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CC-223

Phase 1

Healthy Volunteers | Small molecule | Other |Bristol-Myers Squibb Company|Last Updated: Dec 13, 2022

Success Probability

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Market & Valuation

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Trial Design

ACTIVE_CONTROLLED
Total Trials1
Total Enrollment14

FDA Designations

No designations recorded

Clinical trial landscape

CC-223 · 3 trials · 9 indications

Phase 1 3
NCT01896323CC-223 and Ketoconazole Drug-Drug Interaction StudyHealthy Volunteers
COMPLETED14 Analytics
NCT01611467A Phase 1 Open-Label Study to Evaluate the Metabolism and Excretion of CC-223 and the Effect of Food on the Pharmacokinetics of CC-223 in Healthy Male Adult SubjectsSafety and Pharmacokinetics in Healthy Volunteer Subjects
COMPLETED18 Analytics
NCT01177397Study to Assess Safety, Pharmacokinetics, and Efficacy of Oral CC-223 for Patients With Advanced Solid Tumors, Non-Hodgkin Lymphoma or Multiple MyelomaMultiple Myeloma
COMPLETED226 Analytics
PHASE1COMPLETED
CC-223 and Ketoconazole Drug-Drug Interaction Study
Healthy VolunteersUnlock trial analytics
PHASE1COMPLETED
A Phase 1 Open-Label Study to Evaluate the Metabolism and Excretion of CC-223 and the Effect of Food on the Pharmacokinetics of CC-223 in Healthy Male Adult Subjects
Safety and Pharmacokinetics in Healthy Volunteer SubjectsUnlock trial analytics
PHASE1COMPLETED
Study to Assess Safety, Pharmacokinetics, and Efficacy of Oral CC-223 for Patients With Advanced Solid Tumors, Non-Hodgkin Lymphoma or Multiple Myeloma
Multiple MyelomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Pharmacokinetics
up to 96 hours post dose

AUC-area under the plasma concentration-time curve;

Total radioactivity
Up to 8 days

Total \[14C\]-radioactivity in whole blood, plasma, urine and feces

Cumulative excretion of radioactivity
Up to 8 days

Cumulative excretion of Total \[14C\]-radioactivity (as fraction of radioactive dose) in urine and feces

Total radioactivity ratios
Up to 8 days

Total \[14C\]-radioactivity whole blood-to-plasma ratios

Metabolite concentration
Up to 8 days

Concentration of CC-223 and M1 metabolite (O-desmethyl-CC-223) in plasma, urine, and feces samples collected up to 14 times from the day prior to dosing to 8 days after dosing.

Cmax
Up to 10 days

Cmax: Maximum observed concentration in plasma

Tmax
Up to 10 days

Tmax: Time to maximum concentration

AUC
Up to 10 days

AUC: Area under the plasma concentration-time curve

t1/2
Up to 10 days

t1/2: Terminal half-life

Part A: Number of Participants With Dose-limiting Toxicities
From first dose up to 30 days after first dose

A dose-limiting toxicity was defined as: - ≥ Grade 3 (per Common Terminology Criteria for Adverse Events \[CTCAE\] Version 4) clinically relevant adverse event (AE) or laboratory abnormality suspected to be related to CC-223 that commenced within 30 days of first dose, except alopecia, Grade 3 rash of the acneiform or maculopapular type for \< 5 days, Grade 3 diarrhea or vomiting lasting \< 72 hours, repeated occurrence of Grade 3 hyperuricaemia in subjects with Grade 3 hyperuricemia at baseline, hyperglycemia, hematologic and liver function test (LFT) abnormalities due to disease progression. - Grade 2 fasting hyperglycemia lasting \> 14 days or ≥ Grade 3 lasting \> 4 days despite optimal medical treatment. - Hematological toxicities including febrile neutropenia, Grade 4 neutropenia or thrombocytopenia for \> 7 days, or Grade 3/4 thrombocytopenia with clinically significant bleeding. - Grade 4 LTFs - AE suspected to be CC-223 related necessitating dose reduction during cycle 1.

Maximum Observed Plasma Concentration (Cmax) of CC-223
Cycle 1 Day 1: pre-dose, 0.5, 1, 1.5, 3, 5, 8, 24 and 48 hours post-dose and Day 15: pre-dose, 0.5, 1, 1.5, 3, 5, and 8 hours post-dose

Cmax is defined as the maximum observed concentration (in plasma), obtained directly from the observed concentration versus time data. Plasma CC-223 was measured using validated chiral liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.

Time to Maximum Concentration (Tmax) of CC-223
Cycle 1 Day 1: pre-dose, 0.5, 1, 1.5, 3, 5, 8, 24 and 48 hours post-dose and Day 15: pre-dose, 0.5, 1, 1.5, 3, 5, and 8 hours post-dose

Tmax is defined as the time to Cmax, obtained directly from the observed concentration versus time data. Plasma CC-223 was measured using validated chiral liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.

Area Under the Plasma Concentration-Time Curve From Time 0 to the Last Measurable Concentration (AUCt) for CC-223
Cycle 1 Day -1: pre-dose, 0.5, 1, 1.5, 3, 5, 8, 24 and 48 hours post-dose and Day 15: pre-dose, 0.5, 1, 1.5, 3, 5, and 8 hours post-dose

Plasma CC-223 was measured using validated chiral liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.

Area Under the Concentration Time-Curve From 0-24 Hours After a Dose (AUC0-24) for CC-223
0 to 24 hours post-dose on Day -1 and Day 15

AUC0-24 is defined as the area under the concentration-time curve from Time 0 to 24 hours after a dose. Plasma CC-223 was measured using validated chiral liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.

Area Under the Plasma Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUCinf) For CC-223
Cycle 1 Day 1: pre-dose, 0.5, 1, 1.5, 3, 5, 8, 24 and 48 hours post-dose and Day 15: pre-dose, 0.5, 1, 1.5, 3, 5, and 8 hours post-dose

AUCinf is defined as the area under the concentration-time curve from Time 0 extrapolated to infinity. Plasma CC-223 was measured using validated chiral liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. AUCinf was not assessed following multiple dosing as the blood sampling schedule on Day 15 did not allow robust assessment of the terminal elimination rate constant.

Part A: Terminal Elimination Phase Half-Life (T1/2) of CC-223
Cycle 1 Day -1: pre-dose, 0.5, 1, 1.5, 3, 5, 8, 24 and 48 hours post-dose

Plasma CC-223 was measured using validated chiral liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. T1/2 was not assessed following multiple dosing as the blood sampling schedule on Day 15 did not allow robust assessment of the terminal elimination rate constant.

Apparent Total Body Clearance (CL/F) of CC-223
Cycle 1 Day 1: pre-dose, 0.5, 1, 1.5, 3, 5, 8, 24 and 48 hours post-dose and Day 15: pre-dose, 0.5, 1, 1.5, 3, 5, and 8 hours post-dose

CL/F is defined as the apparent total body clearance when dosed orally, calculated as Dose/AUCinf. Plasma CC-223 was measured using validated chiral liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.

Apparent Volume of Distribution (Vz/F) of CC-223
Cycle 1 Day -1: pre-dose, 0.5, 1, 1.5, 3, 5, 8, 24 and 48 hours post-dose

Plasma CC-223 was measured using validated chiral liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. VZ/F was not assessed following multiple dosing as the blood sampling schedule on Day 15 did not allow robust assessment of the terminal elimination rate constant.

Part B: Progression Free Survival (PFS) Rate at 6 Months for GBM Participants
From first dose to 6 months

Progression free survival rate of GBM participants at 6 months is defined as the percentage of participants without progressive disease per Evaluation Criteria in Solid Tumors (RECIST) 1.1 6 months after starting study treatment. Progressive disease is defined as the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions.

Secondary Endpoints

Adverse Events
Up to 28 days after last dose of study drug
Part A: Percent Change From Baseline in Levels of Phosphorylated Ribosomal Protein S6 (pS6RP) in Stimulated B Cells
Cycle 1 Day -1: 3 hours post-dose and Day 15: 1.5 hours post-dose
Part A: Percent Change From Baseline in Levels of Phosphorylated Elongation I Initiation Binding Protein (p4E-BP1) in Stimulated T Cells
Cycle 1 Day -1: 3 hours post-dose and Day 15: 1.5 hours post-dose
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeBASIC_SCIENCE

Treatment Arms

ArmTypeDescription
CC-223EXPERIMENTALCC-223 administration on study day 1 of Period 1 and study day 5 of Period 2
KetokonazoleACTIVE_COMPARATORKetoconazole administration on study days 1 through 8 of Period 2
20 mg oral CC-223 with microtracerEXPERIMENTALA single 20-mg oral dose of CC-223 capsule containing a microtracer of \[14C\]-CC-223 solution
20 mg oral CC-223 fastingEXPERIMENTALA single 20-mg oral dose of CC-223 tablet under fasting conditions
20 mg oral CC-223 fedEXPERIMENTALA single 20-mg oral dose of CC-223 tablet under fed conditions

Interventions

NameTypeDescription
CC-223DRUGCC-223 20 mg tablets
KetoconazoleDRUGKetoconazole 400 mg tablets
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Eligibility Criteria

Age Range18 Years to 65 Years
SexMALE
Healthy VolunteersYes

Inclusion Criteria: 1. Must understand and voluntarily sign a written informed consent form before participation. 2. Must be able to communicate with the study doctor, understand and comply with the requirements of the study, and agree to adhere to restrictions and examination schedules. 3. Healthy...

Countries:United StatesFranceSpainUnited Kingdom
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Frequently asked questions about CC-223

What is CC-223 used for?

CC-223 is an investigational small molecule being studied for multiple myeloma, non-small cell lung cancer, and other advanced solid tumors. It has also been evaluated in healthy volunteers for safety and pharmacokinetic studies. All clinical trials of CC-223 are in Phase 1 and have been completed.

What does CC-223 target?

CC-223 is a small molecule being developed by Bristol-Myers Squibb. Its molecular target has not been disclosed in available clinical trial information. The drug has been studied in Phase 1 trials for multiple myeloma, non-small cell lung cancer, and other advanced cancers.

Who makes CC-223?

CC-223 is being developed by Bristol-Myers Squibb Company, which trades under the ticker BMY. The drug is an investigational small molecule that has completed Phase 1 clinical trials for multiple myeloma, non-small cell lung cancer, and other advanced solid tumors.

What phase is CC-223 in?

CC-223 is in Phase 1 clinical development. All four clinical trials of CC-223 are Phase 1 studies and have been completed. The drug is investigational and has not been approved by regulatory authorities for any indication.

What clinical trials is CC-223 in?

CC-223 has been studied in four completed Phase 1 trials. NCT01177397 assessed safety and efficacy in advanced solid tumors, non-Hodgkin lymphoma, or multiple myeloma. NCT01545947 studied CC-223 with erlotinib or oral azacitidine in non-small cell lung cancer. NCT01611467 and NCT01896323 evaluated metabolism and drug interactions in healthy volunteers.

Is CC-223 the same as any other drug?

CC-223 is also known by the code name CC-223. No other alternative names have been disclosed in clinical trial records. The drug is an investigational small molecule being developed by Bristol-Myers Squibb for multiple myeloma and other cancers.