Clinical Trials /

A Phase III, Safety, Tolerability and Efficacy of Combination Treatment of BL-8040 and G-GSF as Compared to Placebo and G-CSF for thE MobilizatioN of HematopoiEtic Stem Cells for Autologous TransplantatIon in SubjectS With MM

NCT03246529

Description:

A total of 207 subjects will be randomized into the study which will employ a double-blind placebo-controlled setting to assess the efficacy and safety of G-CSF + BL-8040 as compared to G-CSF + placebo.

Related Conditions:
  • Multiple Myeloma
Recruiting Status:

Unknown status

Phase:

Phase 3

Trial Eligibility

Document

Title

  • Brief Title: A Phase III, Safety, Tolerability and Efficacy of Combination Treatment of BL-8040 and G-GSF as Compared to Placebo and G-CSF for thE MobilizatioN of HematopoiEtic Stem Cells for Autologous TransplantatIon in SubjectS With MM
  • Official Title: A Phase III, Randomized, Placebo-Controlled, Multi-Centre Study Evaluating the Safety, Tolerability and Efficacy of Combination Treatment of BL-8040 and G-GSF as Compared to Placebo and G-CSF for thE MobilizatioN of HematopoiEtic Stem Cells for Autologous TransplantatIon in SubjectS With Multiple Myeloma - The GENESIS Study

Clinical Trial IDs

  • ORG STUDY ID: BL-8040.SCM.301
  • NCT ID: NCT03246529

Conditions

  • Multiple Myeloma

Interventions

DrugSynonymsArms
BL-8040 1.25mg/kg + G-CSFBL-8040 1.25mg/kg + G-CSF
Placebo +G-CSFPlacebo + G-CSF

Purpose

A total of 207 subjects will be randomized into the study which will employ a double-blind placebo-controlled setting to assess the efficacy and safety of G-CSF + BL-8040 as compared to G-CSF + placebo.

Detailed Description

      -  Part 1: This lead-in period designed to ascertain the dose of BL-8040 will enroll a
           total of up to 30 subjects to an open labeled treatment to assess the efficacy, safety,
           PK and PD parameters of treatment with G-CSF 10 µg/kg/day and BL-8040 1.25mg/kg, per
           study protocol to goal collection of ≥ 6x106 CD34+ cells/kg.

        -  Part 2: Following the successful completion of Part 1, a total of 177 subjects will be
           randomized into Part 2 of the study which will employ a double-blind placebo-controlled
           setting to assess the efficacy and safety of G-CSF + BL-8040 as compared to G-CSF +
           placebo.
    

Trial Arms

NameTypeDescriptionInterventions
BL-8040 1.25mg/kg + G-CSFExperimentaldouble-blind placebo-controlled setting designed to assess the safety, tolerability and efficacy of G-CSF + BL-8040 as compared to G-CSF + Placebo, for stem cell mobilization in MM.
  • BL-8040 1.25mg/kg + G-CSF
Placebo + G-CSFActive Comparatordouble-blind placebo-controlled setting designed to assess the safety, tolerability and efficacy of G-CSF + BL-8040 as compared to G-CSF + Placebo, for stem cell mobilization in MM.
  • Placebo +G-CSF

Eligibility Criteria

        Inclusion Criteria:

          1. Histologically confirmed Multiple Myeloma prior to enrolment and randomization.

          2. At least 4 weeks (112 days) from last induction cycle of combination/multi-agent
             cyto-reductive chemotherapy and no single agent chemotherapy/maintenance within 7 days
             (e.g. lenalidomide, pomalidomide, bortezomib, dexamethasone, etc).

          3. Eligible for Autologous Hematopoietic stem cell transplantation according at the
             investigator discretion.

          4. The subjects should be in first or second CR (including CR and SCR) or PR (including
             PR and VGPR)

          5. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.

          6. Adequate organ function at baseline .

          7. Subjects must use effective contraception.

        Exclusion Criteria:

          1. Previous history of autologous or allogeneic-HCT

          2. Failed previous HSC collections or collection attempts.

          3. Patients whose apheresis product were to be further selected and purified

          4. Taken any of the listed below concomitant medications, growth factors or stimulating
             agents within the designated washout period:

               1. Dexamethasone: 7 days

               2. Thalidomide: 7 days

               3. Lenalidomide: 7 days

               4. Pamolidomide: 7 days

               5. Bortezomib: 7 days

               6. Carfilzomib: 7 days

               7. G-CSF: 14 days

               8. GM-CSF or Neulasta®: 21 days

               9. Combination/multi-agent cyto-reductive therapy

              10. Erythropoietin or erythrocyte stimulating agents: 30 days

              11. Eltrombopag, romiplostim or platelet stimulating agents: 30 days

              12. Carmustine (BCNU): 42 days/6 weeks

          5. Received >6 cycles lifetime exposure to Lenalidomide.

          6. Received >2 cycles of alkylating agent combinations.

          7. Received 3-bis(2-chloroethyl)-1nitrosourea (BCNU or Carmustine) within 6 weeks prior
             to anticipated first dose of G-CSF.

          8. Received prior treatment with radioimmunotherapy, (e.g. radionuclides, holmium).

          9. Received marrow stimulating factors:

               1. Received G-CSF within 14 days prior to anticipated first dose of G-CSF.

               2. Received Pegfilgrastim (GM-CSF or Nulesta) within 3 weeks prior to anticipated
                  first dose of G-CSF.

               3. Received erythrocyte of platelet stimulating agents within 30 days prior to
                  anticipated first dose of G-CSF

         10. Plans to receive maintenance treatment within 100 days post-engraftment (e.g.
             Lenalidomide, Bortezomib, Pomalidomide, Thalidomide, Carfilzomib, etc.)

         11. Has received a live vaccine within 30 days of the planned start of study therapy.
             Seasonal flu vaccines that do not contain live virus are permitted.

         12. Known active CNS metastases or carcinomatous meningitis.

         13. A history of allergic reactions attributed to compounds of similar chemical or
             biologic composition to BL-8040, G-CSF, or other agents used in the study.

        16. Has an active infection requiring systemic therapy or uncontrolled infection. Has a
        known additional malignancy that is progressing or requires active treatment. Has an
        underlying medical condition that would preclude study participation.

        17. Is currently participating and receiving study therapy or has participated in a study
        of an investigational agent and received study therapy or used an investigational device
        within 4 weeks of the first dose of treatment.

        18. O2 saturation < 92% (on room air). 19. History of unexplained syncope, syncope from an
        uncorrected cardiac etiology, or family history of sudden death.

        20. History or family history of Long QT Syndrome or Torsade de Pointes. Myocardial
        infarction, CABG, coronary or cerebral artery stenting and /or angioplasty, stroke, cardiac
        surgery, or hospitalization for congestive heart failure within 3 months or greater than
        Class 2 Angina Pectoris or NYHA Heart Failure Class >2. QTcF > 470 msec, PR > 280 msec,
        Mobitz II 2nd degree AV Block, 2:1 AV Block, High Grade AV Block, or Complete Heart Block,
        unless the patient has an implanted pacemaker or implantable cardiac defibrillator (ICD)
        with backup pacing capabilities.

        21. Has known psychiatric or substance abuse disorders that would interfere with
        cooperation with the requirements of the trial.

        22. Is pregnant or breastfeeding, or expecting to conceive or father children within the
        projected duration of the trial, starting with the screening visit through 30 days after
        the last dose of trial treatment.

        23. Has a known history of HIV (HIV 1/2 antibodies), active / chronic Hepatitis B or C.
      
Maximum Eligible Age:78 Years
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Proportion of subjects mobilizing ≥6.0 x 106 CD34+ cells/kg with up to 2 apheresis sessions
Time Frame:18 months
Safety Issue:
Description:Proportion of subjects mobilizing ≥6.0 x 106 CD34+ cells/kg with up to 2 apheresis sessions in preparation for auto-HCT after treatment with G-CSF + single administration of BL-8040 or G-CSF + placebo.

Secondary Outcome Measures

Measure:Proportion of subjects who collect ≥2.0 x 106 CD34+ cells/kg in 1 apheresis session
Time Frame:18 months
Safety Issue:
Description:Proportion of subjects who collect ≥2.0 x 106 CD34+ cells/kg in 1 apheresis session after treatment with G-CSF + single administration of BL-8040 or G-CSF + placebo.
Measure:Proportion of subjects who collect ≥6.0 x 106 CD34+ cells/kg in 1 apheresis session
Time Frame:18 months
Safety Issue:
Description:Proportion of subjects who collect ≥6.0 x 106 CD34+ cells/kg in 1 apheresis session after treatment with G-CSF + single administration of BL-8040 or G-CSF + placebo.
Measure:Time to neutrophil engraftment, after autologous hematopoietic cell transplantation
Time Frame:18 months
Safety Issue:
Description:Time to neutrophil engraftment, after autologous hematopoietic cell transplantation, as defined as ANC ≥0.5 x 109/L for 3 days or ≥1.0 x 109/L for 1 day following the conditioning regimen associated nadir.
Measure:Time to platelet engraftment, after autologous hematopoietic cell transplantation
Time Frame:18 months
Safety Issue:
Description:Time to platelet engraftment, after autologous hematopoietic cell transplantation, as defined as the first of 3 consecutive measurements of platelet count ≥20 x 109/L without platelet transfusion support for 7 days following the conditioning regimen associated nadir.
Measure:Graft durability at 100 days post engraftment.
Time Frame:18 months
Safety Issue:
Description:Graft durability at 100 days post engraftment, after autologous hematopoietic cell transplantation.

Details

Phase:Phase 3
Primary Purpose:Interventional
Overall Status:Unknown status
Lead Sponsor:BioLineRx, Ltd.

Last Updated

January 19, 2018