En dosis-eskaleringsundersøgelse til evaluering af sikkerheden, farmakokinetikken og aktiviteten af XmAb24306 i kombination med cevostamab hos deltagere med recidiverende/refraktær myelomatose
Et fase Ib, åbent, multicenter dosiseskaleringsstudie til evaluering af sikkerhed, farmakokinetik og aktivitet af XmAb24306 i kombination med cevostamab hos patienter med recidiverende/refraktær myelomatose
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and activity of XmAb24306 in combination with cevostamab in participants with relapsed/refractory multiple myeloma (R/R MM) who have received a minimum of three prior treatments, including at least one immunomodulatory drug (IMiD), one proteasome inhibitor (PI), and one anti-CD38 monoclonal antibody.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
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South Australia
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Adelaide, South Australia, Australien, 5000
- Royal Adelaide Hospital
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Victoria
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Melbourne, Victoria, Australien, 3004
- Alfred Hospital
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Melbourne, Victoria, Australien, 3000
- Peter Maccallum Cancer Centre
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Vejle, Danmark, 7100
- Sygehus Lillebaelt - Vejle Sygehus
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Athens, Grækenland, 106 76
- Evangelismos General Hospital of Athens
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Athens, Grækenland, 115 28
- University of Athens, Hematological Clinic,
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Petah Tikva, Israel, 4941492
- Rabin Medical Center-Beilinson Campus
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Tel Aviv, Israel, 64239
- Tel Aviv Sourasky Medical Center PPDS
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Oslo, Norge, N - 0424
- Oslo University Hospital Rikshospitalet
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Valencia, Spanien, 46026
- Hospital Universitari i Politecnic La Fe de Valencia
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Navarre
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Pamplona, Navarre, Spanien, 31008
- Clinica Universidad de Navarra
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Seoul, Sydkorea, 05505
- Asan Medical Center - PPDS
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Seoul, Sydkorea, 03722
- Severance Hospital, Yonsei University
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Life expectancy of at least 12 weeks
- Participants must have received a minimum of 3 prior lines of therapy, including at least one PI, one IMiD, and an anti-CD38 monoclonal antibody.
- Documented evidence of progressive disease on or after the last prior therapy, or participants who were intolerant to the last prior therapy.
- Measurable disease, as defined by the protocol
- Participants agree to follow contraception or abstinence requirements as defined in the protocol
Exclusion Criteria:
- Any anti-cancer therapy within 3 weeks prior to initiation of study treatment with exception defined by the protocol
- Participants with autologous stem cell transplantation (SCT) within 100 days prior to first dose of study treatment
- Participants with prior allogeneic SCT or solid organ transplantation
- Known history of hemophagocytic lymphohistiocytosis (HLH) or macrophage activation syndrome (MAS)
- Active or history of autoimmune disease
- Participants with current or history of Central Nervous System (CNS) disease, or current CNS involvement by Multiple Myeloma (MM)
- Significant cardiovascular disease
- Participants with known clinically significant liver disease
- Symptomatic active pulmonary disease requiring supplemental oxygen
- Known active infection requiring intravenous anti-microbial therapy within 14 days prior to first study drug administration
- Any episode of active, symptomatic COVID-19 infection, or requiring treatment with IV antivirals for COVID-19 (not including COVID-19 primary prophylaxis) within 14 days, prior to first study treatment
- Other protocol defined inclusion/exclusion criteria may apply
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Arm A: Dose-Escalation and Expansion: XmAb24306+Cevostamab
Participants will receive escalating doses of XmAb24306 with a fixed dose regimen for cevostamab up to the maximum tolerated dose (MTD). After dose escalation has been completed, up to two expansion cohorts each investigating different XmAb24306 doses in combination with cevostamab may be enrolled. |
Tocilizumab will be administered for the treatment of cytokine release syndrome (CRS) when necessary.
Andre navne:
Cevostamab will be administered intravenously on a 28-day cycle, for up to one year of treatment depending on clinical response.
Andre navne:
XmAb24306 will be administered intravenously on a 28-day cycle, for up to one year of treatment depending on clinical response.
Andre navne:
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Eksperimentel: Arm B: Single-Agent Cevostamab Expansion
Participants will receive cevostamab alone. |
Tocilizumab will be administered for the treatment of cytokine release syndrome (CRS) when necessary.
Andre navne:
Cevostamab will be administered intravenously on a 28-day cycle, for up to one year of treatment depending on clinical response.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Percentage of Participants with Adverse Events (AEs)
Tidsramme: Up to approximately 3 years
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Adverse events will be reported according to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0), and Cytokine Release Syndrome (CRS), will be graded based on the American Society for Transplantation and Cellular Therapy (ASTCT) criteria. |
Up to approximately 3 years
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Serumkoncentration af XmAb24306
Tidsramme: Op til cirka 3 år
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Op til cirka 3 år
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Serumkoncentration af Cevostamab
Tidsramme: Op til cirka 3 år
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Op til cirka 3 år
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Procentdel af deltagere med antistof antistoffer (ADA) mod XmAb24306 og Cevostamab
Tidsramme: Op til cirka 3 år
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Op til cirka 3 år
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Objective Response Rate (ORR)
Tidsramme: Up to approximately 3 years
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ORR will be determined by the investigator according to International Myeloma Working Group (IMWG) criteria. |
Up to approximately 3 years
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Rate of Complete Response (CR)/ Stringent Complete Response (sCR)
Tidsramme: Up to approximately 3 years
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Rate of CR/sCR will be determined by the investigator. |
Up to approximately 3 years
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Rate of Very Good Partial Response (VGPR)
Tidsramme: Up to approximately 3 years
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Rate of VGPR will be determined by the investigator. |
Up to approximately 3 years
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Clinical Trials, Hoffmann-La Roche
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Karsygdomme
- Hjerte-kar-sygdomme
- Neoplasmer
- Sygdomme i immunsystemet
- Neoplasmer efter histologisk type
- Hæmatologiske sygdomme
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Neoplasmer, Plasmacelle
- Hæmostatiske lidelser
- Paraproteinæmier
- Blodproteinforstyrrelser
- Hæmoragiske lidelser
- Hemiske og lymfatiske sygdomme
- Myelomatose
- tocilizumab
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- GO43980
- 2022-001204-18 (EudraCT nummer)
- 2023-505212-38-00 (Anden identifikator: EU CT Number)
- 2023 (U.S. NIH-bevilling/kontrakt)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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