months
Title
Part 1: Percentage of Participants With Clinically Significant Laboratory Values
Description
Laboratory values will include hematology, chemistry, and urine analysis.
Time Frame
Up to approximately 90 months
Title
Part 1: Percentage of Participants With Clinically Significant Vital Signs Measurements
Description
Vital signs will include temperature, pulse, respiratory rate, oxygen saturation, and blood pressure.
Time Frame
Up to approximately 90 months
Title
Part 2: Overall Response Rate (ORR)
Description
ORR is defined as the percentage of participants who achieved a partial response rate (PR) or better during the study as defined by International Myeloma Working Group (IMWG) Uniform Response Criteria.
Time Frame
Up to approximately 90 months
Title
Part 3: Overall Response Rate (ORR) Assessed by Independent Review Committee (IRC)
Description
ORR is defined as the percentage of participants who achieved a PR or better during the study as defined by IMWG Uniform Response Criteria assessed by IRC.
Time Frame
Up to approximately 90 months
Secondary Outcome Measure Information:
Title
Part 1 and 2: Percentage of Participants With Dose-limiting Toxicities (DLTs)- Like Events
Description
Percentage of participants with TEAEs meeting DLT definition that occur after phase (P) 1 Cycle (C) 1 will be reported. Toxicity will be evaluated as per the NCI CTCAE, Version 5.0. The hematologic TEAEs of Grade ≥3 clearly unrelated to the underlying disease and occur during the first cycle that is considered DLTs: Grade ≥3 hemolysis; Grade 4 neutropenia for >7 consecutive days; Grade 4 thrombocytopenia for >14 consecutive days; Grade 3 thrombocytopenia with clinically significant bleeding; Any other Grade ≥4 hematologic toxicity except for Grade 4 lymphopenia. An incomplete recovery from treatment-related toxicity causing >2-week delay in the next scheduled infusion before the initiation of C2 will be considered a DLT. Frequencies and other TEAEs occur over the course of extended treatment with study drug, including dose modification, treatment discontinuation, and clinically significant laboratory values and vital signs.
Time Frame
Up to approximately 90 months
Title
Part 1: Cmax: Maximum Observed Serum Concentration for Modakafusp alfa
Description
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Time Frame
Schedule A Cycle(C)1-13,Day(D)1,8,15,22; Schedule B C1-13,D1,15; Schedule C C1-17,D1; Schedule D C1-13,D1: Pre-infusion and at multiple times post-infusion (cycle length is 28 days for Schedule A, B and D; 21 days for Schedule C)
Title
Part 1: Tmax: Time to Reach the Cmax for Modakafusp alfa
Description
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Time Frame
Schedule A Cycle(C)1-13,Day(D)1,8,15,22; Schedule B C1-13,D1,15; Schedule C C1-17,D1; Schedule D C1-13,D1: Pre-infusion and at multiple times post-infusion (cycle length is 28 days for Schedule A, B and D; 21 days for Schedule C)
Title
Part 1: AUC∞: Area Under the Serum Concentration-time Curve from Time 0 to Infinity for Modakafusp alfa
Description
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Time Frame
Schedule A Cycle(C)1-13,Day(D)1,8,15,22; Schedule B C1-13,D1,15; Schedule C C1-17,D1; Schedule D C1-13,D1: Pre-infusion and at multiple times post-infusion (cycle length is 28 days for Schedule A, B and D; 21 days for Schedule C)
Title
Part 1: AUClast: Area Under the Serum Concentration-time Curve from Time 0 to the Time of the Last Quantifiable Concentration for Modakafusp alfa
Description
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Time Frame
A Cycle(C)1-13,Day(D)1,8,15,22; Schedule B C1-13,D1,15; Schedule C C1-17,D1; Schedule D C1-13,D1: Pre-infusion and at multiple times post-infusion (cycle length is 28 days for Schedule A, B and D; 21 days for Schedule C)
Title
Part 1: λz: Terminal Disposition Rate Constant for Modakafusp alfa
Description
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Time Frame
Schedule A Cycle(C)1-13,Day(D)1,8,15,22; Schedule B C1-13,D1,15; Schedule C C1-17,D1; Schedule D C1-13,D1: Pre-infusion and at multiple times post-infusion (cycle length is 28 days for Schedule A, B and D; 21 days for Schedule C)
Title
Part 1: T1/2: Terminal Elimination Half-life for Modakafusp alfa
Description
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Time Frame
Schedule A Cycle(C)1-13,Day(D)1,8,15,22; Schedule B C1-13,D1,15; Schedule C C1-17,D1; Schedule D C1-13,D1: Pre-infusion and at multiple times post-infusion (cycle length is 28 days for Schedule A, B and D; 21 days for Schedule C)
Title
Part 1: CL: Clearance for Modakafusp alfa
Description
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Time Frame
Schedule A Cycle(C)1-13,Day(D)1,8,15,22; Schedule B C1-13,D1,15; Schedule C C1-17,D1; Schedule D C1-13,D1: Pre-infusion and at multiple times post-infusion (cycle length is 28 days for Schedule A, B and D; 21 days for Schedule C)
Title
Part 1: Vss: Volume of Distribution at Steady State for Modakafusp alfa
Description
PK blood samples will be collected at the following time points for schedule A: Pre-infusion and at multiple time points (up to 72 hour [h]) C1-2 D1, 15; up to 4h C1-2 D8, 22 and C2 D15; up to 24h C3 D1; up to 4h on C3, 4-6 D15, D1, C4-6 and C7-13 D1; Schedule B: Pre-infusion and at multiple time points (up to 24h) on C1-2 D1, 15; up to 24h C3 D1; up to 4h C3 D15 and C4-13 D1; Schedule C: Pre-infusion and at multiple time points (up to 336h) on C1-2 D1; up to 4h on C3-17 D1; Schedule D: Pre-infusion and at multiple time points (up to 504h) C1-2 D1; up to 4h C3-13 D1 post-infusion (Schedule A, B and D cycle is 28 days and schedule C cycle is 21 days).
Time Frame
Schedule A Cycle(C)1-13,Day(D)1,8,15,22; Schedule B C1-13,D1,15; Schedule C C1-17,D1; Schedule D C1-13,D1: Pre-infusion and at multiple times post-infusion (cycle length is 28 days for Schedule A, B and D; 21 days for Schedule C)
Title
Parts 1, 2 and 3: Percentage of Participants with Positive Anti-drug Antibodies (ADA)
Time Frame
Up to approximately 90 months
Title
Part 1: Objective Response Rate (ORR)
Description
ORR is defined as the percentage of participants who achieved a PR or better during the study as defined by IMWG Uniform Response Criteria.
Time Frame
Up to approximately 90 months
Title
Parts 1 and 2: Clinical Benefit Rate (CBR)
Description
CBR is defined as the percentage of participants who achieved MR or better during the study as defined by IMWG Uniform Response Criteria.
Time Frame
Up to approximately 90 months
Title
Parts 1 and 2: Disease Control Rate (DCR)
Description
DCR is defined as the percentage of participants who achieved a stable disease (SD) or better during the study as defined by IMWG Uniform Response Criteria.
Time Frame
Up to approximately 90 months
Title
Parts 1, 2 and 3: Duration of Response (DOR)
Description
DOR is defined as the time from the date of first documentation of response PR or better to the time of disease progression or death, whichever occurs first.
Time Frame
Up to approximately 90 months
Title
Parts 1 and 2: Time to Response
Description
Time to response is defined as the time from first dose to the date of first documentation of response (PR or better).
Time Frame
Up to approximately 90 months
Title
Parts 1, 2 and 3: Progression Free Survival (PFS)
Description
PFS is defined as the time from the date of enrollment until the date of PD or death due to any cause, whichever occurs first as defined by IMWG Criteria.
Time Frame
Up to approximately 90 months
Title
Parts 2 and 3: Overall Survival (OS)
Time Frame
Up to approximately 90 months
Title
Part 2: Cmax: Maximum Observed Serum Concentration for Modakafusp alfa
Time Frame
Up to approximately 90 months
Title
Part 2: AUC∞: Area Under the Serum Concentration-time Curve from Time 0 to Infinity for Modakafusp alfa
Time Frame
Up to approximately 90 months
Title
Part 2: AUClast: Area Under the Serum Concentration-time Curve from Time 0 to the Time of the Last Quantifiable Concentration for Modakafusp alfa
Time Frame
Up to approximately 90 months
Title
Part 2: λz: Terminal Disposition Rate Constant for Modakafusp alfa
Time Frame
Up to approximately 90 months
Title
Part 2: Tmax: Time to Reach the Cmax for Modakafusp alfa
Time Frame
Up to approximately 90 months
Title
Part 2: CL: Clearance for Modakafusp alfa
Time Frame
Up to approximately 90 months
Title
Part 2: Vss: Volume of Distribution at Steady State for Modakafusp alfa
Time Frame
Up to approximately 90 months
Title
Part 2: T1/2z: Terminal Elimination Half-life for Modakafusp alfa
Time Frame
Up to approximately 90 months
Title
Part 3: Objective Response Rate (ORR) by Investigator Assessment
Description
ORR is defined as the percentage of participants who achieved a PR or better during the study as defined by IMWG Uniform Response Criteria assessed by investigators.
Time Frame
Up to approximately 90 months
Title
Part 3: Clinical Benefit Rate (CBR) by IRC and Investigator assessment
Description
CBR is defined as the percentage of participants who achieved MR or better during the study as defined by IMWG Uniform Response Criteria.
Time Frame
Up to approximately 90 months
Title
Part 3: Duration of Clinical Benefit
Description
Duration of clinical benefit is defined as the time from first documented evidence of confirmed MR or better until the earliest date of a confirmed PD per IMWG, or death among patients who achieve a confirmed MR or better.
Time Frame
Up to approximately 90 months
Title
Part 3: Disease Control Rate (DCR) by IRC and Investigator Assessment
Description
DCR is defined as the percentage of participants who achieved a stable disease (SD) or better during the study as defined by IMWG Uniform Response Criteria.
Time Frame
Up to approximately 90 months
Title
Part 3: Duration of Disease Control
Description
Duration of disease control is defined as the time from first documented evidence of SD or better until the earliest date of a confirmed PD per IMWG, or death among patients who achieve a SD or better.
Time Frame
Up to approximately 90 months
Title
Part 3: Time to Progression (TTP) by IRC and Investigator Assessment
Description
TTP is defined as the time from the date of the first dose until the earliest date of confirmed PD per IMWG, or death due to PD.
Time Frame
Up to approximately 90 months
Title
Part 3: Rate of Minimal Residual Disease (MRD) Negativity Status at a Sensitivity of 10^-5 in Participants Achieving CR
Description
MRD negativity at a sensitivity of 10^-5 is defined as patients who are MRD negative at a sensitivity of 10^-5 in patients achieving suspected complete response (CR). CR is defined as negative immunofixation of serum and urine, disappearance of any soft tissue plasmacytomas, and <5% plasma cells in bone marrow; in participants for whom only measurable disease is by serum FLC level, normal FLC ratio of 0.26 to 1.65 in addition to CR criteria is required.
Time Frame
Up to approximately 90 months
Title
Part 3:Duration of MRD Negativity Status at a Sensitivity of 10^-5 in Participants Achieving CR
Description
Duration of MRD negativity (10^-5) is defined as the time from the first MRD negative status (10^-5) to the earliest date of the MRD positive status (10^-5), confirmed PD per IMWG or death.
Time Frame
Up to approximately 90 months
Title
Part 3: Percentage of Participants With Adverse Events (AEs)
Description
An adverse event (AE) is defined as any untoward medical occurrence in a participants administered a pharmaceutical product; the untoward medical occurrence does not necessarily have a causal relationship with this treatment.
Time Frame
Up to approximately 90 months
Title
Part 3: Percentage of Participants With Serious Adverse Events (SAEs)
Description
An SAE is defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.
Time Frame
Up to approximately 90 months
Title
Part 3: Percentage of Participants With Clinically Significant Laboratory Values
Description
Laboratory values will include hematology, chemistry, and urine analysis.
Time Frame
Up to approximately 90 months
Title
Part 3: Number of Participants With Eastern Cooperative Oncology Group (ECOG) Status
Description
ECOG is a grade, where grade 0: Normal activity. Grade 1: Symptoms but ambulatory. Grade 2: In bed <50% of the time. Grade 3: In bed >50% of the time. Grade 4: 100% bedridden. Grade 5: Dead.
Time Frame
Up to approximately 90 months
Title
Part 3: Health Care Utilization: Length of Hospital Stays
Time Frame
Up to approximately 90 months
Title
Part 3: Percentage of Participants With Neutralizing Antibodies (NAb)
Time Frame
Up to approximately 90 months
Title
Part 3: Health Care Utilization: Number of Participants With at Least One Medical Encounter
Description
Healthcare resources used during medical encounters included hospitalizations, emergency room stays, or outpatient visits.
Time Frame
Up to approximately 90 months
Title
Part 3: Patient-reported Outcome (PRO): Instrument European Organisation for Research and Treatment of Cancer QLQ Questionnaire Multiple Myeloma Module (EORTC QLQ-MY20)
Description
The EORTC QLQ-MY20 has 20 items across 4 independent subscales, 2 functional subscales (body image and future perspective), and 2 symptoms scales (disease symptoms and side effects of treatment). The QLQ-MY20 raw scores are converted into scale scores ranging from 0 to 100. For the symptom scales, lower scores represent better functioning. All items in this questionnaire have a recall period of 1 week.
Time Frame
Up to approximately 90 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: For Parts 1 and 2: 1. Has MM defined by the IMWG criteria with evidence of disease progression and: In need of additional myeloma therapy as determined by the investigator. Has previously received at least 3 lines of myeloma therapy (for example, containing an Immunomodulatory imide drug [IMiD], a proteasome inhibitor [PI], an alkylating agent, and/or an anti-CD38 as single agents or in combination). Is either refractory to or intolerant of at least 1 PI and a least 1 IMiD. For Part 3: Has MM defined by the IMWG criteria with evidence of disease progression and: In need of additional myeloma therapy as determined by the investigator. Has previously received at least 3 lines of myeloma therapy. Is refractory to at least 1 IMiD (ie, lenalidomide or pomalidomide [thalidomide excluded]), at least 1 PI (ie, bortezomib, ixazomib, or carfilzomib), and refractory to at least 1 anti-CD38 antibody (ie, daratumumab or isatuximab) and has demonstrated disease progression with the last therapy. Participants who are primary refractory, meaning they never achieved at least a MR with any previous treatment line, are not eligible. For participants in Part 2 and 3 only: Measurable disease is defined as : Serum M-protein ≥500 mg/dL (≥5 g/L) Urine M-protein ≥200 mg/24 hours. Serum free light chain (FLC) assay, with involved FLC level ≥10 mg/dL (≥100 mg/L) provided serum FLC ratio is abnormal. During Part 1 only, participants not meeting the above criteria for measurable disease should, at least, have measurable bone marrow plasmacytosis (greater than or equal to [≥ ] 10 percent [%]) and/or plasmacytoma (≥1 centimeter [cm] in diameter) detected by physical examination or imaging. Eastern Cooperative Oncology Group (ECOG) performance status of ≤2. Exclusion Criteria: For Parts 1 and 2: Has polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes (POEMS) syndrome, monoclonal gammopathy of unknown significance, smoldering myeloma, solitary plasmacytoma, amyloidosis, Waldenstrom macroglobulinemia or immunoglobulin M (IgM) myeloma, or lymphoplasmacytic lymphoma (LPL). Who have received autologous stem cell transplant (SCT) 60 days before first infusion of modakafusp alfa or participants who have received allogeneic SCT 6 months before first infusion. Graft-versus-host disease that is active or requires ongoing systemic immunosuppression. Has not recovered from adverse reactions to prior myeloma treatment or procedures (chemotherapy, immunotherapy, radiation therapy) to NCI CTCAE less than or equal to (≤) Grade 1 or baseline, except for sensory or motor neuropathy which should have recovered to ≤ Grade 2 or baseline. Has clinical signs of central nervous system involvement of MM. For Part 3: Hepatitis B virus (HBV) or hepatitis C virus (HCV) infection. Seropositive for hepatitis B (defined by a positive test for hepatitis B surface antigen [HBsAg]. Participants with resolved infection (that is, participants who are HBsAg negative but positive for antibodies to hepatitis B core antigen [anti-HBc] and/or antibodies to hepatitis B surface antigen [anti-HBs]) must be screened using real-time polymerase chain reaction (PCR) measurement of HBV DNA levels. Those who are PCR positive will be excluded. In addition to the above criteria, participants must not have plasma cell leukemia or have had primary refractory MM, current central nervous system involvement of MM, myelodysplastic syndrome, myeloproliferative syndrome, or have had a second malignancy within the previous 3 years, except treated basal cell or localized squamous skin carcinomas, localized prostate cancer, cervical carcinoma in situ, resected colorectal adenomatous polyps, breast cancer in situ, or other malignancy for which the participant is not on active anticancer therapy.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Takeda Contact
Phone
+1-877-825-3327
Email
medinfoUS@takeda.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
Takeda
Official's Role
Study Director
Facility Information:
Facility Name
Highlands Oncology Group
City
Springdale
State/Province
Arkansas
ZIP/Postal Code
72762
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Los Angeles Cancer Network - Glendale Adventist Medical Center
City
Glendale
State/Province
California
ZIP/Postal Code
91204
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
University of California Irvine
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Office of James R. Berenson MD
City
West Hollywood
State/Province
California
ZIP/Postal Code
90069
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Smilow Cancer Hospital at Yale New Haven
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06520
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Winship Cancer Institute of Emory University
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Northwestern Medicine - Northwestern Medical Group
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Loyola University Medical Center
City
Maywood
State/Province
Illinois
ZIP/Postal Code
60153
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Investigative Clinical Research of Indiana, LLC
City
Noblesville
State/Province
Indiana
ZIP/Postal Code
46062
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
June E. Nylen Cancer Center
City
Sioux City
State/Province
Iowa
ZIP/Postal Code
51101
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Johns Hopkins Hospital
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Boston Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02118
Country
United States
Individual Site Status
Active, not recruiting
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
Site Contact
Phone
617-632-4952
Email
omar_nadeem@dfci.harvard.edu
First Name & Middle Initial & Last Name & Degree
Omar Nadeem
Facility Name
Univeristy of Nebraska Medical Center
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68198
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
402-559-8500
Email
sarah.holstein@unmc.edu
First Name & Middle Initial & Last Name & Degree
Sarah Holstein
Facility Name
USOR - Comprehensive Cancer Centers of Nevada - Central Valley
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89119
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
John Theurer Cancer Center
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Montefiore Medical Center
City
Bronx
State/Province
New York
ZIP/Postal Code
10467
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
University of Rochester
City
Rochester
State/Province
New York
ZIP/Postal Code
14627
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Levine Cancer Center
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28402
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
704-774-9322
Email
shebli.atrash@atriumhealth.org
First Name & Middle Initial & Last Name & Degree
Shebli Atrash
Facility Name
Levine Cancer Institute - Concord
City
Concord
State/Province
North Carolina
ZIP/Postal Code
28205
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Gabrail Cancer Center
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
The Ohio State University
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
614-293-7638
Email
srinivas.devarakonda@osumc.edu
First Name & Middle Initial & Last Name & Degree
Srinivas Devarakonda
Facility Name
Oregon Health and Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
215-615-6508
Email
dan.vogl@uphs.upenn.edu
First Name & Middle Initial & Last Name & Degree
Dan Vogl
Facility Name
Baptist Cancer Center - Memphis - Walnut Grove
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38120
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Lumi Research
City
Houston
State/Province
Texas
ZIP/Postal Code
77002
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
British Columbia Cancer Agency Vancouver Centre
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 4E6
Country
Canada
Individual Site Status
Active, not recruiting
Facility Name
Juravinski Cancer Centre
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8V 5C2
Country
Canada
Individual Site Status
Active, not recruiting
Facility Name
Centre de Recherche du CHUM
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2X 0C1
Country
Canada
Individual Site Status
Active, not recruiting
Facility Name
Sir Mortimer B. Davis Jewish General Hospital
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3T 1E2
Country
Canada
Individual Site Status
Active, not recruiting
Facility Name
Peking University People's Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100044
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+8613311491805
Email
jin1lu@sina.com
First Name & Middle Initial & Last Name & Degree
Jin Lu
Facility Name
Peking University Third Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100089
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+861068964010
Email
jinghm@yahoo.com
First Name & Middle Initial & Last Name & Degree
Hongmei Jing
Facility Name
Sun Yat-Sen University Cancer Center
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510060
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+8613602713223
Email
xiazhj@sysucc.org.cn
First Name & Middle Initial & Last Name & Degree
Zhongjun Xia
Facility Name
Henan Cancer Hospital
City
Zhengzhou
State/Province
Henan
ZIP/Postal Code
450003
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+8613526607830
Email
fdation@126.com
First Name & Middle Initial & Last Name & Degree
Baijun Fang
Facility Name
Wuhan Union Hospital
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430023
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+8615342346782
Email
suncy0618@163.com
First Name & Middle Initial & Last Name & Degree
Chunyan Sun
Facility Name
Zhongnan Hospital of Wuhan University
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430071
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+8602767812888
Email
zhoufuling@163.com
First Name & Middle Initial & Last Name & Degree
Fuling Zhou
Facility Name
Nanjing Drum Tower Hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210008
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+862583105860
Email
chenbinggcp@163.com
First Name & Middle Initial & Last Name & Degree
Bing Chen
Facility Name
The First Affiliated Hospital of Soochow University - Suzhou First People's Hospital
City
Suzhou
State/Province
Jiangsu
ZIP/Postal Code
215006
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+8613962191404
Email
fuzhengzheng@suda.edu.cn
First Name & Middle Initial & Last Name & Degree
Zhenzhen Fu
Facility Name
Shanghai Fourth People's Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200003
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+863816052522
Email
fu_weijunhospital@126.com
First Name & Middle Initial & Last Name & Degree
Weijun Fu
Facility Name
Tianjin Medical University Cancer Institute & Hospital
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300060
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+8618622221250
Email
tzxyklcsy@163.com
First Name & Middle Initial & Last Name & Degree
Yefei Wang
Facility Name
The First Affiliated Hospital, Zhejiang University
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310003
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+8613857190311
Email
czclinicaltrial@163.com
First Name & Middle Initial & Last Name & Degree
Zhen Cai
Facility Name
Institut de cancerologie Strasbourg Europe
City
Strasbourg
State/Province
Alsace
ZIP/Postal Code
67200
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Centre Hospitalier Universitaire Henri Mondor
City
Creteil Cedex
State/Province
Ile-de-france
ZIP/Postal Code
91010
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Hopital Saint-Antoine
City
Paris Cedex 12
State/Province
Ile-de-france
ZIP/Postal Code
75012
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Hopital Necker-Enfants Malades
City
Paris
State/Province
Ile-de-france
ZIP/Postal Code
75015
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Centre Hospitalier Universitaire de Toulouse Hopital Purpan
City
Toulouse
State/Province
Midi-pyrenees
ZIP/Postal Code
31059
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Hopital Saint-Vincent de Paul - Lille
City
Lille Cedex
State/Province
NORD Pas-de-calais
ZIP/Postal Code
59020
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Centre Hospitalier Regional Universitaire de Lille
City
Lille Cedex
State/Province
NORD Pas-de-calais
ZIP/Postal Code
59037
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Centre Hospitalier Universitaire Nantes - Hotel Dieu
City
Nantes Cedex 1
State/Province
PAYS DE LA Loire
ZIP/Postal Code
44093
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Centre Hospitalier Universitaire de Poitiers
City
Poitiers
State/Province
Poitou-charentes
ZIP/Postal Code
86000
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Centre Hospitalier d'Argenteuil - Centre Hospitalier Victor Dupouy
City
Argenteuil Cedex
ZIP/Postal Code
95107
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Universitatsklinik Tubingen
City
Tuebingen
State/Province
Baden-wuerttemberg
ZIP/Postal Code
72076
Country
Germany
Individual Site Status
Active, not recruiting
Facility Name
Universitatsklinikum Leipzig
City
Leipzig
State/Province
Sachsen
ZIP/Postal Code
04103
Country
Germany
Individual Site Status
Active, not recruiting
Facility Name
Evaggelismos General Hospital
City
Athens
State/Province
Attica
ZIP/Postal Code
10676
Country
Greece
Individual Site Status
Active, not recruiting
Facility Name
Alexandra General Hospital of Athens
City
Athens
State/Province
Attica
ZIP/Postal Code
11528
Country
Greece
Individual Site Status
Active, not recruiting
Facility Name
University Regional General Hospital of Patras
City
Patra
State/Province
Peloponnese
ZIP/Postal Code
26504
Country
Greece
Individual Site Status
Active, not recruiting
Facility Name
The Chaim Sheba Medical Center
City
Ramat Gan
State/Province
Tel Aviv
ZIP/Postal Code
52621
Country
Israel
Individual Site Status
Active, not recruiting
Facility Name
Hadassah Medical Center
City
Jerusalem
ZIP/Postal Code
9112001
Country
Israel
Individual Site Status
Active, not recruiting
Facility Name
Tel Aviv Sourasky Medical Center
City
Tel Aviv
ZIP/Postal Code
6423906
Country
Israel
Individual Site Status
Active, not recruiting
Facility Name
AON SS Antonio e Biagio e Cesare Arrigo
City
Alessandria
ZIP/Postal Code
15121
Country
Italy
Individual Site Status
Active, not recruiting
Facility Name
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona
City
Ancona
ZIP/Postal Code
60126
Country
Italy
Individual Site Status
Active, not recruiting
Facility Name
Azienda Ospedaliero-Universitaria di Bologna - Policlinico Sant'Orsola-Malpighi
City
Bologna
ZIP/Postal Code
40138
Country
Italy
Individual Site Status
Active, not recruiting
Facility Name
Azienda Ospedaliero - Universitaria Policlinico - Vittorio Emanuele
City
Catania
ZIP/Postal Code
95125
Country
Italy
Individual Site Status
Active, not recruiting
Facility Name
Fondazione IRCCS Policlinico San Matteo
City
Pavia
ZIP/Postal Code
27100
Country
Italy
Individual Site Status
Active, not recruiting
Facility Name
Nagoya City University Hospital
City
Nagoya
State/Province
Aichi
ZIP/Postal Code
467-8601
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+81528515511
Email
iida@med.nagoya-cu.ac.jp
First Name & Middle Initial & Last Name & Degree
Shinsuke Iida
Facility Name
Ogaki Municipal Hospital
City
Gifu-shi
State/Province
Gifu
ZIP/Postal Code
503-8502
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+81 584-81-3341
Email
h-kosugi@umin.ac.jp
First Name & Middle Initial & Last Name & Degree
Hiroshi Kosugi
Facility Name
University Hospital Kyoto Prefectural University of Medicine
City
Kyoto-City
State/Province
Kyoto
ZIP/Postal Code
602-855
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
Phone
81752515740
Email
junkuro@koto.kpu-m.ac.jp
First Name & Middle Initial & Last Name & Degree
Junya Kuroda
Facility Name
National Hospital Organization Okayama Medical Center
City
Okayama-city
State/Province
Okayama
ZIP/Postal Code
701-1192
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+81862949911
Email
kazusuna@pop12.odn.ne.jp
First Name & Middle Initial & Last Name & Degree
Kazutaka Sunami
Facility Name
Japanese Red Cross Medical Center
City
Tokyo
ZIP/Postal Code
150-8935
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site Contact
Phone
+81 3-3400-1311
Email
i.s.h.i.28@rondo.ocn.ne.jp
First Name & Middle Initial & Last Name & Degree
Tadao Ishida
Facility Name
Chonnam National University Hwasun Hospital
City
Hwasun
State/Province
Jeollanam-do
ZIP/Postal Code
58128
Country
Korea, Republic of
Individual Site Status
Active, not recruiting
Facility Name
Seoul National University Hospital
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Individual Site Status
Active, not recruiting
Facility Name
The Catholic University of Korea - Seoul St. Mary's Hospital
City
Seoul
ZIP/Postal Code
06591
Country
Korea, Republic of
Individual Site Status
Active, not recruiting
Facility Name
Oslo Universitetssykehus-Ulleval Hospital
City
Oslo
ZIP/Postal Code
0450
Country
Norway
Individual Site Status
Active, not recruiting
Facility Name
Ad-Vance Medical Research
City
Ponce
ZIP/Postal Code
00730
Country
Puerto Rico
Individual Site Status
Active, not recruiting
Facility Name
Hospital Espanol Auxilio Mutuo
City
San Juan
ZIP/Postal Code
00919
Country
Puerto Rico
Individual Site Status
Active, not recruiting
Facility Name
Hospital Universitari Germans Trias i Pujol
City
Badalona
State/Province
Barcelona
ZIP/Postal Code
08916
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Hospital Universitari Vall d'Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Hospital Clinic de Barcelona
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Hospital Universitario 12 de Octubre
City
Madrid
ZIP/Postal Code
28041
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Hospital Universitario Virgen de la Arrixaca
City
Murcia
ZIP/Postal Code
30120
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Hospital Universitario de Salamanca
City
Salamanca
ZIP/Postal Code
37007
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Hospital Universitario Marques de Valdecilla
City
Santander
ZIP/Postal Code
39008
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Tri-Service General Hospital
City
Taipei
State/Province
Taipei CITY
ZIP/Postal Code
11490
Country
Taiwan
Individual Site Status
Active, not recruiting
Facility Name
National Taiwan University Hospital
City
Taipei
ZIP/Postal Code
100
Country
Taiwan
Individual Site Status
Active, not recruiting
Facility Name
Ankara Universitesi
City
Yenimahalle
State/Province
Ankara
ZIP/Postal Code
06560
Country
Turkey
Individual Site Status
Active, not recruiting
Facility Name
Ondokuz Mayis Universitesi Tp Fakultesi
City
Samsun
ZIP/Postal Code
55139
Country
Turkey
Individual Site Status
Active, not recruiting
Facility Name
University Hospitals Birmingham NHS Foundation Trust
City
Birmingham
State/Province
England
ZIP/Postal Code
B9 5SS
Country
United Kingdom
Individual Site Status
Active, not recruiting
Facility Name
Royal Cornwall Hospital NHS Trust
City
Cornwell
State/Province
England
ZIP/Postal Code
TR1 3LI
Country
United Kingdom
Individual Site Status
Active, not recruiting
Facility Name
University College London Hospitals NHS Foundation Trust
City
London
State/Province
England
ZIP/Postal Code
NW1 2BU
Country
United Kingdom
Individual Site Status
Active, not recruiting
Facility Name
Genesis Care - Milton Keynes
City
Milton Keynes
State/Province
England
ZIP/Postal Code
MK14 6LS
Country
United Kingdom
Individual Site Status
Active, not recruiting
Facility Name
Oxford University Hospitals NHS Foundation Trust
City
Oxford
State/Province
England
ZIP/Postal Code
OX3 7LE
Country
United Kingdom
Individual Site Status
Active, not recruiting
Facility Name
The Royal Marsden NHS Foundation Trust
City
Sutton
State/Province
England
ZIP/Postal Code
SM2 5PT
Country
United Kingdom
Individual Site Status
Active, not recruiting
Facility Name
Genesis Care Windsor - Genesis Care UK Ltd.
City
Windsor
State/Province
England
ZIP/Postal Code
SL43HD
Country
United Kingdom
Individual Site Status
Active, not recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
IPD Sharing Access Criteria
IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.
IPD Sharing URL
https://vivli.org/ourmember/takeda/
Links:
URL
https://clinicaltrials.takeda.com/study-detail/5f6b603b4db2bf003ab4a2ed?idFilter=%5B%22TAK-573-1501%22%5D
Description
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A Study of Modakafusp Alfa on Adult Participants With Relapsed/Refractory Multiple Myeloma

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