Expanded Access Program for Melphalan Flufenamide (Melflufen) in Triple Class Refractory Multiple Myeloma

Studies

Study First Submitted Date 2020-08-26
Study First Posted Date 2020-09-01
Last Update Posted Date 2021-03-18
Verification Month Year March 2021
Verification Date 2021-03-31
Last Update Posted Date 2021-03-18

Detailed Descriptions

Sequence: 20643330
Description This is a multicenter, expanded access program protocol to provide access to melflufen for patients with RRMM in medical need, who have progressive disease after they received a minimum of at least two prior lines of therapy, are triple-class refractory to at least one PI, at least one IMiD and at least one anti-CD38 mAb or intolerant to a specific therapeutic drug class. Patients with primary refractory MM are eligible to participate as long as they meet the criteria of being triple class refractory. They may meet these criteria for triple class refractory MM if they have received at least one PI, at least one IMiD, and at least one Anti-CD38 mAb in their first line treatment or have had at least 2 prior lines of therapy.

Facilities

Sequence: 199230162 Sequence: 199230163 Sequence: 199230164 Sequence: 199230165 Sequence: 199230166 Sequence: 199230167 Sequence: 199230168 Sequence: 199230169 Sequence: 199230170 Sequence: 199230171 Sequence: 199230172
Name Highlands Oncology Group Name Beacon Cancer Care Name University of Illinois Cancer Center Name Weill Cornell Medicine – Multiple Myeloma Center Name Gabrail Cancer Center Name Oregon Health & Science University Name Prisma Health Cancer Institute Name Texas Oncology Name Community Cancer Trials of Utah Name Virginia Cancer Specialists, PC Name Northwest Medical Specialties
City Springdale City Coeur d’Alene City Chicago City New York City Canton City Portland City Greenville City Dallas City Ogden City Fairfax City Tacoma
State Arkansas State Idaho State Illinois State New York State Ohio State Oregon State South Carolina State Texas State Utah State Virginia State Washington
Zip 72762 Zip 83814 Zip 60612 Zip 10065 Zip 44718 Zip 97239 Zip 29605 Zip 75230 Zip 84405 Zip 22031 Zip 98405
Country United States Country United States Country United States Country United States Country United States Country United States Country United States Country United States Country United States Country United States Country United States

Browse Interventions

Sequence: 95661313 Sequence: 95661315 Sequence: 95661316 Sequence: 95661317 Sequence: 95661318 Sequence: 95661319 Sequence: 95661320 Sequence: 95661321 Sequence: 95661322 Sequence: 95661323 Sequence: 95661324 Sequence: 95661325 Sequence: 95661326 Sequence: 95661327 Sequence: 95661328 Sequence: 95661329 Sequence: 95661330 Sequence: 95661331 Sequence: 95661314
Mesh Term Dexamethasone Mesh Term Anti-Inflammatory Agents Mesh Term Antiemetics Mesh Term Autonomic Agents Mesh Term Peripheral Nervous System Agents Mesh Term Physiological Effects of Drugs Mesh Term Gastrointestinal Agents Mesh Term Glucocorticoids Mesh Term Hormones Mesh Term Hormones, Hormone Substitutes, and Hormone Antagonists Mesh Term Antineoplastic Agents, Hormonal Mesh Term Antineoplastic Agents Mesh Term Antineoplastic Agents, Alkylating Mesh Term Alkylating Agents Mesh Term Molecular Mechanisms of Pharmacological Action Mesh Term Myeloablative Agonists Mesh Term Immunosuppressive Agents Mesh Term Immunologic Factors Mesh Term Melphalan
Downcase Mesh Term dexamethasone Downcase Mesh Term anti-inflammatory agents Downcase Mesh Term antiemetics Downcase Mesh Term autonomic agents Downcase Mesh Term peripheral nervous system agents Downcase Mesh Term physiological effects of drugs Downcase Mesh Term gastrointestinal agents Downcase Mesh Term glucocorticoids Downcase Mesh Term hormones Downcase Mesh Term hormones, hormone substitutes, and hormone antagonists Downcase Mesh Term antineoplastic agents, hormonal Downcase Mesh Term antineoplastic agents Downcase Mesh Term antineoplastic agents, alkylating Downcase Mesh Term alkylating agents Downcase Mesh Term molecular mechanisms of pharmacological action Downcase Mesh Term myeloablative agonists Downcase Mesh Term immunosuppressive agents Downcase Mesh Term immunologic factors Downcase Mesh Term melphalan
Mesh Type mesh-list Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-list

Conditions

Sequence: 51967964
Name Relapsed and/or Refractory Multiple Myeloma
Downcase Name relapsed and/or refractory multiple myeloma

Id Information

Sequence: 40000517
Id Source org_study_id
Id Value OP-110

Countries

Sequence: 42391433
Name United States
Removed False

Interventions

Sequence: 52279706 Sequence: 52279707
Intervention Type Drug Intervention Type Drug
Name Melphalan Flufenamide Name Dexamethasone
Description Melphalan flufenamide (melflufen) is an investigational peptide-drug conjugate (PDC) that targets aminopeptidases and rapidly releases alkylating agents into tumor cells. Description Dexamethasone, a synthetic adrenocortical steroid, is a white to practically white, odorless, crystalline powder. It is stable in air. It is practically insoluble in water.

Browse Conditions

Sequence: 192681959 Sequence: 192681960 Sequence: 192681961 Sequence: 192681962 Sequence: 192681963 Sequence: 192681964 Sequence: 192681965 Sequence: 192681966 Sequence: 192681967 Sequence: 192681968 Sequence: 192681969 Sequence: 192681970 Sequence: 192681971 Sequence: 192681972
Mesh Term Multiple Myeloma Mesh Term Neoplasms, Plasma Cell Mesh Term Neoplasms by Histologic Type Mesh Term Neoplasms Mesh Term Hemostatic Disorders Mesh Term Vascular Diseases Mesh Term Cardiovascular Diseases Mesh Term Paraproteinemias Mesh Term Blood Protein Disorders Mesh Term Hematologic Diseases Mesh Term Hemorrhagic Disorders Mesh Term Lymphoproliferative Disorders Mesh Term Immunoproliferative Disorders Mesh Term Immune System Diseases
Downcase Mesh Term multiple myeloma Downcase Mesh Term neoplasms, plasma cell Downcase Mesh Term neoplasms by histologic type Downcase Mesh Term neoplasms Downcase Mesh Term hemostatic disorders Downcase Mesh Term vascular diseases Downcase Mesh Term cardiovascular diseases Downcase Mesh Term paraproteinemias Downcase Mesh Term blood protein disorders Downcase Mesh Term hematologic diseases Downcase Mesh Term hemorrhagic disorders Downcase Mesh Term lymphoproliferative disorders Downcase Mesh Term immunoproliferative disorders Downcase Mesh Term immune system diseases
Mesh Type mesh-list Mesh Type mesh-list Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor

Sponsors

Sequence: 48128931
Agency Class INDUSTRY
Lead Or Collaborator lead
Name Oncopeptides AB

Eligibilities

Sequence: 30645922
Gender All
Minimum Age 18 Years
Maximum Age N/A
Criteria Inclusion Criteria: A clinically confirmed prior diagnosis of multiple myeloma with documented disease progression. Triple-class refractory multiple myeloma (TCR MM). Triple-class refractory defined as refractory to at least one PI, at least one IMiD, and at least one Anti-CD38 mAb. Patients (with non-primary refractory MM) are required to have a minimum of at least 2 prior lines of therapy. Patients with primary refractory MM are eligible if they meet the criteria for TCR MM. They may meet these criteria for TCR MM if they have received at least one PI, at least one IMiD, and at least one Anti-CD38 mAb in their first line treatment or have had at least 2 prior lines of therapy. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 Adequate organ function with the following laboratory results during screening (within 21 days) and immediately before treatment administration on Cycle1 Day1: Absolute neutrophil count (ANC) ≥ 1,000 cells/mm3 Platelet count ≥ 75,000 cells/mm3 (75 x 109/L) Hemoglobin ≥ 8.0 g /dL (Red blood cell (RBC) transfusions are permitted) Total Bilirubin ≤ 1.5 x upper limit of normal (ULN), except patients diagnosed with Gilbert’s syndrome AST (SGOT) and ALT (SGPT) ≤ 3.0 x ULN Renal function: Estimated glomerular filtration rate (eGFR) by CKD-EPI formula of ≥ 45 mL/min. Has not been enrolled in another melflufen clinical study and is not eligible for or does not have access to enroll in another ongoing clinical study of melflufen; Contraception: Male patients: Agree to use contraception during the treatment period and for at least 3 months after the last dose of treatment and refrain from donating sperm during this period. Female patients: Eligible to participate if not pregnant or not breastfeeding, and at least one of the following conditions applies: Not a woman of childbearing potential (WOCBP) or A WOCBP who agrees to follow the contraceptive guidance during the treatment period and for at least 3 months after the last dose of treatment. Exclusion Criteria: Known platelet transfusion refractory (i.e. platelet count fails to increase by > 10,000 cells/mm3 after a transfusion of an appropriate dose of platelets); Other malignancy diagnosed or requiring treatment within the past 3 years except for adequately treated basal cell carcinoma, squamous cell skin cancer, carcinoma in-situ of the cervix or breast, and very low and low risk prostate cancer patients in active surveillance. Concurrent known or suspected (symptomatic) amyloidosis or plasma cell leukemia. Any of the following treatments, within the specified timeframe: Previous cytotoxic therapies, including cytotoxic investigational agents, for multiple myeloma within 3 weeks (6 weeks for nitrosoureas) prior to initiation of therapy. IMiDs, PIs and or corticosteroids within 2 weeks prior to initiation of therapy. Other investigational therapies within 4 weeks of initiation of therapy. Prednisone up to but no more than 10 mg orally q.d. or its equivalent for symptom management of comorbid conditions is permitted but dose should be stable for at least 7 days prior to initiation of therapy. Prior stem cell transplant (autologous and/or allogeneic) within 6 months of initiation of therapy. Prior allogeneic stem cell transplant with active graft-versus-host- disease (GVHD); Prior major surgical procedure or radiation therapy within 4 weeks of the first dose of treatment (this does not include limited course of radiation used for management of bone pain within 7 days of initiation of therapy); Prior treatment with melflufen Key eligibility criteria listed and is not all inclusive
Adult True
Child False
Older Adult True

Calculated Values

Sequence: 254228554
Number Of Facilities 11
Registered In Calendar Year 2020
Were Results Reported False
Has Us Facility True
Has Single Facility False
Minimum Age Num 18
Minimum Age Unit Years

Intervention Other Names

Sequence: 26565044
Intervention Id 52279706
Name melflufen

Responsible Parties

Sequence: 28759288
Responsible Party Type Sponsor