The purpose of this first in human study is to assess safety, tolerability, PK and preliminary clinical activity and to estimate the MTD(s)/RDE(s) of MIK665 (also referred as S64315) as single agent administered intravenously (i.v.) in adult patients with refractory or relapsed lymphoma or multiple myeloma.
The design of this phase I, open label, dose finding study was chosen in order to characterize the safety and tolerability of MIK665 and to determine the Maximal Tolerated Dose(s) (MTD(s)) and/or Recommended Dose(s) for Expansion (RDE(s)). This study will utilize a Bayesian Hierarchical model to guide dose escalation and estimate the MTD(s) based on the dose-DLT relationship(s) for MIK665 in the indications. The expansion part of the study will employ an open-label multiple arm design. The purpose of the expansion part is to further assess safety, tolerability, PK, PD and the anti-tumor activity of MIK665 at the selected RDE/s for Multiple Myeloma (MM) and MYC positive Diffuse large B-Cell Lymphoma (DLBCL) identified in the dose-escalation part.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
31
MIK665
MD Anderson Cancer Center/University of Texas MD Anderson CC
Houston, Texas, United States
Novartis Investigative Site
Heidelberg, Victoria, Australia
Novartis Investigative Site
Nantes, France
Novartis Investigative Site
Heidelberg, Germany
Incidence and severity of AEs and SAEs, incl. changes in laboratory parameters, vital signs and ECGs.
Time frame: 2 years
Incidence of DLTs during the first cycle of treatment with single agent MIK665 during the dose escalation phase only
Time frame: 2 years
Tolerability: Dose interruptions
Time frame: 2 years
Tolerability: Dose reductions
Time frame: 2 years
Tolerability: Dose intensity
Time frame: 2 years
Best Overall response (BOR) per International Myeloma Working Group (IMWG) criteria for Myeloma; and per revised criteria for staging of the International Working Group (IWG) guidelines for Lymphoma
Time frame: 2 years
Area Under Curve (AUC)
Plasma PK parameter
Time frame: 2 years
Maximum Plasma Concentration (Cmax)
Plasma PK parameter
Time frame: 2 years
Terminal elimination half-life (T1/2)
Plasma PK parameter
Time frame: 2 years
Apparent volume of distribution (Vz)
Plasma PK parameter
Time frame: 2 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Novartis Investigative Site
Kiel, Germany
Novartis Investigative Site
Rozzano, MI, Italy
Novartis Investigative Site
Fukuoka, Fukuoka, Japan
Novartis Investigative Site
Salamanca, Castille and León, Spain
Clearance (CL)
Plasma PK parameter
Time frame: 2 years
Duration of Response (DOR)per International Myeloma Working Group (IMWG) criteria for Myeloma; and per revised criteria for staging of the International Working Group (IWG) guidelines for Lymphoma
Time frame: 2 years
Progression Free Survival (PFS) per International Myeloma Working Group (IMWG) criteria for Myeloma; and per revised criteria for staging of the International Working Group (IWG) guidelines for Lymphoma
Time frame: 2 years