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Trial record 1 of 1 for:    MEDI4736-MM-001
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A Study to Determine Dose and Regimen of Durvalumab as Monotherapy or in Combination With Pomalidomide With or Without Dexamethasone in Subjects With Relapsed and Refractory Multiple Myeloma

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT02616640
Recruitment Status : Active, not recruiting
First Posted : November 30, 2015
Last Update Posted : April 27, 2023
Information provided by (Responsible Party):

Brief Summary:

This is a multicenter, open-label, Phase 1b study to determine the recommended dose and regimen of durvalumab either as monotherapy or in combination with POM with or without low dose dex in subjects with RRMM. The study will consist of a dose-finding portion as well as a parallel dose-expansion portion to determine the optimal dose and regimen.

On 05 Sep 2017, a Partial Clinical Hold was placed on this study by the United States (US) Food and Drug Administration (FDA). The decision by the FDA was based on data related to risks of anti-programmed cell death-1 (PD-1) antibody, pembrolizumab, in combination with IMiDs® immunomodulatory drugs in patients with multiple myeloma. As a result, enrollment into this study has been discontinued. Subjects who are receiving clinical benefit, based on the discretion of the investigator, may remain on study treatment after being reconsented.

Condition or disease Intervention/treatment Phase
Multiple Myeloma Drug: Durvalumab Drug: Pomalidomide Drug: Dexamethasone Phase 1

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 114 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase IB Multicenter, Open-label Study To Determine The Recommended Dose And Regimen Of Durvalumab (MEDI4736) Either As Monotherapy or In Combination With Pomalidomide (POM) With Or Without Low-Dose Dexamethasone (DEX) In Subjects With Relapsed And Refractory Multiple Myeloma (RRMM)
Actual Study Start Date : January 11, 2016
Actual Primary Completion Date : January 10, 2017
Estimated Study Completion Date : February 5, 2024

Arm Intervention/treatment
Experimental: Durvalumab monotherapy
Intravenous (IV) durvalumab at assigned dose level (750, 1500, 2250, or 3000 mg) over 1 hour on day 1 of a 28-day cycle
Drug: Durvalumab
Other Name: MEDI4736

Experimental: Durvalumab + pomalidomide (POM)
IV durvalumab at assigned dose level (750, 1500, 2250, or 3000 mg) over 1 hour on day 1 of a 28-day cycle and Oral POM 4 mg/day on Days 1 to 21 of each 28-day treatment cycle
Drug: Durvalumab
Other Name: MEDI4736

Drug: Pomalidomide
Experimental: Durvalumab + pomalidomide (POM) + dexamethasone (dex)
IV durvalumab at assigned dose level (750, 1500, 2250, or 3000 mg) over 1 hour on day 1 of a 28-day cycle with Oral POM 4 mg/day on Days 1 to 21 of each 28-day treatment cycle and Oral dex 40 mg/day (≤ 75 years old) or 20 mg/day (> 75 years old) on Days 1, 8, 15, and 22 of a 28-day cycle
Drug: Durvalumab
Other Name: MEDI4736

Drug: Pomalidomide
Drug: Dexamethasone

Primary Outcome Measures :
  1. Dose-limiting Toxicities (DLTs) [ Time Frame: Approximately 1 month ]
    Number of participants with DLTs in the first cycle of treatment

Secondary Outcome Measures :
  1. Adverse Events (AEs) [ Time Frame: Up to approximately 2 year ]
    Number of participants with adverse events

  2. Overall response rate (ORR) [ Time Frame: Up to approximately 2 year ]
    Tumor response, including progressive disease (PD) according to the International Myeloma Working Group (IMWG) Uniform Response Criteria

  3. Time to response (TTR) [ Time Frame: Up to approximately 2 year ]
    Time from first dose to the first documentation of response (Partial Response [PR] or greater)

  4. Duration of response (DOR) [ Time Frame: Up to approximately 2 year ]
    Is defined as time from the earliest date of documented response (partial response (PR) or better) to the earliest date when disease progression was confirmed

  5. Pharmacokinetics- Cmax [ Time Frame: Up to approximately 1 year ]
    Maximum observed concentration

  6. Pharmacokinetics- AUC [ Time Frame: Up to approximately 1 year ]
    Area under the concentration-time curve

  7. Pharmacokinetics- Tmax [ Time Frame: Up to approximately 1 year ]
    Time to maximum concentration

  8. Pharmacokinetics- t1/2 [ Time Frame: Up to approximately 1 year ]
    Terminal elimination half-life

  9. Pharmacokinetics- CL/F [ Time Frame: Up to approximately 1 year ]
    Apparent total body clearance

  10. Pharmacokinetics- Vz/F [ Time Frame: Up to approximately 1 year ]
    Volume of distribution

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Has a confirmed diagnosis of active multiple myeloma and measurable disease.
  • Must have undergone prior treatment with ≥2 treatment lines of anti-myeloma therapy
  • Must have failed last line of treatment (refractory to last line of treatment).
  • Must have achieved at least a stable disease (SD) for at least 1 cycle of treatment to at least 1 prior anti-myeloma regimen before developing Progressive disease (PD) (relapsed)
  • Prior anti-myeloma treatments must have included a lenalidomide AND proteasome inhibitor alone or in combination.
  • Has performance status of 0, 1, or 2 on the Eastern Cooperative Oncology Group (ECOG) Performance Scale.
  • The extramedullary plasmacytoma (EMP) sub-group, must have radiologically measurable EMP disease (soft tissue or bone related) that is amenable to biopsy and does not need to have measurable disease.

Exclusion Criteria:

  • Has non-secretory or oligosecretory multiple myeloma
  • Has had prior anti-myeloma therapy within 2 weeks prior to study Day 1
  • Has undergone prior organ or allogeneic hematopoetic stem cell transplantation
  • Has received previous therapy with pomalidomide and did not achieve at least a stable disease
  • Has received prior therapy with an anti-programmed cell death 1 receptor (anti-PD-1), antiprogrammed death-ligand 1 (anti-PD-L1), antiprogrammed death-ligand 2 (anti-PD-L2), anti-CD137, or anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) antibody (including ipilimumab or any other antibody or drug specifically targeting T-cell costimulation or checkpoint pathways).
  • Has received prior treatment with a monoclonal antibody within 5 half-lives of Study Day 1
  • Has received investigational agents within 28 days or 5 half-lives (whichever is longer) of Study Day 1
  • Has received live, attenuated vaccine within 30 days prior to Study Day 1
  • Had rash ≥ Grade 3 during prior thalidomide, lenalidomide, or pomalidomide therapy
  • Has a history of anaphylaxis or hypersensitivity to thalidomide, lenalidomide, POM, or dex
  • Has peripheral neuropathy ≥ Grade 2
  • Has a known additional malignancy that is progressing or requires active treatment (except for basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or in situ cervical cancer that has undergone potentially curative therapy).
  • Is positive for human immunodeficiency virus (HIV), chronic or active hepatitis B or active hepatitis A or C
  • Has a prior history of malignancies, other than MM, unless the subject has been free of the disease for ≥ 5 years (with the exception Basal cell carcinoma of the skin, Squamous cell carcinoma of the skin, Carcinoma in situ of the cervix, Carcinoma in situ of the breast, Incidental histologic finding of prostate cancer [T1a or T1b] or prostate cancer that is curative)
  • Has clinical evidence of central nervous system (CNS) or pulmonary leukostasis, disseminated intravascular coagulation, or CNS multiple myeloma
  • Has clinically significant cardiac disease
  • Is a female who is pregnant, nursing, or breastfeeding, or who intends to become pregnant during the participation in the study
  • Is a current smoker

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02616640

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Sponsors and Collaborators
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Study Director: Lars Sternas, MD, PhD Celgene Corporation
Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Celgene
ClinicalTrials.gov Identifier: NCT02616640    
Other Study ID Numbers: MEDI4736-MM-001
First Posted: November 30, 2015    Key Record Dates
Last Update Posted: April 27, 2023
Last Verified: April 2023
Keywords provided by Celgene:
Multiple Myeloma
Pomalidomide (POM)
Dexamethasone (DEX)
Additional relevant MeSH terms:
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Multiple Myeloma
Neoplasms, Plasma Cell
Neoplasms by Histologic Type
Hemostatic Disorders
Vascular Diseases
Cardiovascular Diseases
Blood Protein Disorders
Hematologic Diseases
Hemorrhagic Disorders
Lymphoproliferative Disorders
Immunoproliferative Disorders
Immune System Diseases
Anti-Inflammatory Agents
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Gastrointestinal Agents
Hormones, Hormone Substitutes, and Hormone Antagonists
Antineoplastic Agents, Hormonal
Antineoplastic Agents
Antineoplastic Agents, Immunological
Immunologic Factors