BCMA-directed CAR-T Cell Therapy in Adult Patients With Multiple Myeloma
Phase I, Open Label, Study of B-cell Maturation Antigen (BCMA)-Directed CAR-T Cells in Adult Patients With Multiple Myeloma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Novartis Pharmaceuticals
- Phone Number: 1-888-669-6682
- Email: novartis.email@novartis.com
Study Contact Backup
- Name: Novartis Pharmaceuticals
- Phone Number: +41613241111
Study Locations
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Victoria
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Melbourne, Victoria, Australia, 3004
- Novartis Investigative Site
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Ramat Gan, Israel, 5265601
- Novartis Investigative Site
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Tel Aviv, Israel, 6423906
- Novartis Investigative Site
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Singapore, Singapore, 119074
- Novartis Investigative Site
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Singapore, Singapore, 169608
- Novartis Investigative Site
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Illinois
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Chicago, Illinois, United States, 60637
- Uni of Chi Medi Ctr Hema and Onco
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Dana Farber Cancer Institute
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Boston, Massachusetts, United States, 02215
- Beth Israel Deaconess Medical Cente
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Wisconsin
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Milwaukee, Wisconsin, United States, 53226
- Medical College of Wisconsin
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Part A: Subjects with MM who are relapsed and/or refractory to at least 2 prior treatment regimens, including an IMiD (e.g. lenalidomide or pomalidomide), a proteasome inhibitor (e.g. bortezomib, carfilzomib), and an approved anti-CD38 antibody (e.g. daratumumab), if available, and have documented evidence of disease progression (IMWG criteria)
- Part A: ECOG performance status that is either 0 or 1 at screening
- Part B: Subjects with newly diagnosed multiple myeloma (NDMM) who have received a minimum of 4 and up to 6 cycles of standard induction therapy with VRd, D-VRd, or D-Rd, and have achieved a response of PR or better. One cycle of CyBorDex is allowed prior to induction.
- Part B: ECOG performance status that is either 0,1 or 2 at screening
- Measurable disease as defined by the protocol
- Adequate hematological values
- Must have a leukapheresis material of non-mobilized cells accepted for manufacturing
Exclusion Criteria:
- Prior administration of a genetically modified cellular product including prior BCMA CAR-T therapy. Patients who have received prior BCMA-directed bi-specific antibodies or antibody-drug conjugates (ADC) are not excluded.
- Autologous HSCT within 6 weeks prior to enrollment or any prior history of allogeneic hematopoietic stem cell transplant (HSCT)
- Chemotherapy or any concomitant anti-cancer therapies (other than protocol prescribed lymphodepletion (LD) chemotherapy) within 2 weeks prior to apheresis
- Treatment with small molecule targeted antineoplastics within 2 weeks of apheresis collection or 5 half-lives whichever is shorter
- Have received antibodies or immunotherapies (other than daratumumab) within 4 weeks prior to apheresis collection. Daratumumab within 3 weeks prior to apheresis collection.
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 |
|---|---|
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Experimental: PHE885 (Part A)
Relapsed and/or refractory multiple myeloma (r/r MM) patients will receive PHE885.
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Infusion
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Experimental: PHE885 (Part B)
Newly diagnosed multiple myeloma (NDMM) patients will receive PHE885.
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Infusion
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)
Time Frame: 24 months
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24 months
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Incidence of Dose limiting toxicities (DLT)
Time Frame: 28 days
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Incidence of Dose Limiting Toxicities (DLTs) during the first 28 days after anti-BCMA CAR-T cell administration
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28 days
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Nature of Dose limiting toxicities (DLT)
Time Frame: 28 days
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Nature of Dose Limiting Toxicities (DLTs) during the first 28 days after anti-BCMA CAR-T cell administration
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28 days
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Manufacture success rate (defined as number of subjects treated with planned target dose divided by total number of subjects treated)
Time Frame: 24 Months
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evaluate the feasibility of the manufacturing process
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24 Months
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Cmax of BCMA CAR-T cells
Time Frame: 24 months
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through qPCR-detected transgene of CART concentrations over time in peripheral blood and bone marrow
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24 months
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Tmax of BCMA CAR-T cells
Time Frame: 24 months
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through qPCR-detected transgene of CART concentrations over time in peripheral blood and bone marrow
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24 months
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AUC of BCMA CAR-T cells
Time Frame: 24 months
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through qPCR-detected transgene of CART concentrations over time in peripheral blood and bone marrow
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24 months
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Clast of BCMA CAR-T cells
Time Frame: 24 months
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through qPCR-detected transgene of CART concentrations over time in peripheral blood and bone marrow
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24 months
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number of patients with pre-existing and treatment induced immunogenicity (cellular and humoral) of BCMA CAR-T cell therapy
Time Frame: 24 Months
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24 Months
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Overall Response Rate (ORR) in Part A
Time Frame: 24 months
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Proportion of subjects with the best overall response (BOR) of PR (partial response) or better, as determined by local investigator using the IMWG Criteria
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24 months
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ORR in Part B
Time Frame: 24 months
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Proportion of subjects with VGPR (very good partial response) or PR to induction therapy who achieve the BOR of PR or better, as determined by local investigator using the IMWG Criteria
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24 months
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Response rate at 3 and 6 months in Part A
Time Frame: 3 months, 6 months
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Proportion of subjects with the overall response of PR or better at months 3 and 6 after infusion respectively, as determined by local investigator using the IMWG Criteria
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3 months, 6 months
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Overall response rate at 3 and 6 months in Part B
Time Frame: 3 months, 6 months
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Proportion of subjects with VGPR or PR to induction therapy who achieve the overall response of PR or better at months 3 and 6 after infusion respectively, as determined by local investigator using the IMWG Criteria
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3 months, 6 months
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Overall Complete Response Rate (CRR) in Part A
Time Frame: 24 months
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Proportion of subjects with the BOR of CR or better, as determined by local investigator using the IMWG Criteria
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24 months
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Overall CRR in Part B
Time Frame: 24 months
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Proportion of subjects with a response of VGPR or PR to induction therapy with the BOR of CR or better, as determined by local investigator using the IMWG Criteria
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24 months
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CRR at months 3 and 6 in Part A
Time Frame: 3 months, 6 months
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Proportion of subjects with the overall response of CR or better at months 3 and 6 respectively, as determined by local investigator using the IMWG Criteria
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3 months, 6 months
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CRR at months 3 and 6 in Part B
Time Frame: 3 months, 6 months
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Proportion of subjects with a response of VGPR or PR to induction therapy with the overall response of CR or better at months 3 and 6 after infusion, respectively, as determined by local investigator using the IMWG Criteria
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3 months, 6 months
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DOR (duration of response) in Part A
Time Frame: from disease response to disease progression, assessed up to approximately 24 months
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DOR as assessed by local investigator: the time from achievement of PR or better to relapse or death due to MM (multiple myeloma)
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from disease response to disease progression, assessed up to approximately 24 months
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DOR in Part B
Time Frame: from disease response to disease progression, assessed up to approximately 24 months
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DOR as assessed by local investigator:
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from disease response to disease progression, assessed up to approximately 24 months
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
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
Keywords
Additional Relevant MeSH Terms
- Vascular Diseases
- Cardiovascular Diseases
- Neoplasms
- Immune System Diseases
- Neoplasms by Histologic Type
- Hematologic Diseases
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Neoplasms, Plasma Cell
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Hemorrhagic Disorders
- Hemic and Lymphatic Diseases
- Multiple Myeloma
Other Study ID Numbers
Other Study ID Numbers
- CADPT07A12101
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
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