A Study of Atezolizumab (Anti-Programmed Death-Ligand 1 [PD-L1] Antibody) Alone or in Combination With an Immunomodulatory Drug and/or Daratumumab in Participants With Multiple Myeloma (MM)
Status: | Recruiting |
---|---|
Conditions: | Blood Cancer, Hematology, Hematology |
Therapuetic Areas: | Hematology, Oncology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 4/4/2019 |
Start Date: | July 22, 2015 |
End Date: | September 26, 2020 |
Contact: | Reference Study ID Number: GO29695 www.roche.com/about_roche/roche_worldwide.htm |
Email: | global-roche-genentech-trials@gene.com |
Phone: | 888-662-6728 (U.S. and Canada) |
A Phase Ib Study of the Safety and Pharmacokinetics of Atezolizumab (Anti-PD-L1 Antibody) Alone or in Combination With an Immunomodulatory Drug and/or Daratumumab in Patients With Multiple Myeloma (Relapsed/Refractory and Post-Autologous Stem Cell Transplantation)
This multicenter, open-label, Phase I study will evaluate the safety, efficacy, and
pharmacokinetics of atezolizumab alone or in combination with daratumumab and/or various
immunomodulatory agents in participants with MM who have relapsed or who have undergone
autologous stem cell transplantation (ASCT). Cycle length will be 21 days in Cohorts A to C
and 28 days in Cohorts D to F.
pharmacokinetics of atezolizumab alone or in combination with daratumumab and/or various
immunomodulatory agents in participants with MM who have relapsed or who have undergone
autologous stem cell transplantation (ASCT). Cycle length will be 21 days in Cohorts A to C
and 28 days in Cohorts D to F.
Inclusion Criteria:
- Previous diagnosis of MM with objective evidence of measurable disease
- Willing and able to undergo bone marrow aspiration and biopsy tissue sample collection
during screening and on study
- Eastern Cooperative Oncology Group (ECOG) performance status score less than or equal
to (=) 2
- Left ventricular ejection fraction (LVEF) greater than or equal to (>/=) 40 percent
(%)
- Total bilirubin =2 times the ULN
- Creatinine =2.0 milligrams per deciliter (mg/dL), with creatinine clearance (CrCl)
using the Cockcroft-Gault formula >/=40 milliliters per minute (mL/min) or 60 mL/min
for those who receive lenalidomide
- Corrected calcium at or below ULN
- Transaminase levels =2.5 times the upper limit of normal (ULN)
- Receipt of >/=1 but not more than 3 prior lines of therapy (Cohorts A, B, C, D1, E)
- Receipt of 2, but not more that 3 prior lines of therapy that must have included a
proteasome inhibitor (PI) and immunomodulatory drug (IMiD) (alone or in combination,
and are refractory to the last line of treatment(Cohort D2)
- Receipt of >/=2 prior lines of therapy and progressed on treatment with an anti-CD38
monoclonal antibody and are refractory to both a PI and IMiD (Cohort D3)
- Receipt of >/=4 lines of prior therapy and are refractory to the last line of
treatment (Cohort F)
- Absolute neutrophil count (ANC) >/=1000 cells per microliter (cells/mcL) (Cohorts A,
B, D, E, F)
- Platelet count >/=50,000 cells/mcL, or >/=30,000 cells/mcL if more than 50% bone
marrow involvement (Cohorts A, B, D, E, F)
- All participants who are prescribed lenalidomide or pomalidomide must be counseled at
a minimum of every 21-28 days about pregnancy precautions and risks of fetal exposure
(Cohorts B, C, E, F)
- Agree to be registered in and comply with all requirements of the Revlimid Risk
Evaluation and Mitigation Strategy (REMS) program (Cohorts B, C, E)
- Agree to be registered in and comply with all requirements of the Pomalyst REMS
program (Cohort F)
- Sufficient recovery from first or second ASCT within 60-120 days of transplant (Cohort
C)
- Off antibiotic/antifungal therapy for >/=14 days (Cohort C)
- Completion of any prior radiotherapy (Cohort C)
- ANC >/=1500 cells/mcL (Cohort C)
Exclusion Criteria:
- Other malignancy within 2 years prior to screening, with some exceptions
- Prior therapy with atezolizumab or other immunotherapies including CD137 agonists,
anti-programmed death (PD)-1, anti-cytotoxic T-lymphocyte associated protein 4
(CTLA-4), and anti-PD-L1 therapeutic antibodies
- Uncontrolled cancer pain
- Treatment with any investigational drug within 30 days or 5 half-lives of the
investigational drug, whichever is longer
- Known hypersensitivity to study drug and/or drug class
- History of autoimmune disease except for controlled, treated thyroidism or Type 1
diabetes
- Prior systemic anti-myeloma therapy within 14 days of Cycle 1 Day 1
- Prior treatment with chimeric antigen receptor (CAR) T cells or other forms of
adoptive cellular therapy, with the exception of autologous stem cell transplantation
- Polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes
(POEMS) syndrome
- Plasma cell leukemia (greater than 2,000 cells/mcL of circulating plasma cells by
standard differential)
- Immunosuppressive therapy within 6 weeks of Cycle 1 Day 1
- Daily corticosteroid requirement within 2 weeks of Cycle 1 Day 1
- Prior allogeneic stem cell transplant or solid organ transplant
- Active hepatitis B, active hepatitis C, or positive for human immunodeficiency virus
(HIV)
- Uncontrolled, clinically significant pulmonary disease (for example, chronic
obstructive pulmonary disease, pulmonary hypertension, idiopathic pulmonary fibrosis)
that in the opinion of the investigator would put the participant at significant risk
for pulmonary complications during the study
- History of pneumonitis
- Uncontrolled intercurrent illness including but not limited to uncontrolled infection,
disseminated intravascular coagulation, or psychiatric illness/social situations that
would limit compliance with study requirements
- Pregnant or breastfeeding females
- Inability to tolerate thromboprophylaxis (Cohorts B, C, E, F)
- Evidence of progressive MM compared to pretransplant evaluation (Cohort C)
- Prior treatment with anti-CD38 therapy including daratumumab (Cohorts D1, D2, E, F)
We found this trial at
44
sites
UC Davis Comprehensive Cancer Center When faced with cancer, you want the best hope for...
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University of Alabama at Birmingham The University of Alabama at Birmingham (UAB) traces its roots...
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Mount Sinai Med Ctr Founded in 1852, The Mount Sinai Hospital is a 1,171-bed, tertiary-care...
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Seattle Cancer Care Alliance Seattle Cancer Care Alliance (SCCA) is a cancer treatment center that...
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Johns Hopkins Hospital Patients are the focus of everything we do at The Johns Hopkins...
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655 West Baltimore Street
Baltimore, Maryland 21201
Baltimore, Maryland 21201
(410) 706-7410
University of Maryland School of Medicine Established in 1807, The School of Medicine is the...
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University of Cincinnati The University of Cincinnati offers students a balance of educational excellence and...
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Cleveland Clinic Foundation The Cleveland Clinic (formally known as The Cleveland Clinic Foundation) is a...
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Ohio State University The Ohio State University’s main Columbus campus is one of America’s largest...
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535 Barnhill Drive
Indianapolis, Indiana 46202
Indianapolis, Indiana 46202
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University of Louisville The University of Louisville is a state supported research university located in...
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Loyola University Medical Center Loyola University Health System is committed to excellence in patient care...
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Yale University Yale's roots can be traced back to the 1640s, when colonial clergymen led...
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Memorial Sloan Kettering Cancer Center Memorial Sloan Kettering Cancer Center — the world's oldest and...
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Columbia University Medical Center Situated on a 20-acre campus in Northern Manhattan and accounting for...
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Oklahoma City, Oklahoma 73104
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Univ of Nebraska Med Ctr A vital enterprise in the nation’s heartland, the University of...
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660 S Euclid Ave
Saint Louis, Missouri 63110
Saint Louis, Missouri 63110
(314) 362-5000
Washington University School of Medicine Washington University Physicians is the clinical practice of the School...
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