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    Clinical Trial Results:
    A Phase II open-label, single-arm, multicenter trial of MP0250 plus bortezomib+dexamethasone in patients with refractory and relapsed multiple myeloma

    Summary
    EudraCT number
    2016-002771-10
    Trial protocol
    DE   PL   DK   AT   CZ  
    Global end of trial date
    13 Jan 2021

    Results information
    Results version number
    v1(current)
    This version publication date
    08 Sep 2021
    First version publication date
    08 Sep 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    MP0250-CP201
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03136653
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Molecular Partners AG
    Sponsor organisation address
    Wagistrasse 14, Schlieren, Switzerland, 8952
    Public contact
    Clinical Trial Manager, Molecular Partners AG, info@molecularpartners.com
    Scientific contact
    Clinical Trial Manager, Molecular Partners AG, info@molecularpartners.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    11 May 2017
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    13 Jan 2021
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    There were 2 parts to this study. The main objectives for both parts were: - Part 1: To estimate the efficacy of MP0250 plus bortezomib + dexamethasone, based on overall response rate (ORR), in patients with multiple myeloma (MM) who have received ≥2 lines of therapy, including bortezomib and an immunomodulatory drug (IMiD), and have shown no response to, or have progressed on the most recent treatment, or within 60 days of the most recent therapy. - Part 2: To assess the preliminary efficacy of MP0250 in combination with bortezomib + dexamethasone in patients with refractory MM who have received ≥2 lines of therapy including a proteasome inhibitor (bortezomib, carfilzomib or both) and an IMiD (thalidomide, lenalidomide and/or pomalidomide) either alone or in combination and whose last line of therapy is either a bortezomib-or carfilzomib-based regimen.
    Protection of trial subjects
    This study was conducted in accordance with the Note for Guidance on Good Clinical Practice (GCP) International Council for Harmonisation (ICH) Harmonised Tripartite Guideline E6 (R1)/Integrated Addendum E6 (R2); US Food and Drug Administration (FDA) Code of Federal Regulations (CFR) (Title 21 Parts 50, 56, 312), requirements for the conduct of clinical studies as provided in the EU Directive 2001/20/EC, the general guidelines indicated in the Declaration of Helsinki; and all applicable regulatory requirements.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    31 Jan 2017
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Poland: 12
    Country: Number of subjects enrolled
    Czechia: 1
    Country: Number of subjects enrolled
    Denmark: 1
    Country: Number of subjects enrolled
    Germany: 13
    Country: Number of subjects enrolled
    Italy: 6
    Worldwide total number of subjects
    33
    EEA total number of subjects
    33
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    22
    From 65 to 84 years
    11
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Participants were enrolled at 24 research centers in Germany, Italy, Austria, Denmark, Poland, and Czechia from 11 May 2017 to 04 May 2020. The trial was terminated early on 04 May 2020 due to recent advances in the relapsed and refractory multiple myeloma (MM) treatment landscape.

    Pre-assignment
    Screening details
    Participants were enrolled into a lead-in phase (Part 1) for identification of the maximum tolerated dose (MTD) of MP0250. Part 2 enrolled additional participants for collection of additional safety and preliminary efficacy assessments.

    Period 1
    Period 1 title
    Overall Study: Parts 1 & 2 (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    8 mg/kg MP0250
    Arm description
    Participants in Part 1 and Part 2 were administered 8 milligrams per kilogram of body weight (mg/kg) MP0250 as an intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each cycle (1 cycle was 21 days) in combination with bortezomib 1.3 milligrams per square meter per dose (mg/m2/dose) as a subcutaneous (s.c.) injection on Days 1, 4, 8, and 11 of each cycle and 20 mg dexamethasone as oral tablets on Days 1, 2, 4, 5, 8, 9, 11, and 12 of each cycle.
    Arm type
    Experimental

    Investigational medicinal product name
    MP0250
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Concentrate for solution for infusion
    Dosage and administration details
    8 mg/kg as an IV infusion via peripheral or central venous line

    Investigational medicinal product name
    Bortezomib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    1.3 mg/m^2/dose as a s.c. injection

    Investigational medicinal product name
    Dexamethasone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    20 mg per oral (po) as an oral tablet

    Arm title
    12 mg/kg MP0250
    Arm description
    Participants in Part 1 were administered 12 mg/kg of body weight MP0250 as an IV infusion Q3W on Day 1 of each cycle (1 cycle was 21 days) in combination with bortezomib 1.3 mg/m2/dose as a s.c. injection on Days 1, 4, 8, and 11 of each cycle and 20 mg dexamethasone as oral tablets on Days 1, 2, 4, 5, 8, 9, 11, and 12 of each cycle.
    Arm type
    Experimental

    Investigational medicinal product name
    MP0250
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Concentrate for solution for infusion
    Dosage and administration details
    12 mg/kg as an IV infusion via peripheral or central venous line

    Investigational medicinal product name
    Bortezomib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    1.3 mg/m^2/dose as a s.c. injection

    Investigational medicinal product name
    Dexamethasone
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    20 mg per oral (po) as an oral tablet

    Number of subjects in period 1
    8 mg/kg MP0250 12 mg/kg MP0250
    Started
    30
    3
    Completed
    0
    0
    Not completed
    30
    3
         Discontinued
    30
    3

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    8 mg/kg MP0250
    Reporting group description
    Participants in Part 1 and Part 2 were administered 8 milligrams per kilogram of body weight (mg/kg) MP0250 as an intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each cycle (1 cycle was 21 days) in combination with bortezomib 1.3 milligrams per square meter per dose (mg/m2/dose) as a subcutaneous (s.c.) injection on Days 1, 4, 8, and 11 of each cycle and 20 mg dexamethasone as oral tablets on Days 1, 2, 4, 5, 8, 9, 11, and 12 of each cycle.

    Reporting group title
    12 mg/kg MP0250
    Reporting group description
    Participants in Part 1 were administered 12 mg/kg of body weight MP0250 as an IV infusion Q3W on Day 1 of each cycle (1 cycle was 21 days) in combination with bortezomib 1.3 mg/m2/dose as a s.c. injection on Days 1, 4, 8, and 11 of each cycle and 20 mg dexamethasone as oral tablets on Days 1, 2, 4, 5, 8, 9, 11, and 12 of each cycle.

    Reporting group values
    8 mg/kg MP0250 12 mg/kg MP0250 Total
    Number of subjects
    30 3 33
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    60.4 ( 8.62 ) 55.7 ( 3.21 ) -
    Gender categorical
    Units: Subjects
        Female
    16 2 18
        Male
    14 1 15
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    0 0 0
        Not Hispanic or Latino
    30 3 33
        Unknown or Not Reported
    0 0 0

    End points

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    End points reporting groups
    Reporting group title
    8 mg/kg MP0250
    Reporting group description
    Participants in Part 1 and Part 2 were administered 8 milligrams per kilogram of body weight (mg/kg) MP0250 as an intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each cycle (1 cycle was 21 days) in combination with bortezomib 1.3 milligrams per square meter per dose (mg/m2/dose) as a subcutaneous (s.c.) injection on Days 1, 4, 8, and 11 of each cycle and 20 mg dexamethasone as oral tablets on Days 1, 2, 4, 5, 8, 9, 11, and 12 of each cycle.

    Reporting group title
    12 mg/kg MP0250
    Reporting group description
    Participants in Part 1 were administered 12 mg/kg of body weight MP0250 as an IV infusion Q3W on Day 1 of each cycle (1 cycle was 21 days) in combination with bortezomib 1.3 mg/m2/dose as a s.c. injection on Days 1, 4, 8, and 11 of each cycle and 20 mg dexamethasone as oral tablets on Days 1, 2, 4, 5, 8, 9, 11, and 12 of each cycle.

    Primary: Overall Response Rate (ORR)

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    End point title
    Overall Response Rate (ORR) [1] [2]
    End point description
    ORR defined as the percentage of participants achieving a stringent complete response (sCR), complete response (CR), very good partial response (VGPR), or partial response (PR) per the International Myeloma Working Group (IMWG) as determined by the Investigator.
    End point type
    Primary
    End point timeframe
    Day 1 until disease progression, death or discontinuation plus 7 days
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analyses were carried out for this end point.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The Full Analysis Set (FAS) for efficacy included all participants who were treated with 8 mg/kg MP0250 in Parts 1 and 2 and had measurable disease at baseline and completed at least 1 assessment of response.
    End point values
    8 mg/kg MP0250
    Number of subjects analysed
    28
    Units: percentage of participants
        number (confidence interval 95%)
    32.1 (17.9 to 50.7)
    No statistical analyses for this end point

    Secondary: Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)

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    End point title
    Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)
    End point description
    An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A TEAE was any AE occurring or worsening on or after the first dose of study treatment, up to 28 days after the last dose of MP0250. Severity of TEAEs were assessed based on the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03, grades 3 or greater: • Grade 3: severe • Grade 4: life-threatening • Grade 5: fatal Clinically significant changes from baseline in laboratory analytes, vital signs and electrocardiogram (ECG) findings were also considered TEAEs.
    End point type
    Secondary
    End point timeframe
    Day 1 until 28 days after the last treatment
    End point values
    8 mg/kg MP0250 12 mg/kg MP0250
    Number of subjects analysed
    28
    3
    Units: Participants
        Any TEAE
    28
    3
        Any Grade >=3 TEAE
    26
    3
    No statistical analyses for this end point

    Secondary: Number of Participants With a Positive Anti-drug Antibody (ADA) Result

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    End point title
    Number of Participants With a Positive Anti-drug Antibody (ADA) Result
    End point description
    ADA tests were performed at baseline, during study treatment, at the end of study treatment and at follow up.
    End point type
    Secondary
    End point timeframe
    Day 1 until disease progression, death or discontinuation
    End point values
    8 mg/kg MP0250 12 mg/kg MP0250
    Number of subjects analysed
    28
    3
    Units: Participants
        Baseline
    2
    1
        During study treatment
    5
    0
        End of treatment
    0
    0
        Follow-up
    0
    0
    No statistical analyses for this end point

    Secondary: Average Range of ADA Titer in Participants who Tested Positive for ADA After Treatment

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    End point title
    Average Range of ADA Titer in Participants who Tested Positive for ADA After Treatment
    End point description
    Serum samples were collected to analyze the titers of antibodies against MP0250. Values of 99999 indicate that no values could be calculated.
    End point type
    Secondary
    End point timeframe
    Day 1 until disease progression, death or discontinuation
    End point values
    8 mg/kg MP0250 12 mg/kg MP0250
    Number of subjects analysed
    3
    0 [3]
    Units: titer
    arithmetic mean (standard deviation)
        Lower value
    99999 ( 99999 )
    ( )
        Higher value
    99999 ( 99999 )
    ( )
    Notes
    [3] - There were no participants who tested positive for ADA post-treatment.
    No statistical analyses for this end point

    Secondary: Time-course of Anti-drug Antibodies (ADAs)

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    End point title
    Time-course of Anti-drug Antibodies (ADAs)
    End point description
    The time to onset of ADA was defined as time (months) between the first day of study treatment and date of first detection of ADA.
    End point type
    Secondary
    End point timeframe
    Day 1 until disease progression, death or discontinuation plus 7 days
    End point values
    8 mg/kg MP0250 12 mg/kg MP0250
    Number of subjects analysed
    3
    0 [4]
    Units: months
        median (full range (min-max))
    0.71 (0.7 to 7.9)
    ( to )
    Notes
    [4] - No participants tested positive for ADA after treatment.
    No statistical analyses for this end point

    Secondary: Progression-free Survival (PFS)

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    End point title
    Progression-free Survival (PFS) [5]
    End point description
    PFS was defined as the time in days from the first dose of MP0250 to progressive disease or death from myeloma. Deaths from other causes were censored. PFS was summarized using Kaplan-Meier (K-M) methodology.
    End point type
    Secondary
    End point timeframe
    Day 1 until disease progression or death from myeloma
    Notes
    [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The Full Analysis Set (FAS) for efficacy included all participants who were treated with 8 mg/kg MP0250 in Parts 1 and 2 and had measurable disease at baseline and completed at least 1 assessment of response.
    End point values
    8 mg/kg MP0250
    Number of subjects analysed
    28
    Units: days
        median (confidence interval 95%)
    126.0 (58.0 to 213.0)
    No statistical analyses for this end point

    Secondary: Duration of Response (DOR)

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    End point title
    Duration of Response (DOR) [6]
    End point description
    DOR was defined as the time from the earliest date of documented response (≥PR per the IMWG) to the first occurrence of disease progression or death from myeloma (with deaths from other causes censored). All responders were used for the response duration analysis, which was summarized using K-M estimates. The value of 99999 indicates that the upper limit could not be calculated.
    End point type
    Secondary
    End point timeframe
    Day 1 until disease progression, death or discontinuation plus 7 days
    Notes
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The Full Analysis Set (FAS) for efficacy included all participants who were treated with 8 mg/kg MP0250 in Parts 1 and 2.
    End point values
    8 mg/kg MP0250
    Number of subjects analysed
    9
    Units: days
        median (confidence interval 95%)
    238.5 (151.0 to 99999)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events: Day 1 until 28 days after the last treatment; Mortality: Day 1 until 30 days after the last treatment
    Adverse event reporting additional description
    All-cause mortality is reported for all participants who enrolled in the study (n=30 for 8 mg/kg; n=3 for 12 mg/kg). Serious adverse events and other adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2 (n=28 for 8 mg/kg; n=3 for 12 mg/kg).
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    23.0
    Reporting groups
    Reporting group title
    8 mg/kg MP0250
    Reporting group description
    Participants in Part 1 and Part 2 were administered 8 mg/kg MP0250 as an IV infusion Q3W on Day 1 of each cycle (1 cycle was 21 days) in combination with bortezomib 1.3 milligrams per square meter mg/m2/dose as a s.c. injection on Days 1, 4, 8, and 11 of each cycle and 20 mg dexamethasone as oral tablets on Days 1, 2, 4, 5, 8, 9, 11, and 12 of each cycle.

    Reporting group title
    12 mg/kg MP0250
    Reporting group description
    Participants in Part 1 were administered 12 mg/kg of body weight MP0250 as an IV infusion Q3W on Day 1 of each cycle (1 cycle was 21 days) in combination with bortezomib 1.3 mg/m2/dose as a s.c. injection on Days 1, 4, 8, and 11 of each cycle and 20 mg dexamethasone as oral tablets on Days 1, 2, 4, 5, 8, 9, 11, and 12 of each cycle.

    Serious adverse events
    8 mg/kg MP0250 12 mg/kg MP0250
    Total subjects affected by serious adverse events
         subjects affected / exposed
    14 / 30 (46.67%)
    2 / 3 (66.67%)
         number of deaths (all causes)
    8
    3
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal cell carcinoma
         subjects affected / exposed [1]
    1 / 28 (3.57%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vascular disorders
    Hypertension
         subjects affected / exposed [2]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypertensive crisis
         subjects affected / exposed [3]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed [4]
    1 / 28 (3.57%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac failure
         subjects affected / exposed [5]
    1 / 28 (3.57%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac failure congestive
         subjects affected / exposed [6]
    1 / 28 (3.57%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Thrombocytopenia
         subjects affected / exposed [7]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Anaemia
         subjects affected / exposed [8]
    0 / 28 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed [9]
    1 / 28 (3.57%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Eye disorders
    Cataract
         subjects affected / exposed [10]
    1 / 28 (3.57%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Skin ulcer
         subjects affected / exposed [11]
    1 / 28 (3.57%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed [12]
    1 / 28 (3.57%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Proteinuria
         subjects affected / exposed [13]
    1 / 28 (3.57%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Diverticulitis
         subjects affected / exposed [14]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Abdominal abscess
         subjects affected / exposed [15]
    1 / 28 (3.57%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Product issues
    Device issue
         subjects affected / exposed [16]
    1 / 28 (3.57%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Notes
    [1] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [2] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [3] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [4] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [5] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [6] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [7] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [8] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [9] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [10] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [11] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [12] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [13] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [14] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [15] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [16] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    8 mg/kg MP0250 12 mg/kg MP0250
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    28 / 30 (93.33%)
    3 / 3 (100.00%)
    Vascular disorders
    Hypertension
         subjects affected / exposed [17]
    18 / 28 (64.29%)
    1 / 3 (33.33%)
         occurrences all number
    65
    1
    General disorders and administration site conditions
    Oedema peripheral
         subjects affected / exposed [18]
    7 / 28 (25.00%)
    2 / 3 (66.67%)
         occurrences all number
    8
    3
    Fatigue
         subjects affected / exposed [19]
    7 / 28 (25.00%)
    1 / 3 (33.33%)
         occurrences all number
    10
    1
    Asthenia
         subjects affected / exposed [20]
    3 / 28 (10.71%)
    2 / 3 (66.67%)
         occurrences all number
    8
    2
    Chest pain
         subjects affected / exposed [21]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Face oedema
         subjects affected / exposed [22]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Influenza like illness
         subjects affected / exposed [23]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Mucosal inflammation
         subjects affected / exposed [24]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Pain
         subjects affected / exposed [25]
    1 / 28 (3.57%)
    1 / 3 (33.33%)
         occurrences all number
    1
    1
    Pyrexia
         subjects affected / exposed
    1 / 30 (3.33%)
    1 / 3 (33.33%)
         occurrences all number
    2
    2
    Oedema
         subjects affected / exposed [26]
    0 / 28 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    Reproductive system and breast disorders
    Vulvovaginal pruritus
         subjects affected / exposed [27]
    0 / 28 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    Respiratory, thoracic and mediastinal disorders
    Epistaxis
         subjects affected / exposed [28]
    4 / 28 (14.29%)
    1 / 3 (33.33%)
         occurrences all number
    10
    5
    Dysphonia
         subjects affected / exposed [29]
    3 / 28 (10.71%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Dyspnoea
         subjects affected / exposed [30]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Psychiatric disorders
    Insomnia
         subjects affected / exposed [31]
    4 / 28 (14.29%)
    0 / 3 (0.00%)
         occurrences all number
    6
    0
    Restlessness
         subjects affected / exposed [32]
    3 / 28 (10.71%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Mood altered
         subjects affected / exposed [33]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Sleep disorder
         subjects affected / exposed [34]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Investigations
    Blood creatinine increased
         subjects affected / exposed [35]
    4 / 28 (14.29%)
    1 / 3 (33.33%)
         occurrences all number
    6
    1
    Gamma-glutamyltransferase increased
         subjects affected / exposed [36]
    5 / 28 (17.86%)
    0 / 3 (0.00%)
         occurrences all number
    5
    0
    Platelet count decreased
         subjects affected / exposed [37]
    3 / 28 (10.71%)
    0 / 3 (0.00%)
         occurrences all number
    6
    0
    Alanine aminotransferase increased
         subjects affected / exposed [38]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Aspartate aminotransferase increased
         subjects affected / exposed [39]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Lipase increased
         subjects affected / exposed [40]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    White blood cell count decreased
         subjects affected / exposed [41]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Lymphocyte count decreased
         subjects affected / exposed [42]
    0 / 28 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    Weight decreased
         subjects affected / exposed [43]
    0 / 28 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    Nervous system disorders
    Polyneuropathy
         subjects affected / exposed [44]
    6 / 28 (21.43%)
    0 / 3 (0.00%)
         occurrences all number
    10
    0
    Headache
         subjects affected / exposed [45]
    4 / 28 (14.29%)
    1 / 3 (33.33%)
         occurrences all number
    4
    2
    Neuropathy peripheral
         subjects affected / exposed [46]
    3 / 28 (10.71%)
    1 / 3 (33.33%)
         occurrences all number
    3
    1
    Dizziness
         subjects affected / exposed [47]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Sciatica
         subjects affected / exposed [48]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Tremor
         subjects affected / exposed [49]
    0 / 28 (0.00%)
    2 / 3 (66.67%)
         occurrences all number
    0
    2
    Blood and lymphatic system disorders
    Thrombocytopenia
         subjects affected / exposed [50]
    13 / 28 (46.43%)
    3 / 3 (100.00%)
         occurrences all number
    44
    13
    Anaemia
         subjects affected / exposed [51]
    5 / 28 (17.86%)
    2 / 3 (66.67%)
         occurrences all number
    16
    8
    Lymphopenia
         subjects affected / exposed [52]
    4 / 28 (14.29%)
    0 / 3 (0.00%)
         occurrences all number
    35
    0
    Leukopenia
         subjects affected / exposed [53]
    3 / 28 (10.71%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Neutropenia
         subjects affected / exposed [54]
    2 / 28 (7.14%)
    1 / 3 (33.33%)
         occurrences all number
    2
    4
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed [55]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Eye disorders
    Cataract
         subjects affected / exposed [56]
    3 / 28 (10.71%)
    0 / 3 (0.00%)
         occurrences all number
    4
    0
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed [57]
    8 / 28 (28.57%)
    1 / 3 (33.33%)
         occurrences all number
    15
    1
    Nausea
         subjects affected / exposed [58]
    5 / 28 (17.86%)
    1 / 3 (33.33%)
         occurrences all number
    6
    2
    Abdominal pain upper
         subjects affected / exposed [59]
    4 / 28 (14.29%)
    0 / 3 (0.00%)
         occurrences all number
    5
    0
    Constipation
         subjects affected / exposed [60]
    3 / 28 (10.71%)
    1 / 3 (33.33%)
         occurrences all number
    3
    2
    Abdominal pain
         subjects affected / exposed [61]
    3 / 28 (10.71%)
    0 / 3 (0.00%)
         occurrences all number
    5
    0
    Vomiting
         subjects affected / exposed [62]
    0 / 28 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    Skin and subcutaneous tissue disorders
    Pruritus
         subjects affected / exposed [63]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Rash
         subjects affected / exposed [64]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Skin ulcer
         subjects affected / exposed [65]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Renal and urinary disorders
    Proteinuria
         subjects affected / exposed [66]
    8 / 28 (28.57%)
    2 / 3 (66.67%)
         occurrences all number
    10
    2
    Albuminuria
         subjects affected / exposed [67]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Oliguria
         subjects affected / exposed [68]
    0 / 28 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed [69]
    3 / 28 (10.71%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Musculoskeletal chest pain
         subjects affected / exposed [70]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Muscle spasms
         subjects affected / exposed [71]
    0 / 28 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    Pain in extremity
         subjects affected / exposed [72]
    0 / 28 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    3
    Infections and infestations
    Upper respiratory tract infection
         subjects affected / exposed [73]
    9 / 28 (32.14%)
    0 / 3 (0.00%)
         occurrences all number
    13
    0
    Respiratory tract infection
         subjects affected / exposed [74]
    3 / 28 (10.71%)
    1 / 3 (33.33%)
         occurrences all number
    3
    1
    Cystitis
         subjects affected / exposed [75]
    3 / 28 (10.71%)
    0 / 3 (0.00%)
         occurrences all number
    5
    0
    Periodontitis
         subjects affected / exposed [76]
    3 / 28 (10.71%)
    0 / 3 (0.00%)
         occurrences all number
    6
    0
    Pneumonia
         subjects affected / exposed [77]
    3 / 28 (10.71%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Conjunctivitis
         subjects affected / exposed [78]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Diverticulitis
         subjects affected / exposed [79]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    6
    0
    Herpes Zoster
         subjects affected / exposed [80]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Fungal skin infection
         subjects affected / exposed [81]
    0 / 28 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    Infection
         subjects affected / exposed [82]
    0 / 28 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    Sinusitis
         subjects affected / exposed [83]
    0 / 28 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    2
    Metabolism and nutrition disorders
    Hyperuricaemia
         subjects affected / exposed [84]
    3 / 28 (10.71%)
    1 / 3 (33.33%)
         occurrences all number
    3
    1
    Decreased appetite
         subjects affected / exposed [85]
    3 / 28 (10.71%)
    0 / 3 (0.00%)
         occurrences all number
    3
    0
    Hypercalcaemia
         subjects affected / exposed [86]
    0 / 28 (0.00%)
    2 / 3 (66.67%)
         occurrences all number
    0
    3
    Hypercholesterolaemia
         subjects affected / exposed [87]
    2 / 28 (7.14%)
    0 / 3 (0.00%)
         occurrences all number
    2
    0
    Hypocalcaemia
         subjects affected / exposed [88]
    1 / 28 (3.57%)
    1 / 3 (33.33%)
         occurrences all number
    1
    1
    Hypokalaemia
         subjects affected / exposed [89]
    0 / 28 (0.00%)
    2 / 3 (66.67%)
         occurrences all number
    0
    2
    Notes
    [17] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [18] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [19] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [20] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [21] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [22] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [23] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [24] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [25] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [26] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [27] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [28] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [29] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [30] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [31] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [32] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [33] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [34] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [35] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [36] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [37] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [38] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [39] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [40] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [41] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [42] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [43] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [44] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [45] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [46] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [47] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [48] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [49] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [50] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [51] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [52] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [53] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [54] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [55] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [56] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [57] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [58] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [59] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [60] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [61] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [62] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [63] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [64] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [65] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [66] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [67] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [68] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [69] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [70] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [71] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [72] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [73] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [74] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [75] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [76] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [77] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [78] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [79] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [80] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [81] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [82] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [83] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [84] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [85] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [86] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [87] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [88] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.
    [89] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Non-serious adverse events are reported for all participants who received at least 1 dose of MP0250 in either Part 1 or Part 2.

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    11 Jul 2017
    • The exclusion criteria were modified. • Screening assessment details were modified. • An additional follow-up visit for safety was added to capture any AE after end of study (EoS) and end of the follow-up period. • Criteria for the initiation of a New Cycle of Treatment were added. • Treatment Dose Modification/Treatment Delay Recommendations section was modified in accordance with Investigator Brochure (IB) V3.0. In addition, further instructions were added for MP0250 and dexamethasone aiming to facilitate treatment and dose modifications.
    19 Dec 2018
    • Primary objective for Part 2 under the new participant population was added describing that MM subjects who had received ≥2 lines of therapy, including bortezomib and IMiD, and had shown no response or progressed on most recent therapy and had received most recent therapy (must be a bortezomib- or carfilzomib-based regimen) were to be assessed for ORR. • Study endpoints were modified: ○ Secondary safety endpoint - to include changes from baseline in selected laboratory analytes to further determine the safety profile of MP0250. ○ Secondary efficacy endpoint – to enable correct assessment of DOR from the first observation of PR or better until disease progression or death from myeloma according to the International Myeloma Workshop Consensus Panel 1. • The number of participants to be enrolled was updated. • Baseline disease assessments were modified to include all available imaging modalities considered standard of care in relapse/refractory multiple myeloma (RRMM). • Overall Survival (OS) was modified to include OS visit after completion of follow-up period. Survival follow-up criteria were added. • MP0250 dosing instructions were modified from 3 hours to 1 hour infusion followed by 25 mL 0.9% NaCl flush volume. • Dexamethasone dosing instructions were modified for participants aged ≥75 years or considered frail by Investigator; it was recommended that this group of participants received reduced dexamethasone to avoid unnecessary toxicity. • Dose modifications for MP0250 were modified since it had been demonstrated that the 12 mg/kg Q3W dose was insufficiently tolerated in Part 1. • For Part 2 of the study, the dose-escalation committee (DEC) would review safety in the event of any unexpected safety signals.
    30 Jul 2020
    • To reduce the intensity of study visits for ongoing participants, the Day 15 study visit of each cycle would no longer be performed. • Analyses required for efficacy assessment and evaluation of primary and secondary endpoints would no longer be performed by central laboratory. • Bone Marrow (BM) aspirate/biopsy, and assessment of soft tissue involvement were no longer required. • Efficacy assessment was to be based on the local laboratory results; these data were not to be used for evaluation of primary and secondary endpoints but to assess whether the participant was responding and if a new cycle of study treatment was to be initiated. • For participants who were discontinued from study treatment, no further efficacy assessments would be done following the end of treatment (EOT) visit. • As the study was at an early stage and due to the consequential limited available data, survival data would no longer be collected. • No further analyses of cytokine biomarker panel. • No further fluorescence in-situ hybridization (FISH) analyses would be performed. • Pharmacokinetics (PK) would be collected only on Day 1 of each cycle and at the EOT visit. • EoS would occur 3 months after the last ongoing participant discontinued from study treatment (3-month follow-up visit), or death, withdrawal of consent, or lost to follow-up, whichever occurred earlier. • The final analyses would occur when the last ongoing participant had switched to Protocol V4.0 or discontinued study treatment (regardless of the reason), whichever occurred first. For the primary analyses, the FAS that includes participants enrolled in Part 1 and Part 2 would be used. • No further DEC data review meetings were anticipated.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    It was planned that up to 54 participants would enroll. However, recruitment was stopped by Sponsor decision on 04 May 2020, before this was achieved, as the study design no longer supported recent advances in the RRMM treatment landscape.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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