Clinical trial • Phase I/II • Oncology
ALNUCTAMAB for Relapsed and/or Refractory Multiple Myeloma
Phase I/II trial of ALNUCTAMAB for Relapsed and/or Refractory Multiple Myeloma.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Relapsed and/or Refractory Multiple Myeloma
- Trial Stage
- Phase I/II
- Drug Modality
- Monoclonal antibody|Small molecule
Key dates
- Initial CTIS Submission Date
- 05-09-2023
- First CTIS Authorization Date
- 11-01-2024
Trial design
Randomised, open-label, alnuctamab monotherapy (dose/schedule not specified)-controlled, adaptive Phase I/II trial in Denmark, France, Germany and others.
- Randomised
- Yes
- Open Label
- Yes
- Comparator
- Alnuctamab monotherapy (dose/schedule not specified)
- Adaptive
- Yes
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 53
Eligibility
Recruits 53 Vulnerable population selected (isVulnerablePopulationSelected = true) in record; no further details on consent/assent handling provided in the available documentation. Adults (≥18) are eligible per inclusion criteria..
- Pregnancy Exclusion
- Adherence to contraception requirements.
- Vulnerable Population
- Vulnerable population selected (isVulnerablePopulationSelected = true) in record; no further details on consent/assent handling provided in the available documentation. Adults (≥18) are eligible per inclusion criteria.
Inclusion criteria
- {"criterion_text":"- Age ≥ 18 with history of RRMM treated with ≥ 3 prior lines of antimyeloma therapy (Part A) or 1 to 3 prior lines of anti-myeloma therapy (Parts B and C).\n- Measurable MM by central laboratory.\n- Eastern Cooperative Oncology Group performance status of 0 to 1.\n- Adherence to contraception requirements."}
Exclusion criteria
- {"criterion_text":"- Prior treatment with mezigdomide or alnuctamab.\n- Other exclusion criteria can be found in the protocol."}
Endpoints
Primary endpoints
- {"endpoint_text":"- All phases: Type, frequency, seriousness, and severity of all aAEs;. To be assessed continuously for all participants until 80 days after the last dose of alnuctamab or 28 days after the last dose of mezigdomide, whichever is later.","definition_or_measurement_approach":"Assessed continuously for all participants until 80 days after the last dose of alnuctamab or 28 days after the last dose of mezigdomide, whichever is later."}
- {"endpoint_text":"- Phase 1b: Establish RP2D and dosing schedule of mezigdomide in combination with alnuctamab for Phase 2a expansion. To be assessed at end of Phase 1.","definition_or_measurement_approach":"To be assessed at end of Phase 1 (determination of recommended Phase 2 dose and schedule)."}
- {"endpoint_text":"- Phase 2a: Overall response rate. To be assessed every cycle for all participants starting at Cycle 2 Day 1 until end of treatment. Participants in efficacy follow-up may be assessed every 8 weeks until dprogression, withdrawal of consent, death, or initiation of new systemic anticancer therapies.","definition_or_measurement_approach":"Overall response rate assessed every cycle starting at Cycle 2 Day 1 until end of treatment; efficacy follow-up assessments may occur every 8 weeks until progression, withdrawal, death, or new systemic anticancer therapy."}
Secondary endpoints
- {"endpoint_text":"- All phases: Other myeloma response measures such as very good partial or better rate and complete response rate; time-to-response (the time it takes for a myeloma response after treatment) and duration of response. These will be assessed for all participants starting at Cycle 2 Day 1. Other measures include progression-free survival (the amount of time after starting treatment that the cancer does not worsen) and overall survival, both of which will be assessed continuously","definition_or_measurement_approach":"Assessed for all participants starting at Cycle 2 Day 1; includes time-to-response, duration of response, progression-free survival and overall survival assessed continuously."}
- {"endpoint_text":"- Phase 1b: overall response rate. To be assessed every cycle for all participants starting at Cycle 2 Day 1 until end of treatment. Participants in efficacy follow-up may be assessed every 8 weeks until dprogression, withdrawal of consent, death, or initiation of new systemic anticancer therapies.","definition_or_measurement_approach":"Overall response rate assessed every cycle starting at Cycle 2 Day 1 until end of treatment; efficacy follow-up assessments may occur every 8 weeks until progression, withdrawal, death, or new systemic anticancer therapy."}
Recruitment
- Planned Sample Size
- 53
- Recruitment Window Months
- 40
- Consent Approach
- Adults (≥18) provide informed consent per inclusion criteria; no further details on assent, age-specific consent documents, or languages available are provided in the record.
Geography
- Total Number Of Sites
- 2
- Total Number Of Participants
- 53
Denmark
- Earliest CTIS Part Ii Submission Date
- 09-12-2023
- Latest Decision Or Authorization Date
- 11-01-2024
- Processing Time Days
- 33
- Number Of Sites
- 2
- Number Of Participants
- 14
Sites
- Site Name
- Aarhus Universitetshospital
- Department Name
- Department of Hematology
- Principal Investigator Name
- Maja Oelholm Vase
- Principal Investigator Email
- majavase@rm.dk
- Contact Person Name
- Maja Oelholm Vase
- Contact Person Email
- majavase@rm.dk
- Site Name
- Odense University Hospital
- Department Name
- Department of Hematology
- Principal Investigator Name
- Charlotte Toftmann Hansen
- Principal Investigator Email
- charlotte.toftmann.hansen@rsyd.dk
- Contact Person Name
- Charlotte Toftmann Hansen
- Contact Person Email
- charlotte.toftmann.hansen@rsyd.dk
France
- Latest Decision Or Authorization Date
- 15-12-2023
Germany
- Latest Decision Or Authorization Date
- 18-12-2023
Spain
- Latest Decision Or Authorization Date
- 18-12-2023
Netherlands
- Latest Decision Or Authorization Date
- 18-12-2023
Sponsor
Primary sponsor
- Full Name
- Celgene International II S.a.r.l.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Switzerland
Contract research organisations
- Name
- Pharmaceutical Product Development LLC
- Responsibilities
- Serology/ endocrinology, medical image analysis/ review - X-ray, MRI, ultrasound, etc.
- Name
- QPS LLC
- Responsibilities
- Mezigdomide PK
Third parties
- {"country":"United States","full_name":"Yprime LLC","duties_or_roles":"IVRS – treatment randomization, Core Technology Services","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"Serology/ endocrinology, medical image analysis/ review - X-ray, MRI, ultrasound, etc.","organisation_type":"Pharmaceutical company"}
- {"country":"India","full_name":"Accenture Solutions Private Limited","duties_or_roles":"Pharmacovigilance: Medical review & Cases Data Entry.","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Neogenomics Laboratories Inc.","duties_or_roles":"Genomic Analysis","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"India","full_name":"Accenture Solutions Private Limited","duties_or_roles":"Embarc operations","organisation_type":"Pharmaceutical company"}
- {"country":"India","full_name":"Accenture Solutions Private Limited","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"QPS LLC","duties_or_roles":"Mezigdomide PK","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Alnuctamab
- Active Substance
- ALNUCTAMAB
- Modality
- Monoclonal antibody
- Routes Of Administration
- Subcutaneous
- Route
- Subcutaneous
- Authorisation Status
- Not authorised
- Investigational Product Name
- CC-92480 (Mezigdomide)
- Active Substance
- MEZIGDOMIDE
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- Not authorised
- Dose Levels
- 0.2 mg|0.3 mg|0.4 mg|0.6 mg
- Investigational Product Name
- DEXAMETHASONE
- Active Substance
- DEXAMETHASONE
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- Authorised
- Combination Treatment
- Yes
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