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