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.
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
Interventions
Drug | Synonyms | Arms |
---|
PDR001 | | Arm B |
CJM112 | | Arm A |
LCL161 | | Arm 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
Name | Type | Description | Interventions |
---|
Arm A | Experimental | Dose escalation of single agent CJM112 | |
Arm B | Experimental | Dose escalation of CJM112 in combination with a fixed dose of PDR001 | |
Arm C | Experimental | Dose escalation of LCL161 in combination with a fixed dose of PDR001 | |
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