Starton OK’d for Multiple Myeloma Trial
FDA has given Starton Therapeutics the green light to proceed with a Phase 1b clinical trial of its Star-LLD investigational continuous delivery lenalidomide in multiple myeloma. The trial in second-line transplant-ineligible patients is designed to assess the combination of Star-LLD, Velcade, and dexamethasone, according to the company. It will evaluate six patients for tolerability, immune biomarkers, and efficacy signals for continuously delivered lenalidomide at the highest planned daily dose, it says. Enrollment is planned for the fourth quarter.
Under the drug’s development plans, FDA has agreed to have a meeting to review initial data on safety and activity from the study as an interim analysis, Starton says. “This interim review is aimed at helping develop the plans for the approval path forward with Phase 2 studies for multiple myeloma, as well as other malignancies where lenalidomide has shown activity but is not approved for the new indications planned for study,” it adds.
The company says a preclinical proof-of-concept study for Star-LLD demonstrated that multiple myeloma tumors grew 25-fold if untreated, five-fold when treated with daily lenalidomide, and they shrank by 80% with Star-LLD.