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
Related trials
Other published trials that may interest you.