A Study of the Safety and Tolerability of ABBV-467 in Adult Participants With Relapsed/Refractory (R/R) Multiple Myeloma
A First In Human Study of the MCL-1 Inhibitor, ABBV-467
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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South Australia
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Adelaide, South Australia, Australia, 5000
- Royal Adelaide Hospital /ID# 223354
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Victoria
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Fitzroy, Victoria, Australia, 3065
- St Vincent's Hospital Melbourne /ID# 222066
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Melbourne, Victoria, Australia, 3004
- Alfred Health /ID# 214665
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Western Australia
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Nedlands, Western Australia, Australia, 6009
- Perth Blood Institute Ltd /ID# 226650
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Perth, Western Australia, Australia, 6000
- Royal Perth Hospital /ID# 225498
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Creteil, France, 94000
- Hopital Henri Mondor /ID# 214588
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Pays-de-la-Loire
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Nantes, Pays-de-la-Loire, France, 44000
- CHU de Nantes, Hotel Dieu -HME /ID# 215480
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Tel-Aviv
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Ramat Gan, Tel-Aviv, Israel, 5239424
- Sheba Medical Center /ID# 214065
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Aichi
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Nagoya shi, Aichi, Japan, 467-8602
- Nagoya City University Hospital /ID# 214696
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Chiba
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Kashiwa-shi, Chiba, Japan, 277-8577
- National Cancer Center Hospital East /ID# 214697
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Fukuoka
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Fukuoka-shi, Fukuoka, Japan, 812-8582
- Kyushu University Hospital /ID# 220800
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Tokyo
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Chuo-ku, Tokyo, Japan, 104-0045
- National Cancer Center Hospital /ID# 214801
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Barcelona, Spain, 08035
- Hospital Universitario Vall d'Hebron /ID# 214690
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Madrid, Spain, 28027
- CLINICA UNIVERSIDAD DE NAVARRA-Madrid /ID# 214739
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Madrid, Spain, 28040
- Hospital Universitario Fundacion Jimenez Diaz /ID# 214672
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Malaga, Spain, 29010
- Hospital Universitario Virgen de la Victoria /ID# 214756
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Navarra, Comunidad
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Pamplona, Navarra, Comunidad, Spain, 31008
- CLINICA UNIVERSIDAD DE NAVARRA-Pamplona /ID# 217170
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Taichung City, Taiwan, 40447
- China Medical University Hosp /ID# 209323
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Taipei
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Taipei City, Taipei, Taiwan, 10002
- National Taiwan University Hospital /ID# 209322
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Arizona
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Tucson, Arizona, United States, 85719-1478
- University of Arizona Cancer Center - North Campus /ID# 219102
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California
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Duarte, California, United States, 91010
- City of Hope /ID# 209786
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Hackensack Univ Med Ctr /ID# 221035
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Rhode Island
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Providence, Rhode Island, United States, 02903-4923
- Lifespan Cancer Institute at Rhode Island Hospital /ID# 215418
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South Carolina
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Greenville, South Carolina, United States, 29605-4255
- Prisma Health Cancer Institute-Faris Road /ID# 219076
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Documented diagnosis of multiple myeloma (MM).
Measurable disease defined as at least 1 of the following:
- Serum monoclonal protein >= 1g/dL.
- Urine M-protein >= 200mg/24 hours.
- Serum immunoglobulin free light chain (FLC) >= 10 mg/dL (100 mg/L), provided serum FLC ratio is abnormal.
- Relapsed after or are refractory or intolerant to all established MM therapies that are both known to provide clinical benefit and locally available.
- Received at least 3 prior lines of therapy including 1 or more immunomodulatory agents, 1 or more proteasome inhibitors, and 1 or more anti-CD38 monoclonal antibodies.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.
- Adequate hematologic, renal and hepatic function as described in the protocol.
- Echocardiogram with ejection fraction >= 50% and no other clinically significant findings that would increase the participant's susceptibility to cardiac toxicity.
Exclusion Criteria:
- Prior exposure to any targeted myeloid cell leukemia-1 (MCL-1) inhibitor.
- Antineoplastic therapy (including any cytotoxic, targeted and/or investigational therapy; but not including corticosteroids), within 28 days or 5 half-lives, whichever is shorter, prior to the first dose of study drug and through the last dose of study drug.
- Autologous stem cell transplant within 90 days prior to start of study drug.
- Allogenic stem cell transplant within 180 days prior to start of study drug.
- History of acute or chronic pancreatitis.
- Significant unresolved liver disease.
- History of hepatitis B or human immunodeficiency virus (HIV) infection.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Part A: ABBV-467 Dose Escalation
ABBV-467 administered by intravenous (IV) infusion at various doses until a recommended phase 2 dose is determined.
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Intravenous (IV) Infusion
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Experimental: Part B: ABBV-467 Dose Expansion
ABBV-467 administered by intravenous (IV) infusion at recommended phase 2 dose as identified in Part A.
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Intravenous (IV) Infusion
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants with Adverse Events
Time Frame: Up to approximately 24 months after first dose of study drug
|
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.
The investigator will assess the relationship of each event to the use of study drug as being of reasonable possibility or no reasonable possibility.
A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the subject and may require medical or surgical intervention to prevent any of the outcomes listed above.
Treatment-emergent events (TEAEs/TESAEs) are defined as any event that began or worsened in severity after the first dose of study drug.
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Up to approximately 24 months after first dose of study drug
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Change in Vital Signs
Time Frame: Baseline (Week 0) through approximately 24 months after first dose of study drug
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Change in vital signs like systolic and diastolic blood pressure will be assessed.
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Baseline (Week 0) through approximately 24 months after first dose of study drug
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Change in Electrocardiogram (ECG)
Time Frame: Baseline (Week 0) through approximately 24 months after first dose of study drug
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12-lead resting ECGs will be recorded.
Parameters include RR interval, PR interval, QT interval, and QRS duration.
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Baseline (Week 0) through approximately 24 months after first dose of study drug
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Change in Cardiac Enzyme Levels
Time Frame: Baseline (Week 0) through approximately 24 months after first dose of study drug
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Change in cardiac enzyme levels will be recorded.
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Baseline (Week 0) through approximately 24 months after first dose of study drug
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Incidence of Abnormal Clinical Laboratory Test Results
Time Frame: Baseline (Week 0) through approximately 24 months after first dose of study drug
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Number of participants with incidence of abnormal clinical laboratory test results like hematology will be assessed.
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Baseline (Week 0) through approximately 24 months after first dose of study drug
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Maximum Observed Plasma Concentration (Cmax)
Time Frame: Up to approximately Day 197
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Maximum Plasma Concentration (Cmax) of ABBV-467.
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Up to approximately Day 197
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Terminal Phase Elimination Half-life (t1/2)
Time Frame: Up to approximately Day 197
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Terminal phase elimination half-life (t1/2) of ABBV-467
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Up to approximately Day 197
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Area Under the Plasma Concentration-Time Curve (AUCt)
Time Frame: Up to approximately Day 197
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AUC from time 0 to time of last measurable concentration of ABBV-467.
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Up to approximately Day 197
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Area Under the Plasma Concentration-Time Curve (AUC0-infinity)
Time Frame: Up to approximately Day 197
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AUC from time 0 to infinity of ABBV-467.
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Up to approximately Day 197
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Clearance of ABBV-467
Time Frame: Up to approximately Day 197
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Clearance of ABBV-467.
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Up to approximately Day 197
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Overall Response Rate (ORR)
Time Frame: Up to approximately 24 months after first dose of study drug
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ORR evaluated per adapted International Myeloma Working Group (IMWG) criteria and defined as partial response (PR) + very good partial response (VGPR) + complete remission (CR) + stringent complete response (sCR).
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Up to approximately 24 months after first dose of study drug
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Clinical Benefit Rate (CBR)
Time Frame: Up to approximately 24 months after first dose of study drug
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CBR evaluated per adapted International Myeloma Working Group (IMWG) criteria and is defined as minimal response (MR) + PR + VGPR + CR + sCR.
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Up to approximately 24 months after first dose of study drug
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Duration of Response (DOR)
Time Frame: Up to approximately 24 months after first dose of study drug
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DOR is defined as the time between date of first response and the first occurrence of progression or death from any cause, whichever comes first.
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Up to approximately 24 months after first dose of study drug
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Hematologic Diseases
- Hemorrhagic Disorders
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Multiple Myeloma
- Neoplasms, Plasma Cell
Other Study ID Numbers
Other Study ID Numbers
- M19-025
- 2018-003744-24 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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