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Study of BHQ880 in Patients With High Risk Smoldering Multiple Myeloma

Phase 2
Completed
Conditions
Smoldering Multiple Myeloma
Interventions
Registration Number
NCT01302886
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

This study will assess the antimyeloma effects of BHQ880A in patients with smoldering multiple myeloma with high risk of progression to active multiple myeloma. BHQ880 will be administered every 28 days in previously untreated patients. Disease assessments will be performed monthly and effects on bone metabolism will be assessed by measurement of serum and urine bone biomarkers, changes in BMD , and QCT with FEA. Additionally, the PK profile of BHQ880 as a single agent and following multiple doses will be obtained.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
41
Inclusion Criteria
  1. Confirmed diagnosis of SMM with high-risk for progression to multiple myeloma

    1. BMPC ≥ 10% and serum M-protein level ≥ 3 g/dL, OR
    2. BMPC ≥ 10%, serum M-protein level < 3 g/dL, and an abnormal free light chain ratio of < 0.125 or > 8.0
  2. No previous or current anti-myeloma therapies

  3. Patients ≥ 18 years of age

  4. Eastern Cooperative Oncology Group (ECOG) Performance status of 0 to 1

Exclusion Criteria
  1. Previous treatment with IV bisphosphonates (i.e., pamidronate or zoledronic acid
  2. Another primary malignant disease that requires systemic treatment
  3. Concomitant Paget's disease of bone, uncorrected hyperparathyroidism, or uncontrolled thyroid disease
  4. Clinically significant uncontrolled heart disease (e.g., unstable angina, congestive heart failure, uncontrolled hypertension, ventricular or atrial arrhythmias)
  5. Treatment with an investigational product within 28 days before the first dose of study treatment
  6. Pregnant or nursing (lactating) women
  7. Women of child-bearing potential, UNLESS they are using two birth control methods. The two methods can be a double barrier method or a barrier method plus a hormonal method.

Other protocol-defined inclusion/exclusion criteria may apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
BHQ880BHQ880-
Primary Outcome Measures
NameTimeMethod
Overall response rate (Complete Response + Partial Response + Minimal Response) of patients achieving an objective response (defined according to the IMWG uniform response criteria by the Frequency of response of serum or urine M-protein to BHQ880Aat 6 month
Secondary Outcome Measures
NameTimeMethod
Safety and tolerability of BHQ880 in patients with smoldering multiple myeloma by assessing AEs, SAEs, clinical laboratory valuesFrom start of study until disease progression
Characterize the PK profile of BHQ880 as a single agent administered monthly by assessing BHQ880 levels in plasmaThroughout the study until disease progression
Evaluate the effect of BHQ880 on bone metabolism by assessing serum and urine bone biomarkersThroughout the study until disease progression
Evaluate the effect of BHQ880 on bone mineral density by DXA scan and QCT6 months and 12 months

Trial Locations

Locations (11)

Highlands Oncology Group Dept of Highlands Oncology Grp

🇺🇸

Fayetteville, Arkansas, United States

Hackensack University Medical Center Multiple Myeloma Division

🇺🇸

Hackensack, New Jersey, United States

Dana Farber Cancer Institute DFCI (2)

🇺🇸

Boston, Massachusetts, United States

Emory University School of Medicine/Winship Cancer Institute Dept. of Hematology (2)

🇺🇸

Atlanta, Georgia, United States

Indiana University Indiana Univ

🇺🇸

Indianapolis, Indiana, United States

Novartis Investigative Site

🇩🇪

Würzburg, Germany

H. Lee Moffitt Cancer Center & Research Institute SC - 3

🇺🇸

Tampa, Florida, United States

Washington University School of Medicine Dept. of WUSTL

🇺🇸

Saint Louis, Missouri, United States

Mount Sinai School of Medicine Mt Sinai

🇺🇸

New York, New York, United States

Duke University Medical Center Duke SC

🇺🇸

Durham, North Carolina, United States

Fred Hutchinson Cancer Research Center Fred Hutchinson

🇺🇸

Seattle, Washington, United States

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