A Phase 2 Trial of Filanesib in Relapsed/Refractory Multiple Myeloma (AfFIRM)

NCT ID: NCT02092922

Last Updated: 2020-10-19

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

154 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2017-09-05

Brief Summary

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The AfFIRM Study is a Phase 2 study during which patients with advanced multiple myeloma will receive single-agent investigational study drug filanesib (ARRY-520). Patients will be followed to determine the effectiveness of filanesib in treating myeloma. Approximately 160 patients from North America and Europe will be enrolled in this study.

Eligible patients will have received at least two prior lines of therapy; have received prior bortezomib and lenalidomide; and have disease refractory to carfilzomib and/or pomalidomide.

Detailed Description

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Conditions

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Advanced 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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Filanesib

Group Type EXPERIMENTAL

Filanesib, KSP (Eg5) inhibitor; intravenous

Intervention Type DRUG

multiple dose, single schedule

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

Intervention Type DRUG

standard of care

Interventions

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Filanesib, KSP (Eg5) inhibitor; intravenous

multiple dose, single schedule

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

* Patients with confirmed multiple myeloma whose treatment history must include all of the following:

1. Received at least 2 prior lines of therapy (induction therapy and stem cell transplant ± maintenance are to be considered a single line of therapy).
2. Received at least 2 cycles of a bortezomib-containing regimen and 2 cycles of a lenalidomide-containing regimen, unless intolerant to these agents (defined as requiring discontinuation due to toxicity).
3. Disease refractory to a carfilzomib-containing regimen and/or a pomalidomide containing regimen. Refractory is defined as either failure to achieve a minimal response (MR) or better while on therapy, or development of progressive disease (PD) while on therapy or within 60 days from last dose of therapy.
* Measurable multiple myeloma disease, defined as meeting at least one of the following criteria within 14 days prior to first dose of study drug:

1. A monoclonal Ig (M-protein) concentration on serum protein electrophoresis (SPEP) of ≥ 1.0 g/dL.
2. Measurable urinary light chain secretion by quantitative analysis using urine protein electrophoresis (UPEP) of ≥ 200 mg/24 hours.
3. Involved serum free light chain (FLC) level ≥ 10 mg/dL, provided the serum FLC ratio is abnormal.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2 within 14 days prior to first dose of study drug.
* Adequate hematology, hepatic and renal function laboratory values within 14 days prior to first dose of study drug.
* Additional criteria exist.

Exclusion Criteria

* Prior treatment with filanesib (ARRY-520) 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).
* Autologous or allogeneic stem cell or bone marrow transplant within 3 months prior to first dose of study drug.
* 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 drug. 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.
* Use of an investigational agent that is not expected to be cleared by the time of first dose of study drug or that has been demonstrated to have prolonged side effects. Patients must have recovered from all side effects to a Grade 0 or 1 (except alopecia and neuropathy).
* Any severe concurrent disease or condition (including severe graft-versus-host disease, requirement for dialysis, symptomatic congestive heart failure \[New York Heart Association Class III or IV\], unstable angina pectoris, cardiac arrhythmia) which, 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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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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UAB Comprehensive Cancer Center

Birmingham, Alabama, United States

Site Status

City of Hope

Duarte, California, United States

Site Status

University of California, San Francisco Medical Center

San Francisco, California, United States

Site Status

University of Colorado

Aurora, Colorado, United States

Site Status

Colorado Blood Cancer Institute

Denver, Colorado, United States

Site Status

Yale Comprehensive Cancer Center

New Haven, Connecticut, United States

Site Status

Emory University, Winship Cancer Institute

Atlanta, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Decatur Memorial Hospital

Decatur, Illinois, United States

Site Status

University of Kansas Cancer Center and Medical Pavilion

Westwood, Kansas, United States

Site Status

University of Kentucky

Lexington, Kentucky, United States

Site Status

Norton Cancer Institute

Louisville, Kentucky, United States

Site Status

Center for Cancer and Blood Disorders

Bethesda, Maryland, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Washington University in St. Louis

St Louis, Missouri, United States

Site Status

Nebraska Hematology Oncology, P.C.

Lincoln, Nebraska, United States

Site Status

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status

Mount Sinai Medical Center

New York, New York, United States

Site Status

NY Presbyterian - Weill Cornell Medical Center

New York, New York, United States

Site Status

Levine Cancer Institute

Charlotte, North Carolina, United States

Site Status

Duke Cancer Center

Durham, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

UT Southwestern Medical Center

Dallas, Texas, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status

Cancer Care Northwest

Spokane Valley, Washington, United States

Site Status

Institut Jules Bordet

Brussels, , Belgium

Site Status

Universitaire Ziekenhuizen Leuven

Leuven, , Belgium

Site Status

Tom Baker Cancer Centre

Calgary, Alberta, Canada

Site Status

QEII Health Sciences Center

Halifax, Nova Scotia, Canada

Site Status

Jewish General Hospital

Montreal, Quebec, Canada

Site Status

Centre Hospitalier Lyon-Sud

Bierre-Benite Cedex, , France

Site Status

Hopital Claude Huriez

Lille, , France

Site Status

Institut Paoli Calmettes

Marseille, , France

Site Status

CHU Hotel Dieu

Nantes, , France

Site Status

G.H.U Caremeau

Nîmes, , France

Site Status

Institut Universitaire de Cancer

Toulouse, , France

Site Status

CHU tours-Hopital Bretonneau

Tours, , France

Site Status

CHU de Nancy - Hopital de Brabois

Vandœuvre-lès-Nancy, , France

Site Status

TU Dresden Medizinische Fakultat, Medizinische Klinik und Poliklinik I

Dresden, , Germany

Site Status

Asklepios Kliniken Hamburg GmbH

Hamburg, , Germany

Site Status

University Hospital Heidelberg

Heidelberg, , Germany

Site Status

University Hospital Leipzig

Leipzig, , Germany

Site Status

University of Tubingen

Tübingen, , Germany

Site Status

Julius Maximilians Universitat Wurzburg

Würzburg, , Germany

Site Status

General Hospital of Athens "Evangelismos"

Athens, , Greece

Site Status

University of Athens School of Medicine

Athens, , Greece

Site Status

Hospital Germans Trias i Pujol

Badalona, , Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital Clinico Universitario de Valencia

Valencia, , Spain

Site Status

Hospital Universitario La Fe

Valencia, , Spain

Site Status

Hospital Quiron de Zaragoza

Zaragoza, , Spain

Site Status

Barts Health NHS Trust

London, , United Kingdom

Site Status

Kings College Hospital NHS Foundation Trust

London, , United Kingdom

Site Status

Southhampton General Hospital

Southhampton, , United Kingdom

Site Status

The Royal Marsden NHS Foundation Trust

Surrey, , United Kingdom

Site Status

New Cross Hospital

Wolverhampton, , United Kingdom

Site Status

Countries

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United States Belgium Canada France Germany Greece Spain United Kingdom

Other Identifiers

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2014-001051-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

C4371002

Identifier Type: OTHER

Identifier Source: secondary_id

ARRAY-520-215

Identifier Type: -

Identifier Source: org_study_id

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