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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1203-5132 | Registry Identifier | WHO |
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The main purpose of this first in human study with CC-122 is to assess the safety and action of a new class of experimental drug (Pleiotropic Pathway Modulator) in patients with advanced tumors unresponsive to standard therapies and to determine the appropriate dosing level and regimen for later-stage clinical trials.
This trial is enrolling additional Multiple Myeloma (MM) subjects in a separate cohort defined as MM-2 to evaluate tolerability, safety and preliminary efficacy of CC-122 formulated capsule alone or in combination with DEX on intermittent dosing schedule (5 of 7 days of the week) in Pomalidomide-naĂŻve subjects. Preliminary efficacy data in Multiple Myeloma subjects, warrants further exploration of CC-122 in MM on intermittent schedules to assess if dose intensity and tolerability can be improved. Initially, patients will be treated with oral CC-122 for one month. During this time, various tests (involving blood and urine collections, ECGs, etc) will be performed. Those whose tumors stabilize or regress may continue receiving treatment for as long as they benefit from CC-122. Different dose levels of CC-122 will be tested in a dose-rising study design.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CC-122 MM-2 | Experimental | A new MM cohort (MM-2) will be enrolled in order to evaluate tolerability, safety and preliminary efficacy of the CC-122 formulated capsule given on an intermittent schedule (5/7 days per week) in 2 parallel dose escalation cohorts (MM-2a and MM-2b, respectively) (DEX) in Pomalidomide naĂŻve subjects |
|
| CC-122- DLBCL-2 | Experimental | A new DLBCL cohort (DLBCL-2) in order to evaluate intermittent schedules of CC-122 (5 continuous days out of 7 days per week [5/7 days] and/or 21 continuous days out of 28 days per cycle [21/28 days]). Doses to be explored include 4 mg and 5 mg on an intermittent schedule using the 3+3 design described in Part A in order to establish an MTD for the intermittent dosing schedules. Following dose escalation, one or more intermittent dosing schedules may be expanded at or below the new intermittent schedule MTD in at least 20 total subjects per dosing schedule. |
|
| CC-122- GBM-2 | Experimental | A new GBM cohort (GBM-2) in order to evaluate doses of CC-122 above the 3 mg QD MTD determined in all comers in Part A. CC-122 dose will increase in 1 mg increments starting with 4 mg daily on a continuous schedule using the 3+3 design described in Part A in order to establish an MTD specific for GBM subjects. Following dose escalation, the cohort will be expanded at or below the new MTD in up to 20 total subjects. |
|
| Primary Central Nervous System Lymphoma (PCNSL) | Experimental | During dose expansion of selected intermittent schedules, an additional cohort of up to 10 subjects with PCNSL will also be explored at the same dose and schedule as DLBCL to confirm some safety and preliminary efficacy signal |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CC-122 | Drug | CC-122 dose in both arms will increase by 1 mg increments starting with 3 mg 5/7 days using the 3+3 design in dose escalation phase. A dose-level -1, with a starting dose of 2mg, may also be evaluated if the opening dose level is not tolerated. At all dose levels in MM-2b arm, DEX will be combined with CC-122 at a starting dose dependent on the subject's age: for subjects who are ≤ 75 years of age, DEX 40 mg/day will be given on Days 1, 8, 15 and 22 of a 28-day cycle and for subjects who are > 75 years of age, DEX 20 mg/day will be given on Days 1, 8, 15 and 22 of a 28-day cycle. Approximately 33 subjects will be enrolled in the dose escalation phase (15 in each treatment arm). An additional intermittent schedule of 21/28 days may be evaluated per Safety Review Committee (SRC) decision. Following dose escalation, one or two arms will be expanded at or below the MTD in up to 28 subjects (14 subjects in each arm). |
| Measure | Description | Time Frame |
|---|---|---|
| Dose-Limiting Toxicity (DLT) | Dose-limiting toxicities (DLTs) will be evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE):
| Up to approximately Day 28 |
| Pharmacokinetics- Cmax | Maximum observed concentration in plasma (Cmax) | Up to day 22 |
| Pharmacokinetics- AUC | Area under the concentration-time curve | Up to day 22 |
| Pharmacokinetics- tmax | Time to maximum concentration | Up to day 22 |
| Pharmacokinetics- t1/2 | Terminal half-life | Up to day 22 |
| Pharmacokinetics- CL/F | Apparent total body clearance | Up to day 22 |
| Pharmacokinetics- Vz/F |
| Measure | Description | Time Frame |
|---|---|---|
| Response Rate | The response rate of each tumor types based on Response Evaluation Criteria in Solid Tumors (RECIST 1.1), International Workshop Criteria (IWC) for Non-Hodgkin's Lymphoma (NHL), International Uniform Response Criteria for Multiple Myeloma (IURC), or Responses Assessment for Neuro-Oncology (RANO) working group for Glioblastama multiforme (GBM) | up to approximately 6 months |
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Inclusion Criteria:
Understand and voluntarily sign an informed consent document prior to any study related assessments/procedures are conducted.
Men and women, 18 years or older, with histologically or cytologically-confirmed, advanced solid tumors, Non-Hodgkin Lymphona (NHL), Multiple Myloma (MM), or advanced unresectable solid tumors limited to the tumor types below.
Subjects who have progressed on (or not been able to tolerate) standard anticancer therapy or for whom no standard anticancer therapy exists. Must have disease that is objectively measurable
Measurable disease criteria:
Tumor specific inclusion criteria:
DLBCL-2 cohort:
For PCNSL cohort:
For glioblastoma multiforme (GBM-2) cohort:
For Multiple Myeloma cohort
Measurable levels of myeloma paraprotein (M-protein) in serum (> 0.5 g/dL) or urine (> 0.2 g excreted in a 24-hour collection sample).
Last dose of therapeutic glucocorticosteroids given greater than 14 days prior to start of study treatment.
Platelets (plt) ≥ 75 x 109/L in subjects in whom < 50% of bone marrow mononuclear cells are plasma cells or ≥ 30 x 109/L in subjects in whom ≥ 50% of bone marrow mononuclear cells are plasma cells.
At least 4 weeks from last dose of therapeutic glucocorticosteroids. Adrenal replacement doses of glucocorticosteroids (up to the equivalent of 10 mg daily prednisone) are allowed.
Biopsies (DLBLC, MM): Diagnostic archival FFPE (either in tumor blocks or sectioned/mounted specimens) may be submitted in lieu of a pre-study research biopsy if it has been obtained no more than 1 year prior to enrollment and only after discussion with the Celgene Medical Monitor
If not specified above as tumor specific parameter subjects must have the following laboratory and hematologic parameters as follows:
Exclusion Criteria:
History of other carcinomas within the last 5 years except cured non-melanoma skin cancer, curatively treated in-situ cervical cancer, or localized prostate cancer with a current Prostate-specific antigen (PSA) of <1.0 mg/dL on 2 evaluations at least 3 months apart; the most recent evaluation must be no more than 4 weeks prior to Day 1 of the study drug, or other malignancies that were completely resected or treated Stage 1/2 lesions currently in complete remission.
Symptomatic central nervous system metastases (excluding Glioblastoma multiforrme (GBM) and Primary Central Nervous System Lymphoma (PCNSL). Subjects with brain metastases that have been previously treated and are stable for 6 weeks are allowed.
Known symptomatic acute or chronic pancreatitis.
Any peripheral neuropathy ≥ National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) grade 2.
Persistent diarrhea or malabsorption ≥ NCI CTCAE grade 2, despite medical management.
Impaired cardiac function or clinically significant cardiac diseases, including any of the following:
left ventricular ejection fraction (LVEF) < 45% as determined by multigated acquisition (MUGA) scan or echocardiography (ECHO).
Complete left bundle branch, or bifasicular block.
Congenital long QT syndrome.
Persistent or uncontrolled ventricular arrhythmias or atrial fibrillation.
QTcF > 460 msec on screening Electrocardiography (ECG) (mean of triplicate recordings).
Unstable angina pectoris or myocardial infarction ≤ 3 months prior to starting CC-122.
Troponin-T value > 0.4 ng/ml or BNP >300 pg/mL.
° Subjects with baseline troponin-T >Upper Limit of Normal (ULN) or B-type Natriuretic Peptide (BNP) >100 pg/mL are eligible but must have cardiologist evaluation prior to enrollment in the trial for baseline assessment and optimization of cardioprotective therapy.
Other clinically significant heart disease such as congestive heart failure requiring treatment or uncontrolled hypertension (blood pressure ≥ 160/95 mmHg).
Other concurrent severe and/or uncontrolled concomitant medical conditions (eg, active or uncontrolled infection or renal disease) that could cause unacceptable safety risks or compromise compliance with the protocol.
Prior systemic cancer-directed treatments or investigational modalities ≤ 5 half lives or 4 weeks, whichever is shorter, prior to starting study drug or who have not recovered from side effects of such therapy.
Major surgery ≤ 2 weeks prior to starting study drug or still recovering from post operative side effects.
Women who are pregnant or breast feeding. Adults of reproductive potential not employing two forms of birth control as per Pregnancy Prevention Risk Management Plan.
Known Human immunodeficiency virus (HIV) infection.
Known chronic hepatitis B or C virus (HBV/HCV) infection, unless comorbidity in subjects with Hepatocellular carcinoma (HCC).
Status post solid organ transplant.
Less than 100 days for subjects receiving autologous hematologic stem cell transplant (HSCT); or 6 months for subjects receiving allogenic HSCT or either transplant type, if otherwise not fully recovered from HSCT related toxicity.
For MM-2 cohort only: Hypersensitivity (eg, Rash Grade 3 or 4) to thalidomide, lenalidomide, or dexamethasone (MM-2b).
Any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study.
Any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study.
Any condition that confounds the ability to interpret data from the study.
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| Name | Affiliation | Role |
|---|---|---|
| Bristol-Myers Squibb | Bristol-Myers Squibb | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Hope Cancer Center | Duarte | California | 91010-300 | United States | ||
| UCLA Neuro-Oncology Program |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30201761 | Background | Rasco DW, Papadopoulos KP, Pourdehnad M, Gandhi AK, Hagner PR, Li Y, Wei X, Chopra R, Hege K, DiMartino J, Shih K. A First-in-Human Study of Novel Cereblon Modulator Avadomide (CC-122) in Advanced Malignancies. Clin Cancer Res. 2019 Jan 1;25(1):90-98. doi: 10.1158/1078-0432.CCR-18-1203. Epub 2018 Sep 10. | |
| 28255524 | Background |
| Label | URL |
|---|---|
| BMS Clinical Trial Information | View source |
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|
| CC-122 | Drug | One or more intermittent schedules of CC-122 either given 5 continuous days out of 7 per week (5/7 days) or 21 continuous days out of 28 days per cycle (21/28 days). Following dose escalation, one or more of these intermittent schedules will be evaluated at a starting dose of 4 mg. |
|
| CC-122 | Drug | Dose escalation on a continous schedule will be evaluated at a starting dose of 4 mg. Specifically, dose levels with 1 mg increments (eg 4mg, 5mg, 6mg etc.) will be evaluated using a 3+3 design as detailed in Part A of the protocol . |
|
| CC-122 | Drug | Up to 10 subjects with relapsed or refractory PCNSL will be enrolled to a PCNSL cohort to evaluate intermittent schedules of CC-122 and to further explore preliminary signals of efficacy and biomarker hypotheses. |
|
Apparent volume of distribution |
| Up to day 22 |
| Non-tolerated dose (NTD) | Is defined as the dose level at which ≥2 out of 6 evaluable subjects in any dose cohort with DLT. | Up to day 28 |
| Maximum Tolerated Dose (MTD) | Is defined as the last dose level below the NTD with ≤1 out of 6 evaluable subjects with DLT) during Cycle (C) 1. | Up to day 28 |
| Tissue concentration of CC-122 | Tissue concentration of CC-122 in salvage resection specimens from subjects with GBM (CNS primary tumor) or in cerebrospinal fluid (CSF) from subjects undergoing lumbar puncture. | up to approximately 6 months |
| 6-month progression free survival (PFS) rate for GBM chort | The primary efficacy variable for GBM chohort is 6-month progression free survival (PFS). | Up to approximately 6 months |
| Los Angeles |
| California |
| 90095 |
| United States |
| UCSF Helen Diller Medical Center at Parnassus Heights | San Francisco | California | 94143-1270 | United States |
| University Of Michigan Comprehensive Cancer Center | Ann Arbor | Michigan | 48109 | United States |
| Henry Ford Medical Center - New Center One | Detroit | Michigan | 48202-268 | United States |
| Comprehensive Cancer Centers Of Nevada | Las Vegas | Nevada | 89169 | United States |
| Rutgers Cancer Institute of New Jersey University | New Brunswick | New Jersey | 08901 | United States |
| Mount Sinai Hospital | New York | New York | 10029 | United States |
| Local Institution - 020 | New York | New York | 10065 | United States |
| Levine Cancer Institute | Charlotte | North Carolina | 28204 | United States |
| MUSC Rheumatology and Immunology Dept. | Charleston | South Carolina | 29425 | United States |
| Greenville Hospital System | Greenville | South Carolina | 29605 | United States |
| Sarah Cannon Research Institute Drug Development Unit | Nashville | Tennessee | 37203 | United States |
| Texas Oncology, PA - Dallas 75246 | Dallas | Texas | 75246 | United States |
| South Texas Accelerated Research Therapeutics (START) | San Antonio | Texas | 78229 | United States |
| Swedish Medical Center Cancer Institute Research | Seattle | Washington | 98104 | United States |
| Yakima Valley Memorial Hospital/ North Star Lodge | Yakima | Washington | 98902 | United States |
| Local Institution - 401 | Brussels | 1200 | Belgium |
| Local Institution - 400 | Leuven | 3000 | Belgium |
| Local Institution - 202 | Caen | 14033 | France |
| Local Institution - 201 | Marseille Le Cedex | 13273 | France |
| Local Institution - 205 | Pierre-Bénite | 69495 | France |
| Local Institution - 203 | Toulouse | 31059 | France |
| Local Institution - 200 | Villejuif | 94805 | France |
| Local Institution - 303 | Bologna | 40138 | Italy |
| Local Institution - 305 | Bologna | 40139 | Italy |
| Local Institution - 300 | Milan | 0 | Italy |
| Local Institution - 302 | Napoli, Campania | 80131 | Italy |
| Local Institution - 304 | Roma | 00144 | Italy |
| Local Institution - 301 | Rozzano (MI) | 20089 | Italy |
| Local Institution - 103 | Badalona (Barcelona) | 8916 | Spain |
| Local Institution - 105 | Barcelona | 08003 | Spain |
| Local Institution - 101 | Barcelona | 08035 | Spain |
| Local Institution - 104 | Madrid | 28040 | Spain |
| Local Institution - 102 | Madrid | 28041 | Spain |
| Local Institution - 106 | Pamplona | 31008 | Spain |
| Local Institution - 108 | Salamanca | 37007 | Spain |
| Local Institution - 107 | Seville | 41013 | Spain |
| Local Institution - 100 | Valencia | 46010 | Spain |
| Cubillos-Zapata C, Cordoba R, Avendano-Ortiz J, Arribas-Jimenez C, Hernandez-Jimenez E, Toledano V, Villaescusa T, Moreno V, Lopez-Collazo E. CC-122 immunomodulatory effects in refractory patients with diffuse large B-cell lymphoma. Oncoimmunology. 2016 Sep 16;5(12):e1231290. doi: 10.1080/2162402X.2016.1231290. eCollection 2016. |
| Background | Hagner P, et al. CC-122 Has Potent Anti-Lymphoma Activity through Destruction of the Aiolos and Ikaros Transcription Factors and Induction of Interferon Response Pathways. Presented at American Society of Hematology 2014, December 6-9, 2014, San Francisco, CA. Abstract No. 3035. |
| 31977002 | Derived | Carpio C, Bouabdallah R, Ysebaert L, Sancho JM, Salles G, Cordoba R, Pinto A, Gharibo M, Rasco D, Panizo C, Lopez-Martin JA, Santoro A, Salar A, Damian S, Martin A, Verhoef G, Van den Neste E, Wang M, Couto S, Carrancio S, Weng A, Wang X, Schmitz F, Wei X, Hege K, Trotter MWB, Risueno A, Buchholz TJ, Hagner PR, Gandhi AK, Pourdehnad M, Ribrag V. Avadomide monotherapy in relapsed/refractory DLBCL: safety, efficacy, and a predictive gene classifier. Blood. 2020 Mar 26;135(13):996-1007. doi: 10.1182/blood.2019002395. |
| BMS Clinical Trial Patient Recruiting | View source |
| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| D005909 | Glioblastoma |
| D008223 | Lymphoma |
| D009369 | Neoplasms |
| D002277 | Carcinoma |
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D020141 | Hemostatic Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D008232 | Lymphoproliferative Disorders |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D016393 | Lymphoma, B-Cell |
| D008228 | Lymphoma, Non-Hodgkin |
| D008206 | Lymphatic Diseases |
| D001254 | Astrocytoma |
| D005910 | Glioma |
| D018302 | Neoplasms, Neuroepithelial |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009380 | Neoplasms, Nerve Tissue |
| D000230 | Adenocarcinoma |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
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| ID | Term |
|---|---|
| C000602306 | 3-(5-amino-2-methyl-4-oxoquinazolin-3(4H)-yl)piperidine-2,6-dione |
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