The Phase II study was designed to compare the safety, tolerability and pharmacokinetic profiles of the PG-free Melphalan intravenous formulation and the current clinically-used intravenous formulation of Melphalan for multiple myeloma patients undergoing autologous transplantation.
The Phase II study successfully met all endpoints, with the new PG-free Melphalan showing to be bioequivalent to Alkeran per guidance requirements, while also demonstrating a marginally higher systemic drug exposure (112%).
Results showed that PG-free Melphalan, administered as half of a high-dose conditioning regimen, resulted in successful myeloablation (100% of patients) and subsequent engraftment (100% of patients) with no additional toxicity.
The positive results of the Phase II study will allow the follow-on pivotal study to use a dosing regimen comparable to Alkeran. The pivotal study will expose patients exclusively to the PG-free Melphalan formulation and will further assess its safety and efficacy.
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