Study of the Combination of Panobinostat and Carfilzomib in Patients With Relapsed/Refractory Multiple Myeloma
|Study Design:||Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Phase I/II Study of the Combination of Panobinostat and Carfilzomib in Patients With Relapsed/Refractory Multiple Myeloma|
- Phase 1: Number of patients with adverse events as a measure of safety and tolerability [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]The maximum tolerated dose (MTD) of the combination of carfilzomib and panobinostat will be defined as the highest dose level at which ≤1 of 6 subjects experiences a dose-limiting toxicity (DLT) assessed by NCI CTCAE v4.0.
- Phase II: overall response rate [ Time Frame: 18 months ] [ Designated as safety issue: No ]Defined as the proportion of patients with confirmed complete response, very good partial response, or partial response (CR, VGPR, or PR) according to International Myeloma Working group Uniform Response Criteria.
- time-to-progression (TTP) [ Time Frame: At baseline and every 2 cycles (8 weeks), projected 24 months ] [ Designated as safety issue: No ]Measured from date of first protocol treatment until date of first document progression.
- progression-free-survival (PFS) [ Time Frame: At baseline and every 2 cycles (8 weeks), projected 24 months ] [ Designated as safety issue: No ]Measured from date of first protocol treatment until date of tumor progression or death.
- overall-survival (OS) [ Time Frame: Every 8 weeks until progression then every 3 months thereafter, projected 24 months. ] [ Designated as safety issue: No ]Measured from time of first study treatment until date of death or date last known alive.
|Study Start Date:||December 2011|
|Estimated Study Completion Date:||December 2016|
|Estimated Primary Completion Date:||October 2016 (Final data collection date for primary outcome measure)|
|Experimental: Carfilzomib and Panobinostat||
Drug: carfilzomib and panobinostat
Cohort 1 (Dose Level 4): Carfilzomib Cycle 1: 20 mg/m2 IV D1, 2 / 45 mg/m2 IV D8, 9, 15, 16; Carfilzomib Cycle 2 to progression: 45 mg/m2 IV D 1, 2, 8, 9, 15, 16;
Panobinostat cycle 1: 30 mg D 1, 3, 5, 15, 17, 19; Panobinostat cycle 2 to progression: 30 mg D 1, 3, 5, 15, 17, 19
Cohort 2 (Dose Level 6): Carfilzomib Cycle 1: 20 mg/m2 IV D1, 2 / 56 mg/m2 IV D8, 9, 15, 16; Carfilzomib Cycle 2: 56 mg/m2 IV D 1, 2, 8, 9, 15, 16;
Panobinostat all cycles: 20 mg D 1, 3, 5, 15, 17, 19.
Other Name: LBH589 (Panobinostat)
This is an open-label, non-randomized Phase I/II study of patients with relapsed or refractory multiple myeloma. A maximum of four dose levels were evaluated during the Phase I portion and no dose-limiting toxicities (DLTs) were observed. In Phase II, patients with relapsed/refractory multiple myeloma will receive treatment with the dose level 4 panobinostat and carfilzomib combination. Patients will be reevaluated for response to treatment after each cycle (4 weeks). Patients with objective response or stable disease will continue treatment, with subsequent reevaluations every 4 weeks, until disease progression or unacceptable toxicity occurs.
A parallel Phase I study will occur to evaluate a minimum of 3 patients and a maximum of 6 patients following a standard dose escalation design at additional dose levels of the combination of carfilzomib and panobinostat. If these dose levels are found to be tolerable, then additional patients will be recruited into an expansion cohort which will be open at all sites; a maximum of 36 patients (including those recruited into the parallel Phase I study) will be treated at this dose level. Sites will be notified about the expansion cohort and patients will enter in the dose level confirmed in their enrollment confirmation from SCRI Innovations. Up to 80 eligible patients will be treated in the Phase I/II study.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01496118
|United States, Colorado|
|Colorado Blood Cancer Institute|
|Denver, Colorado, United States, 80218|
|United States, Florida|
|Florida Cancer Specialists South|
|Fort Myers, Florida, United States, 33916|
|Woodlands Medical Specialists|
|Pensacola, Florida, United States, 32503|
|Florida Cancer Specialists North|
|St. Petersburg, Florida, United States, 33705|
|United States, Indiana|
|RHHP/Hope Cancer Center|
|Terre Haute, Indiana, United States, 47802|
|Providence Medical Group|
|Terre Haute, Indiana, United States, 47802|
|United States, Missouri|
|Research Medical Center|
|Kansas City, Missouri, United States, 64132|
|United States, New Jersey|
|Hematology-Oncology Associates - Northern NJ|
|Morristown, New Jersey, United States, 07962|
|United States, Ohio|
|Oncology Hematology Care, Inc.|
|Cincinnati, Ohio, United States, 45242|
|United States, Oklahoma|
|Cancer Centers of Southwest Oklahoma|
|Lawton, Oklahoma, United States, 73505|
|United States, Tennessee|
|Chattanooga, Tennessee, United States, 37404|
|Nashville, Tennessee, United States, 37205|
|United States, Texas|
|The Center for Cancer and Blood Disorders|
|Fort Worth, Texas, United States, 76104|
|Study Chair:||Jesus Berdeja, MD||SCRI Development Innovations, LLC|