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Active, not recruitingNCT02899052Updated Aug 5, 2025

Study of Venetoclax in Combination With Carfilzomib and Dexamethasone in Participants With Relapsed or Refractory Multiple Myeloma (MM)

A Phase 2 interventional study of Carfilzomib and Venetoclax in Multiple Myeloma, sponsored by AbbVie. Active, not recruiting at 32 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-05.

Sponsored by AbbVie · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
120
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

A Phase 2, open-label, dose escalation study to evaluate the safety and efficacy of venetoclax in combination with carfilzomib-dexamethasone (Kd) in participants with relapsed or refractory MM and have received 1 to 3 prior lines of therapy.

Part 4 of this study is currently enrolling.

02

Conditions studied

  • Multiple Myeloma

Keywords

  • Multiple Myeloma
  • Refractory myeloma
  • Relapsed myeloma
  • Relapsed or Refractory
03

In context

Multiple Myeloma

3,632 studies on the registry are indexed under Multiple Myeloma; 745 are open to participants now.

This study's planned enrollment of 120 is above the median of 41 across 2,907 interventional studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

AbbVie is the lead sponsor of 953 studies on the registry; 136 are open to participants now.

Of its 350 completed or terminated interventional studies of FDA-regulated products, 210 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Eastern Collaborative Oncology Group (ECOG) performance score of less than or equal to 2.
  • Documented relapsed or progressive Multiple Myeloma (MM) on or after any regimen or is refractory to the most recent line of therapy.
  • Positive for translocation t(11;14) as determined by an analytically validated Fluorescent In Situ Hybridization (FISH) assay per central laboratory testing.
  • Received prior treatment with at least 1 prior line of therapy for MM.
  • Measurable disease on Screening per International Myeloma Working Group (IMWG) criteria.
  • Meets absolute neutrophil count, platelet count, hemoglobin, liver and kidney function laboratory values within 2 weeks prior to first dose of study drug.

Exclusion criteria

Exclusion Criteria:

  • Has a pre-existing condition that is contraindicated including.

    • Non-secretory or oligo-secretory MM
    • Active plasma cell leukemia.
    • Waldenström's macroglobulinemia.
    • Primary amyloidosis.
    • POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes).
    • Active hepatitis B or C infection based on screening blood testing.
    • Known active Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
    • Significant cardiovascular disease.
    • Major surgery within 4 weeks prior to first dose.
    • Acute infections requiring antibiotic, antifungal or antiviral therapy within14 days prior to first dose.
    • Peripheral neuropathy ≥ Grade 3 or ≥ Grade 2 with pain within 2 weeks prior to first dose.
    • Uncontrolled diabetes or uncontrolled hypertension within 14 days prior to first dose.
    • Any other medical condition that, in the opinion of the Investigator, would adversely affect the participant's participation in the study.
  • History of other active malignancies, including myelodysplastic syndrome (MDS), within the past 3 years prior to study entry Other protocol defined inclusion/exclusion criteria could apply
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Venetoclax + Carfilzomib + Dexamethasone

    Part 1: Evaluate the safety and pharmacokinetic profiles while providing information to determine the appropriate doses of venetoclax and carfilzomib (VenKd) to be used in the VenKd combination in approximately 18 participants. The dose levels are Venetoclax 400 mg or 800 mg; Carfilzomib 20/27 mg/m2, 20/70 mg/m2, and/or 20/56 mg/m2; Dexamethasone 40 mg Part 2: Further evaluate the safety and efficacy profile of the VenKd combination selected after completion of Part 1 in approximately 22 additional participants. Participants may discontinue Kd but may continue receiving venetoclax once daily (QD) as monotherapy. Part 3: Further evaluation of the efficacy of the VenKd combination after completion of Part 1 and Part 2 in 7 additional participants. Part 4, An additional 65 participants t(11;14) positive will receive varying doses of the VenKd combination or carfilzomib and dexamethasone

    Drug: Carfilzomib · Drug: Venetoclax · Drug: Dexamethasone

Interventions

  • DrugCarfilzomib

    Carfilzomib lyophilized administered intravenously as a 10 to 30 minute infusion in Cycles 1 and beyond within 30 minutes to 4 hours after dexamethasone dosing. Dose level 1 (K1) Cycle 1: 20 mg/m2 on Days 1 and 2, 27 mg/m2 on Days 8, 9, 15, and 16; Cycles 2 - 12: 27 mg/m2 on Days 1, 2, 8, 9, 15, and 16; Cycles 13 - 18: 27 mg/m2 on Days 1, 2, 15, and 16; Cycles 19 and beyond, for participants that have not previously transitioned to monotherapy: 27 mg/m2 on Days 1, 2, 15, and 16. Dose Level K2: Cycle 1: 20 mg/m2 on Day 1; 70 mg/m2 on Days 8 and 15 Cycles 2 - onward: 70 mg/m2 on Days 1, 8, and 15. Dose Level K3: Cycle 1: 20 mg/m2 on Days 1 and 2; 56 mg/m2 on Days 8, 9, 15, and 16. Cycles 2 - onward: 56 mg/m2 on Days 1, 2, 8, 9, 15, and 16.

    Also known as: Kyprolis

  • DrugVenetoclax

    Venetoclax tablet administered orally once daily during Cycles 1 - onward. Venetoclax dose level 1 (Ven1) 400 mg once daily, Ven2 800 mg once daily.

    Also known as: Venclexta, ABT-199

  • DrugDexamethasone

    Dexamethasone tablet administered orally during Cycles 1 - onward. Dexamethasone dose level 1 (Dex1) 40 mg once weekly, Dex2 40 mg once weekly, Dex3 20 mg twice weekly.

06

What researchers measure

Primary outcomes

  1. Number of Participants with Adverse Events

    An adverse event is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.

    Time frame: First dose of study drug through at least 30 days after end of treatment (approximately 2 years)

  2. Very Good Partial Response (VGPR) or Better Response Rate of VenKd in Participants with Relapsed or Refractory Multiple Myeloma (RRMM) as well as Those with t(11;14)-positive RRMM

    VGPR or better response rate is defined as the percentage of participants with documented VGPR or better based on IMWG criteria.

    Time frame: First dose of study drug through at least 30 days after end of treatment (approximately 2 years)

  3. Objective Response Rate (ORR) of VenKd in Participants with Relapsed or Refractory Multiple Myeloma (RRMM) as well as Those with t(11;14)-positive RRMM

    ORR is defined as the percentage of participants with a documented PR or better based on IMWG criteria.

    Time frame: First dose of study drug through at least 30 days after end of treatment (approximately 2 years)

  4. Complete Response (CR) or Better Rate of VenKd in Participants with Relapsed or Refractory Multiple Myeloma (RRMM) as well as Those with t(11;14)-positive RRMM

    Complete response or better rate is defined as the percentage of participants with documented CR or better based on IMWG criteria.

    Time frame: First dose of study drug through at least 30 days after end of treatment (approximately 2 years)

Secondary outcomes

  1. Very Good Partial Response (VGPR) or Better Response Rate in Participants with Relapsed or Refractory Multiple Myeloma and in a Subset of Participants with High B-cell lymphocyte-2 (BCL-2) Expression

    VGPR or better response rate is defined as the proportion of participants with documented VGPR or better based on IMWG criteria.

    Time frame: Up to approximately 17 months

  2. Progression-free survival (PFS) in Participants with Relapsed or Refractory Multiple Myeloma and in a Subset of Participants with High B-cell lymphocyte-2 (BCL-2) Expression

    PFS is defined as the number of days from the date of the first dose of study drug to the date of the first documented progressive disease (PD) or death due to any cause, whichever occurs first.

    Time frame: Up to approximately 17 months

  3. Minimal residual disease (MRD)

    MRD in the bone marrow by next generation sequencing.

    Time frame: Up to 2 years (Screening, Cycle 3 Day 1, and Confirmation of Stringent Complete Response [sCR]/Complete Response [CR])

  4. Duration of Overall Response (DOR) in Participants with Relapsed or Refractory Multiple Myeloma and in a Subset of Participants with High B-cell lymphocyte-2 (BCL-2) Expression

    DOR is defined as the number of days from the participant's date of first documented response (PR or better) to the date of first documented PD or death due to MM, whichever occurs first.

    Time frame: Up to approximately 17 months

  5. Time to progression (TTP) in Participants with Relapsed or Refractory Multiple Myeloma and in a Subset of Participants with High B-cell lymphocyte-2 (BCL-2) Expression

    TTP is defined as the number of days from the date of the first dose of study drug to the date of first documented PD or death due to MM, whichever occurs first.

    Time frame: Up to approximately 17 months

  6. Objective response rate (ORR) in Participants with Relapsed or Refractory Multiple Myeloma and in a Subset of Participants with High B-cell lymphocyte-2 (BCL-2) Expression

    ORR is defined as the proportion of participants with documented partial response (PR) or better based on International Myeloma Working Group (IMWG) criteria.

    Time frame: Up to approximately 17 months

  7. Time to Response (TTR) in Participants with Relapsed or Refractory Multiple Myeloma and in a Subset of Participants with High B-cell lymphocyte-2 (BCL-2) Expression

    TTR is defined as the number of days from the date of the first dose of study drug to the date of first documented response (Partial Response (PR) or better).

    Time frame: Up to approximately 17 months

  8. Area under the plasma concentration-time curve from 0 to 24 hours (AUC0-24) post-dose of Venetoclax

    AUC0-24 post-dose of venetoclax.

    Time frame: Approximately 24 hours post-dose on Cycle 1 Days 1 and 15

  9. Clearance (CL) of Carfilzomib

    CL of carfilzomib.

    Time frame: Approximately 4 hours post-dose on Cycle 1 Days 1 and 15

  10. Terminal Phase Elimination Rate Constant (β) of Carfilzomib

    β of carfilzomib.

    Time frame: Approximately 4 hours post-dose on Cycle 1 Days 1 and 15

  11. AUC from 0 to Infinity (AUC∞) of Carfilzomib

    AUC∞ of carfilzomib.

    Time frame: Approximately 4 hours post-dose on Cycle 1 Days 1 and 15

  12. AUC from Time 0 to the Time of the Last Measurable Concentration (AUCt) of Carfilzomib

    AUCt of carfilzomib.

    Time frame: Approximately 4 hours post-dose on Cycle 1 Days 1 and 15

  13. Maximum Plasma Concentration (Cmax) of Venetoclax

    Cmax of venetoclax.

    Time frame: Approximately 24 hours post-dose on Cycle 1 Days 1 and 15

  14. Cmax of Carfilzomib

    Cmax of carfilzomib.

    Time frame: Approximately 4 hours post-dose on Cycle 1 Days 1 and 15

  15. Terminal Elimination Half-life (t1/2) of Carfilzomib

    t1/2 of carfilzomib.

    Time frame: Approximately 4 hours post-dose on Cycle 1 Days 1 and 15

  16. Time to Maximum Plasma Concentration (Peak Time, Tmax) of Venetoclax

    (Peak time, Tmax) of venetoclax.

    Time frame: Approximately 24 hours post-dose on Cycle 1 Days 1 and 15

07

Study locations

32 sites
  • University of Alabama at Birmingham - Main /ID# 151405
    Birmingham, Alabama 35233, United States
  • University of Arkansas for Medical Sciences /ID# 151399
    Little Rock, Arkansas 72205, United States
  • Memorial Healthcare System /ID# 224862
    Hollywood, Florida 33021-3513, United States
  • Winship Cancer Institute of Emory University /ID# 161710
    Atlanta, Georgia 30322, United States
  • The University of Chicago Medical Center /ID# 151395
    Chicago, Illinois 60637-1443, United States
  • Indiana Blood & Marrow Transpl /ID# 218862
    Indianapolis, Indiana 46237, United States
  • Duplicate_University of Kentucky Chandler Medical Center /ID# 151407
    Lexington, Kentucky 40536, United States
  • Central Maine Medical Center /ID# 218856
    Lewiston, Maine 04240, United States
  • Duplicate_University of Maryland School of Medicine /ID# 159721
    Baltimore, Maryland 21201-1544, United States
  • Oncology Hematology Associates (OHA) - Springfield /ID# 218855
    Springfield, Missouri 65807-5287, United States
  • Washington University-School of Medicine /ID# 222651
    St Louis, Missouri 63110, United States
  • Duke Cancer Center /ID# 162062
    Durham, North Carolina 27710-3000, United States
  • University of Pennsylvania /ID# 151768
    Philadelphia, Pennsylvania 19104-5502, United States
  • University of Texas Southwestern Medical Center /ID# 218336
    Dallas, Texas 75390-7208, United States
  • Baylor Scott & White Medical Center- Temple /ID# 218252
    Temple, Texas 76508-0001, United States
  • University of Utah /ID# 151397
    Salt Lake City, Utah 84112-5500, United States
  • Duplicate_VA Puget Sound Healthcare Syst /ID# 155369
    Seattle, Washington 98108, United States
  • Aurora Health Care, Aurora Cancer Center /ID# 209612
    Wauwatosa, Wisconsin 53226-3436, United States
  • Border Medical Oncology Research Unit Albury Wodonga Regiona /ID# 222200
    East Albury, New South Wales 2640, Australia
  • Calvary Mater Newcastle /ID# 218739
    Waratah, New South Wales 2298, Australia
  • Flinders Medical Centre /ID# 221345
    Bedford Park, South Australia 5042, Australia
  • Royal Hobart Hospital /ID# 217546
    Hobart, Tasmania 7000, Australia
  • Debreceni Egyetem-Klinikai Kozpont /ID# 217624
    Debrecen, Hajdú-Bihar 4032, Hungary
  • Semmelweis Egyetem /ID# 217626
    Budapest, 1085, Hungary
  • Del-pesti Centrumkorhaz Orszagos Hematologiai es Infektologiai Intezet /ID# 217625
    Budapest, 1097, Hungary
  • Szegedi Tudományegyetem /ID# 219172
    Szeged, 6720, Hungary
  • Auxilio Mutuo Cancer Center /ID# 157853
    San Juan, 00918, Puerto Rico
  • VA Caribbean Healthcare System /ID# 157854
    San Juan, 00921-3201, Puerto Rico
  • Hospital Universitario Germans Trias i Pujol /ID# 218006
    Badalona, Barcelona 08916, Spain
  • Hospital Clinic de Barcelona /ID# 218007
    Barcelona, 08036, Spain
  • Hospital General Universitario Gregorio Maranon /ID# 218005
    Madrid, 28007, Spain
  • Hospital Universitario Ramon y Cajal /ID# 220925
    Madrid, 28034, Spain
08

References and documents

Publications

  • Badawi MA, Engelhardt B, Dobkowska E, Deng R, Kaufman JL, Menon R, Salem AH. Exposure-response relationships of venetoclax in combination with carfilzomib and dexamethasone in relapsed/refractory t(11;14) multiple myeloma patients. Invest New Drugs. 2024 Dec;42(6):635-643. doi: 10.1007/s10637-024-01471-x. Epub 2024 Oct 10. PubMed 39388024 ↗
  • Costa LJ, Davies FE, Monohan GP, Kovacsovics T, Burwick N, Jakubowiak A, Kaufman JL, Hong WJ, Dail M, Salem AH, Yang X, Masud AA, Munasinghe W, Ross JA, Bueno OF, Kumar SK, Stadtmauer EA. Phase 2 study of venetoclax plus carfilzomib and dexamethasone in patients with relapsed/refractory multiple myeloma. Blood Adv. 2021 Oct 12;5(19):3748-3759. doi: 10.1182/bloodadvances.2020004146. PubMed 34470049 ↗

Individual participant data

Plan to share: Yes — AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

Supporting information: Study protocol, Sap, Csr

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02899052
Lead sponsor
AbbVie
Collaborators
Genentech, Inc; Onyx Therapeutics, Inc.
Responsible party
Sponsor
First posted
Sep 14, 2016
Start date
Jan 19, 2017
Primary completion
Jun 2027 (estimated)
Completion
Jun 2027 (estimated)
Last update
Aug 5, 2025

Study contacts

ABBVIE INC.
study director · AbbVie

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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