NCT03266692

Brief Summary

This is a phase 1, multi-center, single-arm, open-label study evaluating the safety, tolerability, and anti-myeloma activity of ACTR087 (an autologous T cell product) in combination with SEA-BCMA (a monoclonal antibody) in subjects with relapsed or refractory Multiple Myeloma.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
15

participants targeted

Target at below P25 for phase_1 multiple-myeloma

Timeline
Completed

Started Feb 2018

Shorter than P25 for phase_1 multiple-myeloma

Geographic Reach
1 country

7 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 22, 2017

Completed
8 days until next milestone

First Posted

Study publicly available on registry

August 30, 2017

Completed
6 months until next milestone

Study Start

First participant enrolled

February 22, 2018

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2019

Completed
Last Updated

March 30, 2020

Status Verified

March 1, 2020

Enrollment Period

1.6 years

First QC Date

August 22, 2017

Last Update Submit

March 27, 2020

Conditions

Keywords

BCMASEA-BCMAB Cell Maturation AntigenACTRACTR087T cellT cell productrelapsedrefractorymultiple myelomaadoptive T cellsautologousgene therapycell therapy

Outcome Measures

Primary Outcomes (2)

  • Safety and tolerability of ACTR087 in combination with SEA-BCMA

    Composite outcome measure assessed by committee review of dose limiting toxicities (DLTs), incidence and severity of AEs and clinically significant abnormalities of laboratory values

    28 days

  • Determination of recommended Phase 2 dosing regimen

    Review of DLTs, Maximum tolerated contour (MTC), incidence and severity of AEs and clinically significant abnormalities of laboratory values

    52 weeks

Secondary Outcomes (10)

  • Safety of SEA-BCMA as measured by incidence of Treatment Emergent Adverse Events (TEAEs)

    21 days

  • Anti-myeloma activity as measured by overall response rate (per IMWG response criteria)

    52 weeks

  • Anti-myeloma activity as measured by duration of response

    52 weeks

  • Anti-myeloma activity as measured by progression-free survival

    52 weeks

  • Anti-myeloma activity as measured by overall survival

    52 weeks

  • +5 more secondary outcomes

Study Arms (1)

ACTR087 in combination with SEA-BCMA

EXPERIMENTAL
Biological: ACTR087Biological: SEA-BCMA

Interventions

ACTR087BIOLOGICAL

Autologous T cell product

ACTR087 in combination with SEA-BCMA
SEA-BCMABIOLOGICAL

B-cell maturation antigen (BCMA)-directed antibody

ACTR087 in combination with SEA-BCMA

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Signed written informed consent obtained prior to study procedures
  • Histologically- or cytologically-confirmed relapsed or refractory multiple myeloma (MM) with measurable disease
  • Must have received at least 3 prior lines of therapy to include treatment with a proteasome inhibitor (eg, bortezomib, carfilzomib, or ixazomib) and an immunomodulatory agent (eg, lenalidomide, pomalidomide) unless double-refractory to both; and a hematopoietic stem cell transplant (HSCT), for those subjects considered HSCT-eligible.
  • Quantitative serum IgG levels for subjects with IgG MM must not exceed the institutional upper limit of normal (ULN)
  • ECOG 0 or 1
  • Life expectancy of at least 6 months
  • Absolute neutrophil (ANC) count greater than 1000/ µL
  • Platelet count greater than 50,000/µL
  • Estimated GFR \>30mL/min/1.73m2

You may not qualify if:

  • Known active central nervous system (CNS) involvement by MM
  • Systemic rheumatic or autoimmune diseases or acute or chronic infections
  • Uncontrolled thromboembolic events or recent severe hemorrhage
  • Subjects who are currently using more than 5mg/day of prednisone (or an equivalent glucocorticoid exceeding physiologic replacement levels)
  • Prior treatment as follows:
  • T cell-directed antibody therapy (eg. Alemtuzumab, anti-thymocyte globulin) within 6 months of enrollment
  • Any prior myeloma-directed therapy including cytotoxic chemotherapy, biologic therapy, or radiotherapy within 2 weeks of enrollment
  • Any mAb or other protein therapeutic containing Fc-domains within 4 weeks of enrollment
  • Experimental agents within 3 half-lives prior to enrollment, unless progression is documented on therapy
  • Prior BCMA-directed investigational agents at any time
  • Prior cell or gene therapy, excluding transfers of genetically unmodified autologous cells (eg. Hematopoietic stem cell transplantation), at any time; or prior allogeneic HSCT at any time
  • Pregnant or breastfeeding

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

Mayo Clinic

Phoenix, Arizona, 85054, United States

Location

Mayo Clinic

Jacksonville, Florida, 32224, United States

Location

Indiana Blood and Marrow Transplantation

Indianapolis, Indiana, 46327, United States

Location

Tufts Medical Center

Boston, Massachusetts, 02111, United States

Location

Ohio State University Wexner Medical Center

Columbus, Ohio, 43210, United States

Location

Baylor Scott & White

Dallas, Texas, 75246, United States

Location

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

MeSH Terms

Conditions

Multiple MyelomaRecurrence

Condition Hierarchy (Ancestors)

Neoplasms, Plasma CellNeoplasms by Histologic TypeNeoplasmsHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Jessica Sachs, MD

    Cogent Biosciences, Inc.

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 22, 2017

First Posted

August 30, 2017

Study Start

February 22, 2018

Primary Completion

October 1, 2019

Study Completion

October 1, 2019

Last Updated

March 30, 2020

Record last verified: 2020-03

Locations