ClinicalTrials.gg
CompletedNCT04671251Updated Feb 29, 2024

Phase 1b Study of AEVI-007 in Subjects With Relapsed or Refractory Multiple Myeloma

A Phase 1 interventional study of AEVI-007 in Multiple Myeloma, sponsored by Avalo Therapeutics, Inc.. Completed at 7 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-29.

Sponsored by Avalo Therapeutics, Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Mar 2022, 4 years 7 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a multicenter, open-label, dose-escalation Phase 1b study of AEVI-007 in subjects with relapsed or refractory Multiple Myeloma.

The objectives of the study are to evaluate the safety, pharmacokinetics and pharmacodynamics of AEVI-007.

Read the detailed description

This was a multicenter, open-label, dose-escalation, sequential groups Phase 1b clinical study in subjects with R/R multiple myeloma. The study utilized a "3+3" design. Three subjects were enrolled at each dose, starting with the initial dose of 4 mg/kg. If there were no DLTs, escalation to the next cohort took place. If there was 1 DLT, then the cohort was to be expanded to 6. If there were no further DLTs, then escalation to the next dose took place. If there were 2 DLTs in the initial 3 subjects, or 2 in the expanded cohort of 6 subjects, then the maximally tolerated dose (MTD) had been exceeded and dose escalation stopped. The dose prior to the dose where DLT was observed was then the RP2D. To allow safety assessment, the dosing of subjects within each dose level was staggered, with at least 24 hours between each subject.

02

Conditions studied

  • Multiple Myeloma

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03

In context

Multiple Myeloma

3,760 studies on the registry are indexed under Multiple Myeloma; 769 are open to participants now.

This study's enrollment of 13 is below the median of 41 across 3,005 interventional studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

Avalo Therapeutics, Inc. is the lead sponsor of 10 studies on the registry; none are open to participants now.

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Subject has active R/R multiple myeloma.
  2. Subject has measurable myeloma based on any of the following:

    • Serum M-protein > 0.5 g/dL
    • Urine M-protein > 200 mg/24 hours
    • Serum free light chains > 10 mg/dL
    • Measurable plasmacytoma or extramedullary disease
  3. Subject has active myeloma despite prior therapy with a proteasome inhibitor, an immunomodulatory agent and an anti-CD38 antibody.

    Note: Subject must not be a candidate for regimens known to provide clinical benefit.

  4. Subject has an performance status (ECOG PS) score of 0 or 1.
  5. Subject is > 18 years of age.
  6. Subject has adequate hematopoietic, renal and hepatic function, defined as:

    • > 1,000/μL; count > 75,000/μL in patients with \< 50% marrow involvement
    • Absolute neutrophil count > 750/μL; platelet count > 50,000/μL in patients with >50% marrow involvement
    • Serum creatinine \< 2.5 mg/dL or calculated of > 30 mL/min according to the Cockcroft-Gault equation
    • /alanine transaminase ≤2.5× the (ULN) and total \< 2× the ULN
  7. If applicable, the subject has undergone prior hematopoietic stem cell transplantation more than 100 days prior to the Screening Visit.
  8. Female patients of who are heterosexually active and male patients with female sexual partners of childbearing potential must agree to use an effective method of (eg, oral contraceptives, double-barrier methods such as a condom and a diaphragm, intrauterine device) or abstain from sexual activity during the study and for 220 days (5 half-lives) following the last dose of study medication, or to abstain from sexual intercourse for this duration of study participation. A woman not of childbearing potential is one who has undergone bilateral oophorectomies or who is , defined as the absence of menstrual periods for 12 consecutive months.
  9. Subject has provided written for this study.

Exclusion criteria

Exclusion Criteria:

  1. Subject has currently active infection requiring use of systemic antimicrobial therapy.
  2. Subject has received (>10 mg/daily prednisone or equivalent) or chemotherapy within 2 weeks of study drugs (4 weeks for nitrosourea, melphalan or monoclonal antibodies).
  3. Subject has hyperviscosity syndrome.
  4. Subject has central nervous system involvement by myeloma, including .
  5. Subject is judged to be at risk for impending fracture.
  6. Subject has known amyloidosis or POEMS (Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes) syndrome.
  7. Subject had another within 1 year of study entry with high probability of recurrence.
  8. Subject is pregnant or lactating.
  9. Subject has a history of, or tests positive for, , untreated or (HIV). Subject with hepatitis C who has received a full course of anti-viral therapy or who is currently receiving anti-viral therapy with undetectable levels of hepatitis C RNA is eligible for the trial.
  10. Subject has undergone major surgery or trauma within 4 weeks of study entry.
  11. Subject has been previously treated with an anti IL 18 antibody.
  12. Subject is currently taking immunomodulatory drugs, including pharmacologic doses of systemic glucocorticoids (> 10 mg prednisone daily or equivalent), anti tumor necrosis factor alpha (TNFα) antibodies, anti-IL-17 antibodies, anti IL 12/23 antibodies, phosphodiesterase-4 (PDE-4) inhibitors, janus kinase (JAK) inhibitors, IL-6 inhibitors, rituximab, methotrexate, cyclosporine, mycophenolate.
  13. Subject with known active disorders including, but not limited to, rheumatoid arthritis, lupus, systemic sclerosis, Sjogren's syndrome, psoriatic arthritis, ulcerative colitis, Crohn's disease, vasculitis, multiple sclerosis. Subjects with autoimmune endocrinopathies on stable doses of replacement hormone therapy are eligible for the trial.
  14. Subject has had a prior transplant.
  15. Subject has (NYHA) Class III or IV Congestive Heart Failure (CHF), myocardial infarction or acute coronary syndrome within 6 months prior to the Screening Visit, ongoing angina pectoris, severe peripheral vascular disease, or any other concomitant medical disorder that might interfere with the subject's participation in the trial or interpretation of the study data.
  16. Subject has psychiatric, substance abuse or social conditions that would interfere with the subject's participation or cooperation with the requirements of the trial.
  17. Subject has known to any of the components of AEVI-007.
Terms in these criteria, in plain language(21)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    AEVI-007

    Open-label, dose-escalation, single-arm

    Drug: AEVI-007

Interventions

  • 50 mg of AEVI-007 and will be reconstituted with 1.2 mL of water for injection.

06

What researchers measure

Primary outcomes

  1. Recommended Phase 2 Dose

    Identify the recommended Phase 2 dose based on safety, pharmacokinetics and pharmacodynamics observed in this Phase 1b study.

    Time frame: Cohorts 1-3 will take approximately 4-5 months

Secondary outcomes

  1. Incidence of Treatment Emergent Adverse Events (TEAEs)

    Time frame: Approximately 9 months

  2. Incidence of Clinically Significant Changes in Clinical Laboratory Results

    Time frame: Approximately 9 months

  3. Incidence of Clinically Significant Changes in Vital Signs

    Time frame: Approximately 9 months

  4. Incidence of Clinically Significant Changes in Electrocardiogram Recordings

    Time frame: Approximately 9 months

  5. Incidence of Clinically Significant Changes to Eastern Cooperative Oncology Group Performance Status (ECOG PS) Score

    Time frame: Approximately 9 months

  6. Incidence of Clinically Significant Changes in Physical Examination Findings

    Time frame: Approximately 9 months

  7. Maximum Observed Concentration of AEVI-007

    Time frame: Approximately 9 months

  8. Apparent Terminal Half-Life of AEVI-007

    Time frame: Approximately 9 months

  9. Clearance of AEVI-007

    Time frame: Approximately 9 months

  10. Volume of Distribution of AEVI-007

    Time frame: Approximately 9 months

  11. Area Under the Concentration-Time Curve From Time 0 to Time t of AEVI-007

    Time frame: Approximately 9 months

  12. Anti-myeloma activity

    To assess the anti-myeloma activity of AEVI-007 based on International Myeloma Working Group (IMWG) criteria for response

    Time frame: Approximately 9 months

  13. Determination of ADAs

    To determine the incidence of anti-drug antibodies to AEVI-007.

    Time frame: Approximately 9 months

  14. Time to Response (TTR)

    Defined as the time from start of the treatment to the first observation of PR or better. TTR is restricted to only subjects with confirmed responses.

    Time frame: Approximately 9 months

  15. Progression Free Survival (PFS)

    Defined as the duration from start of the treatment to disease progression or death (regardless of cause of death), whichever comes first

    Time frame: Approximately 9 months

  16. Duration of Response

    Defined as the duration from the first observation of PR to the time of disease progression, with deaths from causes other than progression censored

    Time frame: Approximately 9 months

07

Study locations

7 sites
  • University of California, Davis Comprehensive Cancer Center
    Sacramento, California 95817, United States
  • James R. Berenson, MD., Inc.
    West Hollywood, California 90069, United States
  • Florida Cancer Specialists
    Lake Mary, Florida 32746, United States
  • Florida Cancer Specialists
    Sarasota, Florida 34232, United States
  • American Oncology Partners of Maryland, PA
    Bethesda, Maryland 20817, United States
  • Levine Cancer Institute
    Charlotte, North Carolina 28204, United States
  • Froedtert Hospital & the Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2020 to primary completion in Mar 2022, 15 months.

Of 212 industry-sponsored phase 1 interventional studies under Multiple Myeloma, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 71. This study's 15 months is below that.

Counting every sponsor, half of 413 studies reached it within 50 months; a quarter within 33 and three quarters within 75.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 1, 2020
First posted
Dec 17, 2020
StartActual
Dec 15, 2020
Primary completionActual
Mar 30, 2022
CompletionActual
Mar 30, 2022
Last update
Feb 29, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04671251
Lead sponsor
Avalo Therapeutics, Inc.
Responsible party
Sponsor
First posted
Dec 17, 2020
Start date
Dec 15, 2020
Primary completion
Mar 30, 2022
Completion
Mar 30, 2022
Last update
Feb 29, 2024

Study contacts

Manish Patel, MD
principal investigator · Florida Cancer Specialist

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Camoteskimab

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