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Study to Assess Safety and Tolerability of OPN-6602 in Subjects With Relapsed and/or Refractory Multiple Myeloma

Phase 1
Recruiting
Conditions
Relapsed Multiple Myeloma
Refractory Multiple Myeloma
Interventions
Registration Number
NCT06433947
Lead Sponsor
Opna Bio LLC
Brief Summary

Phase 1b, open-label study evaluating the safety, tolerability, pharmacokinetics, preliminary antitumor activity, and pharmacodynamics of OPN-6602 monotherapy and in combination with dexamethasone in subjects with relapsed and/or refractory MM.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
130
Inclusion Criteria
  • Confirmed diagnosis of multiple myeloma (MM)
  • Relapsed or refractory to 3 or more different prior lines of therapy for MM that included immunomodulatory agents, proteosome inhibitors, and anti-CD38 antibody and not a candidate for or intolerant to established therapy known to provide clinical benefit
  • Adequate hematologic, renal, liver, cardiac function
Exclusion Criteria
  • Monoclonal gammopathy of undetermined significance (MGUS), smoldering myeloma, Waldenstrรถm's macroglobulinemia, or IgM myeloma
  • Active plasma cell leukemia
  • Polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin changes (POEMS syndrome)
  • Prior Stevens Johnson syndrome
  • Localized radiation therapy to disease site(s) within 2 weeks of the first dose
  • Prior autologous peripheral stem cell transplant or prior autologous bone marrow transplantation within <90 days of the first dose of study drug
  • Prior allogeneic stem cell transplantation or solid organ transplantation within 12 months of screening; subjects receiving immunosuppressive medication for active graft vs host disease will be excluded.
  • Prior chemotherapy, targeted anticancer or radiation therapy within 2 weeks prior to first dose of study drug
  • Concomitant high-dose corticosteroids (except subjects on chronic steroids given for disorders other than myeloma)
  • Known central nervous system involvement by multiple myeloma
  • Active known second malignancy with exception of adequately treated basal cell carcinoma, squamous cell carcinoma of the skin, or in situ cervical cancer; adequately treated Stage 1 cancer from which the subject is currently in remission and has been in remission for โ‰ฅ2 years; low-risk prostate cancer with a Gleason score <7 and a PSA level <10 ng/mL; any other cancer from which the subject has been disease-free for โ‰ฅ3 years
  • Ongoing systemic infection requiring parenteral treatment
  • Poorly controlled Type 2 diabetes

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Dose escalation monotherapyOPN-6602-
Dose expansionOPN-6602-
Dose escalation in combo with dexamethasoneOPN-6602-
Dose escalation in combo with dexamethasoneDexamethasone-
Primary Outcome Measures
NameTimeMethod
Number and type of dose-limiting toxicities (DLTs)Through up to approximately 30 days following last dose of OPN-6602
Number and type of treatment-emergent adverse events (TEAEs)Through up to approximately 30 days following last dose of OPN-6602
Number of Participants With Clinical Laboratory Test AbnormalitiesThrough up to approximately 30 days following last dose of OPN-6602

Number of participants who experienced a clinical laboratory test abnormality, including hematology and serum chemistry, and coagulation. Abnormalities considered are those Grade 3-4 events with a \>= 1 grade increase from baseline using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (10)

Banner MD Anderson

๐Ÿ‡บ๐Ÿ‡ธ

Gilbert, Arizona, United States

Stanford Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Stanford, California, United States

Emory Winchip Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Atlanta, Georgia, United States

University of Kansas Clinical Research Center

๐Ÿ‡บ๐Ÿ‡ธ

Westwood, Kansas, United States

Dana Farber Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

Karmanos Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Detroit, Michigan, United States

START Midwest

๐Ÿ‡บ๐Ÿ‡ธ

Grand Rapids, Michigan, United States

University of Rochester Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Rochester, New York, United States

Huntsman Cancer Center Institute University of Utah

๐Ÿ‡บ๐Ÿ‡ธ

Salt Lake City, Utah, United States

Fred Hutchinson Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Seattle, Washington, United States

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