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Phase I, Open Label, Clinical Study to Determine the Maximum Tolerated Dose (MTD) of Oral Dovitinib (TKI258) When Given in Combination With Bortezomib and Dexamethasone for the Treatment of Relapsed/Refractory Multiple Myeloma Patients


Phase 1
18 Years
N/A
Not Enrolling
Both
Multiple Myeloma

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Trial Information

Phase I, Open Label, Clinical Study to Determine the Maximum Tolerated Dose (MTD) of Oral Dovitinib (TKI258) When Given in Combination With Bortezomib and Dexamethasone for the Treatment of Relapsed/Refractory Multiple Myeloma Patients


Inclusion Criteria:



- Diagnosis of multiple myeloma

- Karnofsky performance status ≥ 70

- Age ≥ 18 years old

- Evidence of relapsed or refractory disease as documented from the prior treatment
history

- Have received at least 1, but not more than 3, prior treatment regimens for multiple
myeloma including chemotherapy, autologous stem cell transplantation, immunotherapy,
or other investigational agents. Prior allogeneic stem cell transplant and prior
therapy with bortezomib (with no evidence of disease resistance to bortezomib) are
permitted.

- Last dose of chemotherapy no less than 4 weeks prior to receipt of study medication
and have recovered from the side effects of such therapy

- Last dose of biological therapy, or antibody, or other investigational agents, no
less than 4 weeks prior to receipt of study medication

- Subjects must have the following laboratory values:

- Absolute neutrophil count (ANC) ≥ 1.5 x 109/L

- Platelets ≥ 100 x 109/L

- Hemoglobin (Hgb) > 9 g/dL

- Serum total bilirubin: ≤ 1.5 x ULN

- ALT and AST ≤ 3.0 x ULN

- Serum creatinine ≤ 1.5 x ULN

- Willing and able to undergo bone marrow aspirates as per protocol, with/without bone
marrow biopsy according to the study center's practice. - Life expectancy of ≥ 12
weeks

- All subjects (male and female) of child bearing potential must agree to use adequate
contraceptive methods.

- Negative serum pregnancy test (≤ 72 hours prior to the first dosing of dovitinib) in
all women of childbearing potential

- Subjects who give a written informed consent obtained according to local guidelines

Exclusion Criteria:

- Subjects with CNS (central nervous system) disease

- Subjects with another primary malignancy within 3 years prior to starting study drug,
with the exception of adequately treated in-situ carcinoma of the uterine cervix, or
skin cancer

- Subjects who have received the last administration of an anticancer therapy including
chemotherapy, immunotherapy, hormonal therapy and monoclonal antibodies (but
excluding nitrosurea, mitomycin-C, targeted therapy and radiation) ≤ 4 weeks prior to
starting study drug, or who have not recovered from the side effects of such therapy

- Subjects who have had radiotherapy ≤ 4 weeks prior to starting study drug, or ≤ 2
weeks prior to starting study drug in the case of localized radiotherapy (e.g. for
analgesic purpose or for lytic lesions at risk of fracture), or who have not
recovered from radiotherapy toxicities

- Subjects who have undergone major surgery (e.g. intra-thoracic, intra-abdominal or
intra-pelvic), open biopsy or significant traumatic injury ≤ 4 weeks prior to
starting study drug, or subjects who have had minor procedures, percutaneous biopsies
or placement of vascular access device ≤ 1 week prior to starting study drug, or who
have not recovered from side effects of such procedure or injury

- Subjects with any of the following concurrent severe and/or uncontrolled medical
conditions which could compromise participation in the study:

- Impaired cardiac function or clinically significant cardiac diseases, including
any of the following:

1. History or presence of serious uncontrolled ventricular arrhythmias

2. Clinically significant resting bradycardia

3. LVEF assessed by 2-D echocardiogram (ECHO) < 50% or lower limit of normal
(whichever is higher) or multiple gated acquisition scan (MUGA) < 45% or
lower limit of normal (whichever is higher).

4. Any of the following within 6 months prior to starting study drug:
myocardial infarction (MI), severe/unstable angina, Coronary Artery Bypass
Graft (CABG), Congestive Heart Failure (CHF), Cerebrovascular Accident
(CVA), Transient Ischemic Attack (TIA), Pulmonary Embolism (PE)

5. Uncontrolled hypertension defined by a SBP ≥ 160 mm Hg and/or DBP ≥ 100 mm
Hg, with or without anti-hypertensive medication(s),

- Impairment of gastrointestinal (GI) function or GI disease that may
significantly alter the absorption of dovitinib (e.g. ulcerative diseases,
uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small bowel
resection),

- Cirrhosis, chronic active hepatitis or chronic persistent hepatitis,

- Known diagnosis of human immunodeficiency virus (HIV) infection (HIV testing is
not mandatory),

- Subjects who are currently receiving anticoagulation treatment with therapeutic
doses of warfarin,

- Other concurrent severe and/or uncontrolled concomitant medical conditions (e.g.
active or uncontrolled infection, uncontrolled diabetes) that could cause
unacceptable safety risks or compromise compliance with the protocol

- Pregnant or breast-feeding women

- Women of child-bearing potential, who are biologically able to conceive, not willing
to employ two forms of highly effective contraception

- Fertile males not willing to use contraception

- Subject has a known hypersensitivity to bortezomib, or known Grade ≥ 2
bortezomib-related neuropathy

- Subjects unwilling or unable to comply with the protocol

Type of Study:

Interventional

Study Design:

Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Evaluate the safety and dose-limiting toxicity of treatment with dovitinib in combination with bortezomib/ dexamethasone.

Outcome Description:

Determination of the maximum tolerated dose of dovitinib will be based on Treatment Cycle 1 safety data for all subjects for whom all safety assessments during Treatment Cycle 1, as well as the pre-dosing safety assessments performed on Study Day 1 of Treatment Cycle 2, are completed and who do not receive alternate anti-neoplastic therapies during that period.

Outcome Time Frame:

Treatment Cycle 1 (three weeks) for each participant.

Safety Issue:

Yes

Principal Investigator

Jan S. Moreb, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

University of Florida

Authority:

United States: Food and Drug Administration

Study ID:

CTKI258AU012T

NCT ID:

NCT01680796

Start Date:

February 2013

Completion Date:

February 2013

Related Keywords:

  • Multiple Myeloma
  • Multiple Myeloma
  • Relapsed Multiple Myeloma
  • Refractory Multiple Myeloma
  • Multiple Myeloma
  • Neoplasms, Plasma Cell

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