A Study to Investigate Safety and Clinical Activity of Belantamab Mafodotin in Combination With Lenalidomide, Dexamethasone and Nirogacestat in Patients With Transplant Ineligible Newly Diagnosed Multiple Myeloma
NCT05573802 · Status: RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 36
Last updated 2023-10-24
Summary
This is a phase 1/2, open-label study designed to assess the safety and clinical activity of different belantamab mafodotin doses in combination with lenalidomide, dexamethasone and nirogacestat in patients with transplant ineligible newly diagnosed multiple myeloma.
This will be a 2-part study. In part 1 participants will be enrolled in one cohort to receive belantamab mafodotin in combination with lenalidomide, dexamethasone and nirogacestat and will determine the recommended phase 2 dose (RP2D) to be further evaluated for safety and clinical activity in the dose expansion cohort. The RP2D dose will be used in future studies in the transplant-ineligible newly diagnosed multiple myeloma (NDMM) setting. In the dose expansion phase (Part 2) an expansion cohort will be treated with the RP2D. The expansion cohort will randomize participants (1:1) in two groups to evaluate two alternate dose modification guidelines for corneal AEs. Part 2 of the study will also evaluate an alternative dose modification guideline for corneal adverse events (AEs).
Overall, approximately 36 participants will be enrolled in the study. Participant follow-up will continue up to 3 years after the last participant is enrolled (follow-up period range: 3-4 years). The estimated accrual period will be 12 months, corresponding to an approximate total study duration of 4 years.
Conditions
- Multiple Myeloma
- Neoplasms
- Neoplasm, Plasma Cell
- Gammopathy, Monoclonal
- Paraproteinemias
- Blood Protein Disorders
- Haematologic Disease
- Corneal Disease
Interventions
- DRUG
-
Belantamab Mafodotin-Blmf
Blmf will be available as 100 mg/vial in single-use vial for reconstitution, supplied as lyophilized powder. Blmf will be delivered as IV solution over at least 30 minutes.
- DRUG
-
Lenalidomide will be administered per os.
- DRUG
-
Dexamethasone will be administered intravenously or per os.
- DRUG
-
Nirogacestat
Nirogacestat will be administrated each day for all subsequent cycles were Blmf is also administrated.
Sponsors & Collaborators
- collaborator INDUSTRY
-
Hellenic Society of Hematology
lead OTHER
Principal Investigators
-
Evangelos Terpos, Prof · Department of Clinical Therapeutics, School of Medicine, National Kapodistrian University of Athens (NKUA)
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-07-14
- Primary Completion
- 2026-10-31
- Completion
- 2026-10-31
Countries
- Greece
Study Locations
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