Study of CC-122 to Evaluate the Safety, Tolerability, and Effectiveness for Patients With Advanced Solid Tumors, Non-Hodgkin's Lymphoma, or Multiple Myeloma

Last updated: December 5, 2023
Sponsor: Celgene
Overall Status: Completed

Phase

1

Condition

Gliomas

Multiple Myeloma

Bone Neoplasm

Treatment

CC-122

Clinical Study ID

NCT01421524
CC-122-ST-001
U1111-1203-5132
  • Ages > 18
  • All Genders

Study Summary

The main purpose of this first in human study with CC-122 is to assess the safety and action of a new class of experimental drug (Pleiotropic Pathway Modulator) in patients with advanced tumors unresponsive to standard therapies and to determine the appropriate dosing level and regimen for later-stage clinical trials.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Understand and voluntarily sign an informed consent document prior to any studyrelated assessments/procedures are conducted.
  2. Men and women, 18 years or older, with histologically or cytologically-confirmed,advanced solid tumors, Non-Hodgkin Lymphona (NHL), Multiple Myloma (MM), or advancedunresectable solid tumors limited to the tumor types below.
  3. Subjects who have progressed on (or not been able to tolerate) standardanticancer therapy or for whom no standard anticancer therapy exists. Must havedisease that is objectively measurable
  4. Measurable disease criteria:
  • Subjects with Glioblastoma multiforme (GBM) do not have to have objectivelymeasurable disease at entry.
  • For MM, Diffuse large B-cell lymphoma (DLBCL): Subjects must have diseasethat is objectively measurable, measurable levels of myeloma paraprotein inserum (> 0.5 g/dL) or urine (> 0.2 g excreted in a 24-hour collectionsample) for MM and measurable disease by Internatonal Working Group (IWG)for NHL (with at least one measurable lesion's longest diameter ≥ 2cm).
  • For Primary Central Nervous System (CNS) Lymphoma (PCNSL): Subjects musthave disease that is objectively measurable by International Workshop toStandardize Baseline Evaluation and Response Criteria in Primary CNSLymphoma, Cerebrospinal Fluid (CSF) cytology (in case of leptomeningeal onlydisease), or vitreal aspiration cytology and/or retinal photographs (in caseof ocular lymphoma).
  1. Tumor specific inclusion criteria:
  • DLBCL-2 cohort:
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 1.
  • Histologically proven diffuse large B-cell non-Hodgkin's lymphoma
  • Must have progressed following or have been unable to tolerate at least oneprior anthracycline or alkylating agent containing regimen (with or withoutanti-CD20).
  • Platelets ≥ 60 x 109/L.
  • For PCNSL cohort:
  • ECOG Performance Status of ≤ 2
  • Recurrent/refractory CNS non-Hodgkin's lymphoma involving CNS (Brain,Cerebrospinal fluid (CSF) or intraocular compartments)
  • Stable dose of glucocorticoids pre-therapy. If patients are receivingglucocorticoids, the dose should not increase during the 96 hours prior toinitiation of therapy.
  • ECOG Performance Status of ≤ 2.
  • For glioblastoma multiforme (GBM-2) cohort:
  • ECOG Performance Status of ≤ 2
  • Primary GBM or gliosarcoma
  • ECOG Performance Status of ≤ 2.
  • Has received prior treatment including radiation and chemotherapy, withradiation completed > 12 weeks prior to Day 1 (or ≥ 4 weeks if therecurrence is outside of the prior radiation field).
  • Progression of disease after last therapy demonstrated by RANO criteria
  • No prior therapy with Avastin
  • No prior or scheduled Gliadel® wafer implant unless area of assessment andplanned resection is outside the region previously implanted.
  • No prior interstitial brachytherapy or stereotactic radiosurgery unless areaof assessment and planned resection is outside the region previouslytreated.
  • No enzyme-inducing anti-epileptic drugs (EIAED) such as carbamazepine,phenytoin, phenobarbital, or primidone within 14 days before Day 1.
  • Able to undergo repeated magnetic resonance imaging (magnetic resonanceimaging (MRI), computed tomography (CT) scans).
  • Availability of adequate Formalin-fixed, paraffin embedded (FFPE) archivaltumor material.
  • Platelets (plt) ≥ 100 x 109/L.
  • For Multiple Myeloma cohort
  • ECOG Performance Status of ≤ 1.
  • Have a documented diagnosis of multiple myeloma and have relapsed andrefractory disease.
  • Measurable levels of myeloma paraprotein (M-protein) in serum (> 0.5 g/dL) orurine (> 0.2 g excreted in a 24-hour collection sample).
  • Patients must have received at least 2 prior therapies.
  • Patients must have relapsed after having achieved at least stable diseasefor at least one cycle of treatment to at least one prior regimen and thendeveloped PD.
  • Patients must also have documented evidence of PD during or within 60 days (measured from the end of the last cycle) of completing treatment with thelast anti-myeloma drug regimen used just prior to study entry (refractorydisease).
  • Patients must have also undergone prior treatment with at least 2 cycles oflenalidomide and at least 2 cycles of a proteosome inhibitor (either inseparate regimens or within the same regimen).
  • Must be Pomalidomide naïve.
  • Last dose of therapeutic glucocorticosteroids given greater than 14 days prior tostart of study treatment.
  • Platelets (plt) ≥ 75 x 109/L in subjects in whom < 50% of bone marrow mononuclearcells are plasma cells or ≥ 30 x 109/L in subjects in whom ≥ 50% of bone marrowmononuclear cells are plasma cells.
  1. At least 4 weeks from last dose of therapeutic glucocorticosteroids. Adrenalreplacement doses of glucocorticosteroids (up to the equivalent of 10 mg dailyprednisone) are allowed.
  2. Biopsies (DLBLC, MM): Diagnostic archival FFPE (either in tumor blocks orsectioned/mounted specimens) may be submitted in lieu of a pre-study research biopsyif it has been obtained no more than 1 year prior to enrollment and only afterdiscussion with the Celgene Medical Monitor
  3. If not specified above as tumor specific parameter subjects must have the followinglaboratory and hematologic parameters as follows:
  4. Absolute Neutrophil Count (ANC) ≥ 1.5 x 109/L without growth factor support for 7days (14 days if received pegfilgrastim).
  5. Hemoglobin (Hgb) ≥ 9 g/dL.
  6. Platelets (Plt) ≥100 x 109/L.
  7. Potassium within normal limits or correctable with supplements.
  8. AST/SGOT and ALT/SGPT ≤ 3 x upper limit of normal (ULN) or ≤ 5.0 x ULN if livertumor is present.
  9. Serum creatinine ≤ ULN (with value applied to Cockcroft-Gault equation) or 24hour clearance ≥ 50mL/min.
  10. Negative serum pregnancy test in females of childbearing potential

Exclusion

Exclusion Criteria:

  1. History of other carcinomas within the last 5 years except cured non-melanoma skincancer, curatively treated in-situ cervical cancer, or localized prostate cancer witha current Prostate-specific antigen (PSA) of <1.0 mg/dL on 2 evaluations at least 3months apart; the most recent evaluation must be no more than 4 weeks prior to Day 1of the study drug, or other malignancies that were completely resected or treatedStage 1/2 lesions currently in complete remission.
  2. Symptomatic central nervous system metastases (excluding Glioblastoma multiforrme (GBM) and Primary Central Nervous System Lymphoma (PCNSL). Subjects with brainmetastases that have been previously treated and are stable for 6 weeks are allowed.
  3. Known symptomatic acute or chronic pancreatitis.
  4. Any peripheral neuropathy ≥ National Cancer Institute Common Terminology Criteria forAdverse Events (NCI CTCAE) grade 2.
  5. Persistent diarrhea or malabsorption ≥ NCI CTCAE grade 2, despite medical management.
  6. Impaired cardiac function or clinically significant cardiac diseases, including any ofthe following:
  7. left ventricular ejection fraction (LVEF) < 45% as determined by multigatedacquisition (MUGA) scan or echocardiography (ECHO).
  8. Complete left bundle branch, or bifasicular block.
  9. Congenital long QT syndrome.
  10. Persistent or uncontrolled ventricular arrhythmias or atrial fibrillation.
  11. QTcF > 460 msec on screening Electrocardiography (ECG) (mean of triplicaterecordings).
  12. Unstable angina pectoris or myocardial infarction ≤ 3 months prior to startingCC-122.
  13. Troponin-T value > 0.4 ng/ml or BNP >300 pg/mL. ° Subjects with baseline troponin-T >Upper Limit of Normal (ULN) or B-typeNatriuretic Peptide (BNP) >100 pg/mL are eligible but must have cardiologistevaluation prior to enrollment in the trial for baseline assessment andoptimization of cardioprotective therapy.
  14. Other clinically significant heart disease such as congestive heart failurerequiring treatment or uncontrolled hypertension (blood pressure ≥ 160/95 mmHg).
  15. Other concurrent severe and/or uncontrolled concomitant medical conditions (eg, activeor uncontrolled infection or renal disease) that could cause unacceptable safety risksor compromise compliance with the protocol.
  16. Prior systemic cancer-directed treatments or investigational modalities ≤ 5 half livesor 4 weeks, whichever is shorter, prior to starting study drug or who have notrecovered from side effects of such therapy.
  17. Major surgery ≤ 2 weeks prior to starting study drug or still recovering from postoperative side effects.
  18. Women who are pregnant or breast feeding. Adults of reproductive potential notemploying two forms of birth control as per Pregnancy Prevention Risk Management Plan.
  19. Known Human immunodeficiency virus (HIV) infection.
  20. Known chronic hepatitis B or C virus (HBV/HCV) infection, unless comorbidity insubjects with Hepatocellular carcinoma (HCC).
  21. Status post solid organ transplant.
  22. Less than 100 days for subjects receiving autologous hematologic stem cell transplant (HSCT); or 6 months for subjects receiving allogenic HSCT or either transplant type,if otherwise not fully recovered from HSCT related toxicity.
  23. For MM-2 cohort only: Hypersensitivity (eg, Rash Grade 3 or 4) to thalidomide,lenalidomide, or dexamethasone (MM-2b).
  24. Any significant medical condition, laboratory abnormality, or psychiatric illness thatwould prevent the subject from participating in the study.
  25. Any condition including the presence of laboratory abnormalities, which places thesubject at unacceptable risk if he/she were to participate in the study.
  26. Any condition that confounds the ability to interpret data from the study.

Study Design

Total Participants: 271
Treatment Group(s): 1
Primary Treatment: CC-122
Phase: 1
Study Start date:
September 12, 2011
Estimated Completion Date:
November 21, 2023

Study Description

This trial is enrolling additional Multiple Myeloma (MM) subjects in a separate cohort defined as MM-2 to evaluate tolerability, safety and preliminary efficacy of CC-122 formulated capsule alone or in combination with DEX on intermittent dosing schedule (5 of 7 days of the week) in Pomalidomide-naïve subjects. Preliminary efficacy data in Multiple Myeloma subjects, warrants further exploration of CC-122 in MM on intermittent schedules to assess if dose intensity and tolerability can be improved. Initially, patients will be treated with oral CC-122 for one month. During this time, various tests (involving blood and urine collections, ECGs, etc) will be performed. Those whose tumors stabilize or regress may continue receiving treatment for as long as they benefit from CC-122. Different dose levels of CC-122 will be tested in a dose-rising study design.

Connect with a study center

  • Local Institution - 401

    Bruxelles, 1200
    Belgium

    Site Not Available

  • Local Institution - 400

    Leuven, 3000
    Belgium

    Site Not Available

  • CHU Clemenceau

    Clichy, Paris 92110
    France

    Site Not Available

  • Institut Gustave Roussy

    Villejuif, Paris 94805
    France

    Site Not Available

  • Local Institution - 202

    Caen Cedex, 14033
    France

    Site Not Available

  • IPC

    Marseille, 13009
    France

    Site Not Available

  • Local Institution - 201

    Marseille le Cedex, 13273
    France

    Site Not Available

  • Local Institution - 205

    Pierre Bénite, 69495
    France

    Site Not Available

  • Local Institution - 203

    Toulouse CEDEX 9, 31059
    France

    Site Not Available

  • Institut Universitaire du Cancer IUCT - Oncopole

    Toulouse Cedex, 31059
    France

    Site Not Available

  • Insitut Universitaire du Cancer IUCT - Oncopole

    Toulouse Cedrex, 31059
    France

    Site Not Available

  • Local Institution - 200

    Villejuif Cedex, 94805
    France

    Site Not Available

  • Istituto Nazionale Per Lo Studio E La Cura Dei Tumori Fo

    Napoli, Campania 80131
    Italy

    Site Not Available

  • Local Institution - 303

    Bologna, 40138
    Italy

    Site Not Available

  • Local Institution - 305

    Bologna, 40139
    Italy

    Site Not Available

  • Local Institution - 300

    Milan, 0
    Italy

    Site Not Available

  • Local Institution - 302

    Napoli, Campania, 80131
    Italy

    Site Not Available

  • Local Institution - 304

    Roma, 00144
    Italy

    Site Not Available

  • Instituto clinic Humanitas

    Rozzano, 20089
    Italy

    Site Not Available

  • Local Institution - 301

    Rozzano (MI), 20089
    Italy

    Site Not Available

  • Local Institution - 103

    Badalona (Barcelona), 8916
    Spain

    Site Not Available

  • Local Institution - 101

    Barcelona, 08035
    Spain

    Site Not Available

  • Local Institution - 105

    Barcelona, 08003
    Spain

    Site Not Available

  • Local Institution - 102

    Madrid, 28041
    Spain

    Site Not Available

  • Local Institution - 104

    Madrid, 28040
    Spain

    Site Not Available

  • Local Institution - 106

    Pamplona, 31008
    Spain

    Site Not Available

  • Local Institution - 108

    Salamanca, 37007
    Spain

    Site Not Available

  • Local Institution - 107

    Sevilla, 41013
    Spain

    Site Not Available

  • Local Institution - 100

    Valencia, 46010
    Spain

    Site Not Available

  • University of Arizona Cancer Center

    Tucson, Arizona 85724
    United States

    Site Not Available

  • City of Hope Cancer Center

    Duarte, California 91010-300
    United States

    Site Not Available

  • UCLA Neuro-Oncology Program

    Los Angeles, California 90095
    United States

    Site Not Available

  • UCSF Helen Diller Medical Center at Parnassus Heights

    San Francisco, California 94143-1270
    United States

    Site Not Available

  • University Of Michigan Comprehensive Cancer Center

    Ann Arbor, Michigan 48109
    United States

    Site Not Available

  • Henry Ford Medical Center - New Center One

    Detroit, Michigan 48202-268
    United States

    Site Not Available

  • Comprehensive Cancer Centers Of Nevada

    Las Vegas, Nevada 89169
    United States

    Site Not Available

  • Rutgers Cancer Institute of New Jersey University

    New Brunswick, New Jersey 08901
    United States

    Site Not Available

  • Local Institution - 020

    New York, New York 10065
    United States

    Site Not Available

  • Mount Sinai Hospital

    New York, New York 10029
    United States

    Site Not Available

  • Levine Cancer Institute

    Charlotte, North Carolina 28204
    United States

    Site Not Available

  • MUSC Rheumatology and Immunology Dept.

    Charleston, South Carolina 29425
    United States

    Site Not Available

  • Greenville Hospital System

    Greenville, South Carolina 29605
    United States

    Site Not Available

  • Sarah Cannon Research Institute Drug Development Unit

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • Texas Oncology, PA - Dallas 75246

    Dallas, Texas 75246
    United States

    Site Not Available

  • South Texas Accelerated Research Therapeutics (START)

    San Antonio, Texas 78229
    United States

    Site Not Available

  • Swedish Medical Center Cancer Institute Research

    Seattle, Washington 98104
    United States

    Site Not Available

  • Yakima Valley Memorial Hospital/ North Star Lodge

    Yakima, Washington 98902
    United States

    Site Not Available

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