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Phase 2 Completed N=50 Treatment

A Study to Investigate the Safety, Tolerability, Efficacy, Pharmacokinetics, and Immunogenicity of TAK-079 Administered Subcutaneously as a Single Agent in Participants With Relapsed/Refractory (r/r) Multiple Myeloma (MM)

Relapsed/Refractory · Multiple Myeloma
Source: ClinicalTrials.gov NCT03439280 ↗
Enrolled (actual)
50
Serious AEs
24.0%
Results posted
Feb 2023
Primary outcomePrimary: Phase 1: Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) — 4; 3; 12; 22 Participants

Summary

The purpose of this study is to assess the safety and tolerability, maximum tolerated dose (MTD)/recommended phase 2 dose (RP2D) of TAK-079 monotherapy and when combined with a backbone regimen of pomalidomide and dexamethasone (PomDex) in Phase 1, and to provide a preliminary evaluation of the clinical activity of TAK-079 monotherapy in Phase 2a in participants with r/r MM.

Outcome Measures

OutcomeResultp-value
PRIMARY
Phase 1: Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)
4; 3; 12; 22; 3; 6
PRIMARY
Phase 1: Number of Participants With Dose-limiting Toxicities (DLTs)
0; 0; 0; 0; 0; 1
PRIMARY
Phase 1: Number of Participants With Grade 3 or Higher TEAEs
2; 1; 3; 12; 1; 6
PRIMARY
Phase 1: Number of Participants With Serious TEAEs
0; 0; 1; 8; 1; 2
PRIMARY
Phase 1: Number of Participants With TEAEs Leading to Treatment Discontinuation
0; 0; 0; 2; 0; 3
PRIMARY
Phase 1: Number of Participants With TEAEs Leading to Dose Modifications
1; 1; 1; 11; 1; 6
PRIMARY
Phase 2a: Overall Response Rate (ORR)
SECONDARY
Cmax: Maximum Observed Serum Concentration for TAK-079
47.0; 1660; 5810; 21300; 46000; 5690
SECONDARY
Tmax: Time to Reach the Maximum Observed Serum Concentration (Cmax) for TAK-079
60.18; 70.60; 71.11; 72.55; 73.22; 70.58
SECONDARY
AUClast: Area Under the Serum Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-079
32800; 160000; 547000; 2710000; 5780000; 603000
SECONDARY
Phase 1: Overall Response Rate (ORR)
25; 0; 42; 47; 33; 83
SECONDARY
Percentage of Participants With Minimal Response (MR)
0; 33; 0; 11; 0; 17
SECONDARY
Percentage of Participants With Positive Anti-drug Antibodies (ADA)
0; 0; 8; 0; 0; 17
SECONDARY
Phase 2a: Number of Participants With DLTs
SECONDARY
Phase 2a: Number of Participants Reporting One or More TEAEs
SECONDARY
Phase 2a: Number of Participants With TEAEs Leading to Dose Modifications
SECONDARY
Phase 2a: Number of Participants With TEAEs Leading to Treatment Discontinuation
SECONDARY
Phase 2a: Duration of Response (DOR)
SECONDARY
Phase 2a: Progression Free Survival (PFS)
SECONDARY
Phase 2a: Overall Survival (OS)
SECONDARY
Phase 2a: Time to Response (TTR)
SECONDARY
Phase 1: RP2D of TAK-079
600

Eligibility Criteria

Inclusion Criteria

  • Eastern Cooperative Oncology Group (ECOG) performance status of =0.5 g/dL (>=5 gram per liter [g/L]).
  • Urine M-protein >=200 mg/24 hours.
  • In participants without measurable M-protein in serum protein electrophoresis (SPEP) or urine protein electrophoresis (UPEP), a serum FLC assay result with involved FLC level >=10 mg/dL (>=100 milligram per liter [mg/L]), provided serum FLC ratio is abnormal.
  • Prior therapy should meet all the following criteria:

Participants in the dose Escalation Cohort (escalation phase) and participants in the dose Confirmation Cohort;

  • Should be previously treated with at least a proteasome inhibitor (PI), an immunomodulatory drug (IMiD), and a steroid. Note: Participants who have had a previous autologous stem cell transplant will have additionally been exposed to an alkylating agent; however, participant who have not had a previous autologous stem cell transplant may not have been exposed to an alkylating agent per standard practice.
  • Should be refractory or intolerant to at least 1 PI and at least 1 IMiD.
  • Should either have received >= 3 prior lines of therapy or should have received at least 2 prior lines of therapy if one of those lines included a combination of PI and IMiD.
  • In phase 1, previous exposure to an anti-CD38 agent, as a single agent or in combination, is allowed but is not required. (Participants in the dose Escalation Cohort).
  • In phase 1 dose Confirmation Cohort, cohorts of participants that are refractory at any time to at least 1 anti-CD38 agent or who are anti-CD38 naïve will be enrolled.

Participants in the Combination Cohort (TAK-079 added to PomDex cohort only):

  • Have undergone prior therapy with >=2 prior anti-myeloma therapies (line of therapy defined below).
  • Has either relapsed or relapsed and refractory disease. Should have progressed on or within 60 days of completing the last anti-myeloma therapy (refractory defined below).
  • In the phase 2a portion of the study, up to 2 cohorts of participants with RRMM may be enrolled: 1 that is refractory to at least 1 anti-CD38 monoclonal antibody (mAb) therapy at any time during treatment and 1 that is naïve to daratumumab.

Note:

o Refractory is defined as at least a 25% increase in M-protein (response of stable disease during prior therapy) or PD during treatment or within 60 days after last dose of prior therapy.

Exclusion Criteria

  • Sensory or motor neuropathy of National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Grade >=3.
  • Have received allogeneic stem cell transplant.
  • Have received anti-CD38 antibody therapy and do not fulfill a 180-day washout period before receiving TAK-079.
  • Not recovered from adverse reactions to prior myeloma treatment or procedures (chemotherapy, immunotherapy, radiation therapy) to NCI CTCAE Grade <=1 or baseline, excluding alopecia.
  • Clinical signs of central nervous system (CNS) involvement of MM.
  • Active chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection, active HIV, or cytomegalovirus (CMV) infection.
  • POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy and skin changes) syndrome, monoclonal gammopathy of unknown significance, smoldering myeloma, solitary plasmacytoma, amyloidosis, Waldenström macroglobulinemia, or IgM myeloma.
  • Positive Coombs tests at screening.
  • For participants in the Combination Cohort (TAK-079-PomDex) only: participant has previously received pomalidomide or has hypersensitivity to thalidomide or lenalidomide.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03439280). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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