Clinical Trials /

Study of Single Agent CJM112, and PDR001 in Combination With LCL161 or CJM112 in Patients With Multiple Myeloma

NCT03111992

Description:

The purpose of this study is to assess the safety, tolerability, and identify the recommended doses of single agent CJM112, and of CJM112 or LCL161 in combination with PDR001, in patients with relapsed and/or refractory multiple myeloma.

Related Conditions:
  • Multiple Myeloma
Recruiting Status:

Completed

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study of Single Agent CJM112, and PDR001 in Combination With LCL161 or CJM112 in Patients With Multiple Myeloma
  • Official Title: Phase I/Ib, Multi-center, Open-label, Study of Single Agent CJM112, and PDR001 in Combination With LCL161 or CJM112 in Patients With Relapsed and/or Refractory Multiple Myeloma

Clinical Trial IDs

  • ORG STUDY ID: CPDR001X2106
  • NCT ID: NCT03111992

Conditions

  • Multiple Myeloma

Interventions

DrugSynonymsArms
PDR001Arm B
CJM112Arm A
LCL161Arm C

Purpose

The purpose of this study is to assess the safety, tolerability, and identify the recommended doses of single agent CJM112, and of CJM112 or LCL161 in combination with PDR001, in patients with relapsed and/or refractory multiple myeloma.

Trial Arms

NameTypeDescriptionInterventions
Arm AExperimentalDose escalation of single agent CJM112
  • CJM112
Arm BExperimentalDose escalation of CJM112 in combination with a fixed dose of PDR001
  • PDR001
  • CJM112
Arm CExperimentalDose escalation of LCL161 in combination with a fixed dose of PDR001
  • PDR001
  • LCL161

Eligibility Criteria

        Inclusion Criteria:

          -  Must be able to provide written informed consent before any screening procedures.

          -  Male or female patients ≥18 years of age.

          -  Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2.

          -  Patients with a confirmed diagnosis of multiple myeloma who have received two or more
             lines of therapy including an IMiD and PI, and are relapsed and/or refractory to their
             most recent line of therapy. Patients who have received a prior autologous bone marrow
             transplant and otherwise meet the inclusion criteria are eligible for this study.

          -  Must have measurable disease defined by at least 1 of the following 3 measurements:

          -  Serum M-protein ≥ 0.5 g/dL OR

          -  Urine M-protein ≥ 200 mg/24 hours OR

          -  Serum free light chain (FLC) > 100 mg/L of involved FLC

          -  All patients must be willing to undergo a mandatory serial bone marrow aspirate and/or
             biopsy at screening and subsequently following treatment for the assessment of
             biomarker/pharmacodynamics and disease status. Exceptions may be considered after
             documented discussion with Novartis.

        Other inclusion criteria included in the protocol might apply.

        Exclusion Criteria:

          -  Use of systemic chronic steroid therapy (≥10mg /day of prednisone or equivalent), or
             any immunosuppressive therapy within 7 days of first dose of study treatment. Topical,
             inhaled, nasal, or ophthalmic steroids are allowed.

          -  Malignant disease, other than that being treated in this study. Exceptions to this
             exclusion include the following: malignancies that were treated curatively and have
             not recurred within 2 years prior to study treatment; completely resected basal cell
             and squamous cell skin cancers, and completely resected carcinoma in situ of any type.

          -  Active, known or suspected autoimmune disease other than patients with vitiligo,
             residual hypothyroidism only requiring hormone replacement, psoriasis not requiring
             systemic treatment or conditions not expected to recur.

          -  Patients with prior known toxicity attributed to PD-1 or PDL-1 directed therapy, which
             led to discontinuation of these agents, will be excluded from the PDR001 containing
             arms of the study.

          -  Patients with prior known toxicity from IL-17A directed therapy, which led to
             discontinuation of the study treatment, will be excluded from CJM112 containing arms
             of the study.

          -  Any of the following clinical laboratory results during screening (i.e., within 28
             days before the first dose of study treatment):

               -  Absolute neutrophil count (ANC) < 1,000/mm3 without growth factor support within
                  7 days prior to testing

               -  Platelet count < 75,000 mm3 without transfusion support within 7 days prior to
                  testing

               -  Bilirubin > 1.5 times the upper limit of the normal range (ULN)

               -  Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 3 times the
                  ULN

               -  Calculated creatinine clearance < 30 ml/min according to Cockcroft-Gault equation
                  Other exclusion criteria included in the protocol might apply.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Number of patients reporting dose limiting toxicities
Time Frame:2 months
Safety Issue:
Description:number of patients reporting dose limiting toxicity

Secondary Outcome Measures

Measure:Immunogenicity of PDR001 and CJM112
Time Frame:First 6 months of study treatment
Safety Issue:
Description:Presence and/or concentration of anti-PDR001, and anti-CJM112 antibodies
Measure:Overall Response Rate (ORR)
Time Frame:24 Months
Safety Issue:
Description:Determine ORR in each arm of the study
Measure:Best Overall Response (BOR)
Time Frame:24 Months
Safety Issue:
Description:Determine BOR in each arm of the study
Measure:Progression Free Survival (PFS)
Time Frame:24 Months
Safety Issue:
Description:Determine PFS in each arm of the study
Measure:Disease Control Rate (DCR)
Time Frame:24 Months
Safety Issue:
Description:Determine DCR in each arm of the study
Measure:AUC of PDR001, CJM112 and LCL161
Time Frame:24 months
Safety Issue:
Description:AUC
Measure:Cmax of PDR001, CJM112 and LCL161
Time Frame:24 months
Safety Issue:
Description:Cmax
Measure:Tmax of PDR001, CJM112 and LCL161
Time Frame:24 months
Safety Issue:
Description:Tmax
Measure:Half-life of PDR001, CJM112 and LCL161
Time Frame:24 months
Safety Issue:
Description:Half-life
Measure:Concentration vs time profile of PDR001, CJM112 and LCL161
Time Frame:24 months
Safety Issue:
Description:Concentration vs time

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Novartis Pharmaceuticals

Trial Keywords

  • Myeloma,
  • Multiple Myeloma,
  • Hematologic Diseases,
  • Myeloma, Multiple,
  • Myeloma-Multiple,
  • Programmed Cell Death 1 Receptor

Last Updated

September 9, 2020