BT062 in Combination With Lenalidomide or Pomalidomide and Dexamethasone in Patients With Multiple Myeloma

NCT ID: NCT01638936

Last Updated: 2019-07-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-07-03

Study Completion Date

2018-10-30

Brief Summary

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The purpose of this study is to test safety and anti-tumor activity of BT062 in combination with lenalidomide and dexamethasone to define the best doses for treating patients with relapsed and refractory multiple myeloma.

Detailed Description

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BT062 is an antibody-drug conjugate designed to bind and destroy Myeloma cells. The study drug is being given in multiple doses with standard Multiple Myeloma treatments, lenalidomide and dexamethasone, to test how well the treatments are tolerated and work together. This study is a dose escalation study with the purpose to find out the highest dose of BT062 that a subject can tolerate in combination with lenalidomide and dexamethasone.

Conditions

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Multiple Myeloma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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BT062

BT062 administered intravenously on days 1, 8 and 15 of each 28-day cycle, and lenalidomide or pomalidomide and dexamethasone administered orally to subjects with relapsed or relapsed/refractory MM

Group Type EXPERIMENTAL

BT062 , intravenous administration

Intervention Type DRUG

Dose escalation to determine dose limiting toxicities (DLTs) and/or the maximum tolerated dose (MTD)/recommended Phase II dose (RPTD) of BT062 in combination with lenalidomide/dexamethasone

Interventions

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BT062 , intravenous administration

Dose escalation to determine dose limiting toxicities (DLTs) and/or the maximum tolerated dose (MTD)/recommended Phase II dose (RPTD) of BT062 in combination with lenalidomide/dexamethasone

Intervention Type DRUG

Other Intervention Names

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Indatuximab Ravtansine

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of active Multiple Myeloma according to the International Myeloma Working Group (IMWG) diagnostic criteria
* Relapsed or relapsed/refractory progressive Multiple Myeloma
* Subjects who failed at least one prior therapy (BT062/Len/dex)
* Subjects who failed at least two prior therapy (BT062/Pom/dex)
* Subjects age ≥18 years
* Life expectancy of ≥12 weeks
* Eastern Cooperative Oncology Group (ECOG) performance status (Zubrod) ≤2
* Normal organ and bone marrow
* Signed written informed consent in accordance with federal, local, and institutional guidelines
* Subjects must agree to follow all Guidelines from REVLIMID REMS Program or POMALYST REMS
* Women of child bearing potential (WCBP), must agree to use 2 contraceptive methods

Exclusion Criteria

* Chemotherapy or radiotherapy within 3 weeks (6 weeks for nitrosoureas or mitomycin C) prior to day 1 or those who have not recovered from adverse events (AEs) due to agents administered more than 3 weeks earlier
* Antineoplastic therapy with biological agents within 2 weeks before day 1 or within 5 drug half-lives (t½) prior to first dose, whichever time period is longer
* Concomitant antineoplastic therapies including chemotherapy, radiotherapy, or biological agents during the study
* Treatment with another investigational drug during the study or within 3 weeks before day 1 or within 5 drug half-live (t½) prior to first dose, whichever time period is longer
* Treatment with BT062 in previous studies
* Major surgery within 4 weeks before day 1 (this does not include placement of vascular access device or tumor biopsies)
* Malignancy within 3 years before day 1, other than the trial indication multiple myeloma and excluding treated non-melanoma skin cancer, superficial bladder cancer, carcinoma in-situ of the cervix and prostate carcinoma ≤ Gleason Grade 6 with stable prostate specific antigen (PSA) levels
* Subjects with plasma cell leukemia (PCL)
* Subjects with deep vein thrombosis (DVT) and Pulmonary embolism (PE) within 3 months prior to day 1 treatment
* Severe infections necessitating use of antibiotics / antivirals during the screening period
* Clinically relevant active infection including active hepatitis B or C or human immunodeficiency virus (HBV, HCV, or HIV) or any other concurrent disease
* Acute or relevant abnormalities in electrocardiogram (ECG)
* Significant cardiac disease
* Pregnant or breast-feeding
* Positive serum or urine pregnancy test
* Hypersensitivity to the active substance or to any of the excipients for study drug BT062, or history of severe allergic or anaphylactic reaction to therapeutic proteins (e.g. reaction to vaccination or to biological therapy)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biotest

INDUSTRY

Sponsor Role collaborator

Biotest Pharmaceuticals Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kenneth C Anderson, MD

Role: STUDY_DIRECTOR

Dana-Farber Cancer Institute

Locations

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City of Hope

Duarte, California, United States

Site Status

USC Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Mayo Clinic

Jacksonville, Florida, United States

Site Status

Memorial Healthcare System

Pembroke Pines, Florida, United States

Site Status

Emory University Winship Cancer Institute

Atlanta, Georgia, United States

Site Status

The University of Chicago

Chicago, Illinois, United States

Site Status

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

Mount Sinai Medical Center

New York, New York, United States

Site Status

University of Texas Health Science Center

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Kelly KR, Ailawadhi S, Siegel DS, Heffner LT, Somlo G, Jagannath S, Zimmerman TM, Munshi NC, Madan S, Chanan-Khan A, Lonial S, Chandwani S, Minasyan A, Ruehle M, Barmaki-Rad F, Abdolzade-Bavil A, Rharbaoui F, Herrmann-Keiner E, Haeder T, Wartenberg-Demand A, Anderson KC. Indatuximab ravtansine plus dexamethasone with lenalidomide or pomalidomide in relapsed or refractory multiple myeloma: a multicentre, phase 1/2a study. Lancet Haematol. 2021 Nov;8(11):e794-e807. doi: 10.1016/S2352-3026(21)00208-8. Epub 2021 Sep 13.

Reference Type DERIVED
PMID: 34529955 (View on PubMed)

Other Identifiers

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983

Identifier Type: -

Identifier Source: org_study_id

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