A Phase 1, Multicenter, Open-Label Study of CC-95266 in Subjects With Relapsed and/or Refractory Multiple Myeloma
Overview
- Phase
- Phase 1
- Intervention
- CC-95266
- Conditions
- Multiple Myeloma
- Sponsor
- Juno Therapeutics, a Subsidiary of Celgene
- Enrollment
- 130
- Locations
- 10
- Primary Endpoint
- Number of participants with Adverse Events (AEs)
- Status
- Completed
- Last Updated
- 2 months ago
Overview
Brief Summary
The purpose of this study is to evaluate the safety and preliminary efficacy of CC-95266 in participants with relapsed and/or refractory multiple myeloma (R/R MM).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 18 years
- •Participant has a diagnosis of multiple myeloma (MM) with relapsed and/or refractory disease. Participants must have confirmed progressive disease (as per IMWG criteria) on or within 12 months of completing treatment with the last anti-myeloma treatment regimen before study entry or have confirmed progressive disease within 6 months prior to screening and who are subsequently determined to be refractory or non-responsive to their most recent anti-myeloma treatment regimen, except for participants with cellular therapy (e.g., Chimeric antigen receptor (CAR) T-cell therapy) as their last treatment, who may enroll beyond 12 months.
- •Participants in Part A, and Part B Cohort A, and Part B Cohort B must have received at least 3 prior anti-myeloma treatment regimens (note: induction with or without hematopoietic stem cell transplant (HSCT) and with or without maintenance therapy is considered one regimen).Subjects in Part B Cohort C only must have received at least 1 but not greater than 3 prior anti-myeloma treatment regimens, including a proteasome inhibitor and immunomodulatory agent including:
- •Autologous HSCT, unless the subject was ineligible
- •A regimen that included an immunomodulatory agent (e.g., thalidomide, lenalidomide, pomalidomide) and a proteasome inhibitor (e.g., bortezomib, carfilzomib, ixazomib), either alone or combination
- •Anti-CD38 (e.g., daratumumab), either alone or combination. Subjects in Cohort C do not require prior anti-CD38 antibody therapy.
- •Measurable disease
- •Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- •Adequate organ function
Exclusion Criteria
- •Known active or history of central nervous system (CNS) involvement of MM
- •Active or history of plasma cell leukemia, Waldenstrom's macroglobulinemia, POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, skin changes) syndrome, or clinically significant amyloidosis
- •Active autoimmune disease requiring immunosuppressive therapy
- •History or presence of clinically significant CNS pathology such as seizure disorder, aphasia, stroke, severe brain injuries, dementia, Parkinson's disease, cerebellar disease, or psychosis
- •Other protocol-defined inclusion/exclusion criteria apply.
Arms & Interventions
Administration of CC-95266
Intervention: CC-95266
Administration of CC-95266
Intervention: Fludarabine
Administration of CC-95266
Intervention: Cyclophosphamide
Administration of CC-95266
Intervention: Bendamustine
Outcomes
Primary Outcomes
Number of participants with Adverse Events (AEs)
Time Frame: Up to 2 years after CC-95266 infusion
Number of participants with significant laboratory abnormalities
Time Frame: Up to 2 years after CC-95266 infusion
Number of participants with Dose Limiting Toxicities (DLTs)
Time Frame: Up to 2 years after CC-95266 infusion
Maximum Tolerated Dose (MTD)
Time Frame: Up to 2 years after CC-95266 infusion
Recommended Phase 2 Dose (RP2D)
Time Frame: Up to 2 years after CC-95266 infusion
Secondary Outcomes
- Pharmacokinetics - Maximum plasma concentration of drug (Cmax)(Up to 2 years after CC-95266 infusion)
- Pharmacokinetics - Time to peak (maximum) serum concentration (tmax)(Up to 2 years after CC-95266 infusion)
- Overall survival (OS)(Up to 2 years after CC-95266 infusion)
- Pharmacokinetics - Area under the curve for days 1-29 after CC-95266 infusion (AUC1-29)(Up to 2 years after CC-95266 infusion)
- Overall response rate (ORR)(Up to 2 years after CC-95266 infusion)
- Complete response rate (CRR)(Up to 2 years after CC-95266 infusion)
- Very good partial response (VGPR) or better(Up to 2 years after CC-95266 infusion)
- Duration of response (DOR)(Up to 2 years after CC-95266 infusion)
- Duration of complete response (DOCR)(Up to 2 years after CC-95266 infusion)
- Time to response (TTR)(Up to 2 years after CC-95266 infusion)
- Time to complete response (TTCR)(Up to 2 years after CC-95266 infusion)
- Progression-free survival (PFS)(Up to 2 years after CC-95266 infusion)