A Trial to Determine the Recommended Dose, Dosing Pattern, Effectiveness and Safety of CC-92480 When Combined with Standard Treatments in Patients Who have Non-responsive or Recurrent Myeloma and in Patients Who Have Been Newly Diagnosed with Myeloma.
- Conditions
- Relapsed or refractory multiple myeloma (RRMM) and newly diagnosed MM (NDMM)MedDRA version: 21.0Level: LLTClassification code 10028228Term: Multiple myelomaSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)MedDRA version: 16.1Level: HLTClassification code 10028229Term: Multiple myelomasSystem Organ Class: 100000004851Therapeutic area: Diseases [C] - Cancer [C04]
- Registration Number
- EUCTR2018-004767-31-DK
- Lead Sponsor
- Celgene Corporation
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- All
- Target Recruitment
- 424
1. Subject is = 18 years of age at the time of signing the informed consent form (ICF).
2. Subject must understand and voluntarily sign an ICF prior to any study-related assessments/procedures being conducted.
3. Subject is willing and able to adhere to the study visit schedule and other protocol requirements.
4. Subject has an Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1 or 2.
5. Females of childbearing potential (FCBP) must agree and adhere to all testing and contraception requirements in the mezigdomide Global Pregnancy Prevention Plan (PPP). Duration of contraception for FCBP must be in accordance with the mezigdomide Global PPP, or 7 months after the last dose of BTZ (for Cohorts A, D and G), 90 days after the last dose of DARA (for Cohorts B and E), 6 months after the last dose of CFZ or ELO (for Cohorts C and F and Cohorts H and J), or 5 months after the last dose of ISA (for Cohorts I and K), whichever is later.
6. Male subjects must agree and adhere to all requirements in the mezigdomide Global PPP. Duration of contraception for male subjects must be in accordance with the mezigdomide Global PPP, or 3 months after the last dose of DARA (for Cohorts B and E), CFZ (for Cohorts C and F), and ISA (for Cohorts I and K), 4 months after the last dose of BTZ (for Cohorts A, D and G), or 6 months after the last dose of elotuzumab, whichever is longer, even if the subject has undergone a successful vasectomy.
7. Male subjects must agree to refrain from donating sperm or semen in accordance with the mezigdomide Global PPP, or for at least 3 months after the last dose of DARA, CFZ, and ISA, 4 months after the last dose of BTZ, or 6 months after the last dose of elotuzumab, whichever is later. Females must refrain from egg cell (ova) donation in accordance with the mezigdomide Global PPP.
8. All subjects must agree to refrain from donating blood while on study treatment and for 28 days after the last dose of study treatment.
9. All male and female subjects must also follow all other requirements defined in the mezigdomide Global PPP.
Please refer to protocol (Sec 4.2) for additional inclusion criteria.
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 255
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 169
1. Subject has any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study.
2. Subject has any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study.
3. Subject has any condition that confounds the ability to interpret data from the study.
4. Subject has any of the following laboratory abnormalities:
a. Absolute neutrophil count (ANC) < 1,000/µL (for Phase 1 without growth factor support for = 7 days [= 14 days for pegfilgrastim]) prior to screening complete blood count [CBC])
b. Platelet count: < 75,000/µL (it is not permissible to transfuse a subject to reach this level)
c. Hemoglobin < 8 g/dL (< 4.9 mmol/L)
d. Creatinine clearance (CrCl) < 45 mL/min (< 30 mL/min for Cohort G)
e. Corrected serum calcium > 13.5 mg/dL (> 3.4 mmol/L)
f. Serum aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 2.5 x ULN
g. Serum total bilirubin > 1.5 x ULN or > 3.0 mg/dL for subjects with documented Gilbert’s syndrome
h. Prothrombin time (PT)/international normalized ratio (INR) > 1.5 x ULN or partial thromboplastin time (PTT) > 1.5 x ULN, (for subjects not receiving therapeutic anticoagulation).
5. Subject has peripheral neuropathy = Grade 2
6. Subject with gastrointestinal disease that may significantly alter the absorption of mezigdomide.
7. Subject has prior history of malignancies, other than MM, unless the subject has been free of the disease for = 5 years with the exception of the following non-invasive malignancies:
• Basal cell carcinoma of the skin
• Squamous cell carcinoma of the skin
• Carcinoma in situ of the cervix
• Carcinoma in situ of the breast
• Incidental histologic finding of prostate cancer or prostate cancer that is curative
8. Subject has plasma cell leukemia, Waldenstrom’s macroglobulinemia, POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes) or clinically significant amyloidosis.
9. Subject with known central nervous system (CNS) involvement with myeloma.
10. Subject has received immunosuppressive medication within the last 14 days of initiating study treatment. Please refer to protocol for exceptions to this criterion.
11. Subject has impaired cardiac function or clinically significant cardiac disease, including any of the following:
• Left ventricular ejection fraction (LVEF) < 45% as determined by echocardiogram (ECHO) or multigated acquisition (MUGA) scan at Screening.
• Complete left bundle branch, bifascicular block or other clinically significant abnormal electrocardiogram (ECG) finding at Screening
• A prolongation of QT interval on Screening ECG as defined by repeated demonstration of a QTc interval > 470 milliseconds (msec) using Fridericia’s QT correction formula; a history of or current risk factors for torsades de pointe (eg, heart failure, hypokalemia, or a family history of Long QT Syndrome); and concurrent administration of medications that prolong the QT/QTc interval
• Congestive heart failure (New York Heart Association Class III or IV).
• Myocardial infarction within 12 months prior to starting study treatment.
• Unstable or poorly controlled angina pectoris, including the Prinzmetal variant of angina pectoris
• History of severe coronary artery disease, severe uncontrolled ventricular arrhythmias, sick sinus syndrome, pericardial disea
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method