Inobrodib, Pomalidomide and Dexamethasone in Relapsed or Refractory Multiple Myeloma
This UK study is looking at a new treatment combination for multiple myeloma, a type of blood cancer. It's for people whose myeloma has returned or isn't responding to their current treatments. The combination includes a new drug called inobrodib, along with two existing medicines, pomalidomide and dexamethasone. The main goal is to find out how effective this combination is at fighting the cancer cells and to better understand any side effects. There won't be a comparison group, meaning everyone in the study will receive this new combination, and they will know what treatment they are getting. This research is important for finding new ways to help people living with multiple myeloma when standard therapies are no longer working.
At a glance
What is this study about?
This study is a clinical trial, which means it's a careful medical research study involving people. The main purpose of this particular study is to explore a new way to treat multiple myeloma, a cancer that affects plasma cells in your blood and bone marrow. Specifically, it's for people whose multiple myeloma has returned after previous treatments (called 'relapsed') or is no longer responding to existing treatments (called 'refractory').
The study is testing a combination of three medicines: inobrodib (which is a new medicine), pomalidomide, and dexamethasone. Pomalidomide and dexamethasone are already used to treat multiple myeloma. Researchers want to see if adding inobrodib to these two medicines can be a better way to fight the cancer. They are particularly interested in how well this combination shrinks or controls the cancer and what side effects people might experience.
This is a 'Phase 2' study, which means the medicines have already passed initial safety tests, and now the focus is more on how well they work and to gather more information about side effects. About 100 people will take part. Participants will know which treatment they are receiving, and there won't be a group receiving a different treatment for comparison. The medicines will be given until the cancer gets worse, new treatment is needed, side effects become too strong, or if you or your doctor decide it’s best to stop.
Key takeaways
- This study tests a new combination for multiple myeloma that has returned or stopped responding to past treatments.
- The new combination includes inobrodib, pomalidomide, and dexamethasone.
- It's a Phase 2 study focused on how well the treatment works and what side effects it causes.
- You would take tablets as an oral medication on specific schedules within 28-day cycles.
- Regular hospital visits, blood tests, and scans will monitor your health and treatment's effects.
- You can stop participating at any time without affecting your standard care.
Who may be eligible?
To join this study, you need to be at least 18 years old and have a diagnosis of multiple myeloma that has come back or is no longer responding to your last treatment. You also need to be generally well enough to take part in a study, which doctors can check with simple daily activities and blood tests.
There are also some specific requirements for previous treatments. You must have tried at least one 'proteosome inhibitor' medicine, one 'anti-CD38 monoclonal antibody' medicine, and pomalidomide, and your cancer must have stopped responding to them. You also need to have been treated with a specific type of immunotherapy called a 'bispecific T-cell engager' before considering this study.
However, you cannot join if you are pregnant or breastfeeding, or if you've recently had major surgery or received certain other experimental treatments. If you have severe allergies to the study medicines, other active cancers, or other serious health problems that might make taking part risky or unreliable, you also won't be able to join. Your doctor will carefully review all your medical information to see if this study is right for you.
- Are you 18 years old or older?
- Has your multiple myeloma come back or stopped responding to your last treatment?
- Have you previously tried specific treatments like a 'proteosome inhibitor', an 'anti-CD38 antibody', pomalidomide, and a 'bispecific T-cell engager'?
- Are you generally well and able to manage daily activities?
- Are you not pregnant or breastfeeding?
- Do you have any serious allergies to the study medications?
This is a guide only — the research team will confirm whether you can take part.
What does participation involve?
If you join this study, you'll be taking three medicines: inobrodib, pomalidomide, and dexamethasone. Inobrodib will be taken as a tablet by mouth, twice a day, for 4 days, then you'll have 3 days off, and this cycle repeats every 28 days. Pomalidomide will also be a tablet taken once a day for the first 21 days of each 28-day cycle. Dexamethasone will be a tablet taken once a day on specific days (1, 8, 15, and 22) within each 28-day cycle.
You will continue taking these medicines as long as the treatment is helping, side effects are manageable, or until your doctor decides it's no longer the best option. During the study, you'll have regular visits to the hospital for check-ups, blood tests, and scans to monitor your health and how the treatment is working. The study team will explain exactly how often these visits will be and what they will involve.
Potential risks and benefits
Locations (20)
- University of California, San FranciscoSan Francisco, United States· Recruiting
- H Lee Moffitt Cancer Center & Research InstituteTampa, United States· Recruiting
- Winship Cancer InstituteAtlanta, United States· Recruiting
- American Oncology Partners, PABethesda, United States· Recruiting
- Washington University School of MedicineSt Louis, United States· Recruiting
- University of Nebraska Medical CenterOmaha, United States· Recruiting
- Rutgers Cancer Institute of New JerseyNew Brunswick, United States· Recruiting
- Levine Cancer InstituteCharlotte, United States· Recruiting
- Wake Forest University Health SciencesWinston-Salem, United States· Recruiting
- Cleveland ClinicCleveland, United States· Recruiting
- University of Pennsylvania, Abramson Cancer CenterPhiladelphia, United States· Recruiting
- Fred Hutchinson Cancer CenterSeattle, United States· Recruiting
+8 more sites — see the official record for the full list.
Common questions
What is multiple myeloma?
Multiple myeloma is a type of cancer that affects plasma cells, which are a kind of white blood cell found in your bone marrow.
What does 'relapsed or refractory' mean?
It means the cancer has come back after treatment (relapsed) or is no longer responding to treatments it was previously responding to (refractory).
What are inobrodib, pomalidomide, and dexamethasone?
Inobrodib is a new experimental medicine. Pomalidomide and dexamethasone are existing medicines often used to treat multiple myeloma.
Will I know which treatment I am getting?
Yes, everyone in this study will receive the combination of inobrodib, pomalidomide, and dexamethasone, and you will know this from the start.
How long will I be on the treatment?
You will continue treatment as long as it's helping and the side effects are acceptable, or until your doctor decides it's time to stop.
How to find out more
CCS1477-04 Clinical Operations
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
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