Multiple Myeloma
Conditions
Keywords
Descartes-08, CAR T Cell, CART, CAR-T, CAR T-Cell, Multiple Myeloma, BCMA, B-cell maturation antigen, B cell maturation antigen
Brief summary
This Phase I study will test the safety and anti-myeloma activity of ascending doses of Descartes-08 (autologous CD8+ T-cells expressing an anti-BCMA chimeric antigen receptor) in eligible patients with active multiple myeloma.
Interventions
autologous CD8+ T-cells transiently expressing an anti-BCMA chimeric antigen receptor
intravenous fludarabine
intravenous cyclophosphamide
Sponsors
Study design
Eligibility
Inclusion criteria
(condensed): * Multiple myeloma that is double-refractory to a proteasome inhibitor (PI) and an immunomodulatory drug (IMiD) after at least 2 prior lines of therapy OR have failed at least 3 prior lines of therapy * Measurable disease activity as indicated by serum or urine M-protein, serum free light chain, biopsy-proven plasmacytoma, \>5% bone marrow plasma cells. * Adequate vital organ function as indicated by ANC (\>1000/uL), platelet count (\>50,000/uL), hemoglobin (\>8 g/dL), serum ALT and AST (each \<3.0 x upper limit of normal), total bilirubin (\<2 mg/dL), creatinine clearance (\>30 mL/min), and cardiac ejection fraction (\>45%)
Exclusion criteria
(condensed): NOTE: Prior anti-BCMA or CAR-T therapy is NOT exclusionary * Active plasma cell leukemia * Pregnant or lactating * Active, uncontrolled infection * Active and severe auto-immune disease * Active arrhythmia, or obstructive or restrictive pulmonary disease * Central nervous system disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence (number) of Treatment-Emergent Adverse Events [Safety and Tolerability] | 2 weeks | Incidence (number) of Treatment-Emergent Adverse Events \[Safety and Tolerability\]. Descriptive statistics by incidence rate, body system classification, severity, and causality \[per protocol definitions\] |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treatment response | 1, 3, 6, 9 and 12 months | IMWG treatment response criteria |
Countries
United States