Multiple MyelomaPhase 1/2NCT05521802
A Study of C-CAR088 in Patients With Relapsed or Refractory Multiple Myeloma
A Phase 1/2 study testing B-cell maturation antigen (BCMA) directed chimeric antigen receptor (CAR)-T cell in people with Multiple Myeloma, run by Shanghai AbelZeta Ltd. at 1 site in China.
Trial summary
This is a multicenter, open-label study to evaluate the safety and efficacy of C-CAR088 in patients with relapsed or refractory multiple myeloma. The phase Ib part of this study is to determine the recommended phase 2 dose (RP2D) of C-CAR088 in the targeted patient population. 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?
- B-cell maturation antigen (BCMA) directed chimeric antigen receptor (CAR)-T cell
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 92 participants
- Where
- 1 siteChina
- Study dates
- 11 Nov 2022to Jul 2037
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
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
- ≥ 18 years of age, male or female patients
- Relapsed or refractory multiple myeloma
- Have been treated with ≥ 3 prior lines of therapy, including at least one proteasome inhibitor and one immunomodulatory drug, and had progressed during or within 12 months post the last treatment.
- Had measurable disease as defined by any of the following criteria:
- Serum M protein ≥ 0.5g/dL
- Urine M protein ≥ 200mg/24h
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- Serum free light chain (sFLC): abnormal κ/λ ratio with involved sFLC ≥ 100mg/L
- Adequate liver, renal, bone marrow, and heart function
- Eastern cooperative oncology group (ECOG) 0-1
Who cannot join
- Any known allergies to the components or excipients of the C-CAR088 cell product
- Prior allogeneic hematopoietic stem cell transplantation (HSCT) at anytime, or autologous stem-cell transplantation (ASCT) within 12 weeks prior to apheresis
- Central nervous system (CNS) involvement
- Stroke or convulsion history within 6 months prior to signing informed consent form (ICF)
- Plasma leukemia
- Autoimmune disease, immunodeficiency or diseases requiring immunosuppressants treatment
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- Uncontrolled active infection; active hepatitis B virus (HBV), hepatitis C virus (HCV) infection; HIV or syphilis infection
- Severe heart, liver, renal or metabolism disease
- Inadequate wash-out time for previous anti-tumor treatments prior to apheresis
- Previous CAR-T cell treatment, genetically modified T-cell therapies or BCMA-directed treatment history
- History or current evidence of any condition, therapy, or laboratory abnormality that, in the opinion of the investigator, might confound the results of the trial, interfere with the patient's safe participation and compliance in the trial
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
China1 site, 1 recruiting
- Recruiting
Institute of Hematology and Blood Diseases Hospital
Tianjin
Lugui Qiu, M.D., Ph.D., 022-23909083, Qiulg@ihcams.ac.cn
About this study
Official title: A Phase Ib/II Study of CBM.BCMA Chimeric Antigen Receptor T Cell Product (C-CAR088) for Treating Patients With Relapsed or Refractory Multiple Myeloma
This is a multicenter, open-label study to evaluate the safety and efficacy of C-CAR088 in patients with relapsed or refractory multiple myeloma. The phase Ib part of this study is to determine the recommended phase 2 dose (RP2D) of C-CAR088 in the targeted patient population.
Read the detailed description
The study includes the following sequential procedures: Screening, Apheresis and C-CAR088 manufacturing, Baseline testing, Lymphodepletion, C-CAR088 infusion, and Follow-up Visit. Two dose levels of C-CAR088 will be tested during the phase Ib part to determine RP2D, which will be further evaluated during the phase II part.
- Conditions
- Multiple Myeloma
- Being tested
- B-cell maturation antigen (BCMA) directed chimeric antigen receptor (CAR)-T cell
- Medical subject headings
- Multiple Myeloma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
B-cell maturation antigen (BCMA) directed chimeric antigen receptor (CAR)-T cellBiological
Autologous 2nd generation BCMA-directed CAR-T cells, single infusion intravenously
| Study group | Role | What they receive |
|---|---|---|
| C-CAR088 | Experimental | Autologous C-CAR088 administered by intravenous (IV) infusion Receives: Biological: B-cell maturation antigen (BCMA) directed chimeric antigen receptor (CAR)-T cell |
What is being measured
The primary outcome is the main question the study is designed to answer.
[phase Ib] Incidence and severity of Adverse Events
Incidence and severity of Adverse Events
Measured: 24 months
[phase II] Overall response rate (ORR) at 3 months after C-CAR088 infusion
the rate of patients with best response of partial response (PR) or better at 3 months after C-CAR088 infusion
Measured: 3 months
Secondary outcomes (16)
Overall response rate (ORR)
The rate of patients with best response of partial response (PR) or better
Measured: 24 months
[phase Ib] Overall response rate (ORR) at 3 months after C-CAR088 infusion
The rate of patients with best response of partial response (PR) or better at 3 months after C-CAR088 infusion
Measured: 3 months
Duration of response (DOR)
The time from the first documented PR or better response to relapse or death, whichever occurs first
Measured: 24 months
Time to response (TTR)
The time from the date of C-CAR088 infusion to the first documented PR or better
Measured: 24 months
Progression-free survival (PFS)
The time from the date of C-CAR088 infusion to the date of first documented disease progression or death
Measured: 24 months
Overall survival (OS)
The time from the date of C-CAR088 infusion to the date of death
Measured: 24 months
Minimal residual disease (MRD) negativity rate
The rate of patients reached MRD negativity
Measured: 24 months
[phase II] Incidence and severity of Adverse Events
Incidence and severity of Adverse Events
Measured: 24 months
Maximal plasma concentration (Cmax)
maximal plasma concentration of C-CAR088 in peripheral blood
Measured: 24 months
Time to reach the maximal plasma concentration (Tmax)
Time to reach the maximal plasma concentration of C-CAR088 in peripheral blood
Measured: 24 months
Area under the curve within 28 days (AUC0-28d)
Area under the curve of C-CAR088 in peripheral blood within 28 days post infusion
Measured: 28 days
Time of last measurable observed concentration (Tlast)
Time of last measurable observed concentration of C-CAR088 in peripheral blood
Measured: 24 months
Anti-drug (C-CAR088) antibody
Presence of serum anti-drug (C-CAR088) antibody
Measured: 24 months
Serum M protein
serum M proteins concentration changes over time
Measured: 24 months
Urine M protein
Urine M proteins concentration changes over time
Measured: 24 months
Serum free light chain (sFLC)
Serum free light chain (sFLC) concentration changes over time
Measured: 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Aug 2022
- Study start11 Nov 2022
- Primary completionJul 2024 (estimated)
- Study completionJul 2037 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple MyelomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 92 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Shanghai AbelZeta Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Lugui Qiu, Principal investigator, Institute of Hematology & Blood Diseases Hospital, China
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05521802
- Sponsor's protocol ID
- 0203-029
- Status last verified
- Mar 2023
- First submitted
- 28 Aug 2022
- Last updated
- 24 Mar 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase Ib/II Study of CBM.BCMA Chimeric Antigen Receptor T Cell Product (C-CAR088) for Treating Patients With Relapsed or Refractory Multiple Myeloma
- ClinicalTrials.gov ID
- NCT05521802
- Acronym / sponsor ID
- 0203-029
- Conditions
- Multiple Myeloma
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 92 participants (estimated)
- Lead sponsor
- Shanghai AbelZeta Ltd.Industry (pharma, biotech, devices)
- Study start
- 11 Nov 2022 (actual)
- Primary completion
- Jul 2024 (estimated)
- Study completion
- Jul 2037 (estimated)
- First posted
- 30 Aug 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicenter, open-label study to evaluate the safety and efficacy of C-CAR088 in patients with relapsed or refractory multiple myeloma. The phase Ib part of this study is to determine the recommended phase 2 dose (RP2D) of C-CAR088 in the targeted patient population.
Detailed description
The study includes the following sequential procedures: Screening, Apheresis and C-CAR088 manufacturing, Baseline testing, Lymphodepletion, C-CAR088 infusion, and Follow-up Visit. Two dose levels of C-CAR088 will be tested during the phase Ib part to determine RP2D, which will be further evaluated during the phase II part.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| C-CAR088 | Experimental | Biological: B-cell maturation antigen (BCMA) directed chimeric antigen receptor (CAR)-T cellAutologous C-CAR088 administered by intravenous (IV) infusion |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- ≥ 18 years of age, male or female patients
- Relapsed or refractory multiple myeloma
- Have been treated with ≥ 3 prior lines of therapy, including at least one proteasome inhibitor and one immunomodulatory drug, and had progressed during or within 12 months post the last treatment.
- Had measurable disease as defined by any of the following criteria:
- Adequate liver, renal, bone marrow, and heart function
Key exclusion criteria (11 listed)
- Any known allergies to the components or excipients of the C-CAR088 cell product
- Prior allogeneic hematopoietic stem cell transplantation (HSCT) at anytime, or autologous stem-cell transplantation (ASCT) within 12 weeks prior to apheresis
- Central nervous system (CNS) involvement
- Stroke or convulsion history within 6 months prior to signing informed consent form (ICF)
- Plasma leukemia
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| B-cell maturation antigen (BCMA) directed chimeric antigen receptor (CAR)-T cellAutologous 2nd generation BCMA-directed CAR-T cells, single infusion intravenously | Biological | C-CAR088 |
Primary outcome
[phase Ib] Incidence and severity of Adverse Events
Time frame: 24 months
Incidence and severity of Adverse Events
[phase II] Overall response rate (ORR) at 3 months after C-CAR088 infusion
Time frame: 3 months
the rate of patients with best response of partial response (PR) or better at 3 months after C-CAR088 infusion
16 secondary outcomes
Overall response rate (ORR)
Time frame: 24 months
[phase Ib] Overall response rate (ORR) at 3 months after C-CAR088 infusion
Time frame: 3 months
Duration of response (DOR)
Time frame: 24 months
Time to response (TTR)
Time frame: 24 months
Progression-free survival (PFS)
Time frame: 24 months
Overall survival (OS)
Time frame: 24 months
Minimal residual disease (MRD) negativity rate
Time frame: 24 months
[phase II] Incidence and severity of Adverse Events
Time frame: 24 months
Maximal plasma concentration (Cmax)
Time frame: 24 months
Time to reach the maximal plasma concentration (Tmax)
Time frame: 24 months
Area under the curve within 28 days (AUC0-28d)
Time frame: 28 days
Time of last measurable observed concentration (Tlast)
Time frame: 24 months
Anti-drug (C-CAR088) antibody
Time frame: 24 months
Serum M protein
Time frame: 24 months
Urine M protein
Time frame: 24 months
Serum free light chain (sFLC)
Time frame: 24 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Mar 2023.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Lugui Qiu principal investigator
Institute of Hematology & Blood Diseases Hospital, China
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing B-cell maturation antigen (BCMA) directed chimeric antigen receptor (CAR)-T cell in people with Multiple Myeloma, run by Shanghai AbelZeta Ltd. at 1 site in China.
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 9 inclusion and 11 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: looking for participants now, as of the sponsor's last update on 24 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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 combined 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.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Lugui Qiu, M.D., PH.D. (022-23909083, Qiulg@ihcams.ac.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
[phase Ib] Incidence and severity of Adverse Events (time frame: 24 months). The study lists 2 primary outcomes in all. 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 24 Mar 2023.