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Trial Title: Study to Assess Safety and Tolerability of OPN-6602 in Subjects with Relapsed And/or Refractory Multiple Myeloma

NCT ID: NCT06433947

Condition: Relapsed Multiple Myeloma
Refractory Multiple Myeloma

Conditions: Official terms:
Multiple Myeloma
Neoplasms, Plasma Cell
Dexamethasone

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: OPN-6602
Description: orally active, small molecule inhibitor of EP300 and CBP bromodomain; dosed daily
Arm group label: Dose escalation in combo with dexamethasone
Arm group label: Dose escalation monotherapy
Arm group label: Dose expansion

Intervention type: Drug
Intervention name: Dexamethasone
Description: Synthetic glucocorticoid; 40 mg Days 1, 8, 15 of each cycle
Arm group label: Dose escalation in combo with dexamethasone

Summary: Phase 1b, open-label study evaluating the safety, tolerability, pharmacokinetics, preliminary antitumor activity, and pharmacodynamics of OPN-6602 monotherapy and in combination with dexamethasone in subjects with relapsed and/or refractory MM.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Confirmed diagnosis of multiple myeloma (MM) - Relapsed or refractory to 3 or more different prior lines of therapy for MM that included immunomodulatory agents, proteosome inhibitors, and anti-CD38 antibody and not a candidate for or intolerant to established therapy known to provide clinical benefit - Adequate hematologic, renal, liver, cardiac function Exclusion Criteria: - Monoclonal gammopathy of undetermined significance (MGUS), smoldering myeloma, Waldenström's macroglobulinemia, or IgM myeloma - Active plasma cell leukemia - Polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin changes (POEMS syndrome) - Prior Stevens Johnson syndrome - Localized radiation therapy to disease site(s) within 2 weeks of the first dose - Prior autologous peripheral stem cell transplant or prior autologous bone marrow transplantation within <90 days of the first dose of study drug - Prior allogeneic stem cell transplantation or solid organ transplantation within 12 months of screening; subjects receiving immunosuppressive medication for active graft vs host disease will be excluded. - Prior chemotherapy, targeted anticancer or radiation therapy within 2 weeks prior to first dose of study drug - Concomitant high-dose corticosteroids (except subjects on chronic steroids given for disorders other than myeloma) - Known central nervous system involvement by multiple myeloma - Active known second malignancy with exception of adequately treated basal cell carcinoma, squamous cell carcinoma of the skin, or in situ cervical cancer; adequately treated Stage 1 cancer from which the subject is currently in remission and has been in remission for ≥2 years; low-risk prostate cancer with a Gleason score <7 and a PSA level <10 ng/mL; any other cancer from which the subject has been disease-free for ≥3 years - Ongoing systemic infection requiring parenteral treatment - Poorly controlled Type 2 diabetes

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Banner MD Anderson

Address:
City: Gilbert
Zip: 85234
Country: United States

Status: Recruiting

Facility:
Name: Dana Farber Cancer Institute

Address:
City: Boston
Zip: 02215
Country: United States

Status: Not yet recruiting

Facility:
Name: Karmanos Cancer Institute

Address:
City: Detroit
Zip: 48201
Country: United States

Status: Recruiting

Facility:
Name: START Midwest

Address:
City: Grand Rapids
Zip: 49546
Country: United States

Status: Recruiting

Facility:
Name: Fred Hutchinson Cancer Center

Address:
City: Seattle
Zip: 98109
Country: United States

Status: Recruiting

Start date: August 22, 2024

Completion date: July 2026

Lead sponsor:
Agency: Opna Bio LLC
Agency class: Industry

Source: Opna Bio LLC

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06433947

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