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Immediate Release Formulation

Phase 1

Relapsed or Refractory Multiple Myeloma | Small molecule | Oncology |Amgen Inc.|Trials Updated: Sep 26, 2024

Immediate Release Formulation target and mechanism

ModalitySmall molecule

Also known as Immediate Release (IR) Formulation

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment61

FDA Designations

No designations recorded

Immediate Release Formulation clinical trials

Immediate Release Formulation · 1 trial · 1 indication

Phase 1 1
NCT02939183Phase 1b Study Evaluating OPomD in Relapsed or Refractory Multiple MyelomaRelapsed or Refractory Multiple Myeloma
COMPLETED61 Analytics
PHASE1COMPLETED
Phase 1b Study Evaluating OPomD in Relapsed or Refractory Multiple Myeloma
Relapsed or Refractory Multiple MyelomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants Who Experienced Dose-Limiting Toxcity (DLT)
Day 1 to day 28 of cycle 1, where each cycle was 28 days

DLTs were graded using the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 and included the below, if judged by the investigator/medical monitor to be possibly related to study treatment: Non-hematologic DLTs were any ≥ Grade 3 toxicity, except: Grade 3 asymptomatic electrolyte abnormalities (except hypophosphatemia \> 24 hours); Grade 3 nausea, vomiting and diarrhea \< 3 days; Grade 3 fatigue \< 14 days; ≥ Grade 3 hyperglycemia/toxicity due to dexamethasone; ≥ Grade 3 rash due to pomalidomide. Hematologic DLTs included: Grade 4 neutropenia if absolute neutrophil count \< 0.5 x 10\^9/L ≥ 7 days; febrile neutropenia; Grade 4 thrombocytopenia ≥ 7 days; Grade ≥ 3 with ≥ Grade 2 bleeding/requiring platelet transfusion.

Maximum Tolerated Dose (MTD) of Each Formulation of Oprozomib in Combination With Pomolidomide and Dexamethasone
Day 1 to Day 28 of cycle 1, where each cycle was 28 days

The MTD was the dose with the highest posterior probability of having a DLT rate within the target toxicity interval (15% to 25%), while the posterior probability of excessive/unacceptable toxicity (\>25% to 100%) is \<40%. DLTs were graded using CTCAE version 4.03 and included the below, if judged by the investigator/medical monitor to be possibly related to study treatment: Non-hematologic DLTs were any ≥ Grade 3 toxicity, except: Grade 3 asymptomatic electrolyte abnormalities (except hypophosphatemia \> 24 hours); Grade 3 nausea, vomiting and diarrhea \< 3 days; Grade 3 fatigue \< 14 days; ≥ Grade 3 hyperglycemia/toxicity due to dexamethasone; ≥ Grade 3 rash due to pomalidomide. Hematologic DLTs included: Grade 4 neutropenia if absolute neutrophil count \< 0.5 x 10\^9/L ≥ 7 days; febrile neutropenia; Grade 4 thrombocytopenia ≥ 7 days; Grade ≥ 3 with ≥ Grade 2 bleeding/requiring platelet transfusion.

Number of Participants With Treatment-emergent Adverse Events (TEAEs) (Oprozomib in Combination With Dexamethasone and/or Pomalidomide)
Day 1 of cycle 1 to 30 (+7) days after the last dose of study treatment or end of study date, whichever is earlier (where each cycle was 28 days). Median treatment duration in Part 1 was 11.43 weeks and in Part 2 was 28 weeks

An adverse event (AE) is defined as any untoward medical occurrence in a clinical trial participant. TEAEs were any AE that started on or after receiving the first dose of investigational product and up to and including 30 days after the last dose of investigational product or the end of study date, whichever is earlier. Treatment-related TEAEs were those considered related to study treatment by the investigator. Any clinically significant changes in electrocardiograms, vital signs, physical examination with a neurological assessment and clinical laboratory tests were recorded as TEAEs.

Number of Participants With TEAEs and Treatment-emergent Serious AEs (Open-label Roll-over)
Day 1 to 30 (+7) days after the last dose of study treatment or end of study date, whichever is earlier (where each cycle was 28 days). Median treatment duration for the open-label roll-over arm was 75.14 weeks

TEAEs were any AE that started on or after receiving the first dose of investigational product and up to and including 30 days after the last dose of investigational product or the end of study date, whichever is earlier. Treatment-related TEAEs were those considered related to study treatment by the investigator. Serious TEAEs were any AE meeting at least 1 of the following criteria: fatal; life-threatening; required in-patient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; congenital anomaly/birth defect; other medically important serious event.

Secondary Endpoints

Maximum Observed Concentration (Cmax) of Oprozomib
Cycle 1 days 8 and 22: pre-dose, 0.5, 1, 2, 4, and 6 hours post-dose. GR only: cycle 1 day 8: 8 hours post-dose
Time to Cmax (Tmax) of Oprozomib
Cycle 1 days 8 and 22: pre-dose, 0.5, 1, 2, 4, and 6 hours post-dose. GR only: cycle 1 day 8: 8 hours post-dose
Area Under the Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Oprozomib
Cycle 1 days 8 and 22: pre-dose, 0.5, 1, 2, 4, and 6 hours post-dose. GR only: cycle 1 day 8: 8 hours post-dose
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1 Oprozomib Immediate-release (IR) + DexamethasoneEXPERIMENTALOprozomib IR plus dexamethasone
Part 1 Oprozomib Gastro-retentive (GR) + DexamethasoneEXPERIMENTALOprozomib GR plus dexamethasone
Part 2 Oprozomib IR + Pomalidomide + DexamethasoneEXPERIMENTALOprozomib IR plus pomalidomide and dexamethasone
Part 2 Oprozomib GR + Pomalidomide + DexamethasoneEXPERIMENTALOprozomib GR plus pomalidomide and dexamethasone
Open-label Roll-overEXPERIMENTALOprozomib GR monotherapy, or oprozomib GR plus dexamethasone

Interventions

NameTypeDescription
Immediate Release (IR) FormulationDRUGImmediate Release (IR) Formulation
Gastro-Retentive (GR) FormulationDRUGGastro-Retentive (GR) Formulation
DexamethasoneDRUGDexamethasone
PomalidomideDRUGPomalidomide
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Eligibility Criteria

Age Range18 Years to 100 Years
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion criteria * Participant must have a pathologically documented, definitively diagnosed, multiple myeloma relapse, or refractory progressive disease after at least 2 lines of therapy for multiple myeloma. Prior therapeutic treatment or regimens must include a proteasome inhibitor and lenalid...

Countries:United StatesAustraliaCanadaSpain
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Competitive Landscape -Multiple Myeloma 338 trials (matched to "Relapsed or Refractory Multiple Myeloma")

Frequently asked questions about Immediate Release Formulation

What is the Immediate Release Formulation used for?

The Immediate Release Formulation is being studied in relapsed or refractory multiple myeloma, a blood cancer that has returned or stopped responding to prior treatment. It is an oncology asset developed by Amgen Inc. and is given to adult patients aged 18 years and older in this indication.

Who is developing the Immediate Release Formulation?

Amgen Inc. (ticker AMGN) is the developer of the Immediate Release Formulation. The company is evaluating it in relapsed or refractory multiple myeloma as part of its oncology pipeline.

What phase is the Immediate Release Formulation in?

The Immediate Release Formulation is in Phase 1 development. It has not been approved and remains investigational. One Phase 1b trial has been completed, and no trials are currently active.

What clinical trials is the Immediate Release Formulation in?

The Immediate Release Formulation has been evaluated in one Phase 1b trial, NCT02939183, titled a Phase 1b Study Evaluating OPomD in Relapsed or Refractory Multiple Myeloma. That trial enrolled 61 participants across the United States, Australia, Canada, and Spain and is now completed.

Is the Immediate Release Formulation the same as the Immediate Release (IR) Formulation?

Yes. The Immediate Release Formulation is also known as the Immediate Release (IR) Formulation. Both names refer to the same Amgen Inc. oncology asset being studied in relapsed or refractory multiple myeloma.