This is an open-label, dose escalation and dose expansion study evaluating the safety, tolerability, Pharmacokinetic (PK), Pharmacodynamic (PD), and antitumor activity of PF-07994525 in participants with R/R MM.
The study will consist of 2 parts: Part 1 (Dose Escalation) will consist of PF-07994525 dose escalation to assess the safety, tolerability, and preliminary antitumor activity in participants with R/R MM. In Part 2 (Dose expansion), PF-07994525 may be evaluated in additional participants with R/R MM to further assess safety, PK, PD, and preliminary anti-tumor activity.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Participants aged 18 years or older (or the minimum age of consent in accordance with local regulations) at the time of informed consent.
* Prior diagnosis of MM as defined according to IMWG criteria (Rajkumar et al. 2014)
Measurable disease based on IMWG criteria as defined by at least 1 of the following:
1. Serum M-protein \>0.5 g/dL by serum protein electrophoresis (SPEP)
2. Urinary M-protein excretion \>200 mg/24 hours by urine protein electrophoresis (UPEP)
3. Serum immunoglobulin Free Light Chain (FLC) ≥10 mg/dL (≥100 mg/L) AND abnormal serum immunoglobulin kappa to lambda FLC ratio (\<0.26 or \>1.65)
* Participants must be refractory to, or intolerant to, all established therapies known to provide clinical benefit in multiple myeloma that are an appropriate therapeutic option, in the judgement of the investigator. A minimum of 3 prior lines of therapy are required.
* Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
Exclusion Criteria:
* Active plasma cell leukemia, Smoldering MM, Waldenströms macroglobulinemia, Amyloidosis, POEMS Syndrome.
* Autologous stem cell transplant within 12 weeks prior to enrollment or active Graft-versus-host disease (GVHD).
* Active or suspected cerebral/meningeal disease related to the underlying malignancy.
* Any active, uncontrolled bacterial, fungal, or viral infection, including (but not limited to) COVID-19, Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), known HIV or AIDS related illness, unless deemed not clinically significant by the investigator (eg, onychomycosis).
Primary outcome measure(s)
Type, incidence and severity of participants with adverse events (AEs) — From the first day through 30-37 days after the last study treatment, up to approximately 2 years Type, incidence, severity (graded by National Cancer Institute Common Terminology Criteria for Adverse Events \[NCI CTCAE\] version 5.0), timing, seriousness, and relatedness of adverse events (AEs)
Type, incidence and severity of participants with laboratory abnormalities — From the first day through 30-37 days after the last study treatment, up to approximately 2 years Type, incidence, and severity (graded by NCI CTCAE version 5.0) of laboratory abnormalities
Number of participants with dose modifications — From the first day through 30-37 days after the last study treatment, up to approximately 2 years Frequency of dose modifications (eg, dose delay, treatment interruptions, dose reductions, and treatment discontinuations) due to AEs
Part 1: Number of Participants With Dose-limiting Toxicities (DLTs) — Baseline to end of DLT evaluation period Occurrence of DLTs as defined by the protocol
Part 1: Recommended Monotherapy Dose for Expansion (RDE) — From the first day through 30-37 days after the last study treatment, up to approximately 2 years RDE will be based on cumulative safety, preliminary antitumor activity and pharmacokinetics findings
Part 2: Recommended Dose for future development — From the first day through 30-37 days after the last study treatment, up to approximately 2 years Safety, and preliminary anti-tumor activity
Trial sites (19)
Facility
City
Region
Status
Sylvester Comprehensive Cancer Center- The Lennar Foundation Medical Center
Coral Gables
Florida
Recruiting
Sylvester Comprehensive Cancer Center - Coral Springs
Coral Springs
Florida
Recruiting
University of Miami Hospital and Clinics - Deerfield Beach
Deerfield Beach
Florida
Recruiting
Sylvester Comprehensive Cancer Center- Doral
Doral
Florida
Recruiting
Sylvester Comprehensive Cancer Center - Hollywood
Hollywood
Florida
Recruiting
Sylvester Comprehensive Cancer Center
Miami
Florida
Recruiting
University of Miami Hospital and Clinics
Miami
Florida
Recruiting
Sylvester Comprehensive Cancer Center- Kendall
Miami
Florida
Recruiting
Sylvester Comprehensive Cancer Center - Sole Mia
North Miami
Florida
Recruiting
Sylvester Comprehensive Cancer Center - Plantation
Plantation
Florida
Recruiting
Emory University Hospital Midtown
Atlanta
Georgia
Recruiting
Emory University Hospital
Atlanta
Georgia
Recruiting
Winship Cancer Institute, Emory University
Atlanta
Georgia
Recruiting
Sarah Cannon Research Institute - Pharmacy
Nashville
Tennessee
Recruiting
SCRI Oncology Partners
Nashville
Tennessee
Recruiting
Tristar BMT
Nashville
Tennessee
Recruiting
TriStar Centennial Medical center
Nashville
Tennessee
Recruiting
Arthur J.E. Child Comprehensive Cancer Centre
Calgary
Alberta
Recruiting
University Health Network- Princess Margaret Cancer Centre
Toronto
Ontario
Recruiting
Official registry record
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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