A Study of ARRY-520 and Bortezomib Plus Dexamethasone in Patients With Relapsed/Refractory Multiple Myeloma

This study is currently recruiting participants.
Verified April 2013 by Array BioPharma
Sponsor:
Information provided by (Responsible Party):
Array BioPharma
ClinicalTrials.gov Identifier:
NCT01248923
First received: November 24, 2010
Last updated: April 3, 2013
Last verified: April 2013
  Purpose

This is a Phase 1 study during which patients with relapsed or refractory multiple myeloma (MM) or plasma cell leukemia (PCL) will receive investigational study drug ARRY-520 and bortezomib, with or without dexamethasone, with granulocyte-colony stimulating factor (G-CSF) support.

This study has 2 parts. In the first part, patients will receive increasing doses of study drug (2 dosing schedules will be evaluated) in combination with (1) bortezomib with G-CSF support or (2) bortezomib and dexamethasone with G-CSF support, in order to achieve the highest dose of study drug possible that will not cause unacceptable side effects. Approximately 45 patients from the US will be enrolled in Part 1 (Recruiting).

In the second part of this study, patients will receive the best dose(s) and schedule(s) of study drug, in combination with bortezomib ± dexamethasone + G-CSF, determined from the first part of the study and will be followed to see what side effects the combination causes and what effectiveness the combination has, if any, in treating the cancer. Approximately 42 patients from the US will be enrolled in Part 2 (Not yet recruiting).


Condition Intervention Phase
Multiple Myeloma, Plasma Cell Leukemia
Drug: ARRY-520, KSP(Eg5) inhibitor; intravenous
Drug: Bortezomib, proteasome inhibitor; intravenous or subcutaneous
Drug: Dexamethasone, steroid; oral
Drug: Filgrastim, granulocyte-colony stimulating factor (G-CSF); subcutaneous
Phase 1

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment

Resource links provided by NLM:


Further study details as provided by Array BioPharma:

Primary Outcome Measures:
  • Characterize the safety profile of the study drug in combination with bortezomib ± dexamethasone + G-CSF in terms of adverse events, clinical laboratory tests and electrocardiograms. [ Time Frame: Until MTD is reached ] [ Designated as safety issue: Yes ]
  • Establish the maximum tolerated dose (MTD) of the study drug in combination with bortezomib ± dexamethasone + G-CSF. [ Time Frame: Until MTD is reached ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Assess the efficacy of study drug in combination with bortezomib ± dexamethasone + G-CSF in terms of best overall response, duration of response, time to progression, treatment-free interval and time to next treatment. [ Time Frame: Every 4 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 90
Study Start Date: December 2010
Estimated Study Completion Date: January 2014
Estimated Primary Completion Date: January 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: ARRY-520 (Schedule 1) + bortezomib + G-CSF Drug: ARRY-520, KSP(Eg5) inhibitor; intravenous
Part 1: multiple dose, escalating; Part 2: multiple dose, single schedule.
Drug: Bortezomib, proteasome inhibitor; intravenous or subcutaneous
Part 1: standard of care; Part 2: standard of care determined in Part 1.
Drug: Filgrastim, granulocyte-colony stimulating factor (G-CSF); subcutaneous
Part 1: standard of care; Part 2: standard of care.
Experimental: ARRY-520 (Schedule 1) + bortezomib + dexamethasone + G-CSF Drug: ARRY-520, KSP(Eg5) inhibitor; intravenous
Part 1: multiple dose, escalating; Part 2: multiple dose, single schedule.
Drug: Bortezomib, proteasome inhibitor; intravenous or subcutaneous
Part 1: standard of care; Part 2: standard of care determined in Part 1.
Drug: Dexamethasone, steroid; oral
Part 1: standard of care; Part 2: standard of care determined in Part 1.
Drug: Filgrastim, granulocyte-colony stimulating factor (G-CSF); subcutaneous
Part 1: standard of care; Part 2: standard of care.
Experimental: ARRY-520 (Schedule 2) + bortezomib + dexamethasone + G-CSF Drug: ARRY-520, KSP(Eg5) inhibitor; intravenous
Part 1: multiple dose, escalating; Part 2: multiple dose, single schedule.
Drug: Bortezomib, proteasome inhibitor; intravenous or subcutaneous
Part 1: standard of care; Part 2: standard of care determined in Part 1.
Drug: Dexamethasone, steroid; oral
Part 1: standard of care; Part 2: standard of care determined in Part 1.
Drug: Filgrastim, granulocyte-colony stimulating factor (G-CSF); subcutaneous
Part 1: standard of care; Part 2: standard of care.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Key Inclusion Criteria (Part 1 and Part 2):

  • Confirmed relapsed or refractory MM (measurable disease) or PCL.
  • Prior treatment regimens for Part 1: Patients should have received at least 2 prior treatment regimens. Prior treatment must have included at least one full cycle of a proteasome inhibitor (e.g., bortezomib or carfilzomib) and at least one full cycle of an IMiD (e.g., thalidomide, lenalidomide or pomalidomide).
  • Prior treatment regimens for Part 2: Patients should have received 1 to 3 prior treatment regimens. Prior treatment could have included bortezomib only if the disease was not refractory to treatment with bortezomib (refractory defined as documented progression on therapy or within 60 days of completing treatment with bortezomib).
  • The disease should have progressed per IMWG criteria during or after the last prior treatment regimen.
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1.
  • Adequate hematology laboratory values without transfusion support and without hematological growth factor support within 2 weeks of screening.
  • Adequate liver and renal function.
  • Additional criteria exist.

Key Exclusion Criteria (Part 1 and Part 2):

  • Primary amyloidosis.
  • Peripheral neuropathy ≥ Grade 2 or neuropathy with pain, regardless of grade.
  • Concomitant malignancies or previous malignancies with less than a 3-year disease free interval at the time of enrollment (patients with adequately resected basal or squamous cell carcinoma of the skin, carcinoma in situ of the cervix or Stage A low grade prostate cancer may enroll irrespective of the time of diagnosis).
  • Autologous or allogeneic stem cell or bone marrow transplant within 3 months prior to first dose of study drug.
  • Treatment with an investigational medicinal product or device within 28 days prior to first dose of study drug.
  • Cytotoxic therapy or monoclonal antibodies within 21 days prior to first dose of study drug.
  • Radiotherapy within 21 days prior to first dose of study drug (if the radiation portal covered ≤ 5% of the bone marrow reserve, the patient may be enrolled irrespective of the end date of radiotherapy).
  • Major surgery within 14 days and minor surgery within 7 days prior to first dose of study drug.
  • Corticosteroid doses > 10 mg/day of prednisone or equivalent within 14 days prior to first dose of study drug.
  • Known positive serology for the human immunodeficiency virus (HIV), hepatitis B and/or active hepatitis C.
  • Additional criteria exist.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01248923

Locations
United States, California
City of Hope Recruiting
Duarte, California, United States, 91010
Contact: Myo Htut, MD     626-256-4673 ext 65285     mhtut@coh.org    
United States, Georgia
Emory University, Winship Cancer Institute Recruiting
Atlanta, Georgia, United States, 30322
Contact: Alaina Mitchell     404-778-5747     alaina.r.mitchell@emory.edu    
United States, Michigan
University of Michigan Comprehensive Cancer Center Terminated
Ann Arbor, Michigan, United States, 48109
Karmanos Cancer Institute Recruiting
Detroit, Michigan, United States, 48201
Contact: Silva Lalo Pregja, MBA     313-576-8673     lalos@karmanos.org    
Principal Investigator: Jeffrey A Zonder, MD            
United States, New York
Mount Sinai Medical Center Recruiting
New York, New York, United States, 10029
Contact: Lisa La     212-241-8615     Lisa.la@mssm.edu    
United States, Texas
Baylor Charles A. Sammons Cancer Center at Dallas Recruiting
Dallas, Texas, United States, 75246
Contact: Tracy Messing     214-820-8332     tracy.messing@baylorhealth.edu    
Sponsors and Collaborators
Array BioPharma
  More Information

No publications provided

Responsible Party: Array BioPharma
ClinicalTrials.gov Identifier: NCT01248923     History of Changes
Other Study ID Numbers: ARRAY-520-111
Study First Received: November 24, 2010
Last Updated: April 3, 2013
Health Authority: United States: Food and Drug Administration

Keywords provided by Array BioPharma:
relapsed multiple myeloma
plasma cell dyscrasia
plasmacytoma
kinesin spindle protein
anti-mitotic

Additional relevant MeSH terms:
Leukemia
Leukemia, Plasma Cell
Multiple Myeloma
Neoplasms, Plasma Cell
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Immunoproliferative Disorders
Immune System Diseases
Hemostatic Disorders
Vascular Diseases
Cardiovascular Diseases
Paraproteinemias
Blood Protein Disorders
Hematologic Diseases
Hemorrhagic Disorders
Dexamethasone acetate
Dexamethasone
Dexamethasone 21-phosphate
Bortezomib
BB 1101
Lenograstim
Anti-Inflammatory Agents
Therapeutic Uses
Pharmacologic Actions
Antiemetics
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Central Nervous System Agents

ClinicalTrials.gov processed this record on May 22, 2013