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Trial Title: A Study of OL-101 Injection in Patients with Relapsed or Refractory Multiple Myeloma (RRMM)

NCT ID: NCT06644118

Condition: Multiple Myeloma

Conditions: Official terms:
Multiple Myeloma
Neoplasms, Plasma Cell

Conditions: Keywords:
OL-101
Multiple myeloma
Phase 1
single arm

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Biological
Intervention name: OL-101 infusion
Description: OL-101 infusion will be administered to patients via IV infusion at the assigned dose.
Arm group label: OL-101 infusion

Summary: This clinical trial aims to characterize the safety of OL-101 and establish the recommended dose for future research and to evaluate the efficacy of OL-101 (Dose expansion).

Detailed description: This study will evaluate the safety and efficacy of OL-101, a chimeric antigen receptor T cell (CAR-T) therapy directed against B-Cell Maturation Antigen (BCMA) and G Protein-Coupled Receptor Class C Group 5 Member D (GPRC5D). This study is a single-arm, open-label, early exploratory clinical trial, conducted in two phases: dose escalation and dose expansion in adults with multiple myeloma. The trial begins with the dose-escalation phase that focus on safety and tolerability, with interval assessments for potential dose escalation or de-escalation. Recommended dose will be selected at the completion of the dose escalation stage in the dose expansion stage. The study aims to assess safety, pharmacokinetic/pharmacodynamic profiles, and efficacy.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Documented diagnosis of multiple myeloma according to the 2014 IMWG diagnostic criteria - Relapsed/refractory multiple myeloma as defined by: 1) Received at least 3 prior lines of MM treatment (must include a PI, an IMiD, and an anti-CD38 antibody). 2)Disease progression within 12 months of the most recent anti-MM therapy; or disease progression within the past 6 months and subsequently lack response to the most recent line of therapy. - Measurable disease at screening as defined by any of the following: 1. Serum monoclonal paraprotein (M-protein) level ≥1.0 g/dL or urine M-protein level ≥200 mg/24 hours; or 2. Light chain multiple myeloma without measurable disease in the serum or the urine: Serum immunoglobulin free light chain ≥10 mg/dL and abnormal serum immunoglobulin kappa lambda free light chain ratio. - Positive expression of either BCMA or GPRC5D on bone marrow plasma cells; must be GPRC5D expression positive if previously received BCMA targeted therapy - ECOG 0-1 - Expected life expectancy exceeds 12 weeks - Adequate bone marrow reserve or organ function meeting the following criteria: 1. Hemoglobin ≥ 70 g/L 2. Platelet count ≥ 50 × 10^9/L 3. Absolute lymphocyte count ≥ 0.3×10^9/L 4. Absolute neutrophil count ≥ 1.0 × 10^9/L 5. Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) ≤ 2.5 times the upper limit of normal (ULN) 6. Total bilirubin ≤ 2 times ULN; except in subjects with congenital bilirubinemia (such as Gilbert syndrome, in which case the direct bilirubin ≤1.5 × ULN is required) 7. Creatinine clearance ≥ 60 mL/min (calculated by Cockcroft-Gault equation). 8. corrected serum calcium ≤12.5 mg/dL (≤3.1 mmol/L) or free ionized calcium ≤6.5 mg/dl (≤1.6 mmol/L) 9. SpO2>92% on room air 10. Left ventricular ejection fraction (LVEF) ≥ 50% as assessed by echocardiogram; no clinically meaningful pericardial effusion by ultrasound Exclusion Criteria: - Solitary plasmacytoma - Known active central nervous system (CNS) involvement or exhibits clinical signs of CNS involvement of multiple myeloma. - Received allogeneic stem cell transplant; received autologous stem cell transplant within 12 weeks before screening - Active second primary malignant tumor, exclude the following: cured non- melanoma skin cancer, non-metastatic prostate cancer, cervical carcinoma in situ, ductal or lobular carcinoma in situ of the breast - Any other significant medical disease, abnormality, or condition that, in the investigator judgment, may make the patient unsuitable for participation in the study or put the patient at risk. - Plasma cell leukemia, Waldenström's macroglobulinemia, POEMS syndrome, or primary AL amyloidosis.

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Beijing Gobroad Boren Hospital

Address:
City: Beijing
Zip: 100071
Country: China

Status: Not yet recruiting

Contact:
Last name: Xiequn Chen, MD, PHD

Phone: (+86)13991832567
Email: 20203009@nwu.edu.cn

Contact backup:
Last name: Xiequn Chen, MD, PHD

Facility:
Name: The Affiliated Hospital of Northwest University Xi'an No.3 Hospital

Address:
City: Xi'an
Zip: 710016
Country: China

Status: Not yet recruiting

Contact:
Last name: Yajin Zhang, MD, PHD

Phone: (+86)18601333856
Email: zhangyj3@gobroadhealthcare.com

Contact backup:
Last name: Yajin Zhang, MD, PHD

Facility:
Name: The first affiliated hospital, College of Medicine, Zhejiang University

Address:
City: Hangzhou
Zip: 3100003
Country: China

Status: Recruiting

Contact:
Last name: He Huang, MD, PhD

Phone: (+86)13605714822
Email: hehuangyu@126.com

Start date: October 23, 2024

Completion date: October 2028

Lead sponsor:
Agency: Zhejiang University
Agency class: Other

Collaborator:
Agency: Overland Therapeutics
Agency class: Other

Source: Zhejiang University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06644118

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