This is a multicenter, open-label, phase 1, single arm study intended to determine the optimal target dose and safety of bb2121 in subjects with HR (R-ISS Stage III per IMWG criteria) NDMM. Subjects should have received 3 Cycles of standard induction therapy prior to undergoing leukapheresis procedure to collect autologous mononuclear cells for manufacture of the drug product (bb2121). Following manufacture of the drug product, subjects will receive fourth cycle of induction therapy followed by lymphodepleting therapy with fludarabine and cyclophosphamide prior to bb2121 infusion. Maintenance therapy is recommended for all subjects who have received bb2121 infusion and should be initiated upon adequate bone marrow recovery or from 90-day post-bb2121 infusion, whichever is later.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
13
CAR-T Cell Therapy
Lymphodepleting Chemotherapy
Lymphodepleting Chemotherapy
Maintenance Therapy
Local Institution - 119
Phoenix, Arizona, United States
Local Institution - 110
Los Angeles, California, United States
Local Institution - 116
San Francisco, California, United States
Local Institution - 106
Denver, Colorado, United States
Local Institution - 101
Jacksonville, Florida, United States
Local Institution - 113
Tampa, Florida, United States
Local Institution - 108
Atlanta, Georgia, United States
Local Institution - 123
Atlanta, Georgia, United States
Local Institution - 115
Boston, Massachusetts, United States
Local Institution - 122
Boston, Massachusetts, United States
...and 12 more locations
Dose-limiting toxicity (DLT) rates
DLTs will be assessed during the DLT interval (ie, within 21 days immediately after bb2121 infusion). DLTs are defined as any bb2121 related Grade 3 to 5 toxicity.
Time frame: Up to completion of DLT period after last subject bb2121 infused
Adverse Events (AEs)
An AE is any noxious, unintended, or untoward medical occurrence that may appear or worsen in a subject during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the subject's health, including laboratory test values, regardless of etiology. Any worsening (ie, any clinically significant adverse change in the frequency or intensity of a preexisting condition) should be considered an AE.
Time frame: Approximately 2 years after last subject bb2121 infused
Proportion of subjects who achieved Complete Response (CR) Rate
Is defined as proportion of subjects who achieved CR or better according to IMWG Uniform Response Criteria for Multiple Myeloma for multiple myeloma will be determined by an Investigator assessment.
Time frame: Approximately 2 years after last subject bb2121 infused
Overall Response Rate (ORR)
Is defined as proportion of subjects who achieved PR or better according to IMWG Uniform Response Criteria for Multiple Myeloma as determined by an Investigator assessment
Time frame: Approximately 2 years after last subject bb2121 infused
Duration of Response (DoR)
Is defined as time from first documentation of response (PR or better) to first documentation of progressive disease (PD) or death from any cause, whichever occurs first, for responders.
Time frame: Approximately 2 years after last subject bb2121 infused
Time to Complete Response (TCR)
Is defined as time from bb2121 infusion date to first documentation of CR for responders (Complete Response (CR) or better).
Time frame: Approximately 2 years after last subject bb2121 infused
Time to start maintenance
Is defined as time to start lenalidomide maintenance therapy post-bb2121 infusion
Time frame: Approximately 2 years after last subject bb2121 infused
Feasibility of initiating maintenance
Number of subjects starting the maintenance or on maintenance between D90 and D110
Time frame: Approximately 2 years after last subject bb2121 infused
Progression-free Survival (PFS)
Is defined as time from bb2121 infusion date to first documentation of PD, or death due to any cause, whichever occurs first.
Time frame: Approximately 2 years after last subject bb2121 infused
Overall Survival (OS)
Is defined as time from bb2121 infusion date to time of death due to any cause
Time frame: Approximately 2 years after last subject bb2121 infused
Pharmacokinetics - Cmax
Maximum transgene level
Time frame: Approximately 2 years after last subject bb2121 infused
Pharmacokinetics - Tmax
Time to peak transgene level
Time frame: Approximately 2 years after last subject bb2121 infused
Pharmacokinetics - AUC
Area under the curve of the transgene level
Time frame: Approximately 2 years after last subject bb2121 infused
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