Multiple Myeloma
Conditions
Keywords
BMS-986348, CC-92480, BMS-986158, Dexamethasone, Tazemetostat, Trametinib
Brief summary
The purpose of this study is to assess the safety, tolerability and preliminary effectiveness of CC-92480 (BMS-986348) in novel therapeutic combinations for the treatment of Relapsed or Refractory Multiple Myeloma (RRMM).
Interventions
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Specified dose on specified days
Sponsors
Study design
Eligibility
Inclusion criteria
* Relapsed or refractory multiple myeloma (MM) and must: 1. Have documented disease progression during or after their last myeloma therapy. 2. For Part 1 Dose Finding: Be refractory to, intolerant to, or not a candidate for available, established therapies known to provide clinical benefit in MM; For Part 2 Dose Expansion: Be refractory to or have relapsed after the protocol specified number of prior lines of therapy that include an immunomodulatory drug (IMiD), a proteasome inhibitor, an anti-CD38 mAb, and a T-cell redirecting therapy (TRT, eg, a CAR-T or T-cell engaging bispecific treatment) unless the participant is not a candidate for TRT. * Must have measurable disease. * Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1. * Agree to follow the CC-92480 Pregnancy Prevention Plan (PPP).
Exclusion criteria
* Known active or history of central nervous system (CNS) involvement of MM * Plasma cell leukemia; Waldenstrom's macroglobulinemia; polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes (POEMS) syndrome; or clinically significant light-chain amyloidosis. * Impaired cardiac function or clinically significant cardiac disease * Previous SARS-CoV-2 infection within 14 days for asymptomatic or mild symptomatic infections or 28 days for severe/critical illness prior to Cycle 1 Day 1 (C1D1) * For Part 1: received prior therapy with CC-92480 * For Part 2: received prior therapy with CC-92480, tazemetostat, BMS-986158, or trametinib * Previously received allogeneic stem-cell transplant at any time or received autologous stem-cell transplant within 12 weeks of initiating study treatment * Received any of the following within 14 days prior to initiating study treatment: 1. Plasmapheresis 2. Major surgery 3. Radiation therapy other than local therapy for myeloma associated bone lesions 4. Use of any systemic anti-myeloma drug therapy * Used any investigational agents within 28 days or 5 half-lives (whichever is shorter) prior to initiating study treatment * COVID-19 vaccine within 14 days prior to C1D1 Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of participants with adverse events (AEs) | From first participant first visit until 28 days after the last participant discontinues study treatment, up to approximately 4 years |
| Number of participants with Serious AEs | Up to approximately 4 years |
| Number of participants with AEs meeting protocol-defined DLT criteria | Up to approximately 4 years |
| Number of participants with AEs leading to discontinuation | Up to approximately 4 years |
| Number of deaths | Up to approximately 4 years |
| Establish recommended Phase 2 dose (RP2D) | Up to approximately 2 years |
| Establish dosing schedule of each combination for Part 2 Dose Expansion | Up to approximately 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Time to maximum plasma concentration (Tmax) | Up to approximately 28 days |
| Area under the concentration-time curve (AUC) | Up to approximately 28 days |
| Overall response rate (ORR) | Up to approximately 4 years |
| Apparent total body clearance (CLT/F) | Up to approximately 28 days |
| Apparent volume of distribution (Vz/F) | Up to approximately 28 days |
| Terminal Half-Life (T-Half) | Up to approximately 28 days |
| Very good partial response rate (VGPRR) | Up to approximately 4 years |
| Complete response rate (CRR) | Up to approximately 4 years |
| Time-to-response (TTR) | Up to approximately 4 years |
| Duration of response (DOR) | Up to approximately 4 years |
| Progression-free survival (PFS) | Up to approximately 4 years |
| Maximum observed plasma concentration (Cmax) | Up to approximately 28 days |
Countries
Canada, Norway, Spain, United Kingdom, United States