A Study of Filanesib (ARRY-520) and Carfilzomib in Patients With Advanced Multiple Myeloma

NCT ID: NCT01989325

Last Updated: 2020-09-16

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

PHASE2

Total Enrollment

77 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-30

Study Completion Date

2016-05-31

Brief Summary

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This is a Phase 2 study during which patients with advanced multiple myeloma will receive either carfilzomib alone (single-agent) or carfilzomib in combination with investigational study drug filanesib (ARRY-520). Patients will be followed to determine the effectiveness of both single-agent carfilzomib and carfilzomib + filanesib in treating myeloma. Patients will be allowed to crossover from single-agent carfilzomib to carfilzomib + filanesib if disease progression occurs. Approximately 75 patients from the US will be enrolled in this study.

Detailed Description

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Conditions

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Advanced Multiple Myeloma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Carfilzomib + Filanesib

Single agent + Carfilzomib arm.

Patients will be hydrated prior to and following carfilzomib administration and will be premedicated with dexamethasone, per the carfilzomib prescribing information.

Filgrastim to be administered per the approved product prescribing information and institutional guidelines.

Group Type EXPERIMENTAL

Carfilzomib, proteasome inhibitor; intravenous

Intervention Type DRUG

multiple dose, single schedule

Filanesib, KSP(Eg5) inhibitor; intravenous

Intervention Type DRUG

multiple dose, single schedule

Dexamethasone, steroid; oral or intravenous

Intervention Type DRUG

as indicated, per the carfilzomib prescribing information

Filgrastim, granulocyte-colony stimulating factor (G-CSF); subcutaneous

Intervention Type DRUG

standard of care

Carfilzomib

Single agent arm.

Patients will be hydrated prior to and following carfilzomib administration and will be premedicated with dexamethasone, per the carfilzomib prescribing information.

Group Type EXPERIMENTAL

Carfilzomib, proteasome inhibitor; intravenous

Intervention Type DRUG

multiple dose, single schedule

Dexamethasone, steroid; oral or intravenous

Intervention Type DRUG

as indicated, per the carfilzomib prescribing information

Interventions

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Carfilzomib, proteasome inhibitor; intravenous

multiple dose, single schedule

Intervention Type DRUG

Filanesib, KSP(Eg5) inhibitor; intravenous

multiple dose, single schedule

Intervention Type DRUG

Dexamethasone, steroid; oral or intravenous

as indicated, per the carfilzomib prescribing information

Intervention Type DRUG

Filgrastim, granulocyte-colony stimulating factor (G-CSF); subcutaneous

standard of care

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Confirmed multiple myeloma with measurable disease.
* Disease refractory to last myeloma regimen.
* Patients must have received at least 2 prior treatment regimens, including bortezomib and an IMiD (e.g., lenalidomide, thalidomide, pomalidomide). Induction therapy and stem cell transplant ± maintenance are to be considered as a single regimen.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2 within 14 days prior to first dose of study treatment.
* Adequate hematology, liver and renal function laboratory values within 14 days prior to first dose of study treatment.
* Additional criteria exist.

Exclusion Criteria

* Prior treatment with carfilzomib, filanesib, or any other KSP inhibitor.
* Past or current plasma cell leukemia.
* Primary amyloidosis (amyloidosis associated with multiple myeloma is allowed).
* POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin changes).
* Ongoing Grade 3 or Grade 4 peripheral neuropathy, or Grade 2 peripheral neuropathy with pain despite appropriate interventions, within 28 days prior to first dose of study treatment.
* Autologous or allogeneic stem cell or bone marrow transplant within 3 months prior to first dose of study treatment.
* Concomitant malignancies or previous malignancies (other than multiple myeloma) with less than a 2-year disease-free interval at the time of first dose of study treatment. Patients with adequately resected basal or squamous cell carcinoma of the skin, carcinoma in situ of the cervix or breast, or Stage 1 prostate cancer are eligible irrespective of the time of diagnosis.
* Known pulmonary hypertension of any severity.
* Concurrent cardiac disease that, in the judgment of the Investigator, would make the patient inappropriate for study participation.
* Known positive serology for the human immunodeficiency virus (HIV), active hepatitis B and/or hepatitis C.
* Acute active infection requiring treatment.
* Additional criteria exist.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trial Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Genesis Cancer Center

Hot Springs, Arkansas, United States

Site Status

UCLA

Los Angeles, California, United States

Site Status

St. Joseph Heritage Healthcare

Santa Rosa, California, United States

Site Status

Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

Robert H. Lurie Comprehensive Cancer Center of Northwestern University

Chicago, Illinois, United States

Site Status

Crescent City Research Consortium

Marrero, Louisiana, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Forrest General Cancer Center

Hattiesburg, Mississippi, United States

Site Status

Nebraska Cancer Specialists

Omaha, Nebraska, United States

Site Status

Memorial Sloan Kettering

New York, New York, United States

Site Status

Levine Cancer Institute

Charlotte, North Carolina, United States

Site Status

Oncology Hematology Care - Blue Ash

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Ohio State University

Columbus, Ohio, United States

Site Status

Knight Cancer Institute at Oregon Health & Science University

Portland, Oregon, United States

Site Status

Prairie Lakes Health Care System

Watertown, South Dakota, United States

Site Status

Sarah Cannon Research Institute

Nashville, Tennessee, United States

Site Status

Simmons Cancer Center - UT Southwestern Medical Center

Dallas, Texas, United States

Site Status

Virginia Cancer Specialists

Fairfax, Virginia, United States

Site Status

WVU - Mary Babb Randolph Cancer Center

Morgantown, West Virginia, United States

Site Status

Medical College of Wisconsin Cancer Center

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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ARRAY-520-216

Identifier Type: -

Identifier Source: org_study_id

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