A Study Of TAK-981 Given With Monoclonal Antibodies (mAbs) In Adults With Relapsed or Refractory Multiple Myeloma (RRMM)

Part of paid clinical trials in Scottsdale, Arizona.

Sponsor
Takeda
Study ID
NCT04776018
Phase
PHASE1/PHASE2
Status
Terminated

Conditions

  • Relapsed and/or Refractory Multiple Myeloma (RRMM)

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • TAK-981 — DRUG
    TAK-981 IV infusion.
  • Mezagitamab — DRUG
    Mezagitamab SC injection.
  • Daratumumab and Hyaluronidase-fihj — DRUG
    Daratumumab and Hyaluronidase-fihj SC injection.

Study Details

TAK-981 is being tested in combination with anti-CD38 monoclonal antibodies (mAbs) to treat participants who have relapsed or refractory multiple myeloma (RRMM). The main aims of the study are to evaluate the safety and efficacy of TAK-981 in combination with anti-CD38 (mAbs) and to determine the recommended Phase 2 dose (RP2D). Participants will be on this combination treatment for 28-day cycles. They will continue with this treatment until disease progression or unacceptable toxicity.

Key Dates

Start date
Apr 20, 2021
Status verified
Sep 2024
Primary completion
Aug 2, 2023
Completion
Nov 9, 2023

Study Design

Enrollment
27 participants (actual)
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT

Arms

  • Experimental: Phase 1b, Part 1 - Dose Escalation: Arm A - TAK-981 Twice Weekly (BIW) + Mezagitamab
    Mezagitamab: A fixed dose of 600 mg subcutaneous (SC) injection once weekly in Cycles 1 and 2 (each cycle is of 28 days), followed by once every 2 weeks in Cycle 3 through 6, then every 4 weeks up to Cycle 24 or until disease progression or unacceptable toxicity, or until any other discontinuation criterion is met, whichever occurs first. TAK-981: Escalating doses of TAK-981 BIW intravenous (IV) infusion on Days 1, 4, 8, 11 and 15 in Cycle 1 and 2 (each Cycle is of 28 days) followed by every 2 weeks in Cycles 3 through 6, followed by once every 4 weeks up to Cycle 24 or until disease progression or unacceptable toxicity, or until any other discontinuation criterion is met, whichever occurs first.
  • Experimental: Phase 1b, Part 1 - Dose Escalation: Arm B - TAK-981 Weekly (QW) + Mezagitamab
    Mezagitamab: A fixed dose of 600 mg SC injection once weekly in Cycles 1 and 2 (each cycle is of 28 days), followed by once every 2 weeks from Cycle 3 through 6, then every 4 weeks up to Cycle 24 or until disease progression or unacceptable toxicity, or until any other discontinuation criterion is met, whichever occurs first. TAK-981: Escalating doses of TAK-981 QW IV infusion on Days 1, 8, 15, and 22 in Cycles 1 and 2 (each cycle is of 28 days), followed by every 2 weeks in Cycles 3 through 6, followed by once every 4 weeks. up to Cycle 24 or until disease progression or unacceptable toxicity, or until any other discontinuation criterion is met, whichever occurs first.
  • Experimental: Phase 1b, Part 2 - Lead-in Cohort: TAK-981 + Daratumumab and Hyaluronidase-fihj
    Daratumumab and hyaluronidase-fihj: 1800 mg SC injection QW once weekly in Cycles 1 and 2 , (each cycle is of 28 days) followed by every 2 weeks in Cycle 3 through 6 , followed by every 4 weeks up to Cycle 24 until disease progression or unacceptable toxicity, or until any other discontinuation criterion is met, whichever occurs first. TAK-981: As per dose and schedule of TAK-981 defined in Phase 1b Part 1.
  • Experimental: Phase 2 - Dose Expansion: TAK-981 + Daratumumab and Hyaluronidase-fihj or Mezagitamab
    TAK-981 at RP2D as determined in Phase 1b. Mezagitamab at a fixed dose of 600 mg SC injection or Daratumumab and Hyaluronidase-fihj at a fixed dose of 1800 mg weekly in Cycles 1 and 2 (each cycle is of 28 days), followed by every 2 weeks in Cycle 3 through 6, followed by every 4 weeks up to Cycle 24 or until disease progression unacceptable toxicity, or until any other discontinuation criterion is met, whichever occurs first.

Primary Outcome Measure

Phase 1b, Part 1: Number of Participants With One or More Treatment Emergent Adverse Events (TEAEs) [ Time Frame: From the first dose of study drug through 30 days after the last dose of study drug (up to 13 months) ]

Locations (12)

FacilityCityStateZIPSite coordinators
Mayo Clinic Arizona - PPDSScottsdaleArizona85259-
Mayo Clinic Jacksonville - PPDSJacksonvilleFlorida32224-
Winship Cancer Institute, Emory UniversityAtlantaGeorgia30322-1013-
Indiana UniversityIndianapolisIndiana46202-
American Oncology Partners of Maryland, PABethesdaMaryland20817-
Mayo Clinic - Cancer Center - Rochester - PPDSRochesterMinnesota55905-
Oncology Hematology West (Omaha) - USOROmahaNebraska68130-
Weill Cornell Medical CenterNew YorkNew York10065-
TriHealth Cancer InstituteCincinnatiOhio45220-
Baylor Sammons Cancer CenterDallasTexas75246-
Northeast Texas Cancer and Research InstituteTylerTexas75702-
Medical College of Wisconsin Cancer CenterMilwaukeeWisconsin53226-

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