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

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

Related trials

Other published trials that may interest you.