NCT03785184

Brief Summary

This study will evaluate the safety and preliminary efficacy of venetoclax when combined with lenalidomide and dexamethasone for participants with newly diagnosed, active t(11;14) positive multiple myeloma (MM). This study will consist of 2 parts: Part 1 Dose Escalation and Part 2 Dose Expansion.

Trial Health

33
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Apr 2019

Shorter than P25 for phase_2 multiple-myeloma

Geographic Reach
4 countries

22 active sites

Status
withdrawn

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

December 20, 2018

Completed
4 days until next milestone

First Posted

Study publicly available on registry

December 24, 2018

Completed
4 months until next milestone

Study Start

First participant enrolled

April 29, 2019

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 22, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 22, 2019

Completed
Last Updated

August 28, 2019

Status Verified

August 1, 2019

Enrollment Period

4 months

First QC Date

December 20, 2018

Last Update Submit

August 23, 2019

Conditions

Keywords

Multiple MyelomaCancert(11;14)-Positive Multiple MyelomaVenetoclaxLenalidomide

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participates Who Achieve CR

    Complete response (CR) is defined as negative immunofixation of serum and urine, and disappearance of any soft tissue plasmacytomas, and \< 5% plasma cells in bone marrow.

    From baseline up to approximately 24 months

Secondary Outcomes (10)

  • Percent of Participants Who Achieve MRD Negativity

    From baseline up to approximately 24 months

  • Percent of Participants Who Achieve VGPR or Better

    From baseline up to approximately 24 months

  • Overall Response Rate (ORR)

    From baseline up to approximately 24 months

  • Time to Response (TTR)

    From baseline up to approximately 24 months

  • Duration of response (DOR)

    Approximately 7 years

  • +5 more secondary outcomes

Study Arms (1)

Venetoclax + Lenalidomide + Dexamethasone

EXPERIMENTAL

Venetoclax up to 800 mg orally every day (QD) QD on Days 1 - 28 plus lenalidomide up to 25 mg orally QD on Days 1 - 21 (28 day cycle) plus dexamethasone up to 40 mg orally once weekly (QW).

Drug: venetoclaxDrug: lenalidomideDrug: dexamethasone

Interventions

tablet; oral

Also known as: ABT-199
Venetoclax + Lenalidomide + Dexamethasone

capsule; oral

Also known as: Revlimid
Venetoclax + Lenalidomide + Dexamethasone

tablet; oral

Venetoclax + Lenalidomide + Dexamethasone

Eligibility Criteria

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

You may qualify if:

  • Must have documented, confirmed active multiple myeloma (MM) with greater than or equal to 10% clonal bone marrow plasma cells or biopsy-proven bone or extramedullary plasmacytoma and any one or more of the following myeloma-defining events:
  • Evidence of end organ damage attributed to the underlying plasma cell proliferative disorder and satisfying at least one of the protocol specified laboratory criteria for calcium elevation, renal failure, anemia, or lytic bone lesions; OR
  • One or more of the biomarkers of malignancy as described in the protocol.
  • Must have MM positive for the t(11;14) translocation, as determined by methods described in the protocol.
  • Must have measurable disease defined by at least one of the following criteria:
  • Serum M-protein ≥ 1.0 g/dL (immunoglobulin \[Ig\]G myeloma) or greater than or equal to 0.5 g/dL (IgA, IgM, IgD, or IgE myeloma);
  • Urine M-protein greater than or equal to 200 mg/24 hours;
  • Serum free light chain (FLC) greater than or equal to 10 mg/dL (100 mg/L) provided serum FLC ratio is abnormal.
  • Newly diagnosed and not considered a candidate for high-dose therapy and hematopoietic stem cell transplantation (HSCT)
  • Must have Eastern Cooperative Oncology Group performance status less than or equal to 2.

You may not qualify if:

  • Has a co-existing condition as specified in the protocol.
  • Has history of other active malignancies, including myelodysplastic syndromes (MDS) within the past 3 years with specific exceptions detailed in the protocol.
  • Has been treated with or received any of the following:
  • Prior or current systemic therapy or hematopoietic stem cell transplantation (HSCT) for MM (a short course of treatment with corticosteroids equivalent to dexamethasone 40 mg/day for a maximum of 4 days is allowed before treatment); use of systemic strong or moderate inhibitor or inducer of cytochrome P450(CYP)3A within 7 days before the first dose of study drug.
  • Radiation therapy within 2 weeks of dosing
  • Plasmapheresis within 4 weeks of dosing
  • Immunization with live vaccine within 8 weeks of dosing
  • Has a contraindication or inability to comply with antithrombotic prophylaxis.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (22)

City of Hope /ID# 212211

Duarte, California, 91010, United States

Location

Marin Cancer Care /ID# 208476

Greenbrae, California, 94904, United States

Location

University of California, Los Angeles /ID# 208516

Los Angeles, California, 90095, United States

Location

Karmanos Cancer Institute /ID# 208805

Detroit, Michigan, 48201, United States

Location

Henry Ford Hospital /ID# 208481

Detroit, Michigan, 48202, United States

Location

Duke University Hospital /ID# 208306

Durham, North Carolina, 27710, United States

Location

UPMC Hillman Cancer Ctr /ID# 208121

Pittsburgh, Pennsylvania, 15232, United States

Location

Westmead Hospital /ID# 210267

Westmead, New South Wales, 2145, Australia

Location

Flinders Centre for Innovation /ID# 210697

Bedford Park, South Australia, 5042, Australia

Location

St. Vincents Hosp Melbourne /ID# 210266

Fitzroy, Victoria, 3065, Australia

Location

Austin Hospital /ID# 210268

Heidelberg, Victoria, 3084, Australia

Location

Monash Medical Centre /ID# 210269

Melbourne, Victoria, 3168, Australia

Location

Tom Baker Cancer Centre /ID# 208549

Calgary, Alberta, T2N 4N2, Canada

Location

Princess Margaret Cancer Centr /ID# 208923

Toronto, Ontario, M5G 2M9, Canada

Location

Hopital Maisonneuver-Rosemont /ID# 208550

Montreal, Quebec, H1T 2M4, Canada

Location

McGill Univ HC /ID# 208486

Montreal, Quebec, H3G 1A4, Canada

Location

Clinica Universitar de Navarra - Pamplona /ID# 209883

Pamplona, Navarra, Comunidad, 31008, Spain

Location

Hospital Clinic de Barcelona /ID# 209888

Barcelona, 08036, Spain

Location

Hspital Universitario Gregorio Maranon /ID# 209926

Madrid, 28009, Spain

Location

Clinica Universitar de Navarra - Madrid /ID# 210131

Madrid, 28021, Spain

Location

Hosp Univ 12 de Octubre /ID# 209887

Madrid, 28041, Spain

Location

Hospital Univ Dr. Peset /ID# 209884

Valencia, 46017, Spain

Location

Related Links

MeSH Terms

Conditions

Multiple MyelomaNeoplasms

Interventions

venetoclaxLenalidomideDexamethasone

Condition Hierarchy (Ancestors)

Neoplasms, Plasma CellNeoplasms by Histologic TypeHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

PhthalimidesPhthalic AcidsAcids, CarbocyclicCarboxylic AcidsOrganic ChemicalsPiperidonesPiperidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsIsoindolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingPregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, Fluorinated

Study Officials

  • AbbVie Inc.

    AbbVie

    STUDY DIRECTOR
0

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Expanded Access
Yes

Study Record Dates

First Submitted

December 20, 2018

First Posted

December 24, 2018

Study Start

April 29, 2019

Primary Completion

August 22, 2019

Study Completion

August 22, 2019

Last Updated

August 28, 2019

Record last verified: 2019-08

Data Sharing

IPD Sharing
Will share

AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.

Shared Documents
STUDY PROTOCOL, SAP, CSR, ANALYTIC CODE
Time Frame
Data requests can be submitted at any time and the data will be accessible for 12 months, with possible extensions considered.
Access Criteria
Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous, independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Sharing Agreement (DSA). For more information on the process, or to submit a request, visit the following link.
More information

Locations