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临床试验/EUCTR2018-004124-10-FR
EUCTR2018-004124-10-FR进行中(未招募)1 期

A Phase 2, Multicohort Open-Label Study of JNJ-68284528, a Chimeric Antigen Receptor T cell (CAR-T) Therapy Directed Against BCMA in Subjects with Multiple Myeloma

Janssen-Cilag International NV0 个研究点目标入组 80 人开始时间: 2019年11月18日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
80

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • -1-3 prior lines of therapy, including PI and IMiD
  • -Lenalidomide refractory
  • -Anti-CD38 mAb exposure not required
  • -PD per IMWG criteria =6 months of last regimen; confirmation may be either central or local
  • -Prior SCT allowed (allo: >6 months before apheresis; auto: >12 weeks before apheresis)
  • -Frontline therapy with PI and IMiD
  • -Transplant and non-transplant patients
  • -Anti-CD38 mAb exposure not required
  • -PD per IMWG criteria =12 months of:
  • a. Autologous SCT
  • b. Start of initial therapy (non-transplanted patients)
  • -Previously treated with PI, IMiD, anti-CD38 mAb and BCMA-directed therapy (as monotherapy or in combination)
  • a. Irrespective of dose level or response to prior BCMA-directed therapy
  • -PD per IMWG criteria
  • a. =12 months of last line of therapy
  • b. =6 months of prior therapy, and refractory or non-responsive to their most recent line of therapy
  • Cohort A, B, C:
  • Measurable disease at Screening as defined by any of the following:
  • -Serum M-protein =1.0 g/dL or urine M-protein level =200 mg/24 hours; or
  • -Light chain MM without measurable disease in serum or urine: Serum immunoglobulin free light chain =10 mg/dL and abnormal serum immunoglobulin kappa lambda FLC ratio
  • -Central screening lab results required for all study patients:
  • Local laboratory assessments may be used to establish measurable disease at Screening, with local laboratory result =125% of requirements
  • -Lab values as defined in the protocol
  • -Newly diagnosed MM per IMWG with 4 to 8 total cycles of initial therapy, including induction, high-dose therapy and ASCT with or without consolidation
  • a. Previously treated for smoldering myeloma not eligible
  • b. Patient treated with consolidation must have received =2 cycles
  • - Received IMiD or PI or both in combination with steroid as part of induction or consolidation regimen
  • -Tx with alkylating therapy (eg, cyclophosphamide) or mAb during induction/ consolidation permitted
  • -Labs as specified in the protocol
  • For a full list of inclusion criteria, please refer to the protocol, pg 60-78.
  • 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 60
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 20

排除标准

  • Key Exclusion criteria (All cohorts):
  • -Antitumor treatment washout prior to apheresis
  • -Toxicity from previous anticancer therapy must have resolved to baseline or =Grade 1 except alopecia or peripheral neuropathy
  • - Serious underlying medical condition, eg:
  • a.Clinically significant cardiac conditions (CHF, MI, LVEF <45%)
  • b. Active / Hx of autoimmune disease within 3 yrs
  • c. Dementia or altered mental status
  • d. Serious viral, bacterial or uncontrolled systemic fungal infection
  • e. Seropositive for HIV
  • f. Clinically significant Hepatitis B or C infection
  • - Cumulative dose of corticosteroids equivalent to =70 mg of prednisone =7 days prior to apheresis
  • - Stroke or seizure =6 months
  • - Pregnant, breast-feeding or planning to become pregnant / father child while enrolled in study and until 1 year after receiving a JNJ-68284528 infusion
  • a.Cohort D: Pregnant or breast-feeding, or planning to become pregnant while enrolled in this study
  • and until 1 year after receiving a JNJ-68284528 infusion or for 4 weeks following discontinuation of lenalidomide (whichever is later).
  • For a full list of exclusion criteria, please refer to the protocol, pg 63-81.

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