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NCT Number: NCT05521802

A Study of C-CAR088 in Patients With Relapsed or Refractory Multiple Myeloma

This is a multicenter, open-label study to evaluate the safety and efficacy of C-CAR088 in patients with relapsed or refractory multiple myeloma. The phase Ib part of this study is to determine the recommended phase 2 dose (RP2D) of C-CAR088 in the targeted patient population.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Institute of Hematology and Blood Diseases Hospital

Tianjin, China

Location status: Recruiting

Location contact

Lugui Qiu, M.D., Ph.D.

CONTACT

[email protected]

022-23909083

About this study

The study includes the following sequential procedures: Screening, Apheresis and C-CAR088 manufacturing, Baseline testing, Lymphodepletion, C-CAR088 infusion, and Follow-up Visit. Two dose levels of C-CAR088 will be tested during the phase Ib part to determine RP2D, which will be further evaluated during the phase II part.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • ≥ 18 years of age, male or female patients
  • Relapsed or refractory multiple myeloma
  • Have been treated with ≥ 3 prior lines of therapy, including at least one proteasome inhibitor and one immunomodulatory drug, and had progressed during or within 12 months post the last treatment.
  • Had measurable disease as defined by any of the following criteria:
  • Serum M protein ≥ 0.5g/dL
  • Urine M protein ≥ 200mg/24h
  • Serum free light chain (sFLC): abnormal κ/λ ratio with involved sFLC ≥ 100mg/L
  • Adequate liver, renal, bone marrow, and heart function
  • Eastern cooperative oncology group (ECOG) 0-1

Exclusion criteria

  • Any known allergies to the components or excipients of the C-CAR088 cell product
  • Prior allogeneic hematopoietic stem cell transplantation (HSCT) at anytime, or autologous stem-cell transplantation (ASCT) within 12 weeks prior to apheresis
  • Central nervous system (CNS) involvement
  • Stroke or convulsion history within 6 months prior to signing informed consent form (ICF)
  • Plasma leukemia
  • Autoimmune disease, immunodeficiency or diseases requiring immunosuppressants treatment
  • Uncontrolled active infection; active hepatitis B virus (HBV), hepatitis C virus (HCV) infection; HIV or syphilis infection
  • Severe heart, liver, renal or metabolism disease
  • Inadequate wash-out time for previous anti-tumor treatments prior to apheresis
  • Previous CAR-T cell treatment, genetically modified T-cell therapies or BCMA-directed treatment history
  • History or current evidence of any condition, therapy, or laboratory abnormality that, in the opinion of the investigator, might confound the results of the trial, interfere with the patient's safe participation and compliance in the trial

Treatment and study plan

B-cell maturation antigen (BCMA) directed chimeric antigen receptor (CAR)-T cell

Biological

Autologous 2nd generation BCMA-directed CAR-T cells, single infusion intravenously

Primary outcomes

  1. [phase Ib] Incidence and severity of Adverse Events

    Time frame: 24 months

    Incidence and severity of Adverse Events

  2. [phase II] Overall response rate (ORR) at 3 months after C-CAR088 infusion

    Time frame: 3 months

    the rate of patients with best response of partial response (PR) or better at 3 months after C-CAR088 infusion

Secondary outcomes

  1. Overall response rate (ORR)

    Time frame: 24 months

    The rate of patients with best response of partial response (PR) or better

  2. [phase Ib] Overall response rate (ORR) at 3 months after C-CAR088 infusion

    Time frame: 3 months

    The rate of patients with best response of partial response (PR) or better at 3 months after C-CAR088 infusion

  3. Duration of response (DOR)

    Time frame: 24 months

    The time from the first documented PR or better response to relapse or death, whichever occurs first

  4. Time to response (TTR)

    Time frame: 24 months

    The time from the date of C-CAR088 infusion to the first documented PR or better

  5. Progression-free survival (PFS)

    Time frame: 24 months

    The time from the date of C-CAR088 infusion to the date of first documented disease progression or death

  6. Overall survival (OS)

    Time frame: 24 months

    The time from the date of C-CAR088 infusion to the date of death

  7. Minimal residual disease (MRD) negativity rate

    Time frame: 24 months

    The rate of patients reached MRD negativity

  8. [phase II] Incidence and severity of Adverse Events

    Time frame: 24 months

    Incidence and severity of Adverse Events

  9. Maximal plasma concentration (Cmax)

    Time frame: 24 months

    maximal plasma concentration of C-CAR088 in peripheral blood

  10. Time to reach the maximal plasma concentration (Tmax)

    Time frame: 24 months

    Time to reach the maximal plasma concentration of C-CAR088 in peripheral blood

  11. Area under the curve within 28 days (AUC0-28d)

    Time frame: 28 days

    Area under the curve of C-CAR088 in peripheral blood within 28 days post infusion

  12. Time of last measurable observed concentration (Tlast)

    Time frame: 24 months

    Time of last measurable observed concentration of C-CAR088 in peripheral blood

  13. Anti-drug (C-CAR088) antibody

    Time frame: 24 months

    Presence of serum anti-drug (C-CAR088) antibody

  14. Serum M protein

    Time frame: 24 months

    serum M proteins concentration changes over time

  15. Urine M protein

    Time frame: 24 months

    Urine M proteins concentration changes over time

  16. Serum free light chain (sFLC)

    Time frame: 24 months

    Serum free light chain (sFLC) concentration changes over time

Study contacts

Contact information is provided by the study sponsor or research team.

An Gang, M.D., PH.D.

CONTACT

[email protected]

022-23909171

Lugui Qiu, M.D., PH.D.

CONTACT

[email protected]

022-23909083

Sponsors and collaborators

Lead sponsor

Shanghai AbelZeta Ltd.

Industry

Registry information

Official study title

A Phase Ib/II Study of CBM.BCMA Chimeric Antigen Receptor T Cell Product (C-CAR088) for Treating Patients With Relapsed or Refractory Multiple Myeloma

Important dates

Study start
2022
Primary completion
2024
Study completion
2037
First posted
Aug 30, 2022
Registry last updated
Mar 24, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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