| CTRI Number |
CTRI/2024/04/065728 [Registered on: 16/04/2024] Trial Registered Prospectively |
| Last Modified On: |
12/02/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
A study of ISB 2001 in Relapsed/Refractory Multiple Myeloma |
|
Scientific Title of Study
|
A Phase 1, First-in-Human, Multicenter, Open-Label, Dose Escalation and Dose-Expansion Study of Single-Agent ISB 2001 in Subjects with Relapsed/Refractory Multiple Myeloma. |
| Trial Acronym |
NIL |
Secondary IDs if Any
Modification(s)
|
| Secondary ID |
Identifier |
| Protocol No: ISB 2001-101; Version 3.0: Date: 06 Aug 2024 |
Protocol Number |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)
|
| Name |
Dr. Veena Gupta |
| Designation |
General Manager |
| Affiliation |
Glenmark Pharmaceuticals Ltd |
| Address |
Glenmark Pharmaceuticals Ltd Glenmark House, B D Sawant Marg
Chakala, Andheri(East)
Mumbai
Mumbai (Suburban) MAHARASHTRA 400099 India |
| Phone |
919650915109 |
| Fax |
|
| Email |
veena.gupta@iginnovate.com |
|
Details of Contact Person Scientific Query
Modification(s)
|
| Name |
Dr. Veena Gupta |
| Designation |
General Manager |
| Affiliation |
Glenmark Pharmaceuticals Ltd |
| Address |
Glenmark Pharmaceuticals Ltd Glenmark House, B D Sawant Marg
Chakala, Andheri(East)
Mumbai
Mumbai (Suburban) MAHARASHTRA 400099 India |
| Phone |
919650915109 |
| Fax |
|
| Email |
veena.gupta@iginnovate.com |
|
Details of Contact Person Public Query
Modification(s)
|
| Name |
Jatin Kadam |
| Designation |
Deputy General Manager-Clinical Research Operations |
| Affiliation |
Glenmark Pharmaceuticals Ltd |
| Address |
Plot No. A-607, T.T.C. Industrial Area,
MIDC, Mahape, Navi Mumbai
Thane MAHARASHTRA 400709 India |
| Phone |
918879438481 |
| Fax |
|
| Email |
Jatin.kadam@iginnovate.com |
|
|
Source of Monetary or Material Support
|
| Ichnos Sciences SA; Chemin de la Combeta 5
La Chaux-de-Fonds, NE 2300 CH, Switzerland
|
|
|
Primary Sponsor
|
| Name |
Ichnos Sciences SA |
| Address |
Chemin de la Combeta 5, La Chaux-de-Fonds, NE 2300 CH, Switzerland |
| Type of Sponsor |
Pharmaceutical industry-Global |
|
|
Details of Secondary Sponsor
|
| Name |
Address |
| Glenmark Pharmaceuticals Ltd |
B/2, Mahalaxmi Chambers 22, Bhula Bhai Desai Road Mumbai 400026 |
|
|
Countries of Recruitment
|
Australia India United States of America |
Sites of Study
Modification(s)
|
| No of Sites = 10 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Padmaja Lokireddy |
Apollo Cancer Centres |
1st Floor, Auditorium Building, Apollo Health City, Jubilee Hills, Hyderabad, Telangana -500033 Hyderabad TELANGANA |
9553077700
drloki2002@yahoo.com |
| Dr Rakesh Reddy Boya |
Apollo Hospital |
Health City, Arilova, Chinagadhilli, Vishakhapatnam 530040 Visakhapatnam ANDHRA PRADESH |
9013355935
drrakeshreddyboya@gmail.com |
| Dr Velu Nair |
Apollo Hospital |
Plot No 1a, GIDC Estate, Bhat, Gandhinagar, Gujarat-382428 Gandhinagar GUJARAT |
9818256670
nairvelu2000@yahoo.com |
| Dr Balasaheb Wanve |
Asian institute of gastroenterology |
No 136, Plot no 2/3/4/5, Mindspace Road, Gachibowli, Hyderabad, Telangana-500032 Hyderabad TELANGANA |
8452992935
dr.wanvebalasaheb@aighospitals.com |
| Dr Sameer Melinkeri |
Deenanath Mangeshkar Hospital |
Onco Research room, 1st floor annex Building, Deenanath Mangeshkar Hospital, Erandwane, Pune -411004 Pune MAHARASHTRA |
9766249644
docmelinkeri@yahoo.com |
| Dr Nataraj KS |
Healthcare Global Enterprises Limited |
8, HCG Towers, P Kalinga Rao Road, Sampangi Ram Nagar, Bengaluru 560027 Bangalore KARNATAKA |
9482141773
drnataraj.ks@hcgel.com |
| Dr Vijay Patil |
P. D. Hinduja Hospital & Medical Research Centre |
Khar Facility, Marvella Building, 724, 11th Rd, Khar West, Mumbai,400052 Mumbai MAHARASHTRA |
9136129135
vijaypgi@gmail.com |
| Dr Ghanshyam Biswas |
Sparsh Hospital & Critical Care Pvt Ltd |
A/407, Saheed Nagar, Bhubaneswar, Odisha-751007 Khordha ORISSA |
9937500878
drgbiswas@gmail.com |
| Dr Ashay Karpe |
Sunact Cancer Institute Pvt. Ltd |
4th floor, Tieten Medicity Hospital, Kasarvadavali, Ghodbunder Road, Thane 400615 Thane MAHARASHTRA |
9029083054
ashayoncology@gmail.com |
| Dr Bhausaheb P Bagal |
Tata Memorial Centre |
Dr E. Borges road, Parel, Mumbai - 400012Â Mumbai MAHARASHTRA |
02224177210
bagalbp@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 10 |
| Name of Committee |
Approval Status |
| Asian institute of gastroenterology |
Submittted/Under Review |
| Clinical Studies Apollo Hospitals Enterprise Limited |
Approved |
| clinical Studies Apollo Hospitals International Ltd. |
Approved |
| Institutional Ethics Committee - Deenanth Mangeshkar Hospital & Research center |
Approved |
| Institutional Ethics Committee - Tata Memorial Hospital |
Submittted/Under Review |
| Institutional Ethics Committee, P D Hinduja Hospital and Medical Research Centre |
Submittted/Under Review |
| Institutional Ethics Committee-Clinical Studies Apollo Hospital |
Approved |
| Institutional Ethics Committee-HCG Central Ethics Committee |
Approved |
| Sparsh Hospital & Critical Care Pvt Ltd |
Approved |
| Vedant Hospital Institutional Ethic Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: C900||Multiple myeloma, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
ISB 2001 |
Dosage Form: Lyophilized powder for solution for injection
Unit Strength: Each vial delivers 77 mg of ISB 2001
Dosage Frequency:
Cycle 1: Step-up doses on Days 1 and 4 in Cycle 1 followed by dosing on Days 8, 15, 22
Cycle 2 onwards: Weekly, dosing on Days 1, 8, 15, and 22 of each 28-day treatment cycle
Mode of Administration: Subcutaneous injection(s) |
| Comparator Agent |
Not Applicable |
Not Applicable |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Both |
| Details |
1. Participants with pathologically confirmed MM with measurable M-protein: serum and/or 24-hour urine, serum-free light chains or measurable isolated plasmacytoma.
2. Have an Eastern Cooperative Oncology Group (ECOG) performance status score of 2 or less.
3. Must have adequate hematologic, hepatic, renal, and cardiac functions. |
|
| ExclusionCriteria |
| Details |
1. Active malignant central nervous system involvement
2. Uncontrolled infection requiring systemic antibiotic therapy or other serious infection prior to C1D1
3. History of autoimmune disease requiring systemic immunosuppressive therapy
4. Any concurrent or uncontrolled medical, comorbid, psychiatric or social condition that would limit compliance with study procedures, interfere with the study results, substantially increase the risk of AEs, compromise ability to provide written informed consent or, in the opinion of the Investigator, constitute a hazard for participating in this study.
5. Female subjects who are lactating and breastfeeding or have a positive pregnancy test during the screening period or on Day 1 before first dose of ISB 2001. |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Centralized |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
1. Frequency and Severity Of Treatment-Emergent Adverse Events (TEAEs)
2. Number of Dose-Limiting Toxicities (DLT) During the First 28 Days After the First Administration of ISB 2001 (Cycle 1) in Each Cohort (Part 1) |
1. [Time Frame: Up to 18 months]
2. [Time Frame: Up to 28 days] |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Maximum Concentration (Cmax) of ISB 2001 in Serum |
[Time Frame: Up to 28 days] |
| Time to Reach Maximum Concentration (Tmax) of ISB 2001 in Serum |
[Time Frame: Up to 28 days] |
| Area Under the Concentration Time Curve in Dosing Intervals (AUC0-tau) of ISB 2001 in Serum |
[Time Frame: Up to 28 days] |
| Area Under the Concentration Time Curve From Zero to Time t (AUC0-t) of ISB 2001 in Serum |
[Time Frame: Up to 28 days] |
| Percent Incidence of Anti-Drug Antibody (ADA), Neutralizing Antibody (nAb) and Titer of ADA From Baseline Until End-of-Treatment (EOT) |
[Time Frame: Baseline to 18 months] |
| Overall Response Rate (ORR) Based on International Myeloma Working Group (IMWG) |
[Time Frame: 18 months] |
| Complete Response Rate (CRR) Based on International Myeloma Working Group (IMWG) |
[Time Frame: 18 months] |
| Duration of Response (DOR) Based on International Myeloma Working Group (IMWG) |
[Time Frame: 18 months] |
| Time to Progression (TTP) |
[Time Frame: 18 months] |
| Time to Next Treatment (TTNT) |
[Time Frame: 18 months] |
| Time to Response (TTR) |
[Time Frame: 18 months] |
| Progression Free Survival (PFS) |
[Time Frame: 18 months] |
| Overall Survival (OS) |
[Time Frame: 18 months] |
|
|
Target Sample Size
|
Total Sample Size="80" Sample Size from India="30"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 1 |
|
Date of First Enrollment (India)
|
30/04/2024 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
23/08/2023 |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="4" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Open to Recruitment |
| Recruitment Status of Trial (India) |
Open to Recruitment |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
This study is a first-in-human, Phase 1, open-label study that will evaluate safety and anti-myeloma activity of ISB 2001 in participants with relapsed/refractory multiple myeloma (R/R MM). The study will enroll participants with R/R MM that have been treated with immunomodulatory drugs (IMiDs), proteasome inhibitors, and anti-CD38 therapies either in combination or as a single agent and are refractory to, or intolerant of, established therapies known to provide clinical benefit in MM. The study will be conducted in two phases: Part 1: Dose escalation phase Part 2: Dose expansion phase Dose escalation will continue until either the maximum tolerated dose (MTD) is defined, the maximum planned dose is reached, or a recommended phase 2 dose (RP2D) is selected. Dose expansion cohorts will be initiated to further confirm safety and optimal biologically active dose at each putative recommended Phase 2 dose(s). Participants will receive ISB 2001 until disease progression, unacceptable toxicity occurs, any criterion for stopping the study treatment, or participant withdrawal from the study. |