NCT04895410

Brief Summary

Multiple myeloma (MM) accounts for more than 10% of all blood cancers and 1% of all cancers. The purpose of this study is to assess how safe lemzoparlimab is and how lemzoparlimab moves through the body of adult participants with MM when given with or without dexamethasone, and in combination with other anti-myeloma regimens. Adverse events and change in disease activity will be assessed. Lemzoparlimab is an investigational drug being developed for the treatment of relapsed/refractory (R/R) MM. Study doctors put the participants in groups called treatment arms. Two different dose levels of lemzoparlimab will be explored. Each treatment arm receives a different treatment combination depending on stage of the study and eligibility. This study will include a dose escalation phase to determine the best dose of lemzoparlimab, followed by a dose expansion phase to confirm the dose. Approximately 163 adult participants with R/R MM will be enrolled in the study in approximately 60 sites worldwide. In the Dose Escalation arms, participants will receive intravenous (IV) lemzoparlimab with or without dexamethasone (oral/IV) in combination with pomalidomide (oral) or carfilzomib (IV) or subcutaneous (SC) daratumumab in 28-day cycles. In the Dose Expansion arms, participants will receive lemzoparlimab (IV) alone or with dexamethasone (oral/IV) in combination with pomalidomide (oral) or carfilzomib (IV) or daratumumab (SC) in 28-day cycles. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests and side effects.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
8

participants targeted

Target at below P25 for phase_1 multiple-myeloma

Timeline
Completed

Started Jan 2022

Shorter than P25 for phase_1 multiple-myeloma

Geographic Reach
7 countries

32 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

May 19, 2021

Completed
1 day until next milestone

First Posted

Study publicly available on registry

May 20, 2021

Completed
8 months until next milestone

Study Start

First participant enrolled

January 17, 2022

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 24, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 24, 2022

Completed
Last Updated

March 6, 2023

Status Verified

August 1, 2022

Enrollment Period

5 months

First QC Date

May 19, 2021

Last Update Submit

March 3, 2023

Conditions

Keywords

LemzoparlimabABBV-IMAB-TJC4Relapsed or refractory multiple myeloma (R/R MM)CancerTJ011133Multiple Myeloma

Outcome Measures

Primary Outcomes (1)

  • Dose Limiting Toxicities (DLTs) of Lemzoparlimab With or Without Dexamethasone and in Combination With Anti-myeloma Regimens in Participants With Relapsed/Refractory (R/R) Multiple Myeloma (MM)

    DLT events as described in the protocol will be assessed.

    Up to 28 days after study drug administration

Secondary Outcomes (4)

  • Percentage of Participants Achieving Best Overall Response of Documented Partial Response (PR) or Better

    Up to approximately 2 years

  • Progression Free Survival (PFS)

    Up to approximately 2 years

  • Duration of Response (DOR)

    Up to approximately 2 years

  • Time to Progression (TTP)

    Up to approximately 2 years

Study Arms (9)

Dose Escalation: Lemzoparlimab

EXPERIMENTAL

Participants will receive lemzoparlimab in 28 day cycles.

Biological: Lemzoparlimab

Dose Escalation: Lemzoparlimab + Pomalidomide + Dexamethasone

EXPERIMENTAL

Participants will receive lemzoparlimab + pomalidomide + dexamethasone in 28 day cycles.

Biological: LemzoparlimabDrug: DexamethasoneDrug: Pomalidomide

Dose Escalation: Lemzoparlimab + Carfilzomib + Dexamethasone

EXPERIMENTAL

Participants will receive lemzoparlimab + carfilzomib + dexamethasone in 28 day cycles.

Biological: LemzoparlimabDrug: DexamethasoneDrug: Carfilzomib

Dose Escalation: Lemzoparlimab + Daratumumab + Dexamethasone

EXPERIMENTAL

Participants will receive lemzoparlimab + daratumumab + dexamethasone in 28 day cycles.

Biological: LemzoparlimabDrug: DexamethasoneBiological: Daratumumab

Dose Expansion: Lemzoparlimab

EXPERIMENTAL

Participants will receive lemzoparlimab at recommended dose determined in Dose Escalation portion in 28 day cycles.

Biological: Lemzoparlimab

Dose Expansion: Lemzoparlimab + Dexamethasone

EXPERIMENTAL

Participants will receive lemzoparlimab at recommended dose determined in Dose Escalation portion + dexamethasone in 28 day cycles.

Biological: LemzoparlimabDrug: Dexamethasone

Dose Expansion: Lemzoparlimab + Pomalidomide + Dexamethasone

EXPERIMENTAL

Participants will receive lemzoparlimab at recommended dose determined in Dose Escalation portion + pomalidomide + dexamethasone in 28 day cycles.

Biological: LemzoparlimabDrug: DexamethasoneDrug: Pomalidomide

Dose Expansion: Lemzoparlimab + Carfilzomib + Dexamethasone

EXPERIMENTAL

Participants will receive lemzoparlimab at recommended dose determined in Dose Escalation portion + carfilzomib + dexamethasone in 28 day cycles.

Biological: LemzoparlimabDrug: DexamethasoneDrug: Carfilzomib

Dose Expansion: Lemzoparlimab + Daratamumab + Dexamethasone

EXPERIMENTAL

Participants will receive lemzoparlimab at recommended dose determined in Dose Escalation portion + daratamumab + dexamethasone in 28 day cycles.

Biological: LemzoparlimabDrug: DexamethasoneBiological: Daratumumab

Interventions

LemzoparlimabBIOLOGICAL

Intravenous (IV) infusion

Also known as: TJ011133
Dose Escalation: LemzoparlimabDose Escalation: Lemzoparlimab + Carfilzomib + DexamethasoneDose Escalation: Lemzoparlimab + Daratumumab + DexamethasoneDose Escalation: Lemzoparlimab + Pomalidomide + DexamethasoneDose Expansion: LemzoparlimabDose Expansion: Lemzoparlimab + Carfilzomib + DexamethasoneDose Expansion: Lemzoparlimab + Daratamumab + DexamethasoneDose Expansion: Lemzoparlimab + DexamethasoneDose Expansion: Lemzoparlimab + Pomalidomide + Dexamethasone

Oral tablet or IV infusion/injection

Dose Escalation: Lemzoparlimab + Carfilzomib + DexamethasoneDose Escalation: Lemzoparlimab + Daratumumab + DexamethasoneDose Escalation: Lemzoparlimab + Pomalidomide + DexamethasoneDose Expansion: Lemzoparlimab + Carfilzomib + DexamethasoneDose Expansion: Lemzoparlimab + Daratamumab + DexamethasoneDose Expansion: Lemzoparlimab + DexamethasoneDose Expansion: Lemzoparlimab + Pomalidomide + Dexamethasone

IV infusion

Dose Escalation: Lemzoparlimab + Carfilzomib + DexamethasoneDose Expansion: Lemzoparlimab + Carfilzomib + Dexamethasone

Oral capsule

Dose Escalation: Lemzoparlimab + Pomalidomide + DexamethasoneDose Expansion: Lemzoparlimab + Pomalidomide + Dexamethasone
DaratumumabBIOLOGICAL

Subcutaneous (SC) injection

Dose Escalation: Lemzoparlimab + Daratumumab + DexamethasoneDose Expansion: Lemzoparlimab + Daratamumab + Dexamethasone

Eligibility Criteria

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

You may qualify if:

  • Diagnosis of relapsed/refractory (R/R) multiple myeloma (MM) with documented evidence of progression during or after the participant's last treatment regimen based on the investigator's determination of the International Myeloma Working Group (IMWG) criteria.
  • Relapsed defined as previously treated myeloma that progresses and requires initiation of salvage therapy, but does not meet criteria for refractory myeloma.
  • Refractory defined as disease that is nonresponsive (failure to achieve minimal response or development of progressive disease) while on primary or salvage therapy, or progresses within 60 days of last therapy.
  • Measurable disease per the protocol within 28 days prior to enrollment.
  • Arm A - Lemzoparlimab with or without Dexamethasone
  • For Both Escalation and Expansion Phase, participant must have refractory to 3 prior lines of treatment of anti-myeloma treatments, as outlined in the protocol.
  • Arm B - Lemzoparlimab + Pomalidomide-Dexamethasone
  • For Escalation Phase - Participant must have received at least 3 prior lines of therapy, as outlined in the protocol.
  • For Expansion Phase- Participant must have received at least 2 prior line of therapy, as outlined in the protocol.
  • Arm C - Lemzoparlimab + Carfilzomib-Dexamethasone
  • For Escalation Phase- Participant must have received at least 3 prior lines of therapy as outlined in the protocol.
  • For Expansion Phase- Participant must have received at least 1 prior line of therapy.
  • Arm D - Lemzoparlimab + Daratumumab-Dexamethasone -- For Both Escalation and Expansion Phase - Participant must: --- Have received at least 3 prior lines of therapy, as outlined in the protocol.

You may not qualify if:

  • Arm B - Lemzoparlimab + Pomalidomide-Dexamethasone
  • For Both Escalation and Expansion Phase participant must have had no prior treatment with pomalidomide.
  • Arm C - Lemzoparlimab + Carfilzomib-Dexamethasone
  • For Both Escalation and Expansion Phase - prior treatment with carfilzomib.
  • Arm D - Lemzoparlimab + Daratumumab-Dexamethasone
  • For Both Escalation and Expansion Phase - prior treatment with daratumumab or other anti-CD38 therapy.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (32)

Sylvester Comprehensive Cancer Center /ID# 228817

Miami, Florida, 33136-1002, United States

Location

Moffitt Cancer Center /ID# 229939

Tampa, Florida, 33612-9416, United States

Location

Norton Cancer Institute - St Matthews /ID# 229319

Louisville, Kentucky, 40207, United States

Location

Tulane Cancer Center Clinic /ID# 229832

New Orleans, Louisiana, 70112, United States

Location

University of Michigan Comprehensive Cancer Center Michigan Medicine /ID# 229309

Ann Arbor, Michigan, 48109, United States

Location

Henry Ford Health System /ID# 230341

Detroit, Michigan, 48202, United States

Location

Rutgers Cancer Institute of New Jersey /ID# 230174

New Brunswick, New Jersey, 08901, United States

Location

Columbia University Medical Center /ID# 229971

New York, New York, 10032-3729, United States

Location

Duke University Hospital /ID# 229564

Durham, North Carolina, 27710, United States

Location

Wake Forest Baptist Health /ID# 229996

Winston-Salem, North Carolina, 27157-0001, United States

Location

Perelman Center for Advanced Medicine - /ID# 228693

Philadelphia, Pennsylvania, 19104-5127, United States

Location

University of Virginia /ID# 229396

Charlottesville, Virginia, 22908, United States

Location

The Queen Elizabeth Hospital /ID# 229345

Woodville South, South Australia, 5011, Australia

Location

Alfred Health /ID# 229347

Melbourne, Victoria, 3004, Australia

Location

HCL - Hôpital Lyon Sud /ID# 229834

Pierre-Bénite, Auvergne-Rhône-Alpes, 69495, France

Location

CHU de Nantes, Hotel Dieu -HME /ID# 228559

Nantes, Pays de la Loire Region, 44000, France

Location

CHU Poitiers - La milétrie /ID# 229833

Poitiers, Poitou-Charentes, 86000, France

Location

Hopital Henri Mondor /ID# 228562

Créteil, 94000, France

Location

Asklepios Klinik Altona /ID# 229143

Hamburg, 22763, Germany

Location

The Chaim Sheba Medical Center /ID# 229483

Ramat Gan, Tel Aviv, 5265601, Israel

Location

Tel Aviv Sourasky Medical Center /ID# 229478

Tel Aviv, Tel Aviv, 6423906, Israel

Location

Rambam Health Care Campus /ID# 229485

Haifa, 3109601, Israel

Location

Hadassah Medical Center-Hebrew University /ID# 229477

Jerusalem, 91120, Israel

Location

Meir Medical Center /ID# 229480

Kfar Saba, 4428164, Israel

Location

Rabin Medical Center /ID# 229488

Petah Tikva, 4941492, Israel

Location

University Hospital Kyoto Prefectural University of Medicine /ID# 241833

Kyoto, Kyoto, 602-8566, Japan

Location

Hospital Clínico Universitario de Santiago-CHUS /ID# 229356

Santiago de Compostela, A Coruna, 15706, Spain

Location

Hospital Unversitario Marques de Valdecilla /ID# 229354

Santander, Cantabria, 39008, Spain

Location

Hospital Parc de Salut del Mar /ID# 229371

Barcelona, 08003, Spain

Location

Hospital Santa Creu i Sant Pau /ID# 229369

Barcelona, 08041, Spain

Location

Hospital Universitario Reina Sofia /ID# 229388

Córdoba, 14004, Spain

Location

Hospital Universitario 12 de Octubre /ID# 229355

Madrid, 28041, Spain

Location

MeSH Terms

Conditions

Multiple MyelomaRecurrenceNeoplasms

Interventions

Dexamethasonecarfilzomibpomalidomidedaratumumab

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

PregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, Fluorinated

Study Officials

  • ABBVIE INC.

    AbbVie

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 19, 2021

First Posted

May 20, 2021

Study Start

January 17, 2022

Primary Completion

June 24, 2022

Study Completion

June 24, 2022

Last Updated

March 6, 2023

Record last verified: 2022-08

Data Sharing

IPD Sharing
Will not share

Locations