再発または難治性多発性骨髄腫の参加者におけるJNJ-87562761の研究
再発性/難治性多発性骨髄腫を対象としたJNJ-87562761の第1相ヒト初の非盲検用量漸増研究
The purpose of this study is to determine the recommended phase 2 dose(s) (RP2D[s]) of JNJ-87562761 in Part 1 (dose escalation), and to determine the safety and tolerability at RP2D in Part 2 (dose expansion) in participants with multiple myeloma (MM) whose disease has come back after treatment (relapsed) or hasn't responded to treatment (refractory).
調査の概要
研究の種類
入学 (実際)
段階
- フェーズ 1
連絡先と場所
研究場所
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Ontario
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Toronto、Ontario、カナダ、M5G 2M9
- Princess Margaret Hospital
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Quebec
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Montreal、Quebec、カナダ、H3T 1E2
- Jewish General Hospital
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Badalona、スペイン、08916
- Hosp. Univ. Germans Trias I Pujol
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Barcelona、スペイン、08036
- Hosp Clinic de Barcelona
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Madrid、スペイン、28040
- Hosp Univ Fund Jimenez Diaz
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Pamplona、スペイン、31008
- Clinica Univ. de Navarra
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Salamanca、スペイン、37007
- Hosp Clinico Univ de Salamanca
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Kaohsiung City、台湾、833
- Kaohsiung Chang Gung Memorial Hospital
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Taichung、台湾、404
- China Medical University Hospital
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Tainan、台湾、70403
- National Cheng Kung University Hospital
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Taipei、台湾、100225
- National Taiwan University Hospital
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Seoul、韓国、03080
- Seoul National University Hospital
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Seoul、韓国、05505
- Asan Medical Center
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Seoul、韓国、06351
- Samsung Medical Center
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Seoul、韓国、137 701
- The Catholic University of Korea Seoul St Marys Hospital
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Relapsed, refractory multiple myeloma with measurable disease defined as: (a) Serum monoclonal paraprotein (M-protein) level greater than (>)0.5 grams per deciliter (g/dL); or (b) Urine M-protein level >200 milligrams per 24 hours (mg/24 hours); or (c) Light chain multiple myeloma: serum immunoglobulin free light chain (FLC) >10 milligrams per deciliter (mg/dL) and abnormal serum immunoglobulin kappa-lambda FLC ratio
- Must have had prior therapy including a proteasome inhibitor, immunomodulatory agent and anti-CD38 therapy
- Have an eastern cooperative oncology group (ECOG) performance status of 0 to 1
- Have an estimated glomerular filtration rate (eGFR), of > 30 millilitres (mL)/min/1.73 meter square (m^2) computed per 2021 chronic kidney disease epidemiology collaboration (CKD-EPI) creatinine equation
- While on study treatment and for 6 months after the last dose of study treatment, a participant must: (a) Not breastfeed or be pregnant; (b) Not donate gametes (that is, eggs or sperm) or freeze for future use for the purposes of assisted reproduction; (c) Wear an external condom
Exclusion Criteria:
- Active plasma cell leukemia, Waldenström's macroglobulinemia, POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes), or immunoglobulin light chain amyloidosis
- Prior allogeneic transplant within 6 months before the start of study treatment administration or autologous transplant within 12 weeks before the start of study treatment administration
- Live, attenuated vaccine within 4 weeks before the first dose of study treatment
- Central Nervous System (CNS) involvement or clinical signs of meningeal involvement of multiple myeloma. If either is suspected, brain magnetic resonance imaging (MRI) and lumbar cytology are required
- Non-hematologic toxicity from prior anticancer therapy that has not resolved to baseline level or to less than or equal to (<=) Grade 1 (except alopecia, tissue post-RT fibrosis, or Grade < 3 peripheral neuropathy)
- Received a cumulative dose of corticosteroids equivalent to greater than or equal to (>=) 140 mg of prednisone within the 14-day period before the start of study treatment administration
- Prior antitumor therapy in the specified time frame prior to the first dose of study treatment: (Targeted therapy, epigenetic therapy, monoclonal antibody treatment, or treatment with an investigational drug or an invasive investigational medical device or conventional chemotherapy within 21 days, gene-modified adoptive cell therapy or treatment with anti-CD38 directed therapies within 3 months, proteasome inhibitor [PI] therapy or radiotherapy within 14 days, or immunomodulatory drug (IMiD) agent therapy within 7 days)
- Following medical conditions: pulmonary compromise requiring supplemental oxygen use to maintain adequate oxygenation, human immunodeficiency (HIV) infection (participants with a detectable viral load or low CD4 count), active hepatitis B or C infection, active autoimmune disease requiring systemic immunosuppressive therapy within 6 months before start of study treatment, serious uncontrolled ongoing viral or bacterial or systemic fungal infection, cardiac conditions (myocardial infarction <=6 months prior to enrollment, New York Heart Association stage III or IV congestive heart failure, et cetera [etc.])
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：なし
- 介入モデル：順次割り当て
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：JNJ-87562761
Participants will receive JNJ-87562761 during the Part 1 (Dose escalation) to determine the recommended phase 2 dose (RP2D) regimen(s). The dose will be escalated sequentially until the RP2D regimen(s) have been identified. In Part 2 (Dose expansion) participants will receive JNJ-87562761 at the RP2D regimen(s) determined in Part 1. |
JNJ-87562761 will be administered. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Part 1: Number of Participants with Dose-Limiting Toxicity (DLT)
時間枠：up to approximately 3 years
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DLTs are specific adverse events and are defined as any of the following: high grade non-hematologic toxicity or hematologic toxicity. |
up to approximately 3 years
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Part 1 and 2: Number of Participants with Adverse Events (AEs)
時間枠：up to approximately 3 years
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Number of participants with AEs will be reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. |
up to approximately 3 years
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Part 2: Number of Participants with Clinically Significant Abnormal Laboratory Values
時間枠：up to approximately 3 years
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Number of participants with clinically significant abnormal laboratory values (hematology or chemistry) will be reported. |
up to approximately 3 years
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Serum Concentration of JNJ-87562761
時間枠：up to approximately 3 years
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Serum samples will be analyzed to determine concentrations of JNJ-87562761. |
up to approximately 3 years
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Pharmacokinetic (PK) Parameters of JNJ-87562761
時間枠：up to approximately 3 years
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PK parameters for JNJ-87562761 will be evaluated. |
up to approximately 3 years
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Number of Participants with Presence of Anti-JNJ-87562761 Antibodies
時間枠：up to approximately 3 years
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Number of participants with presence of anti-JNJ-87562761 antibodies will be reported. |
up to approximately 3 years
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Percentage of Participants with Response
時間枠：up to approximately 3 years
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Overall response is defined as a best response of partial response (PR) or better as assessed according to the International Myeloma Working Group (IMWG) 2016 response criteria. |
up to approximately 3 years
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Percentage of Participants Who Achieve Very Good Partial Response (VGPR) or Better
時間枠：up to approximately 3 years
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VGPR or better response is defined as the percentage of participants who achieve a best response of VGPR or better as assessed by IMWG 2016 response criteria. |
up to approximately 3 years
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Percentage of Participants Who Achieve Complete Response (CR) or Better
時間枠：up to approximately 3 years
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CR or better response is defined as percentage of participants who achieve a best response of CR or better as assessed by IMWG 2016 response criteria. |
up to approximately 3 years
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Percentage of Participants Who Achieve Stringent Complete Response (sCR)
時間枠：up to approximately 3 years
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sCR is defined as the percentage of participants who achieve a best response of sCR as assessed by IMWG 2016 response criteria. |
up to approximately 3 years
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Duration of Response (DOR)
時間枠：up to approximately 3 years
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DOR is defined for participants who achieve a response of PR or better as the time from the first efficacy evaluation at which the participant met all criteria for a response of PR or better to the time of first documented evidence of progressive disease or death, assessed by IMWG 2016 response criteria. |
up to approximately 3 years
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Time to Response (TTR)
時間枠：up to approximately 3 years
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TTR is defined for participants who achieve a response of PR or better as the time from the first dose of study drug to the time of the first efficacy evaluation at which the participant met all criteria for a response of PR or better, assessed by IMWG 2016 response criteria. |
up to approximately 3 years
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協力者と研究者
捜査官
- スタディディレクター：Janssen Research & Development, LLC Clinical Trial、Janssen Research & Development, LLC
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- 87562761MMY1001
- 87562761MMY1001 (その他の識別子：Janssen Research & Development, LLC)
- 2024-513439-25-00 (レジストリ識別子：EUCT number)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
The data sharing policy of Johnson & Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。