Phase 2
Completed N=50
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
| Outcome | Result | p-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.
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.