Clinical trial • Phase I/II • Oncology

MEZIGDOMIDE for Relapsed or refractory multiple myeloma

Phase I/II trial of MEZIGDOMIDE for Relapsed or refractory multiple myeloma.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Relapsed or refractory multiple myeloma
Trial Stage
Phase I/II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
25-04-2024
First CTIS Authorization Date
16-05-2024

Trial design

open-label, control: cc-92480 + dexamethasone (control arm). comparator agents listed in the application: tazemetostat (film-coated tablet; dose not specified in source), trametinib (mekinist 2 mg and mekinist 0.5 mg film-coated tablets), dexamethasone (4 mg tablets - multiple marketed products listed). specific schedules not specified in the provided data., adaptive Phase I/II trial across 4 sites in Spain, Norway.

Open Label
Yes
Comparator
Control: CC-92480 + dexamethasone (control arm). Comparator agents listed in the application: TAZEMETOSTAT (film-coated tablet; dose not specified in source), TRAMETINIB (Mekinist 2 mg and Mekinist 0.5 mg film-coated tablets), Dexamethasone (4 mg tablets - multiple marketed products listed). Specific schedules not specified in the provided data.
Adaptive
True - includes a Part 1 dose-finding/escalation component to determine RP2D and schedule for each combination (dose-finding/adaptive element described in objectives).
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
204

Eligibility

Recruits 204 Participants are adults (≥ 18 years); signed written informed consent required prior to any study procedure; no vulnerable population selected (isVulnerablePopulationSelected = false)..

Pregnancy Exclusion
Agree to follow the CC-92480 Pregnancy Prevention Plan (PPP)
Vulnerable Population
Participants are adults (≥ 18 years); signed written informed consent required prior to any study procedure; no vulnerable population selected (isVulnerablePopulationSelected = false).

Inclusion criteria

  • {"criterion_text":"- Signed written informed consent prior to any study procedure."}
  • {"criterion_text":"- ≥ 18 years of age the time of signing the ICF."}
  • {"criterion_text":"- Relapsed or refractory multiple myeloma (MM) and must: a. have documented disease progression during or after their last myeloma therapy. b. For part I dose finding: Be refractory to, intolerant to, or not a candidate for available, established therapies known to provide clinical benefit in MM. For Part 2 Dose Expansion: Be refractory to or have relapsed after at least 2 prior lines of therapy that include an IMiD, a proteasome inhibitor, an anti-CD38 mAb, and a T-cell redirecting therapy (TRT, eg, a CAR-T or T-cell engaging bispecific treatment) unless the participant is not a candidate for TRT"}
  • {"criterion_text":"- Must have measurable disease."}
  • {"criterion_text":"- Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1."}
  • {"criterion_text":"- Agree to follow the CC-92480 Pregnancy Prevention Plan (PPP)"}

Exclusion criteria

  • {"criterion_text":"- Known active or history of central nervous system (CNS) involvement of MM."}
  • {"criterion_text":"- COVID-19 vaccine within 14 days prior to C1D1"}
  • {"criterion_text":"- Plasma cell leukemia; Waldenstrom's macroglobulinemia; polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes (POEMS) syndrome; or clinically significant light-chain amyloidosis."}
  • {"criterion_text":"- Impaired cardiac function or clinically significant cardiac disease."}
  • {"criterion_text":"- For Part 1: received prior therapy with CC-92480."}
  • {"criterion_text":"- For Part 2: received prior therapy with CC-92480, tazemetostat, BMS- 986158, or trametinib."}
  • {"criterion_text":"- Previously received allogeneic stem-cell transplant at any time or received autologous stem-cell transplant within 12 weeks of initiating study treatment"}
  • {"criterion_text":"- Received any of the following within 14 days prior to initiating study treatment: a. Plasmapheresis b. Major surgery c. Radiation therapy other than local therapy for myeloma associated bone lesions d. Use of any systemic anti-myeloma drug therapy"}
  • {"criterion_text":"- Used any investigational agents within 28 days or 5 half-lives (whichever is shorter) prior to initiating study treatment."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Safety : Type, frequency, seriousness, and severity of adverse events (AEs), and relationship of AEs to study treatment.","definition_or_measurement_approach":"As stated: Type, frequency, seriousness, and severity of adverse events (AEs), and relationship of AEs to study treatment."}
  • {"endpoint_text":"- Recommended Phase 2 Dose (RP2D): Establish the RP2D for CC-92480 in each novel treatment combination with dexamethasone.","definition_or_measurement_approach":"As stated: Establish the RP2D for CC-92480 in each novel treatment combination with dexamethasone."}

Secondary endpoints

  • {"endpoint_text":"- Overall Response Rate (ORR) : Best response ≥ partial response (PR), according to the International Myeloma Working Group (IMWG) Uniform Response Criteria89","definition_or_measurement_approach":"Best response ≥ partial response (PR) according to IMWG Uniform Response Criteria."}
  • {"endpoint_text":"- Complete Response Rate (CRR): Percentage of participants who achieved ≥ complete response (CR), according to IMWG Uniform Response Criteria","definition_or_measurement_approach":"Percentage of participants achieving ≥ complete response per IMWG Uniform Response Criteria."}
  • {"endpoint_text":"- Very Good Partial Response Rate (VGPRR) : Percentage of participants who achieved ≥ VGPR, according to IMWG Response Criteria","definition_or_measurement_approach":"Percentage of participants achieving ≥ very good partial response per IMWG Response Criteria."}
  • {"endpoint_text":"- Progression-Free Survival (PFS) : Time from enrollment to the first documentation of progressive disease (PD) or death from any cause during study, whichever occurs earlier","definition_or_measurement_approach":"Time from enrollment to first documentation of progressive disease (PD) or death from any cause."}
  • {"endpoint_text":"- Time-to-Response (TTR) : Time from first dose to the first documentation of response (≥ PR)","definition_or_measurement_approach":"Time from first dose to first documentation of response (≥ PR)."}
  • {"endpoint_text":"- Duration of Response (DOR) : Time from the first documentation of response (≥ PR) to the first documentation of PD or death","definition_or_measurement_approach":"Time from first documentation of response (≥ PR) to first documentation of progressive disease (PD) or death."}

Recruitment

Planned Sample Size
204
Recruitment Window Months
51
Consent Approach
Signed written informed consent required from each participant prior to any study procedure. Participants must be adults (≥18). Subject information and ICF documents are provided (country-specific ICFs present for Spain and Norway in local languages as per document list). No assent procedures (minors excluded).

Geography

Total Number Of Sites
4
Total Number Of Participants
56

Spain

Latest Decision Or Authorization Date
29-01-2026
Number Of Sites
3
Number Of Participants
26

Sites

Site Name
Hospital Universitario 12 De Octubre
Department Name
Hematology
Principal Investigator Name
Joaquin Martinez Lopez
Principal Investigator Email
jmarti01@med.ucm.es
Contact Person Name
Joaquin Martinez Lopez
Contact Person Email
jmarti01@med.ucm.es
Site Name
Institut Catala D'oncologia
Department Name
Hematology
Principal Investigator Name
Albert Oriol Rocafiguera
Principal Investigator Email
aoriol@iconcologia.net
Contact Person Name
Albert Oriol Rocafiguera
Contact Person Email
aoriol@iconcologia.net
Site Name
Hospital Universitario Marques De Valdecilla
Department Name
Hematology
Principal Investigator Name
Enrique Maria Ocio San Miguel
Principal Investigator Email
enriquem.ocio@scsalud.es
Contact Person Name
Enrique Maria Ocio San Miguel
Contact Person Email
enriquem.ocio@scsalud.es

Norway

Latest Decision Or Authorization Date
29-01-2026
Number Of Sites
1
Number Of Participants
30

Sites

Site Name
Oslo University Hospital HF
Department Name
Oslo Myeloma Center
Principal Investigator Name
Fredrik Hellem Schjesvold
Principal Investigator Email
fredrikschjesvold@gmail.com
Contact Person Name
Fredrik Hellem Schjesvold
Contact Person Email
fredrikschjesvold@gmail.com

Sponsor

Primary sponsor

Full Name
Celgene Corp.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
PPD Development LP
Responsibilities
Serology/ endocrinology, medical image analysis/ review - X-ray, MRI, ultrasound, etc.
Name
Syneos Health Inc.
Name
Icon Clinical Research LLC
Responsibilities
Medical image analysis/ review - X-ray, MRI, ultrasound, etc.
Name
QPS LLC
Responsibilities
TS and BioA

Third parties

  • {"country":"Germany","full_name":"Azenta Germany GmbH","duties_or_roles":"Bone Marrow Biopsy for Histology, Serum for SARS-CoV-2 serology, PK CC-92480 plasmaPK Tazemetostat plasma, PK BMS-986158 plasma, PK Trametinib plasma, PK M3/M4 of CC-92480 plasma","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"Serology/ endocrinology, medical image analysis/ review - X-ray, MRI, ultrasound, etc.","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Frontage Laboratories Inc.","duties_or_roles":"PK testing and reporting","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"Cerba Research","duties_or_roles":"Serology/ endocrinology, Bone Marrow Biopsy processing, Bone Marrow Aspirate processing and analysis, %plasma cells, CD138+/- cells and PBMC isolation, flow cytometry, short term sample storage","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"QPS LLC","duties_or_roles":"TS and BioA","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Q Squared Solutions Limited","duties_or_roles":"Sample management, kit building, storage and distribution of samples to other vendors for analysis.","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Hematogenix Laboratory Services Limited","duties_or_roles":"Flow cytometry-based analysis of BM for MRD","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Germany","full_name":"Azenta Germany GmbH","duties_or_roles":"Sample storage for Bone Marrow Aspirate for cytogenetics, Bone Marrow Aspirate for MRD analysis, Whole Blood for Immunophenotyping, PBMC for immune cell activity and plasma for cytokines, Whole Blood for Pharmacogenomics","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Syneos Health Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Provides electronic payments, travel arrangements, electronic study-related comunications to patients","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Icon Clinical Research LLC","duties_or_roles":"Medical image analysis/ review - X-ray, MRI, ultrasound, etc.","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
CC-92480
Active Substance
MEZIGDOMIDE
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
1
Investigational Product Name
BMS986158 (BET-Inhibitor)
Active Substance
2-(3-(3,5-DIMETHYLTRIAZOL-4-YL)-5-((S)-OXAN-4-YL(PHENYL)METHYL)PYRIDO(3,2-B)INDOL-7-YL)PROPAN-2-OL
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
1
Investigational Product Name
Dexamethason 4 mg JENAPHARM®
Active Substance
DEXAMETHASONE
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
2
Investigational Product Name
TAZEMETOSTAT
Active Substance
TAZEMETOSTAT
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
2
Investigational Product Name
Mekinist (TRAMETINIB) 2 mg / 0.5 mg film-coated tablets
Active Substance
TRAMETINIB
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
2
Combination Treatment
Yes

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