FDA Lifts Hold on Multiple Myeloma Drug
FDA has lifted a two-month-long partial clinical hold on a Molecular Templates (MTEM) Phase 1 multiple myeloma study of MT-0169 that was based on previously disclosed cardiac adverse events noted in two patients dosed at 50 mcg/kg, which prompted a dose reduction from 50 mcg/kg to 5 mcg/kg last year, according to the company. “Since then, four patients have been dosed at 5 mcg/kg and three patients have been dosed at 10 mcg/kg with no cardiac adverse events noted,” the company said at the time of the hold.
Regarding the patients dosed at 50 mcg/kg, one experienced asymptomatic Grade 2 myocarditis and the other experienced asymptomatic Grade 3 cardiomyopathy, the company says, adding that both patients had full recoveries within two months. To lift the hold, FDA had asked MTEM to “provide narratives on the two patients who experienced cardiotoxicity at 50 mcg/kg, justification for the revised dose of 5 mcg/kg, and data evaluating the clinical benefit-to-risk ratio seen with the lower doses of MT-0169, among other requests,” it added.
Removal of the hold allows MTEM to evaluate the efficacy of MT-0169, one of its engineered toxin bodies which specifically targets CD38, a validated target in multiple myeloma, the company says. “MT-0169 represents a novel approach to myeloma that is demonstrating good safety with early signs of potential clinical benefit, particularly in the extramedullary setting, where we have seen a stringent Complete Response in a patient who remains on study for 10 months,” it says.