Mezigdomide Combined with Dex in Relapsed/Refractory MM Pts: CC-92480-MM-001 Trial
Dr. Paul Richardson, Dana-Farber Cancer Institute, presents the preliminary results from the dose-expansion phase of the CC-92480-MM-001 trial studying Mezigdomide combined with Dexamethasone in relapsed/refractory multiple myeloma patients.
Background:
Mezigdomide (MEZI), a novel oral CELMoD® agent with enhanced tumoricidal and immune-stimulatory effects compared to immunomodulatory drugs (IMiDs®), induces maximal degradation of Ikaros and Aiolos, leading to increased apoptosis in myeloma cells. Preclinically, MEZI demonstrated potent synergy with DEX, proteasome inhibitors (PIs), and anti-CD38 monoclonal antibodies (mAbs). CC-92480-MM-001 (NCT03374085) is an ongoing phase 1/2 trial evaluating MEZI alone or in combination with DEX in pts with RRMM; in phase 1, the recommended phase 2 dose (RP2D) of MEZI in combination with DEX was selected at 1 mg once daily for 21/28 days (Richardson PG, et al. J Clin Oncol 2020;30[15 suppl]:8500). Here we report results from the dose-expansion cohort of MEZI DEX in pts with heavily pretreated RRMM.
Conclusions:
MEZI DEX had a manageable safety profile and demonstrated promising efficacy in pts with triple-class refractory RRMM, including pts with prior BCMA-targeted therapies, with an ORR of 40% and 50% respectively. These results support the development of MEZI in pts with MM. MEZI is currently being evaluated in combination with standard therapies in MM as part of a large, ongoing phase 1/2 trial (NCT03989414) and phase 3 trials in combination with PIs are planned.
Authors:
Paul G. Richardson, MD, Suzanne Trudel, Hang Quach, Rakesh Popat, Sagar Lonial, MD, Robert Z. Orlowski, MD, PhD, Kihyun Kim, MD, María-Victoria Mateos, MD, PhD, Charlotte Pawlyn, PhD, Karthik Ramasamy, Joaquín Martinez-Lopez, MD, PhD, Alessia Spirli*, Ignacio Casas-Avilés, MD, Jing Gong, PhD, Michael Amatangelo, PhD, Jessica Katz, MD PhD, Paulo Maciag, MD PhD, Teresa Peluso and Nizar J. Bahlis, MD
ASH Abstract# 568:
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Mezigdomide Combined with Dex in Relapsed/Refractory MM Pts: CC-92480-MM-001 Trial