Study of ISB 2001 in Relapsed/Refractory Multiple Myeloma (TRIgnite-1)
A Phase 1, First-in-Human, Multicenter, Open-Label, Dose Escalation and Dose-Expansion Study of Single-Agent ISB 2001 in Subjects With Relapsed/Refractory Multiple Myeloma
1 other identifier
interventional
200
7 countries
32
Brief Summary
This study is a first-in-human, Phase 1, open-label study that will evaluate safety and anti-myeloma activity of ISB 2001 in participants with relapsed/refractory multiple myeloma (R/R MM).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Nov 2023
Typical duration for phase_1
32 active sites
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 4, 2023
CompletedFirst Posted
Study publicly available on registry
May 17, 2023
CompletedStudy Start
First participant enrolled
November 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2027
April 1, 2026
March 1, 2026
3.7 years
May 4, 2023
March 31, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Frequency and Severity Of Treatment-Emergent Adverse Events (TEAEs)
Up to 18 months
Number of Dose-Limiting Toxicities (DLT) During the First 28 Days After the First Administration of ISB 2001 (Cycle 1) in Each Cohort (Part 1)
Up to 28 days
Secondary Outcomes (13)
Maximum Concentration (Cmax) of ISB 2001 in Serum
Up to 28 days
Time to Reach Maximum Concentration (Tmax) of ISB 2001 in Serum
Up to 28 days
Area Under the Concentration Time Curve in Dosing Intervals (AUC0-tau) of ISB 2001 in Serum
Up to 28 days
Area Under the Concentration Time Curve From Zero to Time t (AUC0-t) of ISB 2001 in Serum
Up to 28 days
Percent Incidence of Anti-Drug Antibody (ADA), Neutralizing Antibody (nAb) and Titer of ADA From Baseline Until End-of-Treatment (EOT)
Baseline to 18 months
- +8 more secondary outcomes
Study Arms (2)
Part 1: Dose Escalation
EXPERIMENTALParticipants with R/R MM is administered ISB 2001 weekly on Days 1, 8, 15, and 22 of each 28-day cycle, with an additional step-up dose in Cycle 1 on Day 4. Treatment cycle duration is 28 days. Participants will receive ISB 2001 until disease progression, unacceptable toxicity occurs, any criterion for stopping the study treatment or participant withdrawal from the study
Part 2: Dose Expansion
EXPERIMENTALDose expansion cohorts are initiated to further confirm safety and optimal biologically active dose. Participants will receive ISB 2001 until disease progression, unacceptable toxicity occurs, any criterion for stopping the study treatment or participant withdrawal from the study.
Interventions
Eligibility Criteria
You may qualify if:
- Participants with pathologically confirmed MM with measurable M-protein: serum and/or 24 hour urine, serum-free light chains or measurable isolated plasmacytoma
- Have an Eastern Cooperative Oncology Group (ECOG) performance status score of 2 or less
- Must have adequate hematologic, hepatic, renal, and cardiac functions
You may not qualify if:
- Active malignant central nervous system involvement
- Uncontrolled infection requiring systemic antibiotic therapy or other serious infection prior to C1D1
- History of autoimmune disease requiring systemic immunosuppressive therapy
- Any concurrent or uncontrolled medical, comorbid, psychiatric or social condition that would limit compliance with study procedures, interfere with the study results, substantially increase the risk of AEs, compromise ability to provide written informed consent or, in the opinion of the Investigator, constitute a hazard for participating in this study.
- Female subjects who are lactating and breastfeeding or have a positive pregnancy test during the screening period or on Day 1 before first dose of ISB 2001.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (32)
Standford Cancer Institute
Palo Alto, California, 94304, United States
Sylvester Cancer Center
Miami, Florida, 33136, United States
Winship Cancer Institute
Atlanta, Georgia, 30322, United States
University of Chicago Medical Center
Chicago, Illinois, 60637, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
Montefiore Medical Center
The Bronx, New York, 10467, United States
University of North Carolina
Chapel Hill, North Carolina, 27599, United States
Tennessee Oncology
Nashville, Tennessee, 37203, United States
Virginia Commonwealth University (VCU)
Richmond, Virginia, 23298, United States
Froedtert Hospital & the Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
Concord Hospital
Concord, New South Wales, 2139, Australia
Pindara Private Hospital
Benowa, Queensland, 4217, Australia
St. Vincent's Hospital Melbourne
Fitzroy, Victoria, 3065, Australia
Peter MacCallum Cancer Center
Melbourne, Victoria, 3000, Australia
Linear Clinical Research
Nedlands, Western Australia, 6009, Australia
CHRU Lille
Lille, Hauts-de-France, 59800, France
CHU Poiters - Hospital la Miletrie
Poitiers, Nouvelle-Aquitaine, 86021, France
CHU de Nantes - Hotel Dieu
Nantes, Pays de la Loire Region, 44093, France
Groupe Hospitalier Pitie-Salpetriere
Paris, Île-de-France Region, 75013, France
Apollo Hospital International Limited
Gandhinagar, Gujarat, 382428, India
Health Care Global Enterprises Ltd.
Bangalore, Karnataka, 560027, India
Deenanath Mangeshkar Hospital and Research Centre
Pune, Maharashta, 411004, India
Apollo Cancer Centers
Hyderabad, Telangana, 500033, India
HCG Hospital
Bangalore, India
ASST Spedali Civili di Brescia
Brescia, Lombardy, 25123, Italy
Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico
Milan, Lombardy, 20122, Italy
Oslo University Hospital
Oslo, Oslo County, 0372, Norway
Instituto de Investigacion Biomedica de Salamanca (IBSAL)
Salamanca, Castile de Leon, 37007, Spain
Institut Catala de Oncologia (ICO)
Badalona, Catalonia, 08916, Spain
Hospital Clinic de Barcelona
Barcelona, Catalonia, 08036, Spain
Centro Integral Oncologici Clara Campal
Madrid, Madrid, 28050, Spain
Clinica Universidad de Nevarra
Pamplona, Navarre, 31008, Spain
Related Publications (1)
Carretero-Iglesia L, Hall OJ, Berret J, Pais D, Estoppey C, Chimen M, Monney T, Loyau J, Dreyfus C, Macoin J, Perez C, Menon V, Gruber I, Laurendon A, Caro LN, Gudi GS, Matsuura T, van der Graaf PH, Blein S, Mbow ML, Croasdale-Wood R, Srivastava A, Dyson MR, Matthes T, Kaya Z, Edwards CM, Edwards JR, Maiga S, Pellat-Deceunynck C, Touzeau C, Moreau P, Konto C, Drake A, Zhukovsky EA, Perro M, Pihlgren M. ISB 2001 trispecific T cell engager shows strong tumor cytotoxicity and overcomes immune escape mechanisms of multiple myeloma cells. Nat Cancer. 2024 Oct;5(10):1494-1514. doi: 10.1038/s43018-024-00821-1. Epub 2024 Sep 11.
PMID: 39261676DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 4, 2023
First Posted
May 17, 2023
Study Start
November 1, 2023
Primary Completion (Estimated)
July 1, 2027
Study Completion (Estimated)
July 1, 2027
Last Updated
April 1, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share