APG-2575 Monotherapy or in Combination With Lenalidomide / Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma

• Status: Recruiting
• Trial end date: 2024-05-01
• Target enrollment: 0
• Participant gender: All

Summary

This is a Phase Ib/II, open-label, multi-center study evaluating the safety, tolerability, efficacy, and PK/ Pharmacodynamics of APG2575 monotherapy or in combination with lenalidomide (R) and dexamethasone (d) in patients with relapsed/refractory (R/R) multiple myeloma (MM). The primary objective is to evaluate the safety and tolerability, identify dose-limiting toxicities (DLT), the maximum tolerated dose (MTD) and the recommended dose (RP2D) of APG-2575 monotherapy or in combination with Rd in Chinese R/R MM patients.

• Phase: Phase 1/Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Ascentage Pharma Group Inc.
• Treatments: Dexamethasone; Lenalidomide

Criteria

Inclusion Criteria:

1. ≥ 18 years of age;

2. Life expectancy ≥ 6 months;

3. Eastern Cooperative Oncology Group (ECOG) ≤ 2;

4. Corrected QT interval (QTc) based on Frederica or Bazett formula ≤ ≤450ms (male)，or ≤ 470ms (female);

5. Patients with Relapsed/Refractory MM, previously treated with at least 1 prior line of therapy for MM;

6. Symptomatic MM patients with measurable disease (IMWG 2016);

7. Patients with a history of autologous HSCT must have an adequate bone marrow function and have recovered from any transplant-related toxicity, and meet a minimum of 6 months post-autologous transplant (prior to first dose).

8. Adequate hematologic function without growth factor support

9. Adequate hepatic, renal and coagulation function

10. Male and female subjects of childbearing potential who agree to use highly effective methods of birth control during the period of therapy and for 90 days after the last dose of study drug.

11. Ability to understand and voluntarily sign a written informed consent form before performing any study procedures.

12. Compliance to study procedures.

Exclusion Criteria:

1. monoclonal antibody therapy within 8 weeks prior to first dose; CAR-T therapy within 3 months prior to first dose; or other anti-myeloma therapy within 2 weeks prior to first dose.

2. intolerance to lenalidomide.

3. Plasma cell leukemia, non-secretory multiple myeloma, Fahrenheit macroglobulinemia, amyloidosis, POEMS syndrome.

4. Subjects planning to undergo a stem cell transplant prior to progression of disease on this study, i.e., these subjects should not be enrolled in order to reduce disease burden prior to transplant.

5. Subject has previously received an allogenic stem cell transplant (regardless of timing).

6. Participant to other clinical trials within 28 days of first dose.

7. Unable to swallow tablets or malabsorption syndrome, disease significantly affecting gastrointestinal function.

8. Known central nervous system involvement.

9. Failure to have fully recovered (i.e., ≤ Grade 1 toxicity) from the reversible effects of prior treatment.

10. Not recovered from recent surgical procedures based on investigator's discretion. Major surgical procedure within ≤28 days or minor surgical procedure within ≤14 days prior to initiating study treatment, or anticipation of the need for major surgery during the course of the study treatment and 14 days post last treatment, radiotherapy ≤14 days.

11. Unstable angina, myocardial infarction, or coronary revascularization within 180 days prior to the first dose.

12. Active rheumatoid arthritis, active inflammatory bowel disease, or other chronic inflammatory diseases.

13. Active infection need systemic treatment, including HIV antibody positive, HCV Ab or RNA more than ULN, or HBV-DNA more than ULN.

14. Severe uncontrollable medical condition, including, but not limited to, symptomatic congestive heart failure, severe arrhythmias, unstable angina, or a psychiatric disorder that may affect study adherence;

15. Prior exposure to any BCL-2-directed therapy for MM.

16. Subject has any concurrent or recent malignancy ≤ 5 year prior to registration with the exception of: basal or squamous cell skin cancer and any carcinoma in situ with adequate therapy, or other cancers successfully cured with surgical procedures or drugs ≥ 2 years.

17. Any other condition or circumstance that would, in the opinion of the investigator, make the patient unsuitable for participation in the study.

18. Female patients who are pregnant or breastfeeding.

19. Requires treatment with a strong cytochrome P450 (CYP) 3A4 inhibitor or inducer、strong CYP2C8 inhibitor (except study treatment).