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Top-line results from the phase II study of CLR 131 – CLOVER-1

By Emily Smith

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Feb 28, 2019


CLR 131 is a radioiodinated phospholipid ether-drug conjugate that utilizes malignant cells selective uptake and retention of phospholipid ethers. The use of CLR 131 is being investigated in the CLOVER-1 study in patients with relapsed/refractory (RR) B-cell hematologic cancers including multiple myeloma (MM). CLOVER-1 is an open-label, multicentre, phase II study. The top-line results from the study in patients with RRMM have been announced and are provided here.1

Background on the study (NCT02952508)1,2

  • CLR 131 is being investigated in multiple B-cell hematologic cancers
  • Enrolled patients with RRMM must have received at least 2 prior regimens including 1 proteasome inhibitor and 1 immunomodulatory agent
  • Primary endpoints:
    • Clinical benefit response
    • Overall response rate (ORR)
    • Progression-free survival
    • Median overall survival
  • Dose: 15.625 mCi/m2 administered intravenously on days 1 and 8
    • Determined based on phase I results of cohort 5 (patients with RRMM)
  • Patients also receive 40mg oral dexamethasone weekly for up to 12 weeks

Phase II top-line results1

  • Patients received a dose of 25 mCi/m2 of CLR 131, administered as a single 30-minute infusion on days 1 and 8
  • Median number of prior lines of therapy: 5
  • Efficacy:
    • ORR (N = 10): 30%
    • Very good partial response: N = 1
    • Partial response: N = 2

The pharmaceutical company responsible for the trial continue to dose patients at higher fractionated doses with data from other cohorts expected to be announced later this year.

References