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Multiple MyelomaPhase 1NCT05027594

Ph I Study in Adult Patients With Relapsed or Refractory Multiple Myeloma

A Phase 1 study testing NMS-03597812 and NMS-03597812 + dexamethasone in people with Multiple Myeloma, run by Nerviano Medical Sciences at 2 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a Phase I, first-in-human (FIH), open-label, non-randomized, multi-center study to explore the safety, tolerability, pharmacokinetics and preliminary antitumor activity of NMS-03597812 in adult patients with RRMM who have exhausted standard treatment options that are expected to provide meaningful clinical… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Multiple Myeloma
What is being tested?
NMS-03597812 and NMS-03597812 + dexamethasone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
5 participants
Where
2 sitesUnited States
Study dates
9 Sep 2022to 8 Jan 2024
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients must have a confirmed diagnosis of relapsed or relapsed and refractory multiple myeloma (as per IMWG criteria)
  • Patients must have exhausted available therapeutic options that are expected to provide meaningful clinical benefit, either through disease relapse, treatment refractory disease, intolerance or refusal of the therapy.
  • Patients must have received at least three prior lines of therapy as defined by IMWG, including a proteasome inhibitor, an immunomodulatory agent, and an anti-CD38 antibody.
  • Patients must have progressive/refractory disease to the last line of therapy.
  • Patients must have measurable disease, defined as any of the following:serum monoclonal protein ≥ 0.5 g/dL by protein electrophoresis, ≥200 mg of monoclonal protein in urine on 24-h electrophoresis, or serum immunoglobulin free light chain ≥10 mg/dL with abnormal free-light-chain ratio.
  • Adult (age ≥18 years) patients.
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  • Karnofsky performance status ≥60%.
  • All acute toxic effects (excluding alopecia) of any prior therapy must have resolved to NCI CTCAE version 5.0 Grade ≤1 or according to inclusion criterion 9.
  • Adequate hematological profile, renal, hepatic and pancreatic functions
  • All female patients with reproductive potential must have a negative pregnancy test (serum or urine) within the screening period prior to start of the study drug.
  • Patients must use effective contraception or abstinence. Female patients of childbearing potential must agree to use effective contraception or abstinence during the period of therapy and in the following 90 days after discontinuation of study treatment. Male patients must be surgically sterile or must agree to use effective contraception or abstinence during the period of therapy and in the following 90 days after discontinuation of study treatment.
  • Ability to swallow capsules intact (without chewing, crushing, or opening).
  • Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests and other study indications or procedures.
  • Signed and dated IRB/EC-approved Informed Consent

Who cannot join

  • Current enrollment in another interventional clinical study.
  • Diagnosis of primary refractory multiple myeloma defined as disease that is non-responsive in patients who have never achieved a minimal response or better with any therapy
  • Diagnosis of plasma cell leukemia, Waldenstrom's macroglobulinemia or amyloidosis.
  • Diagnosis of non-secretory myeloma.
  • Known central nervous system (CNS) involvement by multiple myeloma.
  • Known history of polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin changes (POEMS) syndrome.
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  • Currently active second malignancy, except for adequately treated basal or squamous cell skin cancer and/or conebiopsied in situ carcinoma of the cervix uteri and/or superficial bladder cancer.
  • Autologous stem cell transplant ≤3 months prior to starting NMS-03597812.
  • Prior allogeneic hematopoietic stem cell transplant (HSCT) with either standard or reduced intensity conditioning ≤6 months prior to starting NMS-03597812.
  • Active acute or chronic graft versus host disease (GVHD) requiring immunosuppressive treatment. Patients who experienced GVHD requiring immunosuppressive treatment, must have stopped immunosuppressive treatment >3 months prior to starting NMS-03597812.
  • Any anticancer agent within 3 weeks (6 weeks for immunotherapy or nitrosoureas).
  • Prior CAR-T cell <3 months prior to starting NMS-03597812.
  • Concomitant oral prednisone(or equivalent)>10 mg/day. Doses of corticosteroid must have been stable for at least 7 days before startingNMS-03597812.
  • Major surgery within 4 weeks before treatment start.
  • Radiotherapy within 3 weeks prior to starting NMS-03597812. However, if the radiation portal covered ≤ 5% of the bone marrow reserve, the patient may be enrolled irrespective of the end date of radiotherapy.
  • Patient with evidence of clinically significant mucosal or internal bleeding.
  • Patient platelet transfusion refractory.
  • History of pancreatitis or current alcohol abuse.
  • Uncontrolled diabetes.
  • Patients with QTc interval ≥ 480 milliseconds or with risk factors for torsade de pointes (e.g., uncontrolled heart failure, uncontrolled hypokalemia, history of prolonged QTc interval or family history of long QT syndrome). For patients receiving treatment with concomitant medications known to prolong the QTc interval, replacement with another treatment should be considered. If replacement or discontinuation is not clinically feasible, a careful risk/benefit evaluation should be performed prior to enrollment.
  • Breast-feeding or planning to breast feed during the study or within 3 months after study treatment.
  • Known hypersensitivity to any of the components of the NMS-03597812 drug product.
  • Known hypersensitivity to steroids or any of the components of the dexamethasone drug product (applies only to the expansion cohort testing NMS-03597812 in combination with dexamethasone).
  • Any of the following in the previous 6 months: myocardial infarction, unstable angina, coronary/peripheral artery bypass graft, NYHA class III or IV congestive heart failure, cerebrovascular accident or transient ischemic attack, or pulmonary embolism.
  • Uncontrolled bacterial, viral, or fungal infections including: known infection with HIV, HBV and/or HCV; patients who are seropositive following HBV vaccine are eligible.
  • Known active gastrointestinal disease (e.g., documented gastrointestinal ulcer, Crohn's disease, ulcerative colitis or short gut syndrome) or other malabsorption syndromes that would impact drug absorption or represent a contra-indication for the treatment with dexamethasone (NMS-03597812 and dexamethasone expansion cohort).
  • Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration or may interfere with the interpretation of study results and, in the judgment of the Investigator, would make the patient inappropriate for entry into this study or could compromise protocol objectives in the opinion of the Investigator and/or the Sponsor.
  • Patient who are receiving concomitant medications that are strong inducers or inhibitors of CYP34A and CYP2C9 that cannot be replaced with alternative therapy.
  • Patients who are receiving concomitant medications that are sensitive substrates of CYP3A4 and CYP2D6 with narrow therapeutic window that cannot be replaced with alternative therapy.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Dana- Farber Cancer Institute

    Boston, Massachusetts, 02215-5450

  • Levine Cancer Institute

    Charlotte, North Carolina, 28204-2839

Other trials in United States

About this study

Official title: A Phase I Dose Escalation Study of NMS-03597812, a PERK Inhibitor, in Adult Patients With Relapsed or Refractory Multiple Myeloma

This is a Phase I, first-in-human (FIH), open-label, non-randomized, multi-center study to explore the safety, tolerability, pharmacokinetics and preliminary antitumor activity of NMS-03597812 in adult patients with RRMM who have exhausted standard treatment options that are expected to provide meaningful clinical benefit or for whom standard therapy is considered unsuitable.

Being tested
NMS-03597812, NMS-03597812 + dexamethasone
Keywords
Phase I, Multiple Myeloma, PERK inhibitor
Medical subject headings
Multiple Myeloma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NMS-03597812Drug

    All patients will receive NMS-03597812 administered orally once daily on Days 1-21 in repeated 4-week cycles.

  • NMS-03597812 + dexamethasoneDrug

    All patients will receive NMS-03597812 administered orally once daily on Days 1-21 and Dexamethasone administered orally once a week on Days 1, 8, 15 and 22 in repeated 4-week cycles.

Study groups in NCT05027594
Study groupRoleWhat they receive
Dose Escalation PartExperimentalPatients with a confirmed diagnosis of relapsed or relapsed and refractory multiple myeloma (as per IMWG criteria) who have exhausted standard treatment options that are expected to provide meaningful clinical benefit or for whom standard therapy is considered unsuitable
Receives: Drug: NMS-03597812
Dose Expansion Part - NMS-03597812 single agentExperimentalPatients with a confirmed diagnosis of relapsed or relapsed and refractory multiple myeloma (as per IMWG criteria) who have exhausted standard treatment options that are expected to provide meaningful clinical benefit or for whom standard therapy is considered unsuitable
Receives: Drug: NMS-03597812
Dose Expansion Part - NMS-03597812 in combination with dexamethasoneExperimentalPatients with a confirmed diagnosis of relapsed or relapsed and refractory multiple myeloma (as per IMWG criteria) who have exhausted standard treatment options that are expected to provide meaningful clinical benefit or for whom standard therapy is considered unsuitable
Receives: Drug: NMS-03597812 + dexamethasone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants with first-cycle dose limiting toxicity

    For DLT evaluation, severity (grade) is classified according to common terminology criteria for adverse events version 5.0 (CTCAE v5.0).

    Measured: Time interval between the date of the first dose administration in Cycle 1 (each cycle is 28 days) and the date of the first dose administration in Cycle 2 which is expected to be 28 days or up to 42 days in case of dose delay due to toxicity

Secondary outcomes (19)
  1. Number of participants with Adverse Events (AEs)

    Safety will be assessed by adverse events (AEs), which include clinically significant abnormalities identified during a medical test (e.g. laboratory tests, electrocardiogram, vital signs, physical examinations). AEs will be coded by Medical Dictionary for Regulatory Activities (MedDRA) and their severity will be graded according to the NCI Common Terminology Criteria for Adverse Events (CTCAE, version 5.0). The analysis will focus on the events reported after the start of treatment (treatment emergent adverse events).

    Measured: From the Informed Consent signature to 28 days after the last dose of study treatment administration

  2. Number of Participants by Best Tumor response

    Number of patients with best tumor response achieved on treatment is determined using International Myeloma Working Group (IMWG) Criteria 2016. The number of patients is provided for each category: Stringent Complete Response (sCR), Complete Response (CR), Very Good Partial Response (VGPR), Partial Response (PR), Minimal Response (MR), Stable Disease (SD), Progressive Disease (PD) and Not Evaluable (NE).

    Measured: From treatment start date until disease progression or relapse (up to approximately 12 months).

  3. Number of Participants with Overall Response

    Best Overall Response is measured for patients achieving Stringent Complete Response (sCR), Complete Response (CR), Very Good Partial Response (VGPR) or Partial Response (PR) as Best Response according to International Myeloma Working Group (IMWG) Criteria 2016

    Measured: From treatment start date until disease progression or relapse (up to approximately 12 months).

  4. Number of Participants with Clinical Benefit

    Clinical Benefit is measured for patients achieving Stringent Complete Response (sCR), Complete Response (CR), Very Good Partial Response (VGPR), Partial Response (PR) or Minimal Response (MR) as Best Response according to International Myeloma Working Group (IMWG) Criteria 2016.

    Measured: From treatment start date until disease progression or relapse (up to approximately 12 months).

  5. Duration of Response

    Duration of Response is calculated in patients achieving overall response by International Myeloma Working Group (IMWG) Criteria 2016, as the time elapsed from the date at which Overall response is first observed to the date of first observed disease progression/relapse or date of death due to progression, whichever comes first

    Measured: From the first responding tumor assessment until Progression Disease/Relapse or Death due to Progression (up to approximately 12 months)

  6. Progression Free Survival (PFS)

    Progression Free Survival (PFS) is calculated as the time elapsed from the date of treatment initiation to the date of first documentation of disease progression/relapse according to International Myeloma Working Group (IMWG) Criteria 2016, or death due to any cause, whichever comes first

    Measured: From date of first dose of study drug up to the date of first documentation of disease progression/relapse or death due to any cause, whichever comes first (up to approximately 12 months).

  7. Maximum concentration (Cmax) of NMS-03597812 after single and multiple doses of drug

    Plasma samples will be collected and used for pharmacokinetics assessments.

    Measured: At Cycle 1 (each cycle is 28 days) on Days 1, 2, 8, 15, 21, 22, 23 and 24 and at Cycle 2 on Days 1, 8, 15, 21 at different timepoints.

  8. Time to maximum plasma concentration (Tmax) of NMS-03597812 after single and multiple doses of drug

    Plasma samples will be collected and used for pharmacokinetics assessments.

    Measured: At Cycle 1 (each cycle is 28 days) on Days 1, 2, 8, 15, 21, 22, 23 and 24 and at Cycle 2 on Days 1, 8, 15, 21, at different timepoints.

  9. Area under the plasma concentration versus time curve up to the last detectable plasma concentration (AUClast) of NMS-03597812 after single and multiple doses of drug

    Plasma samples will be collected and used for pharmacokinetics assessments.

    Measured: At Cycle 1 (each cycle is 28 days) on Days 1, 2, 8, 15, 21, 22, 23 and 24 and at Cycle 2 on Days 1, 8, 15, 21, at different timepoints.

  10. Minimum plasma concentration (Cmin) of NMS-03597812 after single and multiple doses of drug.

    Plasma samples will be collected and used for pharmacokinetics assessments.

    Measured: At Cycle 1 (each cycle is 28 days) on Days 1, 2, 8, 15, 21, 22, 23 and 24 and at Cycle 2 on Days 1, 8, 15, 21, at different timepoints.

  11. Average plasma concentration (Cave) of NMS-03597812 after multiple doses of drug

    Plasma samples will be collected and used for pharmacokinetics assessments

    Measured: At Cycle 1 (each cycle is 28 days) on Days 1, 2, 8, 15, 21, 22, 23 and 24 and at Cycle 2 on Days 1, 8, 15, 21, at different timepoints.

  12. Area under the plasma concentration versus time curve to infinity (AUCinf) of NMS-03597812 after multiple doses of drug

    Plasma samples will be collected and used for pharmacokinetics assessments.

    Measured: At Cycle 1 (each cycle is 28 days) on Days 1, 2, 8, 15, 21, 22, 23 and 24 and Cycle 2 on Days 1, 8, 15, 21 at different timepoints.

  13. Terminal elimination half-life (t1/2) of NMS-03597812 after multiple doses of drug

    Plasma samples will be collected and used for pharmacokinetics assessments

    Measured: At Cycle 1 (each cycle is 28 days) on Days 1, 2, 8, 15, 21, 22, 23 and 24 and Cycle 2 on Days 1, 8, 15, 21, at different timepoints

  14. Oral plasma clearance (CL/F) of NMS-03597812 after multiple doses of drug

    Plasma samples will be collected and used for pharmacokinetics assessments.

    Measured: At Cycle 1 (each cycle is 28 days) on Days 1, 2, 8, 15, 21, 22, 23 and 24 and at Cycle 2 on Days 1, 8, 15, 21, at different timepoints.

  15. Apparent volume of distribution (Vd/F) of NMS-03597812 after multiple doses of drug

    Plasma samples will be collected and used for pharmacokinetics assessments.

    Measured: At Cycle 1 (each cycle is 28 days) on Days 1, 2, 8, 15, 21, 22, 23 and 24 and at Cycle 2 on Days 1, 8, 15, 21, at different timepoints

  16. Accumulation ratio (Rac) of NMS-03597812 after multiple doses of drug

    Plasma samples will be collected and used for pharmacokinetics assessments.

    Measured: At Cycle 1 (each cycle is 28 days) on Days 1, 2, 8, 15, 21, 22, 23 and 24 and at Cycle 2 on Days 1, 8, 15, 21, at different timepoints

  17. Renal clearance of NMS-03597812 after multiple doses of drug.

    Urine samples will be used for PK assessments. Samples will be collected in patients treated in the dose escalation phase, starting from cohort 4 or from the occurrence of the first DLT, whichever comes first, and in all patients treated in the dose expansion.

    Measured: At Cycle 1 (each cycle is 28 days) Day 1 and Day 21

  18. Cumulative amount recovered unchanged in the urine (Ae) of NMS-03597812 after multiple doses of drug

    Urine samples will be used for PK assessments. Samples will be collected in patients treated in the dose escalation phase, starting from cohort 4 or from the occurrence of the first DLT, whichever comes first, and in all patients treated in the dose expansion.

    Measured: At Cycle 1 (each cycle is 28 days) Day 1 and Day 21

  19. Cumulative amount recovered unchanged in the urine expressed as a fraction of administered dose (Ae%) of NMS-03597812 after multiple doses of drug.

    Urine samples will be used for PK assessments. Samples will be collected in patients treated in the dose escalation phase, starting from cohort 4 or from the occurrence of the first DLT, whichever comes first, and in all patients treated in the dose expansion.

    Measured: At Cycle 1 (each cycle is 28 days) Day 1 and Day 21

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Aug 2021
  2. Study start9 Sep 2022
  3. Primary completion8 Aug 2023
  4. Study completion8 Jan 2024

Why it stopped: The decision is not based on emerging safety or efficacy concerns but on strategic reasons related to the changing and competitive treatment options in Multiple Myeloma

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
Phase 1 Dose escalation part followed by a Dose Expansion part.
Masking
None (open label)
Enrolment
5 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05027594
Sponsor's protocol ID
PERKA-812-001
Other IDs
2020-004351-32
Status last verified
Jun 2025
First submitted
25 Aug 2021
Last updated
13 Jun 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing NMS-03597812 and NMS-03597812 + dexamethasone in people with Multiple Myeloma, run by Nerviano Medical Sciences at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 13 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: The decision is not based on emerging safety or efficacy concerns but on strategic reasons related to the changing and competitive treatment options in Multiple Myeloma). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants with first-cycle dose limiting toxicity (time frame: Time interval between the date of the first dose administration in Cycle 1 (each cycle is 28 days) and the date of the first dose administration in Cycle 2 which is expected to be 28 days or up to 42 days in case of dose delay due to toxicity). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jun 2025.

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