An Open-label, Dose-escalation Safety and Tolerability Trial Assessing Anti-KIR (1-7F9) in Subjects With Multiple Myeloma

NCT ID: NCT00552396

Last Updated: 2016-03-31

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1
• Total Enrollment: 32 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2007-05-31
• Study Completion Date: 2011-01-31

Brief Summary

Development of new treatments for diseases such as multiple myeloma is a focus for research. The research being conducted is on treatment called Anti-KIR (1-7F9), which activates the body's own cells to kill tumor cells. This is different from many other treatments where chemicals are given to kill tumor cells. The purpose of the study is to determine a safe dose of Anti-KIR (1-7F9) to administer in humans and to gain information about its effectiveness in the treatment of multiple myeloma.

Detailed Description

Trial Design:

The trial is an open-label, dose-escalation trial to determine the safety and tolerability of Anti-KIR (1-7F9) in subjects with relapsed or refractory multiple myeloma (RRMM). A 3+3 design will be employed for the first dosing cycle at each dose level. The 7 planned dose levels are 0.0003 mg/kg, 0.003 mg/kg, 0.015 mg/kg, 0.075 mg/kg, 0.3 mg/kg, 1.0 mg/kg and 3.0 mg/kg. The subjects will receive up to a total of 4 administrations of Anti-KIR (1-7F9) with a dosing interval between each administration of 4 weeks. Safety, toxicity, PK (pharmacokinetic) and PD (pharmacodynamic) obtained in the first 4 weeks after dosing per group will be the basis for dose-escalation decisions. There will be follow-up visits every week the one month after the first administration and every two weeks following the second, third and fourth administrations. After the last administration there will be follow-up visits every month until KIR occupancy is no longer detected.

Conditions

Multiple Myeloma

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Interventions

Anti-KIR (1-7F9)

human monoclonal antibody

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

1. Informed consent obtained before any trial-related activities. (Trial-related activities are any procedure that would not have been performed during normal management of the subject.)

2. Bone marrow plasmacytosis > 10% (as determined by bone marrow aspirate) or plasmacytoma

3. Relapse or progression after at least one prior systemic treatment regimen for Multiple Myeloma (MM) as evidenced by ≥ 25% increase in the M-protein as compared to the best response from the previous treatment regimen.

3a. One prior therapy for multiple myeloma, Measurable disease, as defined by persistent presence of serum and/or urine monoclonal protein or abnormal serum free light chain ratio following the prior treatment.

a. Only for the last seven patients enrolled into the cohort 7 or Maximal Tolerated Dose (MTD).

4. Full recovery from acute toxicities of prior anti-MM therapies. 5. Peripheral blood (Natural Killer) NK cells (Absolute CD16, 56)≥ 0.05 x 109/L (50/mm3) 6. Detectable binding of Anti-KIR (1-7F9) to subject NK cells 7. Age ≥ 18 years 8. Eastern Cooperative Oncology Group (ECOG) performance status of 0,1 or 2 9. Clinical laboratory values at screening:

• serum creatinine < grade 2 toxicity i.e. 1.5x upper limit of institutional normal value
• total bilirubin < 1.5x upper limit of institutional normal value
• Aspartate aminotransferase (AST) < or = 3x upper limit of institutional normal value
• Absolute Neutrophil Count (ANC) >1.2 x109/L
• Platelets >70x109/L

Exclusion Criteria

1. Known or suspected allergy to trial product or related products

2. Previous participation in this trial (dosed)

3. Females of childbearing potential who are pregnant, breast-feeding or intend to become pregnant or are not using adequate contraceptive methods (appropriate methods include abstinence and the following methods: diaphragm, condom (by the partner), intrauterine device, sponge, spermicide or oral contraceptives)

4. Male subjects who are sexually active and have not been surgically sterilized must be informed that they must either use a condom during intercourse, ensure that their partners practices contraception, or they must refrain from sexual intercourse during the study and until 1 month after completion of the trial.

5. Use of an investigational agent within 30 days of the first dose of study drug (or five half-lives of any antibody).

6. Current treatment with any other anti-MM therapy excluding prophylactic bisphosphonates.

7. Radiotherapy against bone lesions within 4 weeks or visceral lesions within 8 weeks of Screening.

8. Thalidomide or bortezomib treatment within 14 days of Screening.

9. Cytotoxic chemotherapy (excluding thalidomide or bortezomib) or corticosteroid treatment within 28 days of Screening.

10. Subjects with non-secretory multiple myeloma

11. Subjects on dialysis

12. Use of myeloid growth factor within 28 days of screening

13. G-CSF treatment within 28 days of screening

14. Active autoimmune disease

15. Active infectious disease (e.g. HIV, chronic hepatitis, etc.) as judged by the investigator.

16. New York Heart Association (NYHA) class III-IV heart failure

17. Severe neurological / psychiatric disorder as judged by the investigator

18. Clinical evidence of an active second malignancy, with the exception of basal cell carcinoma or in situ carcinoma of cervix.

19. Subjects with a history of allogenic transplantation.

20. Subject who have undergone autologous transplantation within the last 3 months.

21. Mental incapacity or inadequate understanding of English.

22. Any serious medical condition that in the opinion of the investigator, disqualifies the subject for inclusion in the trial.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Innate Pharma

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Sherif Farag, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Indiana University

Don Benson, Jr., MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Division of Haematology/Oncology - Ohio State University

Swaminathan Padmanabhan, MD

Role: PRINCIPAL_INVESTIGATOR

CTRC Institute for Drug Development - University of Texas at San Antonio

Sundar Jagannath, MD

Role: PRINCIPAL_INVESTIGATOR

Mount Sinai Hospital, New York

Locations

Indiana University Cancer Center

Indianapolis, Indiana, United States

Mont Sinai Medical Center

New York, New York, United States

Ohio State University Medical Center

Columbus, Ohio, United States

Cancer Therapy Research Center at UTHSCSA

San Antonio, Texas, United States

Countries

United States

References

Benson DM Jr, Hofmeister CC, Padmanabhan S, Suvannasankha A, Jagannath S, Abonour R, Bakan C, Andre P, Efebera Y, Tiollier J, Caligiuri MA, Farag SS. A phase 1 trial of the anti-KIR antibody IPH2101 in patients with relapsed/refractory multiple myeloma. Blood. 2012 Nov 22;120(22):4324-33. doi: 10.1182/blood-2012-06-438028. Epub 2012 Oct 1.

Reference Type: DERIVED

PMID: 23033266 (View on PubMed)

Other Identifiers

IPH2101-103

Identifier Type: -

Identifier Source: org_study_id