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Study in Patients With Untreated Multiple Myeloma and Renal Insufficiency

Phase 2
Completed
Conditions
Multiple Myeloma
Renal Insufficiency
Interventions
Drug: BHQ880
Drug: BHQ880 Placebo
Drug: bortezomib
Drug: dexamethasone
Registration Number
NCT01337752
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

The study will evaluate the effects of BHQ880 in patients with previously untreated multiple myeloma and renal insufficiency who are not considered candidates for bisphosphonate therapy. The primary objective of the study will be to evaluate the effect of BHQ880 in combination with bortezomib and dexamethasone, compared to placebo administered with the combination on the time to first Skeletal Related Event (SRE) on study.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
9
Inclusion Criteria
  1. Confirmed diagnosis of multiple myeloma
  2. Life expectancy of more than 6 months in the absence of intervention
  3. Must not have received previous or be receiving current antimyeloma therapies
  4. Renal insufficiency
  5. Recovered from the effects of any prior surgery or radiotherapy
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Exclusion Criteria
  1. Prior IV bisphosphonate therapy at any time or oral bisphosphonate therapy within 4 months of study entry
  2. Paget's disease of bone or uncorrected hyperparathyroidism
  3. Impaired cardiac function
  4. Known HIV, known active hepatitis B, or known or suspected hepatitis C infection
  5. Pregnant or nursing (lactating) women,
  6. Women of child-bearing potential, UNLESS agreeable to using 2 birth control methods

Other protocol-defined inclusion/exclusion criteria may apply

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
BHQ880 + bortezomib and dexamethasoneBHQ880-
BHQ880 + bortezomib and dexamethasonebortezomib-
BHQ880 + bortezomib and dexamethasonedexamethasone-
BHQ880 Placebo + bortezomib and dexamethasoneBHQ880 Placebo-
BHQ880 Placebo + bortezomib and dexamethasonebortezomib-
BHQ880 Placebo + bortezomib and dexamethasonedexamethasone-
Primary Outcome Measures
NameTimeMethod
effect of BHQ880 compared with placebo on time to first Skeletal Related Event (SRE) in patients with untreated multiple myeloma and renal insufficiency in combination with bortezomib and dexamethasone18-month median time to first SRE assumed for the placebo arm

Time to first SRE from randomization

Secondary Outcome Measures
NameTimeMethod
safety and tolerability of BHQ880 in combination with bortezomib and dexamethasoneFrom screening through month 17

Number of patients with adverse events/serious adverse events, abnormal clinical laboratory values, and the assessment of immunogenicity

Characterize the PharmacoKinetics (PK) profiles of BHQ880 and bortezomibAt screening and weeks 1, 2, 4, 7, 10, 11, 13, 16, 25 and 34

Determine the pharmacokinetic parameters for BHQ880 and bortezomib (Cmax, Tmax, AUC0-tlast, t1/2, and accumulation ratio of BHQ880).

Evaluate the effect of BHQ880 on bone metabolismAt screening and at months 3, 6, 12, and 18

1) Change in bone mineral density, measured by dual-emission X-ray absorptiometry (DXA), from randomization to 12 and 18 months; 2) Change in bone strength, measured by quantitative computed tomography (qCT), from randomization to 3 and 6 months

Determine the antimyeloma effect of BHQ880 compared to placebo when used in combination with bortezomib and dexamethasone.From the first dose of study medication through month 17

1) The overall response rate (partial response plus complete response); 2) Progression-free survival following initiation of BHQ880

Trial Locations

Locations (3)

Novartis Investigative Site

🇬🇧

Southampton, United Kingdom

University Chicago Hospital Dept. of Univ of Chicago (2)

🇺🇸

Chicago, Illinois, United States

Medical Oncology Associates, PS

🇺🇸

Spokane, Washington, United States

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