Multiple Myeloma
Conditions
Brief summary
This is a phase 1b study evaluating if BMS-986453 is safe and effective in treating people who have newly diagnosed multiple myeloma after completing initial therapy (induction) when a stem cell transplant is not intended.
Detailed description
This is an open-label study. The investigators propose to examine if BMS-986453 in people with newly diagnosed multiple myeloma may help control their disease for a prolonged period of time despite one-time treatment and challenge continuous treatment which is otherwise prescribed.
Interventions
Will be given as a single dose administered by IV infusion.
Sponsors
Study design
Intervention model description
This is a single center, open-label, Phase 1b study to determine the safety, and preliminary efficacy of BMS-986453, a dual targeting CAR-T cell product targeting BCMA and GPRC5D, in participants with NDMM in whom ASCT is not planned. The study will evaluate the safety, PK, pharmacodynamic, and preliminary efficacy of BMS-986453 at the RP2D. All treated participants will complete three periods: pre-treatment, treatment, and post- treatment follow-up.
Eligibility
Inclusion criteria
1. Age \> 18 years with no upper age limit 2. NDMM with indication for initiation of therapy diagnosed within last 12 months. Pretreatment parameters necessary for disease characterization and response assessment must be available. 3. Not eligible for ASCT by institutional criteria or deferring ASCT due to personal preference. 4. ECOG performance status 0-1 5. Adequate organ function
Exclusion criteria
1. Known active or history of central nervous system (CNS) involvement of MM. 2. Plasma cell leukemia, Waldenstrom's macroglobulinemia, POEMS or clinically significant amiloidosis. 3. Prior history of other malignancies 4. Uncontrolled infection Other protocol-defined Inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 | Baseline up to 5 years | Evaluate the safety and tolerability of BMS-986453 in participants with NDMM. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression Free Survival (PFS) | Baseline up to 5 years | Measure of clinical response. |
| Pharmacokinetics (PK) | Baseline up to 2 years | Measures of observed blood concentration of BMS-968453. |
| Complete response rate | Baseline up to 5 years | Measures of clinical response. |
| MRD negativity | Baseline up to 5 years | Proportion of participants with overall MRD negativity, 9-month MRD negativity rates as well as sustained (\>12 months) MRD negativity. |
| Overall Response Rate (ORR) | Baseline up to 5 years | Measure of clinical response. |
| Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 | Up to 15 years | Assess long-term toxicity |
| Overall Survival (OS) | Baseline up to 5 years | Measure of clinical response. |
Countries
United States
Contacts
The University of Alabama at Birmingham
The University of Alabama at Birmingham