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Open-Label, Multicenter, Dose-Escalation and Expansion Study of Venetoclax in Combination with Pomalidomide and Dexamethasone in Subjects with Relapsed or Refractory Multiple Myeloma

Phase 1
Conditions
R/R Multiple Myeloma
MedDRA version: 20.0Level: LLTClassification code 10028228Term: Multiple myelomaSystem Organ Class: 100000004864
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2017-004232-11-ES
Lead Sponsor
AbbVie Deutschland GmbH & Co. KG
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
60
Inclusion Criteria

• Male of female, at least 18 years old
• R/R MM with documented evidence of progression during or after the subject's last treatment regimen based on the investigator's determination of the International Myeloma Working Group (IMWG) criteria
• Measurable disease, defined by at least 1 of the following disease activity criteria:
- serum M-protein = 1.0 g/dL (= 10 g/L) for immunoglobulin (Ig)G MM
- serum M-protein = 0.5 g/dL (= 5 g/L) for IgA, IgD, IgE, and IgM MM
- urine M-protein = 200 mg/24 hours
- serum-free light chain (FLC) = 10 mg/dL provided serum FLC ratio is abnormal
• Has received at least 1 prior line of therapy
• Must meet all of the following prior antimyeloma treatment parameters:
- subject must have received at least 2 consecutive cycles of lenalidomide or a lenalidomide-containing regimen
- subject must be refractory to lenalidomide
- subject must have been exposed to a proteasome inhibitor alone or in combination with another agent
- subject must have had a response of PR or better to prior therapy based on the investigator's determination of response as defined by IMWG criteria
• Has t(11;14) status determined by an analytically validated fluorescent in situ hybridization (FISH) assay per central laboratory testing of a bone marrow aspirate sample and meets the following criteria:
- For Part 1: MM subjects independent of cytogenetic profile
- For Part 2, Arm A: subject must be t(11;14) positive
- For Part 2, Arm B: subject must be t(11;14) negative
• (ECOG) performance status = 2
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 20
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 40

Exclusion Criteria

• previous treatment with venetoclax or other BCL-2 inhibitors, or previous treatment with pomalidomide
• known sensitivity to any IMiDs
• allogenic or syngeneic stem cell transplant within 6 months before the first dose of study drug or active ongoing graft versus host disease
• autologous stem cell transplant within 12 weeks before the first dose of study drug
• known meningeal involvement of MM

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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