A Study of OL-101 Injection in Patients with Relapsed or Refractory Multiple Myeloma (RRMM)

Last updated: November 6, 2024
Sponsor: Zhejiang University
Overall Status: Active - Recruiting

Phase

1

Condition

Multiple Myeloma

Cancer/tumors

Bone Neoplasm

Treatment

OL-101 infusion

Clinical Study ID

NCT06644118
OL-101-001
  • Ages 18-75
  • All Genders

Study Summary

This clinical trial aims to characterize the safety of OL-101 and establish the recommended dose for future research and to evaluate the efficacy of OL-101 (Dose expansion).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Documented diagnosis of multiple myeloma according to the 2014 IMWG diagnosticcriteria

  • Relapsed/refractory multiple myeloma as defined by:

  1. Received at least 3 prior lines of MM treatment (must include a PI, an IMiD,and an anti-CD38 antibody).

2)Disease progression within 12 months of the most recent anti-MM therapy; ordisease progression within the past 6 months and subsequently lack response to themost recent line of therapy.

  • Measurable disease at screening as defined by any of the following:
  1. Serum monoclonal paraprotein (M-protein) level ≥1.0 g/dL or urine M-proteinlevel ≥200 mg/24 hours; or

  2. Light chain multiple myeloma without measurable disease in the serum or theurine: Serum immunoglobulin free light chain ≥10 mg/dL and abnormal serumimmunoglobulin kappa lambda free light chain ratio.

  • Positive expression of either BCMA or GPRC5D on bone marrow plasma cells; must beGPRC5D expression positive if previously received BCMA targeted therapy

  • ECOG 0-1

  • Expected life expectancy exceeds 12 weeks

  • Adequate bone marrow reserve or organ function meeting the following criteria:

  1. Hemoglobin ≥ 70 g/L

  2. Platelet count ≥ 50 × 10^9/L

  3. Absolute lymphocyte count ≥ 0.3×10^9/L

  4. Absolute neutrophil count ≥ 1.0 × 10^9/L

  5. Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) ≤ 2.5 timesthe upper limit of normal (ULN)

  6. Total bilirubin ≤ 2 times ULN; except in subjects with congenital bilirubinemia (such as Gilbert syndrome, in which case the direct bilirubin ≤1.5 × ULN isrequired)

  7. Creatinine clearance ≥ 60 mL/min (calculated by Cockcroft-Gault equation).

  8. corrected serum calcium ≤12.5 mg/dL (≤3.1 mmol/L) or free ionized calcium ≤6.5mg/dl (≤1.6 mmol/L)

  9. SpO2>92% on room air

  10. Left ventricular ejection fraction (LVEF) ≥ 50% as assessed by echocardiogram;no clinically meaningful pericardial effusion by ultrasound

Exclusion

Exclusion Criteria:

  • Solitary plasmacytoma

  • Known active central nervous system (CNS) involvement or exhibits clinical signs ofCNS involvement of multiple myeloma.

  • Received allogeneic stem cell transplant; received autologous stem cell transplantwithin 12 weeks before screening

  • Active second primary malignant tumor, exclude the following: cured non- melanomaskin cancer, non-metastatic prostate cancer, cervical carcinoma in situ, ductal orlobular carcinoma in situ of the breast

  • Any other significant medical disease, abnormality, or condition that, in theinvestigator judgment, may make the patient unsuitable for participation in thestudy or put the patient at risk.

  • Plasma cell leukemia, Waldenström's macroglobulinemia, POEMS syndrome, or primary ALamyloidosis.

Study Design

Total Participants: 58
Treatment Group(s): 1
Primary Treatment: OL-101 infusion
Phase: 1
Study Start date:
October 23, 2024
Estimated Completion Date:
October 31, 2028

Study Description

This study will evaluate the safety and efficacy of OL-101, a chimeric antigen receptor T cell (CAR-T) therapy directed against B-Cell Maturation Antigen (BCMA) and G Protein-Coupled Receptor Class C Group 5 Member D (GPRC5D). This study is a single-arm, open-label, early exploratory clinical trial, conducted in two phases: dose escalation and dose expansion in adults with multiple myeloma. The trial begins with the dose-escalation phase that focus on safety and tolerability, with interval assessments for potential dose escalation or de-escalation. Recommended dose will be selected at the completion of the dose escalation stage in the dose expansion stage. The study aims to assess safety, pharmacokinetic/pharmacodynamic profiles, and efficacy.

Connect with a study center

  • Beijing Gobroad Boren Hospital

    Beijing, Beijing 100071
    China

    Site Not Available

  • The Affiliated Hospital of Northwest University Xi'an No.3 Hospital

    Xi'an, Shanxi 710016
    China

    Site Not Available

  • The first affiliated hospital, College of Medicine, Zhejiang University

    Hangzhou, Zhejiang 3100003
    China

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.