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Full clinical hold from FDA
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The purpose of this study is to investigate the safety and efficacy of administering BI-505 in conjunction with high dose melphalan and stem cell transplantation in multiple myeloma patients.
N/A study is closed
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HDM+ASCT | Active Comparator | Standard of care; High dose Melphalan + Autologous Stem Cell Transplantation |
|
| BI-505 | Experimental | Biweekly infusions of BI-505 in addition to High dose Melphalan + Autologous Stem Cell Transplantation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BI-505 | Biological | Treatment with BI-505 10 mg/kg bi-weekly infusion, up to 9 doses over 4 months |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase I: Determine the safety and feasibility of administering BI-505 in conjunction with HDM+ASCT in multiple myeloma patients | UNK | Adverse events will be assessed within 30 days of ASCT in the safety part of the study. |
| Phase II: Determine the effect of BI-505 on rate of stringent complete response for multiple myeloma patients with measurable disease pre-ASCT. | UNK | At Day 100 after ASCT |
| Measure | Description | Time Frame |
|---|---|---|
| Determine the effect of BI-505 on rate of stringent complete response (sCR) at day 100 in subgroups stratified according to response to initial therapy (+/- VGPR). | UNK | Day 100 after ASCT |
| Determine the effect of BI-505 administered in conjunction with HDM + ASCT on IMWG response category (PR, VGPR, CR, sCR) at one year post-ASCT and progression-free survival. |
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Inclusion Criteria:
A diagnosis of multiple myeloma by 2014 IMWG criteria and have been recommended to undergo HDM + ASCT as a standard-of-care therapy for their multiple myeloma.
Subjects must have adequate vital organ function and functional status for HDM + ASCT
Subjects must have collected and cryopreserved ≥4x106 hematopoietic stem cells per kg of actual body weight that are suitable for use in autologous stem cell transplantation in the judgment of the investigator.
At the time of enrollment, subjects must have had at least a partial response, as defined by IMWG criteria and in comparison to baseline/pre-treatment parameters, to an induction regimen containing lenalidomide and/or bortezomib.
Subjects must have measurable disease according to one of the following criteria:
At the time of enrollment, subjects must be within 12 months of the first dose of initial/induction therapy, and the anticipated day of ASCT must be within 12 months of the first dose of initial/induction therapy
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alfred Garfall, MD | Div of Hema/Onc, Dept.of Med, Perelman Center Advanced Med, Philadelphia PA | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Perelman School of Medicine/Hospital of the Univ. of Pennsylvania/Abramson Cancer Center | Philadelphia | Pennsylvania | 19104 | United States |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jan 10, 2023 | |
| Reset | Feb 3, 2023 | |
| Release | Feb 13, 2023 | |
| Reset | Mar 9, 2023 | |
| Release | Mar 22, 2024 | |
| Reset | Apr 17, 2024 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jan 10, 2023 | Feb 3, 2023 | |||
| Feb 13, 2023 |
| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D020141 | Hemostatic Disorders |
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| ID | Term |
|---|---|
| D008558 | Melphalan |
| ID | Term |
|---|---|
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
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| High dose melphalan | Other | High dose melphalan (HDM) |
|
| Autologous stem cell transplantation | Other | Autologous stem cell transplantation (ASCT) |
|
UNK |
| At one year and up to three years after ASCT |
| Evaluate the effect of BI-505 on MRD-negative rate at day 100 and change in MRD status at day 100 compared to baseline. | UNK | Day 100 |
| Evaluate anti-myeloma effect of BI-505 monotherapy, prior to HDM + ASCT | UNK | Prior to HDM + ASCT (from Day -17 until Day 0) |
| Evaluate bone marrow immune cell composition and phenotype, including macrophage infiltration and expression of intracellular adhesion molecule (ICAM)-1 expression on multiple myeloma plasma cells, as potential biomarkers of response to BI-505 | UNK | Day 100 compared to Baseline (Day -17 and Day -2) |
| Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing Cmax | Maximum Plasma Concentration (Cmax) | All dosing visits throughout the study (up to 9 biweekly infusions of BI-505). Day -17, day -3, day 11, day 25, day 39, day 53, day 67, day 81, day 95, day 123 |
| Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing Tmax | Time to reach Cmax (Tmax) | All dosing visits throughout the study (up to 9 biweekly infusions of BI-505). Day -17, day -3, day 11, day 25, day 39, day 53, day 67, day 81, day 95, day 123 |
| Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing AUC | Area under the curve (AUC) | All dosing visits throughout the study (up to 9 biweekly infusions of BI-505). Day -17, day -3, day 11, day 25, day 39, day 53, day 67, day 81, day 95, day 123 |
| Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing CL | Clearance (CL) | All dosing visits throughout the study (up to 9 biweekly infusions of BI-505). Day -17, day -3, day 11, day 25, day 39, day 53, day 67, day 81, day 95, day 123 |
| Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing Vss | Volume of distribution at steady state (Vss) | All dosing visits throughout the study (up to 9 biweekly infusions of BI-505). Day -17, day -3, day 11, day 25, day 39, day 53, day 67, day 81, day 95, day 123 |
| Evaluate the pharmacokinetic profile of BI-505 in this clinical setting by analysing t1/2 | Elimination half-life (t1/2) | All dosing visits throughout the study (up to 9 biweekly infusions of BI-505). Day -17, day -3, day 11, day 25, day 39, day 53, day 67, day 81, day 95, day 123 |
| Mar 9, 2023 |
| Mar 22, 2024 | Apr 17, 2024 |
| 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 |
| D009930 |
| Organic Chemicals |
| D010649 | Phenylalanine |
| D024322 | Amino Acids, Aromatic |
| D000598 | Amino Acids, Cyclic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |