The design of a phase I, open-label, dose finding study was chosen in order to establish a safe and tolerated dose of single agent WVT078 alone and in combination with WHG626 in patients relapses and/or refractory Multiple Myeloma (MM)
This first-in-human trial with WVT078 is a dose escalation study whose primary purpose is to characterize the safety, tolerability, and determine recommended dose regimen(s) of WVT078 alone and in combination with WHG626 in subjects with MM who have received two or more standard of care lines of therapy including an IMID, a proteasome inhibitor, and an anti-CD38 agent (if available) and are relapsed and/or refractory to or intolerant of each regimen. In addition, this study will assess preliminary anti-MM response of and characterize the pharmacokinetics and immunogenicity of WVT078 alone and in combination with WHG626. The results of this study will inform the future development of WVT078 alone and in combination with WHG626 as a treatment for relapsed and/or refractory MM.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
56
Emory University School of Medicine-Winship Cancer Institute
Atlanta, Georgia, United States
University Of Wisconsin
Madison, Wisconsin, United States
Medical College of Wisconsin
Milwaukee, Wisconsin, United States
Incidence of dose limiting toxicity (DLTs) in Cycle 1
To characterize the safety, tolerability, and determine the recommended dose regimen(s) of WVT078 alone and in combination with WHG626 in subjects with relapsed and/or refractory MM
Time frame: 28 days (first cycle)
Frequency of dose interruptions
To characterize the safety, tolerability, and determine the recommended dose regimen(s) of WVT078 alone and in combination with WHG626 in subjects with relapsed and/or refractory MM
Time frame: Up to 28 months
Frequency of discontinuations
To characterize the safety, tolerability, and determine the recommended dose regimen(s) of WVT078 alone and in combination with WHG626 in subjects with relapsed and/or refractory MM
Time frame: up to 28 months
Frequency of dose reductions
To characterize the safety, tolerability, and determine the recommended dose regimen(s) of WVT078 alone and in combination with WHG626 in subjects with relapsed and/or refractory MM
Time frame: up to 28 months
Incidence and severity of AEs and SAEs, including changes in laboratory values, vital signs, ECGs, and CRS/immune-mediated reactions
To characterize the safety, tolerability, and determine the recommended dose regimen(s) of WVT078 alone and in combination with WHG626 in subjects with relapsed and/or refractory MM
Time frame: Up to 31 months
Best Overall Response (BOR)
Response assessment per International Myeloma Working Group (IMWG) criteria
Time frame: Up to 36 months
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Novartis Investigative Site
Melbourne, Victoria, Australia
Novartis Investigative Site
Dresden, Germany
Novartis Investigative Site
Heidelberg, Germany
Novartis Investigative Site
Tel Aviv, Israel
Novartis Investigative Site
Milan, MI, Italy
Novartis Investigative Site
Bunkyo Ku, Tokyo, Japan
Novartis Investigative Site
Oslo, Norway
...and 2 more locations
Duration of Response (DOR)
Response assessment per International Myeloma Working Group (IMWG) criteria
Time frame: Up to 36 months
Progresson Free Survival (PFS)
Response assessment per International Myeloma Working Group (IMWG) criteria
Time frame: Up to 36 months
AUC of WVT078 derived from serum concentrations
Time frame: Up to 28 months
Cmax of WVT078 derived from serum concentrations
Time frame: Up to 28 months
Cmin of WVT078 derived from serum concentrations
Time frame: Up to 28 months
Tmax of WVT078 derived from serum concentrations
Time frame: Up to 28 months
T1/2 of WVT078 derived from serum concentrations
Time frame: Up to 28 months
Concentration of WVT078 Anti Drug Antibodies (ADA) as measured in serum
Time frame: Up to 28 months
AUC of WHG626 derived from plasma concentrations
Time frame: Up to 28 months
Cmax of WHG626 derived from plasma concentrations
Time frame: Up to 28 months
Cmin of WHG626 derived from plasma concentrations
Time frame: Up to 28 months
Tmax of WHG626 derived from plasma concentrations
Time frame: Up to 28 months
T1/2 of WHG626 derived from plasma concentrations
Time frame: Up to 28 months
AUC of GWQ573 (the active metabolite of WHG626) derived from plasma concentrations
Time frame: Up to 28 months
Cmax of GWQ573 (the active metabolite of WHG626) derived from plasma concentrations
Time frame: Up to 28 months
Cmin of GWQ573 (the active metabolite of WHG626) devived from plasma concentrations
Time frame: Up to 28 months
Tmax of GWQ573 (the active metabolite of WHG626) derived from plasma concentrations
Time frame: Up to 28 months
T1/2 of GWQ573 (the active metabolite of WHG626) derived from plasma concentrations
Time frame: Up to 28 months