Phase 1 Study of F182112 in Patients With Relapsed or Refractory Multiple Myeloma

A First-in-human, Open-label, Multiple Center Phase 1 Dose-Escalation Study to Evaluate Safety, Tolerability, Pharmacokinetic, Immunogenicity, and Preliminary Efficacy of F182112 in Patients With Relapsed or Refractory Multiple Myeloma.

This trial is a Multiple center, Open-label, dose escalation Phase Ⅰ clinical study. The purpose is to evaluate the safety and tolerability of F182112 when infused intravenously (IV) and determine the maximum tolerated dose (MTD) and/or the recommended Phase 2 dose (RP2D) of F182112 when infused IV.

To assess the safety, tolerability, and dose-limiting toxicities (DLTs) and to determine a recommended phase 2 dose regimen (RP2DR) of F182112 as monotherapy in patients with relapsed or refractory multiple myeloma (MM).

Inclusion Criteria:

• 1) Willing and able to provide signed and dated informed consent prior to any study-related procedures and willing and able to comply with all study procedures;

  2) Male or female ≥ 18 years;

  3) Patient has a history of multiple myeloma with relapsed and refractory disease, and must:

  1. Relapsed after an autologous stem cell transplant (ASCT), or not suitable for ASCT;

  2. Must have received at least 2 prior multiple myeloma treatment regimens (not including autologous stem cell transplant) including a proteasome inhibitor, an immunomodulatory agent;

     4) ECOG of 0-2;

     5) Patients must have measurable disease, including at least one of the criteria below:

  1. M-protein ≥ 0.5 g/dL by SPEP/immunofixation or

  2. ≥ 200 mg/24 hours urine collection by UPEP or

  3. Serum free light chain (FLC) levels > 100 mg/L (milligrams/liter involved light chain) and an abnormal kappa/lambda (κ/λ) ratio in patients without detectable serum or urine M-protein;

     6) Adequate hepatic function as evidenced by meeting all the following requirements:

  1. Blood routine: absolute neutrophil count (ANC) ≥ 1.0×109/L, hemoglobin (Hb) ≥70g/L, Platelet ≥ 50×109/L;

  2. Liver function: total bilirubin ≤ 1.5 × upper limit of normal (ULN), alanine aminotransferase (ALT) ≤ 2.5 × ULN, Aspartate aminotransferase (AST) ≤ 2.5 × ULN;

  3. Renal function: calculated creatinine clearance (CrCL) ≥ 30 mL/min (Cockroft-Gault Equation).

     7) Recovery to Grade 0-1 from adverse events related to prior anticancer therapy except alopecia, ≤ Grade 2 sensory neuropathy, lymphopenia, and endocrinopathies controlled with hormone replacement therapy.

     Exclusion Criteria:

• 1) Patient has primary light chain amyloidosis or plasma cell leukemia;

  2) Patient has symptomatic central nervous system involvement of multiple myeloma;

  3) Received systemic anti-myeloma therapy within 2 weeks, or received plasma exchange within 4 weeks;

  4) Received any experimental drugs within 4 weeks or 5 half-lives (whichever is shorter);

  5) Patient has received ≥ 40 mg/day dexamethasone equivalent within 7 days before starting F182112. Short term use of corticosteroids at doses equivalent to > 10 mg/d of prednisone；

  6) Received any monoclonal antibody therapy within 30 days;

  7) Prior treatment with any B cell maturation antigen (BCMA) targeted therapy;

  8) Patient had a prior allogeneic stem cell transplant or had a prior autologous stem cell transplant ≤ 3 months prior to starting F182112;

  9) Live virus vaccine within 30 days prior to study entry;

  10) Major surgery within 4 weeks prior to study entry;

  11) Concurrent malignancy within 3 years prior to entry other than adequately treated cervical carcinoma-in-situ, localized squamous cell cancer of the skin, basal cell carcinoma, prostate cancer under active surveillance, prostate cancer that has undergone definitive treatment, ductal carcinoma in situ of the breast, or ≤ T1 urothelial carcinoma;

  12) Patients with active mucosa or visceral bleeding;

  13) Severe cardiovascular disease, including CVA, TIA, myocardial infarction, or unstable angina within 6 months of study entry; NYHA class III or IV heart failure within 6 months of study entry; Uncontrolled arrhythmia within 6 months of study entry. Patients with a rate-controlled arrhythmia may be eligible for study entry at the discretion of the Medical Monitor;

  14) Active infection requiring antibiotic, antiviral or antifungul therapy;

  15) Active viral hepatitis;

  16) Has a history of immunodeficiency, include HIV infection;

  17) Treponema pallidum infection;

  18) Received any experimental drugs or anti-tumor drugs within 2 weeks;

  19) Subject has any condition that confounds the ability to interpret data from the study;

  20) Females and males must practice true abstinence or agree to contraceptive methods throughout the study, and 6 months after the last giving F182112;

  21) Any condition that the investigator or primary physician believes may not be appropriate for participating the study.