Study to Evaluate the Safety and Tolerability of CC-92328 in Participants With Relapsed and/or Refractory Multiple Myeloma
Primary Purpose
Multiple Myeloma
Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
CC-92328
Sponsored by
About this trial
This is an interventional treatment trial for Multiple Myeloma focused on measuring Multiple Myeloma, First-in-human, Phase 1, Relapsed or Refractory, CC-92328
Eligibility Criteria
Inclusion Criteria:
Participants must satisfy the following criteria to be enrolled in the study:
- must understand and voluntarily sign an informed consent form (ICF) prior to any study-related assessments/procedures being conducted.
- willing and able to adhere to the study visit schedule and other protocol requirements.
- Participant is ≥ 18 years of age the time of signing the ICF.
- Participant has a history of multiple myeloma (MM) with relapsed and/or refractory disease who have failed or who are ineligible or intolerant to available therapies that may provide clinical benefit.
- Have documented disease progression on or within 12 months from the last dose of their last myeloma therapy.
- Participant must have measurable disease.
- Participant has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1.
- Females of childbearing potential (FCBP) must commit to true abstinence from heterosexual contact or agree to use at least one method of highly effective contraception without interruption from screening to at least 12 weeks after the last dose of CC-92328
- Males must practice true abstinence or agree to use a condom
- FCBP and males must avoid conceiving from signing the ICF, while participating in the study, during dose interruptions, and for at least 12 weeks after the last dose of CC-92328.
Exclusion Criteria:
The presence of any of the following will exclude a participant from enrollment:
- Participant has symptomatic central nervous system involvement of MM.
- Participant had a prior autologous stem cell transplant ≤ 90 days prior to starting CC-92328.
- Participant had a prior allogeneic stem cell transplant with either standard or reduced intensity conditioning ≤ 12 months prior to starting CC-92328.
- Participant had prior systemic cancer-directed treatments or investigational modalities ≤ 5 half-lives or 4 weeks prior to starting CC-92328, whichever is shorter.
- Participant is a pregnant or lactating female.
- Participant received live virus vaccines within at least 4 weeks prior to starting study drug.
- Participant has known active human immunodeficiency virus (HIV) infection.
- Participant has active hepatitis B or C (HBV/HCV) infection.
- Participant weight is ≤ 40 kg at screening.
Sites / Locations
- University Of Alabama At Birmingham HospitalRecruiting
- HonorHealth Research InstituteRecruiting
- University of South Florida (USF)Recruiting
- Johns Hopkins Oncology Center
- Memorial Sloan-Kettering Cancer Center - David H. Koch Center for Cancer CareRecruiting
- Mt. Sinai Medical Center Division of Hematology/OncologyRecruiting
- Froedtert Hospital BMT Medical College of WisconsinRecruiting
- Local Institution - 201Recruiting
- Local Institution - 204Recruiting
- Local Institution - 203Recruiting
- Local Institution - 202Recruiting
- Local Institution - 205Recruiting
- Local Institution - 301Recruiting
- Local Institution - 302Recruiting
- Local Institution - 303Recruiting
- Local Institution - 304Recruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Administration of CC-92328
Arm Description
CC-92328 administered intravenously in 28-day cycles
Outcomes
Primary Outcome Measures
Dose-Limiting Toxicities (DLTs)
Are defined as toxicities that meet the protocol-specified criteria occurring within the DLT assessment window (Cycle 1, Days 1 to 28) except those that are clearly and incontrovertibly due to the underlying disease or extraneous causes.
Maximum Tolerated Dose (MTD)
Defined as the highest dose at which less than 33% of the population treated with CC-92328 experience a dose-limiting toxicity (DLT) in the first cycle and at least 6 evaluable participants have been treated at this dose level.
Incidence of Adverse Events (AEs)
Type, frequency, seriousness, severity and relationship of AEs to CC-92328.
Secondary Outcome Measures
Preliminary Efficacy - Overall Response Rate (ORR)
Defined as the proportion of participants who achieve a partial response (PR) or better according to IMWG response criteria.
Preliminary Efficacy - Time to response
Defined as the time from the first CC-92328 dose date to the date of first documented response (PR or better).
Preliminary Efficacy - Duration of response
Defined as the time from the earliest date of documented response (≥ PR) to the first documented disease progression or death, whichever occurs first.
Preliminary Efficacy - Progression-free Survival (PFS)
Defined as the time from the first dose of CC-92328 to pharmacodynamics (PD) or death from any cause, whichever occurs first.
Preliminary Efficacy - Overall Survival (OS)
Defined as the time from the first dose of CC-92328 to death from any cause.
Pharmacokinetics - Cmax
Maximum serum concentration of drug.
Pharmacokinetics - Cmin
Minimum serum concentration of drug.
Pharmacokinetics - AUC
Area under the curve.
Pharmacokinetics - tmax
Time to peak (maximum) serum concentration.
Pharmacokinetics - t1/2
Half-life.
Pharmacokinetics - CL
Total body clearance of the drug from the serum.
Pharmacokinetics - Vd
Volume of distribution.
Pharmacokinetics - Accumulation index of CC-92328
Calculated from the serum concentration-time data of CC-92328 using non-compartment methods.
Presence of Anti-CC92328 antibodies (ADA)
Determined using a validated bridging immunoassay with electrochemiluminescence detection.
Frequency of Anti-CC92328 antibodies (ADA)
Determined using a validated bridging immunoassay with electrochemiluminescence detection.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04975399
Brief Title
Study to Evaluate the Safety and Tolerability of CC-92328 in Participants With Relapsed and/or Refractory Multiple Myeloma
Official Title
A Phase 1, Multi-center, Open-label, Dose Finding Study of CC-92328 in Subjects With Relapsed and/or Refractory Multiple Myeloma
Study Type
Interventional
2. Study Status
Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
October 5, 2021 (Actual)
Primary Completion Date
July 1, 2025 (Anticipated)
Study Completion Date
June 21, 2026 (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
This Phase 1, first-in-human (FIH), clinical study of CC-92328 will explore the safety, tolerability and preliminary biological and clinical activity of CC-92328 as a single-agent in the setting of relapsed and/or refractory multiple myeloma (R/R MM). The study will be conducted in two parts: monotherapy dose escalation (Part A) and monotherapy dose expansion (Part B).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma
Keywords
Multiple Myeloma, First-in-human, Phase 1, Relapsed or Refractory, CC-92328
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
70 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Administration of CC-92328
Arm Type
Experimental
Arm Description
CC-92328 administered intravenously in 28-day cycles
Intervention Type
Drug
Intervention Name(s)
CC-92328
Intervention Description
CC-92328
Primary Outcome Measure Information:
Title
Dose-Limiting Toxicities (DLTs)
Description
Are defined as toxicities that meet the protocol-specified criteria occurring within the DLT assessment window (Cycle 1, Days 1 to 28) except those that are clearly and incontrovertibly due to the underlying disease or extraneous causes.
Time Frame
Up to 28 days after the first dose
Title
Maximum Tolerated Dose (MTD)
Description
Defined as the highest dose at which less than 33% of the population treated with CC-92328 experience a dose-limiting toxicity (DLT) in the first cycle and at least 6 evaluable participants have been treated at this dose level.
Time Frame
Up to 12 weeks after the last dose
Title
Incidence of Adverse Events (AEs)
Description
Type, frequency, seriousness, severity and relationship of AEs to CC-92328.
Time Frame
Up to 12 weeks after the last dose
Secondary Outcome Measure Information:
Title
Preliminary Efficacy - Overall Response Rate (ORR)
Description
Defined as the proportion of participants who achieve a partial response (PR) or better according to IMWG response criteria.
Time Frame
Up to approximately 2 years
Title
Preliminary Efficacy - Time to response
Description
Defined as the time from the first CC-92328 dose date to the date of first documented response (PR or better).
Time Frame
Up to approximately 2 years
Title
Preliminary Efficacy - Duration of response
Description
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 approximately 2 years
Title
Preliminary Efficacy - Progression-free Survival (PFS)
Description
Defined as the time from the first dose of CC-92328 to pharmacodynamics (PD) or death from any cause, whichever occurs first.
Time Frame
Up to approximately 2 years
Title
Preliminary Efficacy - Overall Survival (OS)
Description
Defined as the time from the first dose of CC-92328 to death from any cause.
Time Frame
Up to approximately 2 years
Title
Pharmacokinetics - Cmax
Description
Maximum serum concentration of drug.
Time Frame
Day 1 to 9 weeks after last dose of study drug
Title
Pharmacokinetics - Cmin
Description
Minimum serum concentration of drug.
Time Frame
Day 1 to 9 weeks after last dose of study drug
Title
Pharmacokinetics - AUC
Description
Area under the curve.
Time Frame
Day 1 to 9 weeks after last dose of study drug
Title
Pharmacokinetics - tmax
Description
Time to peak (maximum) serum concentration.
Time Frame
Day 1 to 9 weeks after last dose of study drug
Title
Pharmacokinetics - t1/2
Description
Half-life.
Time Frame
Day 1 to 9 weeks after last dose of study drug
Title
Pharmacokinetics - CL
Description
Total body clearance of the drug from the serum.
Time Frame
Day 1 to 9 weeks after last dose of study drug
Title
Pharmacokinetics - Vd
Description
Volume of distribution.
Time Frame
Day 1 to 9 weeks after last dose of study drug
Title
Pharmacokinetics - Accumulation index of CC-92328
Description
Calculated from the serum concentration-time data of CC-92328 using non-compartment methods.
Time Frame
Day 1 to 9 weeks after last dose of study drug
Title
Presence of Anti-CC92328 antibodies (ADA)
Description
Determined using a validated bridging immunoassay with electrochemiluminescence detection.
Time Frame
Day 1 to 9 weeks after last dose of study drug
Title
Frequency of Anti-CC92328 antibodies (ADA)
Description
Determined using a validated bridging immunoassay with electrochemiluminescence detection.
Time Frame
Day 1 to 9 weeks after last dose of study drug
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Participants must satisfy the following criteria to be enrolled in the study:
must understand and voluntarily sign an informed consent form (ICF) prior to any study-related assessments/procedures being conducted.
willing and able to adhere to the study visit schedule and other protocol requirements.
Participant is ≥ 18 years of age the time of signing the ICF.
Participant has a history of multiple myeloma (MM) with relapsed and/or refractory disease who have failed or who are ineligible or intolerant to available therapies that may provide clinical benefit.
Have documented disease progression on or within 12 months from the last dose of their last myeloma therapy.
Participant must have measurable disease.
Participant has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1.
Females of childbearing potential (FCBP) must commit to true abstinence from heterosexual contact or agree to use at least one method of highly effective contraception without interruption from screening to at least 12 weeks after the last dose of CC-92328
Males must practice true abstinence or agree to use a condom
FCBP and males must avoid conceiving from signing the ICF, while participating in the study, during dose interruptions, and for at least 12 weeks after the last dose of CC-92328.
Exclusion Criteria:
The presence of any of the following will exclude a participant from enrollment:
Participant has symptomatic central nervous system involvement of MM.
Participant had a prior autologous stem cell transplant ≤ 90 days prior to starting CC-92328.
Participant had a prior allogeneic stem cell transplant with either standard or reduced intensity conditioning ≤ 12 months prior to starting CC-92328.
Participant had prior systemic cancer-directed treatments or investigational modalities ≤ 5 half-lives or 4 weeks prior to starting CC-92328, whichever is shorter.
Participant is a pregnant or lactating female.
Participant received live virus vaccines within at least 4 weeks prior to starting study drug.
Participant has known active human immunodeficiency virus (HIV) infection.
Participant has active hepatitis B or C (HBV/HCV) infection.
Participant weight is ≤ 40 kg at screening.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
BMS Study Connect Contact Center www.BMSStudyConnect.com
Phone
855-907-3286
Email
Clinical.Trials@bms.com
First Name & Middle Initial & Last Name or Official Title & Degree
First line of the email MUST contain NCT # and Site #.
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
University Of Alabama At Birmingham Hospital
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35233
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Susan Bal, Site 104
Phone
205-934-1908
Facility Name
HonorHealth Research Institute
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85258
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Joseph Mikhael, Site 105
Phone
416-946-2359
Facility Name
University of South Florida (USF)
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rachid Baz, Site 106
Phone
813-745-3163
Facility Name
Johns Hopkins Oncology Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21231
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ivan Borrello, Site 103
Phone
410-955-4967
Facility Name
Memorial Sloan-Kettering Cancer Center - David H. Koch Center for Cancer Care
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Saad Usmani, Site 108
Facility Name
Mt. Sinai Medical Center Division of Hematology/Oncology
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cesar Rodriguez, Site 107
Facility Name
Froedtert Hospital BMT Medical College of Wisconsin
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226-3522
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Binod Dhakal, Site 101
Phone
414-805-0638
Facility Name
Local Institution - 201
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2N 4N2
Country
Canada
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site 201
Facility Name
Local Institution - 204
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 1Z2
Country
Canada
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site 204
Facility Name
Local Institution - 203
City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B3H 2Y9
Country
Canada
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site 203
Facility Name
Local Institution - 202
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site 202
Facility Name
Local Institution - 205
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H4A3J1
Country
Canada
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site 205
Facility Name
Local Institution - 301
City
Badalona
ZIP/Postal Code
8916
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site 301
Facility Name
Local Institution - 302
City
Pamplona
ZIP/Postal Code
31008
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site 302
Facility Name
Local Institution - 303
City
Salamanca
ZIP/Postal Code
37007
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site 303
Facility Name
Local Institution - 304
City
Santander
ZIP/Postal Code
39008
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Site 304
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.celgene.com/research-development/clinical-trials/clinical-trials-data-sharing/
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
Study to Evaluate the Safety and Tolerability of CC-92328 in Participants With Relapsed and/or Refractory Multiple Myeloma
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