Study CC-93269-MM-001 is an open-label, Phase 1, dose escalation (Part A and C) and expansion (Parts B and D), first-in-human clinical study of CC-93269 in subjects with relapsed and refractory multiple myeloma.
The dose escalation parts (Part A with CC-93269 administered intravenous (IV) and Part C subcutaneous (SC)) of the study will evaluate the safety and tolerability of escalating doses of CC-93269, administered IV or SC, to determine the maximum tolerated dose (MTD) and non-tolerated dose (NTD) of CC-93269. The expansion parts (Part B and D) will further evaluate the safety and efficacy of CC-93269 administered IV or SC at or below the MTD in selected expansion cohorts of up to approximately 20 evaluable subjects each in order to determine the Recommended Phase 2 dose (RP2D).One or more dosing regimens may be selected for cohort expansion. All treatments will be administered in 28-day cycles for up to 5 years for subjects maintaining clinical benefit, or until confirmed disease progression, unacceptable toxicity, or subject/investigator decision to withdraw.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
183
Specified dose on specified days
Adverse Events (AEs)
Number of participants with Adverse Events
Time frame: Up to approximately 63 months
Dose Limiting Toxicity (DLT)
Is defined as any of the toxicities occurring within the DLT assessment window (Cycle 1, Days 1 to 28) except those that are clearly and incontrovertibly due to extraneous causes.
Time frame: Up to 60 months
Non-Tolerated Dose (NTD)
Is defined as a dose level at which 2 or more of up to 6 evaluable subjects in any dose cohort experience a DLT in the DLT window.
Time frame: Up to 60 months
Maximum Tolerated Dose (MTD)
Is defined as the last dose cohort below the NTD with 0 or 1 out of 6 evaluable subjects experiencing a DLT during the DLT window.
Time frame: Up to 60 months
Overall Response Rate (ORR)
Is defined as the proportion of subjects who achieve a partial response or better (eg, PR, VGPR, CR or sCR), according to International Myeloma Working Group (IMWG) response criteria.
Time frame: Up to 60 months
Time to Response
Is defined as the time from the first CC-93269 dose date to the date of first documented response (PR or better).
Time frame: Up to 60 months
Duration of Response
Is defined as the time from the earliest date of documented response (≥ PR) to the first documented disease progression or death, whichever occurs first.
Time frame: Up to 60 months
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Local Institution - 105
Birmingham, Alabama, United States
Local Institution - 103
San Francisco, California, United States
Local Institution - 107
New Haven, Connecticut, United States
Local Institution - 106
Atlanta, Georgia, United States
Local Institution - 109
Boston, Massachusetts, United States
Local Institution - 111
Boston, Massachusetts, United States
Henry Ford Medical Center - New Center One
Detroit, Michigan, United States
Icahn School of Medicine at Mount Sinai Mount Sinai West
New York, New York, United States
Local Institution - 101
Seattle, Washington, United States
Local Institution - 305
Erlangen, Germany
...and 24 more locations
Progression Free Survival
Is defined as the time from the first dose of CC-93269 to progressive disease or death from any cause, whichever occurs first.
Time frame: Up to 60 months
Overall Survival
Is defined as the time from the first dose of CC-93269 to death from any cause.
Time frame: Up to 60 months
Pharmacokinetics - Cmax
Maximum serum concentration of drug
Time frame: Up to 60 months
Pharmacokinetics - Cmin
Minimum serum concentration of drug
Time frame: Up to 60 months
Pharmacokinetics - AUC
Area under the curve
Time frame: Up to 60 months
Pharmacokinetics - tmax
Time to peak (maximum) serum concentration
Time frame: Up to 60 months
Pharmacokinetics - t1/2
Terminal Half-life
Time frame: Up to 60 months
Pharmacokinetics - CL
Apparent total body clearance
Time frame: Up to 60 months
Pharmacokinetics - Vss
Volume of distribution at steady-state
Time frame: Up to 60 months
Pharmacokinetics - accumulation index of alnuctamab
Accumulation ratio of drug
Time frame: Up to 60 months
Presence and frequency of anti-drug antibodies (ADA)
Detection of anti-drug antibodies in participants and frequency of anti-drug antibodies
Time frame: Up to 60 months