A Study to Evaluate the Efficacy of Cemsidomide + Dexamethasone in Participants With Relapsed/Refractory Multiple Myeloma (MOMENTUM)

C4 Therapeutics

Status and phase: Begins enrollment this month; Phase 2

Conditions: Multiple Myeloma; Relapsed/Refractory Multiple Myeloma

Treatments: Drug: Cemsidomide; Drug: Dexamethasone

Study type: Interventional

Funder types: Industry

Identifiers

NCT07284758

CFT7455-2101

Details and patient eligibility

About

This is a Phase 2, open-label, single-arm, multicenter study to assess the antimyeloma activity and further characterize the safety, tolerability, PK, and PD of cemsidomide in combination with dexamethasone in participants with relapsed/refractory multiple myeloma (r/r MM).

Enrollment: 100 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Be willing and able to provide signed informed consent for the study.
2. Age ≥ 18 years at the time of signed consent.
3. Subjects must have a documented diagnosis of MM and measurable disease at enrollment.
4. Received at least 3 prior anti-myeloma regimens (for a minimum of 2 or more consecutive cycles) that must have included an immunomodulatory drug (i.e., IKZF 1/3 degrader), a proteasome inhibitor, an anti-CD38 antibody, and a T-cell engager (TCE) or chimeric antigen receptor T-cell (CAR-T) therapy, unless not available per local standard of care.
5. Subjects need to have adequate organ function.
6. Toxicities from prior anticancer therapies must have resolved to ≤ Grade 2.
7. Female subjects may not be pregnant or intend to become pregnant, may not breastfeed or intend to breastfeed, or donate ova during their participation in this study until 30 days after the last dose of study treatment.
8. Male subjects must agree to use a condom when having intercourse with a person of childbearing potential during the Treatment Period and for at least 30 days after the last dose of study treatment.
9. Male subjects must refrain from donating sperm during the Treatment Period and for 30 days after discontinuation.
10. Subjects must refrain from donating blood during study treatment and for 30 days after discontinuation.

Exclusion criteria

1. Presence of myeloma in the central nervous system (CNS).

2. Subjects with any of the following:

   • Systemic light chain amyloidosis
   • Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal gammopathy, and Skin changes (POEMS) Syndrome
   • Myelodysplastic syndrome (MDS).

3. Previously treated with cemsidomide.

4. Clinically significant impaired cardiac function or cardiac disease.

5. Thromboembolic event within 3 months prior to enrollment.

6. Known malignancy other than study indication that has progressed or required treatment within the past 3 years.

7. Uncontrolled active systemic infection.

8. Inability or difficulty swallowing tablets.

NOTE: Other inclusion/exclusion criteria may apply, per protocol.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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100 participants in 1 patient group

Cemsidomide + Dexamethasone:

Experimental group

Description:

Participants receive cemsidomide plus dexamethasone during a 28-day treatment cycle, and will continue to receive treatment until the participant meets one of the discontinuation criteria.

Treatment:

Drug: Dexamethasone

Drug: Cemsidomide