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This study will assess the safety, tolerability, pharmacokinetics (PK) and the therapeutic potential of HDP-101 in patients with plasma cell disorders including multiple myeloma.
The study will consists of two parts: a Part 1 dose escalation phase and a Part 2a expansion phase for safety, tolerability, PK, PD, and clinical activity testing. The study will enroll subjects with relapsed/refractory MM or other plasma cell disorders expressing BCMA. An adaptive 2-parameter Bayesian logistic regression model (BLRM) for dose-escalation with overdose control will be used in the dose-escalation phase for determination of the MTD or the RP2D. Dose-expansion phase of the study aims to collect preliminary evidence of antitumor activity and to confirm the safety of the HDP-101 as a monotherapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HDP-101 | Experimental | Participants will receive HDP-101 intravenously in a 21 day cycle until disease progression, intolerable toxicity, Investigator's discretion or patient withdrawal. During the phase 1 tolerability of different dose levels will be evaluated. During the phase 2a dose expansion part the recommended phase 2 dose (RP2D) of HDP-101 will be administered. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HDP-101 | Drug | HDP-101 is available as lyophilized white powder for preparation of infusion. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients who experience dose-limiting toxicity (DLT) during the first cycle of treatment - Part 1 as defined in Clinical Study Protocol | Up to Day 21 (from first dose) | |
| Objective response rate (ORR) | Proportion of enrolled subjects who achieve a partial response (PR) or better, i.e. stringent complete response (sCR), complete response (CR), very good partial response (VGPR) and PR, according to the IMWG criteria. | Through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Assess the safety and tolerability of HDP-101 | Number of patients with serious and non-serious adverse events grouped by system organ class and preferred terms based on Common Terminology Criteria for Adverse Events (CTCAE v 5.0) classification. | Through study completion, an average of 1 year |
| To assess the anticancer activity of HDP-101 in terms of time-to-event (TTE) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| András Strassz, MD | Contact | + 49 6203 1009 0 | clinical@hdpharma.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Winship Cancer Institute of Emory University | Recruiting | Atlanta | Georgia | 30322 | United States | |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Strassz A, Raab MS, Orlowski RZ, Kulke M, Schiedner G, Pahl A. A First in Human Study Planned to Evaluate HDP-101, an Anti-BCMA Amanitin Antibody-Drug Conjugate with a New Payload and a New Mode of Action, in Multiple Myeloma. Blood 2020; 136 (Supplement 1): 34. doi: https://doi.org/10.1182/blood-2020-142285 |
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Eligible patients will be enrolled and treated with intravenous HDP-101 every 3 weeks. In Phase 1 dose-escalation part from Cohort 6 additional treatment arms are introduced for dose-optimization purposes with dosing every 3 weeks, split dosing weekly or split dosing in the first cycle on Day1 and Day8.
A Bayesian logistic regression model will be used to guide dose-escalation during Phase 1 and select the best dose for the Phase 2a of the study.
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Clinical efficacy of HDP-101 measured by Progression Free Survival (PFS) and Overall Survival (OS). |
| Through study completion, an average of 1 year |
| Mount Sinai, The Tisch Cancer Instutute |
| Recruiting |
| New York |
| New York |
| 10029 |
| United States |
| MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
| Charité - Campus Benjamin Franklin Med. Klinik m.S. Hämatologie, Onkologie | Not yet recruiting | Berlin | 12203 | Germany |
| Klinikum Chemnitz gGmbH, Klinik f. Innere Medizin III | Recruiting | Chemnitz | 09116 | Germany |
| Universitätsklinikum Köln | Recruiting | Cologne | 50937 | Germany |
| Asklepios Klinik Altona, Haematologie und internistische Onkologie | Recruiting | Hamburg | 22763 | Germany |
| Universitätsklinikum Heidelberg | Recruiting | Heidelberg | 69120 | Germany |
| Universitätsklinikum Schleswig-Holstein | Recruiting | Kiel | 24105 | Germany |
| UKSH Campus Lübeck Klinik für Hämatologie und Onkologie | Recruiting | Lübeck | 23538 | Germany |
| Universitätsklinikum Mainz | Withdrawn | Mainz | 55131 | Germany |
| Semmelweis University, Belgyogyaszati es Onkologiai Klinika | Recruiting | Budapest | 1083 | Hungary |
| National Institute of Oncology, Department of Oncological Internal Medicine | Recruiting | Budapest | 1122 | Hungary |
| Pratia Onkologia Katowice | Recruiting | Katowice | 40-519 | Poland |
| Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Lodzi | Not yet recruiting | Lodz | 93-513 | Poland |
| Szpital Wojewodzki w Opolu | Not yet recruiting | Opole | 45-061 | Poland |
| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| D054219 | Neoplasms, Plasma Cell |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| 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 |
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