Multiple Myeloma
Conditions
Keywords
CAR-T, CART, CAR T Cell, CAR T-Cell, Multiple Myeloma, BCMA, B cell maturation antigen, B-cell maturation antigen, Descartes-11
Brief summary
This Phase I study will test the safety and anti-myeloma activity of ascending doses of Descartes-11 (autologous CD8+ T-cells expressing an anti-BCMA chimeric antigen receptor) in eligible patients with active multiple myeloma.
Interventions
CAR T-Cells
Pre-conditioning chemotherapy
Pre-conditioning therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Active multiple myeloma that is refractory after at least 2 prior lines of therapy; * measurable disease; * adequate vital organ function; and * no active infection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Treatment-Related Adverse Events | Time Frame: 21 days | Determine the safety of Descartes-11 in patients with relapsed/refractory multiple myeloma |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disease Assessment Based on International Myeloma Working Group (IMWG) Criteria | Disease assessment is on Day 21 (or at least 14 days after first Descartes-11 infusion) | Patience with Complete response (CR) according to the International Myeloma Working Group (IMWG). |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Level 1 Dose 10 x 10\^6 cells / kg | 3 |
| Level 2 Dose 32 x 10\^6 cells / kg | 4 |
| Level 3 Dose 100 x 10\^6 cells / kg | 3 |
| Level 4A 150 x 10\^6 cells / kg | 2 |
| Level 4B 150 x 10\^6 cells / kg | 4 |
| Level 4C 150 x 10\^6 cells / kg | 4 |
| Total | 20 |
Baseline characteristics
| Characteristic | Level 4C | Level 1 Dose | Level 2 Dose | Level 3 Dose | Level 4A | Level 4B | Total |
|---|---|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 3 Participants | 1 Participants | 1 Participants | 1 Participants | 2 Participants | 4 Participants | 12 Participants |
| Age, Categorical Between 18 and 65 years | 1 Participants | 2 Participants | 3 Participants | 2 Participants | 0 Participants | 0 Participants | 8 Participants |
| Race/Ethnicity, Customized Asian | 0 participants | 0 participants | 1 participants | 0 participants | 0 participants | 0 participants | 1 participants |
| Race/Ethnicity, Customized Other-Non Hispanic | 1 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 1 participants |
| Race/Ethnicity, Customized White | 2 participants | 3 participants | 3 participants | 3 participants | 2 participants | 4 participants | 16 participants |
| Race/Ethnicity, Customized White (Hispanic) | 2 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 2 participants |
| Region of Enrollment United States | 4 participants | 3 participants | 4 participants | 3 participants | 2 participants | 4 participants | 20 participants |
| Sex: Female, Male Female | 0 Participants | 1 Participants | 2 Participants | 1 Participants | 1 Participants | 2 Participants | 7 Participants |
| Sex: Female, Male Male | 4 Participants | 2 Participants | 2 Participants | 2 Participants | 1 Participants | 2 Participants | 13 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk |
|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 3 | 1 / 4 | 0 / 3 | 0 / 2 | 0 / 4 | 1 / 4 |
| other Total, other adverse events | 3 / 3 | 2 / 4 | 2 / 3 | 1 / 2 | 3 / 4 | 2 / 4 |
| serious Total, serious adverse events | 3 / 3 | 2 / 4 | 1 / 3 | 1 / 2 | 1 / 4 | 0 / 4 |
Outcome results
Number of Participants With Treatment-Related Adverse Events
Determine the safety of Descartes-11 in patients with relapsed/refractory multiple myeloma
Time frame: Time Frame: 21 days
Population: Participants with treatment related adverse event
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Dose-Escalation Level 1 | Number of Participants With Treatment-Related Adverse Events | 0 Participants |
| Dose Level 2 | Number of Participants With Treatment-Related Adverse Events | 1 Participants |
| Dose Level 3 | Number of Participants With Treatment-Related Adverse Events | 1 Participants |
| Dose Level 4A | Number of Participants With Treatment-Related Adverse Events | 0 Participants |
| Dose Level 4B | Number of Participants With Treatment-Related Adverse Events | 0 Participants |
| Dose Level 4C | Number of Participants With Treatment-Related Adverse Events | 0 Participants |
Disease Assessment Based on International Myeloma Working Group (IMWG) Criteria
Patience with Complete response (CR) according to the International Myeloma Working Group (IMWG).
Time frame: Disease assessment is on Day 21 (or at least 14 days after first Descartes-11 infusion)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Dose-Escalation Level 1 | Disease Assessment Based on International Myeloma Working Group (IMWG) Criteria | 0 Participants |
| Dose Level 2 | Disease Assessment Based on International Myeloma Working Group (IMWG) Criteria | 0 Participants |
| Dose Level 3 | Disease Assessment Based on International Myeloma Working Group (IMWG) Criteria | 0 Participants |
| Dose Level 4A | Disease Assessment Based on International Myeloma Working Group (IMWG) Criteria | 0 Participants |
| Dose Level 4B | Disease Assessment Based on International Myeloma Working Group (IMWG) Criteria | 0 Participants |
| Dose Level 4C | Disease Assessment Based on International Myeloma Working Group (IMWG) Criteria | 0 Participants |