A Study of Venetoclax Plus Lenalidomide and Dexamethasone for the Treatment of Newly Diagnosed t(11;14)-Positive Multiple Myeloma in Subjects Who Are Ineligible for High-Dose Therapy

NCT ID: NCT03785184

Last Updated: 2019-08-28

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

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-29

Study Completion Date

2019-08-22

Brief Summary

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This study will evaluate the safety and preliminary efficacy of venetoclax when combined with lenalidomide and dexamethasone for participants with newly diagnosed, active t(11;14) positive multiple myeloma (MM).

This study will consist of 2 parts: Part 1 Dose Escalation and Part 2 Dose Expansion.

Detailed Description

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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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Venetoclax + Lenalidomide + Dexamethasone

Venetoclax up to 800 mg orally every day (QD) QD on Days 1 - 28 plus lenalidomide up to 25 mg orally QD on Days 1 - 21 (28 day cycle) plus dexamethasone up to 40 mg orally once weekly (QW).

Group Type EXPERIMENTAL

venetoclax

Intervention Type DRUG

tablet; oral

lenalidomide

Intervention Type DRUG

capsule; oral

dexamethasone

Intervention Type DRUG

tablet; oral

Interventions

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venetoclax

tablet; oral

Intervention Type DRUG

lenalidomide

capsule; oral

Intervention Type DRUG

dexamethasone

tablet; oral

Intervention Type DRUG

Other Intervention Names

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ABT-199 Revlimid

Eligibility Criteria

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Inclusion Criteria

* Must have documented, confirmed active multiple myeloma (MM) with greater than or equal to 10% clonal bone marrow plasma cells or biopsy-proven bone or extramedullary plasmacytoma and any one or more of the following myeloma-defining events:

* Evidence of end organ damage attributed to the underlying plasma cell proliferative disorder and satisfying at least one of the protocol specified laboratory criteria for calcium elevation, renal failure, anemia, or lytic bone lesions; OR
* One or more of the biomarkers of malignancy as described in the protocol.
* Must have MM positive for the t(11;14) translocation, as determined by methods described in the protocol.
* Must have measurable disease defined by at least one of the following criteria:

* Serum M-protein ≥ 1.0 g/dL (immunoglobulin \[Ig\]G myeloma) or greater than or equal to 0.5 g/dL (IgA, IgM, IgD, or IgE myeloma);
* Urine M-protein greater than or equal to 200 mg/24 hours;
* Serum free light chain (FLC) greater than or equal to 10 mg/dL (100 mg/L) provided serum FLC ratio is abnormal.
* Newly diagnosed and not considered a candidate for high-dose therapy and hematopoietic stem cell transplantation (HSCT)
* Must have Eastern Cooperative Oncology Group performance status less than or equal to 2.

Exclusion Criteria

* Has a co-existing condition as specified in the protocol.
* Has history of other active malignancies, including myelodysplastic syndromes (MDS) within the past 3 years with specific exceptions detailed in the protocol.
* Has been treated with or received any of the following:

* Prior or current systemic therapy or hematopoietic stem cell transplantation (HSCT) for MM (a short course of treatment with corticosteroids equivalent to dexamethasone 40 mg/day for a maximum of 4 days is allowed before treatment); use of systemic strong or moderate inhibitor or inducer of cytochrome P450(CYP)3A within 7 days before the first dose of study drug.
* Radiation therapy within 2 weeks of dosing
* Plasmapheresis within 4 weeks of dosing
* Immunization with live vaccine within 8 weeks of dosing
* Has a contraindication or inability to comply with antithrombotic prophylaxis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role collaborator

Celgene Corporation

INDUSTRY

Sponsor Role collaborator

AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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AbbVie Inc.

Role: STUDY_DIRECTOR

AbbVie

Locations

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City of Hope /ID# 212211

Duarte, California, United States

Site Status

Marin Cancer Care /ID# 208476

Greenbrae, California, United States

Site Status

University of California, Los Angeles /ID# 208516

Los Angeles, California, United States

Site Status

Karmanos Cancer Institute /ID# 208805

Detroit, Michigan, United States

Site Status

Henry Ford Hospital /ID# 208481

Detroit, Michigan, United States

Site Status

Duke University Hospital /ID# 208306

Durham, North Carolina, United States

Site Status

UPMC Hillman Cancer Ctr /ID# 208121

Pittsburgh, Pennsylvania, United States

Site Status

Westmead Hospital /ID# 210267

Westmead, New South Wales, Australia

Site Status

Flinders Centre for Innovation /ID# 210697

Bedford Park, South Australia, Australia

Site Status

St. Vincents Hosp Melbourne /ID# 210266

Fitzroy, Victoria, Australia

Site Status

Austin Hospital /ID# 210268

Heidelberg, Victoria, Australia

Site Status

Monash Medical Centre /ID# 210269

Melbourne, Victoria, Australia

Site Status

Tom Baker Cancer Centre /ID# 208549

Calgary, Alberta, Canada

Site Status

Princess Margaret Cancer Centr /ID# 208923

Toronto, Ontario, Canada

Site Status

Hopital Maisonneuver-Rosemont /ID# 208550

Montreal, Quebec, Canada

Site Status

McGill Univ HC /ID# 208486

Montreal, Quebec, Canada

Site Status

Clinica Universitar de Navarra - Pamplona /ID# 209883

Pamplona, Navarra, Comunidad, Spain

Site Status

Hospital Clinic de Barcelona /ID# 209888

Barcelona, , Spain

Site Status

Hspital Universitario Gregorio Maranon /ID# 209926

Madrid, , Spain

Site Status

Clinica Universitar de Navarra - Madrid /ID# 210131

Madrid, , Spain

Site Status

Hosp Univ 12 de Octubre /ID# 209887

Madrid, , Spain

Site Status

Hospital Univ Dr. Peset /ID# 209884

Valencia, , Spain

Site Status

Countries

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United States Australia Canada Spain

Related Links

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http://www.rxabbvie.com

This clinical study may be evaluating a usage that is not currently FDA approved. Please see US Prescribing Information for approved uses.

Other Identifiers

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M16-104

Identifier Type: -

Identifier Source: org_study_id

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