- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05431608
A Study of MCARH109 and MCARH125 in People With Multiple Myeloma
July 13, 2023 updated by: Memorial Sloan Kettering Cancer Center
Phase I Trial of Concurrent Administration of GPRC5D-Targeted CAR T Cell MCARH109 and BCMA-Targeted CAR T Cell MCARH125 in Patients With Relapsed or Refractory Multiple Myeloma
A sample of participants' T cells will be sent to a laboratory, where the cells will be made into the study therapy, MCARH109 and MCARH125.
Participants will receive either MCARH125 alone or MCARH125 with MCARH109.
Study Overview
Status
Recruiting
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
24
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Sham Mailankody, MBBS
- Phone Number: 646-608-3712
- Email: mailanks@mskcc.org
Study Contact Backup
- Name: Saad Usmani, MD, MBA
- Phone Number: 646-608-4165
- Email: usmanis@mskcc.org
Study Locations
-
-
New Jersey
-
Basking Ridge, New Jersey, United States, 07920
- Recruiting
- Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities)
-
Contact:
- Sham Mailankody, MBBS
- Phone Number: 646-608-3712
-
Middletown, New Jersey, United States, 07748
- Recruiting
- Memorial Sloan Kettering Monmouth (Limited protocol activities)
-
Contact:
- Sham Mailankody, MBBS
- Phone Number: 646-608-3712
-
Montvale, New Jersey, United States, 07645
- Recruiting
- Memorial Sloan Kettering Bergen (Limited Protocol Activities)
-
Contact:
- Sham Mailankody, MBBS
- Phone Number: 646-608-3712
-
-
New York
-
Commack, New York, United States, 11725
- Recruiting
- Memorial Sloan Kettering Commack (Limited protocol activities)
-
Contact:
- Sham Mailankody, MBBS
- Phone Number: 646-608-3712
-
Harrison, New York, United States, 10604
- Recruiting
- Memorial Sloan Kettering Westchester (Limited Protocol Activities)
-
Contact:
- Sham Mailankody, MBBS
- Phone Number: 646-608-3712
-
New York, New York, United States, 10065
- Recruiting
- Memorial Sloan Kettering Cancer Center
-
Contact:
- Sham Mailankody, MBBS
- Phone Number: 646-608-3712
-
Uniondale, New York, United States, 11553
- Recruiting
- Memorial Sloan Kettering Nassau (Limited Protocol Activities)
-
Contact:
- Sham Mailankody, MBBS
- Phone Number: 646-608-3712
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Patients must have histologically confirmed multiple myeloma (MM) by MSKCC pathologist.
- Age ≥ 18 years of age
- Diagnosis of relapsed or refractory MM with at least 3 prior lines of therapy.
- Refractory myeloma is defined as disease that progresses while on therapy or within 60 days after the last therapy. Relapsed myeloma is defined as previously treated myeloma with initial response and subsequent progression (per International Myeloma Working Group i.e. IMWG criteria) not meeting criteria for refractory disease.
At least 3 prior lines of therapy; Prior therapy should include all of the following:
- A proteasome inhibitor (e.g., bortezomib, carfilzomib, ixazomib)
- An immunomodulatory drug (e.g., thalidomide, lenalidomide, pomalidomide)
- A CD38 monoclonal antibody (e.g., daratumumab)
- High dose chemotherapy with autologous stem cell support (ASCT)
- Subjects who are not candidates to receive one or more of the above treatments (5 a-d) are eligible for the trial.
- ECOG performance status of 0 or 1
- HGB ≥ 8 g/dl, ANC≥ 1,000/mm3, Platelet≥ 50,000/mm3 without red cell transfusion for 21 days, platelet transfusion for 7 days and or growth factor support (Neupogen or Neulasta) for at least 14 days prior to initial screening (screening A). HGB ≥ 8 g/dl, ANC ≥ 1,000/mm3, Platelet ≥ 20,000/mm3 prior to pre-treatment screening (screening B). Patients are allowed to receive transfusion support prior to the pre-treatment screening but no growth factor support (Neupogen or Neulasta) for 7 days prior to pre-treatment screening.
Measurable disease defined as meeting at least one of the criteria below:
- Serum M protein ≥ 0.5 g/dL
- Involved serum free light chain ≥10 mg/dL with an abnormal free light chain ratio
- Urine M-protein ≥ 200 mg/24 hours
- Measurable plasmacytomas seen on imaging (≥ 1 lesion that has a single diameter ≥ 2 cm). If this is the primary marker of measurable disease, patients will need a biopsy at the pre-treatment screening (screening B).
- Bone marrow plasma cells ≥ 30% as determined by CD138 immunohistochemistry staining
- Serum creatinine ≤ 1.5mg/dL or a measured creatinine clearance ≥ 50 mL/min (using 24-hour urine collection)
- Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) ≤ 3 X ULN and total bilirubin ≤ 2 mg/dL (or < 3 mg/dL for individuals with Gilbert's syndrome)
- PT and PTT ≤ 1.5 X ULN
- Adequate pulmonary function as assessed by ≥92% oxygen saturation on room air by pulse oximetry
- Adequate cardiac function, defined as LVEF ≥ 40% by transthoracic echocardiogram (TTE) or multigated acquisition scan (MUGA) performed within 4 weeks of initial screening
- For patients with prior ASCT, at least 100 days since ASCT at the time of initial screening.
Exclusion Criteria:
- Pregnant or lactating women. Women and men of childbearing age should use highly effective contraception while on this study and continue for 1 year after all treatment is finished.
Patients with following cardiac conditions will be excluded:
- New York Heart Association (NYHA) stage III or IV congestive heart failure
- Myocardial infarction ≤6 months prior to enrollment
- History of clinically significant ventricular arrhythmia or unexplained syncope, not believed to be vasovagal in nature or due to dehydration
- History of severe non-ischemic cardiomyopathy
- Patients with HIV or active hepatitis B or hepatitis C infection are ineligible.
- Current diagnosis of primary and secondary plasma cell leukemia is excluded. History of plasma cell leukemia is not excluded.
- Patients who have not received any myeloma therapy for the preceding 6 months except if the last myeloma therapy was a CAR T cell therapy.
- At least 14 day washout from myeloma therapies prior to leukapheresis and prior to starting lymphodepletion. The washout for experimental treatments would be 5 half-lives or 14 days (whichever is shorter).
- At least 14 day washout from radiation prior to leukapheresis and prior to starting lymphodepletion.
- Patients treated with previous JCARH125, and/or MCARH109 (any other cellular products that have the same construct) will be excluded. Other CART therapies are not excluded. Prior therapies with other BCMA or GPRC5D targeted therapies including antibody drug conjugates and bispecific antibodies are not excluded.
- Patients with any concurrent active malignancies (or another primary malignancy not in remission for at least 2 years) as defined by malignancies requiring any therapy other than expectant observation or hormonal therapy, with the exception of squamous and basal cell carcinoma of skin.
- Patients with a prior allogeneic transplant at least 6 months prior to study enrollment are eligible unless experienced GvHD that required systemic steroids or other systemic lymphotoxic therapy within 12 weeks of initial screening
- Patients on systemic steroids (except if solely for adrenal replacement) within two weeks of collection
- Active auto-immune disease including connective tissue disease, uveitis, sarcoidosis, inflammatory bowel disease, or multiple sclerosis, or have a history of severe (as judged by the principal investigator) autoimmune disease requiring prolonged immunosuppressive therapy
- Prior or active CNS involvement by myeloma (e.g., leptomeningeal disease). Screening for this, for example, by lumbar puncture, is only required if suspicious symptoms or radiographic findings are present.
- Pre-existing (active or severe) neurologic disorders (e.g., pre-existing seizure disorder)
- Active uncontrolled acute infections
- Any other issue which, in the opinion of the treating physician, would make the patient ineligible for the study.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Factorial Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dose Level -1B
MCARH125 dose 50 million total CAR+ cells MCARH109 dose 50 million total CAR+ cells
|
MCARH109 and MCARH125 will be administered 2-7 days following the completion of conditioning chemotherapy.
Each dose cohort will consist of 3-6 patients.
MCARH109 and MCARH125 will be administered sequentially with 5-30 minutes between the two products.
MCARH109 and MCARH125 will be administered 2-7 days following the completion of conditioning chemotherapy.
Each dose cohort will consist of 3-6 patients.
MCARH109 and MCARH125 will be administered sequentially with 5-30 minutes between the two products.
|
Experimental: Dose Level -1A
MCARH125 dose 50 million CAR+ cells MCARH109 dose 0 total CAR+ cells
|
MCARH109 and MCARH125 will be administered 2-7 days following the completion of conditioning chemotherapy.
Each dose cohort will consist of 3-6 patients.
MCARH109 and MCARH125 will be administered sequentially with 5-30 minutes between the two products.
MCARH109 and MCARH125 will be administered 2-7 days following the completion of conditioning chemotherapy.
Each dose cohort will consist of 3-6 patients.
MCARH109 and MCARH125 will be administered sequentially with 5-30 minutes between the two products.
|
Experimental: Dose Level 0
MCARH125 dose 150 million total CAR+ cells MCARH109 dose 0 total CAR+ cells
|
MCARH109 and MCARH125 will be administered 2-7 days following the completion of conditioning chemotherapy.
Each dose cohort will consist of 3-6 patients.
MCARH109 and MCARH125 will be administered sequentially with 5-30 minutes between the two products.
MCARH109 and MCARH125 will be administered 2-7 days following the completion of conditioning chemotherapy.
Each dose cohort will consist of 3-6 patients.
MCARH109 and MCARH125 will be administered sequentially with 5-30 minutes between the two products.
|
Experimental: Dose Level 1
MCARH125 dose 150 million total CAR+ cells MCARH109 dose 50 million total CAR+ cells
|
MCARH109 and MCARH125 will be administered 2-7 days following the completion of conditioning chemotherapy.
Each dose cohort will consist of 3-6 patients.
MCARH109 and MCARH125 will be administered sequentially with 5-30 minutes between the two products.
MCARH109 and MCARH125 will be administered 2-7 days following the completion of conditioning chemotherapy.
Each dose cohort will consist of 3-6 patients.
MCARH109 and MCARH125 will be administered sequentially with 5-30 minutes between the two products.
|
Experimental: Dose Level 2
MCARH125 dose 150 million total CAR+ cells MCARH109 dose 150 million total CAR+ cells
|
MCARH109 and MCARH125 will be administered 2-7 days following the completion of conditioning chemotherapy.
Each dose cohort will consist of 3-6 patients.
MCARH109 and MCARH125 will be administered sequentially with 5-30 minutes between the two products.
MCARH109 and MCARH125 will be administered 2-7 days following the completion of conditioning chemotherapy.
Each dose cohort will consist of 3-6 patients.
MCARH109 and MCARH125 will be administered sequentially with 5-30 minutes between the two products.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Maximum tolerated dose/MTS of MCARH109 and MCARH125 T cells
Time Frame: up to 24 months
|
To determine maximum tolerated dose (MTD) of MCARH109 and MCARH125 T cells in patients with refractory, persistent, or progressive MM.
|
up to 24 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Sham Mailankody, MBBS, Memorial Sloan Kettering Cancer Center
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 20, 2022
Primary Completion (Estimated)
June 20, 2024
Study Completion (Estimated)
June 20, 2024
Study Registration Dates
First Submitted
June 20, 2022
First Submitted That Met QC Criteria
June 20, 2022
First Posted (Actual)
June 24, 2022
Study Record Updates
Last Update Posted (Actual)
July 14, 2023
Last Update Submitted That Met QC Criteria
July 13, 2023
Last Verified
July 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Cardiovascular Diseases
- Vascular Diseases
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Disease Attributes
- Hematologic Diseases
- Hemorrhagic Disorders
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Multiple Myeloma
- Neoplasms, Plasma Cell
- Recurrence
Other Study ID Numbers
- 22-052
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Memorial Sloan Kettering Cancer Center supports the international committee of medical journal editors (ICMJE) and the ethical obligation of responsible sharing of data from clinical trials.
The protocol summary, a statistical summary, and informed consent form will be made available on clinicaltrials.gov
when required as a condition of Federal awards, other agreements supporting the research and/or as otherwise required.
Requests for deidentified individual participant data can be made beginning 12 months after publication and for up to 36 months post publication.
Deidentified individual participant data reported in the manuscript will be shared under the terms of a Data Use Agreement and may only be used for approved proposals.
Requests may be made to: crdatashare@mskcc.org.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
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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