A Safety, PK and Efficacy Study of CC-92480 Monotherapy and in Combination With Dexamethasone in Subjects With Relapsed and Refractory Multiple Myeloma (RRMM)

Study Purpose

This is an open-label, multi-center, international, Phase 1/2 study to assess the safety, PK and efficacy of CC-92480 monotherapy and in combination with dexamethasone in subjects with relapsed and refractory multiple myeloma (RRMM). All eligible subjects must be previously treated with at least 3 prior regimens including lenalidomide, pomalidomide, a proteasome inhibitor and an anti-CD38 antibody and be refractory to their last line of therapy.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. Subject is ≥ 18 years of age at the time of signing the informed consent form (ICF). 2. Subject must understand and voluntarily sign an ICF prior to any study-related assessments/procedures being conducted. 3. Subject is willing and able to adhere to the study visit schedule and other protocol requirements. 4. Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1 or 2. 5. Subjects must have a documented diagnosis of MM and measurable disease at enrollment. Measurable disease is defined as:
  • - M-protein quantities ≥ 0.5 g/dL by sPEP or.
  • - ≥ 200 mg/24 hour urine collection by uPEP or.
  • - Serum FLC levels > 100 mg/L (milligrams/liter) involved light chain and an abnormal kappa/lambda (κ/λ) ratio in subjects without measurable serum or urine M-protein or.
  • - For subjects with immunoglobulin class A (IgA), myeloma whose disease can only be reliably measured by quantitative immunoglobulin measurement, a serum IgA level ≥ 0.50 g/dL.
6. All subjects must have:
  • - Received at least 3 prior anti-myeloma regimens including at least 2 consecutive cycles of lenalidomide, pomalidomide, a proteasome inhibitor, a glucocorticoid and a CD38 antibody (note: induction with or without bone marrow transplant and with or without maintenance therapy is considered one regimen).
  • - Documented disease progression on or within 60 days from the last dose of their last myeloma therapy.
  • - Subjects who had CAR-T therapy as their last myeloma therapy are eligible as long as they have documented disease progression following CAR-T therapy.
  • - In addition to criteria above (a and b), subjects enrolled in Part 2 must have disease refractory to an immunomodulatory agent (lenalidomide and/or pomalidomide), a glucocorticoid, a proteasome inhibitor, and a CD38 antibody.
Refractory is defined as disease that is nonresponsive on therapy (failure to achieve minimal response or development of progressive disease), or progresses within 60 days of last dose. 7. Subjects must have the following laboratory values:
  • - Absolute neutrophil count (ANC) ≥ 1.25 x 109/L without growth factor support for ≥ 7 days (≥ 14 days for pegfilgrastim).
ANC of ≥ 1.00 x 109/L is permitted for the dose expansion cohorts (Part 2).
  • - Hemoglobin (Hgb) ≥ 8 g/dL.
  • - Platelets (plt) ≥ 75 x 109/L without transfusion for ≥ 7 days.
  • - Corrected serum calcium ≤ 13.5 mg/dL (≤ 3.4 mmol/L).
  • - Creatinine clearance (CrCl) based on Cockcroft-Gault formula ≥ 45 mL/min.
  • - AST/SGOT and ALT/SGPT ≤ 3.0 x upper limit of normal (ULN).
  • - Serum bilirubin ≤ 1.5 x ULN or < 3.0 mg/dL for subjects with documented Gilbert's syndrome.
  • - Uric acid ≤ 7.5 mg/dL (446 µmol/L).
  • - PT/INR < 1.5 x ULN and partial thromboplastin time (PTT) < 1.5 x ULN, (for subjects not receiving therapeutic anticoagulation).
8. Females of childbearing potential (FCBP) must:
  • - Have two negative pregnancy tests as verified by the Investigator prior to starting study therapy.
She must agree to ongoing pregnancy testing during the course of the study, and after discontinuation of CC-92480. This applies even if the subject practices true abstinence* from heterosexual contact.
  • - Either commit to true abstinence* from heterosexual contact (which must be reviewed on a monthly basis and source documented) or agree to use, and be able to comply with, two reliable forms of contraception as defined in the PPP and provided to the subject at the time of informed consent, without interruption, 28 days prior to starting CC-92480, during the study therapy (including during dose interruptions), and for 184 days after the last dose of CC-92480.
Note: A female of childbearing potential (FCBP) is a female who: 1) has achieved menarche at some point and, 2) has not undergone a hysterectomy or bilateral oophorectomy, or 3) has not been naturally postmenopausal (amenorrhea following cancer therapy does not rule out childbearing potential) for at least 24 consecutive months (ie, has had menses at any time in the preceding 24 consecutive months). 1. Male subjects must: Practice true abstinence* (which must be reviewed on a monthly basis) or agree to use of a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study (even during dose interruptions) and for at least 94 days following CC-92480 last dose in accordance with the PPP provided to the subject at the time of informed consent, even if he has undergone a successful vasectomy. * True abstinence is acceptable when this is in line with the preferred and usual lifestyle of the subject. Periodic abstinence (eg, calendar, ovulation, symptothermal, post-ovulation methods) and coitus interruptus (withdrawal) are not acceptable methods of contraception. 2. Males must agree to refrain from donating sperm while on CC-92480 for 94 days after the last dose of CC-92480. Females must agree to refrain from donating ova while on CC-92480 for 184 days after last dose. 3. All subjects must agree to refrain from donating blood while on CC-92480 and for 28 days after its discontinuation.

Exclusion Criteria:

1. Subject has a significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study. 2. Subject has any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study. 3. Subject has any condition that confounds the ability to interpret data from the study. 4. Subject has non-secretory multiple myeloma. 5. Subject has refractory primary multiple myeloma (ie, no history of at least a minor response to a prior treatment regimen). 6. Subject has plasma cell leukemia or active leptomeningeal myelomatosis. 7. Subject has documented, systemic light chain amyloidosis or Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal gammopathy, and Skin changes (POEMS) Syndrome. 8. Subject has immunoglobulin class M (IgM) myeloma. 9. Part 1: Subject has a history of allogeneic bone marrow transplantation. Part 2: Subject has a history of allogeneic bone marrow transplantation within 6 months prior to first dose. Subject should not have ongoing graft-versus-host disease (GVHD) requiring systemic immunosuppression. 10. Subject is undergoing dialysis. 11. Subjects with peripheral neuropathy ≥ Grade 2. 12. Subjects with gastrointestinal disease that may significantly alter the absorption of CC-92480. 13. Subject has impaired cardiac function or clinically significant cardiac disease, including any of the following:
  • - LVEF < 45% as determined by ECHO or MUGA scan at Screening.
  • - Complete left bundle branch, bifascicular block or other clinically significant abnormal electrocardiographic (ECG) finding at Screening.
  • - A prolongation of QT interval on Screening ECG as defined by repeated demonstration of a QTc interval >480 milliseconds (ms) using Fridericia's QT correction formula; a history of or current risk factors for Torsades de Pointe (eg, heart failure, hypokalemia, or a family history of Long QT Syndrome); and concurrent administration of medications that prolong the QT/QTc interval.
  • - Congestive heart failure (New York Heart Association Class III or IV).
  • - Myocardial infarction ≤6 months prior to starting CC-92480.
  • - Unstable or poorly controlled angina pectoris, including the Prinzmetal variant of angina pectoris.
14. Concurrent administration of strong CYP3A modulators; concurrent administration of proton-pump inhibitors (eg, omeprazole, esomeprazole, lansoprazole, pantoprazole) ≤ 2 weeks prior to starting CC-92480. 15. Subject had prior systemic myeloma treatment with an investigational anti-myeloma agent (eg, anti-PD-1, anti-PD-L1) ≤ 5 half-lives prior to starting CC-92480 (not applicable for subjects who had CAR-T as last prior regimen); subject had prior exposure to approved myeloma therapies (including therapeutic monoclonal antibodies such as anti-CD38 or anti-SLAMF7) ≤ 5 half-lives or within 4 weeks prior to starting CC-92480 whichever is shorter. 16. Subject had major surgery ≤ 2 weeks prior to starting CC-92480. Note: Subjects must have recovered from any clinically significant effects of recent surgery. 17. Subject is a pregnant or nursing female, or intends to become pregnant or donate ova during participation in the study. 18. Subject has known human immunodeficiency virus (HIV) infection. 19. Subject has known active chronic hepatitis B or C virus (HBV/HCV) infection. 20. Subject has a history of concurrent second cancer requiring ongoing systemic treatment. 21. Subjects has a history of prior malignancy other than MM, except if the subject has been free of disease for ≥3 years OR the subject had one of the following noninvasive malignancies treated with curative intent without known recurrence:
  • - Basal or squamous cell carcinoma of the skin.
  • - Carcinoma in situ of the cervix or breast.
  • - Stage 1 bladder cancer.
  • - Incidental histological findings of localized prostate cancer such as tumor stage 1a or 1b (T1a or T1b) using the Tumor/Node/Metastasis (TNM) classification of malignant tumors OR prostate cancer that has been treated with curative intent.
22. Subject has a history of anaphylaxis to thalidomide, lenalidomide, pomalidomide or dexamethasone. 23. Subject has known or suspected hypersensitivity to the excipients (excipients include silica dimethyl silylate, anhydrous colloidal silicon dioxide, mannitol, fumaric acid and stearic acid) contained in the formulation of CC-92480 or dexamethasone. 24. Subject has undergone either of the following within 14 days of initiating CC-92480:
  • - Plasmapheresis.
  • - Radiation therapy other than local therapy for symptomatic relief of MM associated bone lesions.
25. Subject has received immunosuppressive medication within 14 days prior to the first dose of CC-92480. The following are exceptions to this criterion:
  • - Intranasal, inhaled, topical or local corticosteroid injections (eg, intra-articular injection).
  • - Systemic corticosteroids at doses that do not exceed 10 mg/day of prednisone or the equivalent.
  • - Steroids as premedication for hypersensitivity reactions (eg, computed tomography [CT] scan premedication).
26. Subject is unable or unwilling to undergo protocol required venous thromboembolism (VTE) prophylaxis.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT03374085
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1/Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Celgene
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Bristol-Myers Squibb
Principal Investigator Affiliation Bristol-Myers Squibb
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries Australia, Belgium, Canada, Denmark, Finland, Greece, Japan, Korea, Republic of, Spain, United Kingdom, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Multiple Myeloma
Study Website: View Trial Website
Arms & Interventions

Arms

Experimental: Administration of CC-92480 in combination with dexamethasone

Part 1: Escalating doses of CC-92480 plus a fixed dose of dexamethasone Part 2: RP2D of CC-92480 in combination with dexamethasone

Experimental: Administration of CC-92480 monotherapy

Escalating doses of CC-92480 Monotherapy administered according to different dosing schedules

Interventions

Drug: - CC-92480

CC-92480

Drug: - Dexamethasone

Dexamethasone

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Local Institution - 103, Duarte, California

Status

Active, not recruiting

Address

Local Institution - 103

Duarte, California, 91010-300

Berenson Oncology, West Hollywood, California

Status

Withdrawn

Address

Berenson Oncology

West Hollywood, California, 90069

Local Institution - 102, Atlanta, Georgia

Status

Active, not recruiting

Address

Local Institution - 102

Atlanta, Georgia, 30322

Local Institution - 105, Boston, Massachusetts

Status

Active, not recruiting

Address

Local Institution - 105

Boston, Massachusetts, 02115

Local Institution - 111, Buffalo, New York

Status

Active, not recruiting

Address

Local Institution - 111

Buffalo, New York, 14263

Local Institution - 104, New York, New York

Status

Active, not recruiting

Address

Local Institution - 104

New York, New York, 10065

Allegheny Health Network, Pittsburgh, Pennsylvania

Status

Withdrawn

Address

Allegheny Health Network

Pittsburgh, Pennsylvania, 15224

Local Institution - 108, Spartanburg, South Carolina

Status

Active, not recruiting

Address

Local Institution - 108

Spartanburg, South Carolina, 29303

Local Institution - 101, Nashville, Tennessee

Status

Active, not recruiting

Address

Local Institution - 101

Nashville, Tennessee, 37203

Local Institution - 106, Houston, Texas

Status

Active, not recruiting

Address

Local Institution - 106

Houston, Texas, 77030

Local Institution - 112, Charlottesville, Virginia

Status

Active, not recruiting

Address

Local Institution - 112

Charlottesville, Virginia, 22908

Local Institution - 109, Seattle, Washington

Status

Active, not recruiting

Address

Local Institution - 109

Seattle, Washington, 98104

Morgantown, West Virginia

Status

Withdrawn

Address

West Virginia University - Berkeley Medical Center - Cancer and Infusion Center

Morgantown, West Virginia, 26506

International Sites

Local Institution - 804, Camperdown, New South Wales, Australia

Status

Recruiting

Address

Local Institution - 804

Camperdown, New South Wales, 2050

Site Contact

Site 804

Clinical.Trials@bms.com

855-907-3286

Local Institution - 802, Adelaide, South Australia, Australia

Status

Recruiting

Address

Local Institution - 802

Adelaide, South Australia, 5000

Site Contact

Site 802

Clinical.Trials@bms.com

855-907-3286

Local Institution - 805, Clayton, Victoria, Australia

Status

Recruiting

Address

Local Institution - 805

Clayton, Victoria, 3168

Site Contact

Site 805

Clinical.Trials@bms.com

855-907-3286

Local Institution - 803, Melbourne, Victoria, Australia

Status

Recruiting

Address

Local Institution - 803

Melbourne, Victoria, 3004

Site Contact

Site 803

Clinical.Trials@bms.com

855-907-3286

Local Institution - 806, Fitzroy, Australia

Status

Recruiting

Address

Local Institution - 806

Fitzroy, , 3065

Site Contact

Site 806

Clinical.Trials@bms.com

855-907-3286

Local Institution - 904, Antwerpen, Belgium

Status

Recruiting

Address

Local Institution - 904

Antwerpen, , 2060

Site Contact

Site 904

Clinical.Trials@bms.com

855-907-3286

Local Institution - 903, Bruxelles, Belgium

Status

Not yet recruiting

Address

Local Institution - 903

Bruxelles, , 1200

Site Contact

Site 903

Clinical.Trials@bms.com

855-907-3286

Local Institution - 905, Gent, Belgium

Status

Recruiting

Address

Local Institution - 905

Gent, , 9000

Site Contact

Site 905

Clinical.Trials@bms.com

855-907-3286

Local Institution - 901, Leuven, Belgium

Status

Recruiting

Address

Local Institution - 901

Leuven, , 3000

Site Contact

Site 901

Clinical.Trials@bms.com

855-907-3286

Local Institution - 902, Yvoir, Belgium

Status

Recruiting

Address

Local Institution - 902

Yvoir, , 5530

Site Contact

Site 902

Clinical.Trials@bms.com

855-907-3286

Local Institution - 201, Calgary, Alberta, Canada

Status

Recruiting

Address

Local Institution - 201

Calgary, Alberta, T2N 4N2

Site Contact

Site 201

Clinical.Trials@bms.com

855-907-3286

Local Institution - 204, London, Ontario, Canada

Status

Recruiting

Address

Local Institution - 204

London, Ontario, N6C 6B5

Site Contact

Site 204

Clinical.Trials@bms.com

855-907-3286

Local Institution - 205, Ottawa, Ontario, Canada

Status

Recruiting

Address

Local Institution - 205

Ottawa, Ontario, K1H 8L6

Site Contact

Site 205

Clinical.Trials@bms.com

855-907-3286

Local Institution - 202, Toronto, Ontario, Canada

Status

Recruiting

Address

Local Institution - 202

Toronto, Ontario, M5G 2M9

Site Contact

Site 202

Clinical.Trials@bms.com

855-907-3286

Local Institution - 206, Montreal, Quebec, Canada

Status

Recruiting

Address

Local Institution - 206

Montreal, Quebec, H4A 3J1

Site Contact

Site 206

Clinical.Trials@bms.com

855-907-3286

Local Institution - 203, Quebec, Canada

Status

Recruiting

Address

Local Institution - 203

Quebec, , G1R 2J6

Site Contact

Site 203

Clinical.Trials@bms.com

855-907-3286

Local Institution - 503, Aarhus N, Denmark

Status

Active, not recruiting

Address

Local Institution - 503

Aarhus N, , DK-8200

Local Institution - 501, Copenhagen, Denmark

Status

Completed

Address

Local Institution - 501

Copenhagen, , 2100

Local Institution - 502, Odense, Denmark

Status

Completed

Address

Local Institution - 502

Odense, , 5000

Local Institution - 601, Helsinki, Finland

Status

Active, not recruiting

Address

Local Institution - 601

Helsinki, , 00029

Local Institution - 001, Athens, Greece

Status

Recruiting

Address

Local Institution - 001

Athens, , 11528

Site Contact

Site 001

Clinical.Trials@bms.com

855-907-3286

Local Institution - 705, Chuo-ku,chiba, Japan

Status

Recruiting

Address

Local Institution - 705

Chuo-ku,chiba, , 260-8677

Site Contact

Site 705

Clinical.Trials@bms.com

855-907-3286

Local Institution - 703, Fukuoka, Japan

Status

Recruiting

Address

Local Institution - 703

Fukuoka, , 810-8563

Site Contact

Site 703

Clinical.Trials@bms.com

855-907-3286

Local Institution - 704, Kashiwa, Japan

Status

Recruiting

Address

Local Institution - 704

Kashiwa, , 277-8577

Site Contact

Site 704

Clinical.Trials@bms.com

855-907-3286

Local Institution - 702, Kobe-city, Japan

Status

Recruiting

Address

Local Institution - 702

Kobe-city, , 650-0047

Site Contact

Site 702

Clinical.Trials@bms.com

855-907-3286

Local Institution - 706, Kyoto-City, Japan

Status

Recruiting

Address

Local Institution - 706

Kyoto-City, , 602-8566

Site Contact

Site 706

Clinical.Trials@bms.com

855-907-3286

Local Institution - 701, Okayama, Japan

Status

Recruiting

Address

Local Institution - 701

Okayama, , 701-1192

Site Contact

Site 701

Clinical.Trials@bms.com

855-907-3286

Local Institution - 152, Seoul, Korea, Republic of

Status

Completed

Address

Local Institution - 152

Seoul, , 120-752

Local Institution - 150, Seoul, Korea, Republic of

Status

Active, not recruiting

Address

Local Institution - 150

Seoul, , 135-710

Local Institution - 151, Seoul, Korea, Republic of

Status

Active, not recruiting

Address

Local Institution - 151

Seoul, , 3080

Local Institution - 403, Badalona (Barcelona), Spain

Status

Active, not recruiting

Address

Local Institution - 403

Badalona (Barcelona), , 08916

Local Institution - 407, Barcelona, Spain

Status

Active, not recruiting

Address

Local Institution - 407

Barcelona, , 08025

Local Institution - 406, Caceres, Spain

Status

Active, not recruiting

Address

Local Institution - 406

Caceres, , 10003

Local Institution - 404, Madrid, Spain

Status

Active, not recruiting

Address

Local Institution - 404

Madrid, , 28041

Local Institution - 401, Pamplona, Spain

Status

Active, not recruiting

Address

Local Institution - 401

Pamplona, , 31008

Local Institution - 409, Pozuelo de Alarcon, Spain

Status

Active, not recruiting

Address

Local Institution - 409

Pozuelo de Alarcon, , 28223

Local Institution - 402, Salamanca, Spain

Status

Active, not recruiting

Address

Local Institution - 402

Salamanca, , 37007

Local Institution - 408, Santander, Spain

Status

Active, not recruiting

Address

Local Institution - 408

Santander, , 39008

Local Institution - 405, Valencia, Spain

Status

Active, not recruiting

Address

Local Institution - 405

Valencia, , 46026

Local Institution - 304, Plymouth, Devon, United Kingdom

Status

Active, not recruiting

Address

Local Institution - 304

Plymouth, Devon, PL6 8DH

Local Institution - 306, Cardiff, United Kingdom

Status

Active, not recruiting

Address

Local Institution - 306

Cardiff, , CF14 4XW

Local Institution - 303, London, United Kingdom

Status

Active, not recruiting

Address

Local Institution - 303

London, , NW1 2PG

Local Institution - 305, Newcastle Upon Tyne, United Kingdom

Status

Active, not recruiting

Address

Local Institution - 305

Newcastle Upon Tyne, , NE7 7DN

Local Institution - 302, Oxford, United Kingdom

Status

Active, not recruiting

Address

Local Institution - 302

Oxford, , OX3 7LE

Local Institution - 301, Sutton, United Kingdom

Status

Active, not recruiting

Address

Local Institution - 301

Sutton, , SM2 5PT