A Study Comparing AZD0120, a Dual-targeted CAR-T Against B-cell Maturation Antigen (BCMA) and CD19, Versus Standard Regimens in Participants With Relapsed Refractory Multiple Myeloma (DURGA-4) (DURGA-4)
A Phase III Open-label, Randomised, Multicentre Study Comparing AZD0120, a Dual-Targeting Autologous Chimeric Antigen Receptor T-cell (CART) Therapy Directed Against BCMA and CD19, Versus Standard Regimens in Participants With Relapsed Refractory Multiple Myeloma.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: AstraZeneca Clinical Study Information Center
- Phone Number: 1-877-240-9479
- Email: information.center@astrazeneca.com
Study Locations
-
-
-
Camperdown, Australia, 2050
- Recruiting
- Research Site
-
Darlinghurst, Australia, 2010
- Recruiting
- Research Site
-
Fitzroy, Australia, VIC3065
- Recruiting
- Research Site
-
Liverpool, Australia, 2170
- Not yet recruiting
- Research Site
-
Melbourne, Australia, 3000
- Recruiting
- Research Site
-
Melbourne, Australia, 3004
- Recruiting
- Research Site
-
Murdoch, Australia, WA6150
- Not yet recruiting
- Research Site
-
-
-
-
-
Salvador, Brazil, 41253-190
- Recruiting
- Research Site
-
São Paulo, Brazil, 05652-900
- Recruiting
- Research Site
-
São Paulo, Brazil, 01509-900
- Recruiting
- Research Site
-
-
-
-
Alberta
-
Calgary, Alberta, Canada, T2N 5G2
- Not yet recruiting
- Research Site
-
-
British Columbia
-
Vancouver, British Columbia, Canada, V5Z 4E6
- Not yet recruiting
- Research Site
-
-
Ontario
-
Toronto, Ontario, Canada, M5G 2M9
- Recruiting
- Research Site
-
-
Quebec
-
Montreal, Quebec, Canada, H3A 1A1
- Recruiting
- Research Site
-
-
-
-
-
Beijing, China, 100044
- Not yet recruiting
- Research Site
-
Beijing, China, 100024
- Not yet recruiting
- Research Site
-
Changchun, China, 130021
- Not yet recruiting
- Research Site
-
Changsha, China, 410013
- Not yet recruiting
- Research Site
-
Changsha, China, 410008
- Not yet recruiting
- Research Site
-
Chongqing, China, 400030
- Not yet recruiting
- Research Site
-
Guangzhou, China, 510000
- Not yet recruiting
- Research Site
-
Guangzhou, China, 510700
- Not yet recruiting
- Research Site
-
Hefei, China, 230601
- Not yet recruiting
- Research Site
-
Nanchang, China, 330006
- Not yet recruiting
- Research Site
-
Nanchang, China, 330000
- Not yet recruiting
- Research Site
-
Nanjing, China, 210000
- Not yet recruiting
- Research Site
-
Ningbo, China, 315040
- Not yet recruiting
- Research Site
-
Shanghai, China, 200025
- Not yet recruiting
- Research Site
-
Shanghai, China, 201210
- Not yet recruiting
- Research Site
-
Shanghai, China, 200065
- Not yet recruiting
- Research Site
-
Shenzhen, China, 518039
- Not yet recruiting
- Research Site
-
Tianjin, China, 300020
- Not yet recruiting
- Research Site
-
Wenzhou, China, 325000
- Not yet recruiting
- Research Site
-
Wuhan, China, 430030
- Not yet recruiting
- Research Site
-
Xi'an, China, 710061
- Not yet recruiting
- Research Site
-
Xi'an, China, 710004
- Not yet recruiting
- Research Site
-
Zhengzhou, China, 450000
- Not yet recruiting
- Research Site
-
Zhengzhou, China, 450008
- Not yet recruiting
- Research Site
-
-
-
-
-
Lille, France, 59037
- Not yet recruiting
- Research Site
-
Nantes, France, 44093
- Not yet recruiting
- Research Site
-
Paris, France, 75010
- Not yet recruiting
- Research Site
-
Pierre-Bénite, France, 69495
- Not yet recruiting
- Research Site
-
Poitiers, France, 86021
- Not yet recruiting
- Research Site
-
Toulouse, France, 31059
- Not yet recruiting
- Research Site
-
-
-
-
-
Berlin, Germany, 12200
- Not yet recruiting
- Research Site
-
Dresden, Germany, 01307
- Not yet recruiting
- Research Site
-
Erlangen, Germany, 91054
- Not yet recruiting
- Research Site
-
Essen, Germany, 45147
- Not yet recruiting
- Research Site
-
Freiburg im Breisgau, Germany, 79106
- Not yet recruiting
- Research Site
-
Hamburg, Germany, 20246
- Not yet recruiting
- Research Site
-
Leipzig, Germany, 04103
- Not yet recruiting
- Research Site
-
Mainz, Germany, 55131
- Not yet recruiting
- Research Site
-
München, Germany, 81675
- Not yet recruiting
- Research Site
-
Nuremberg, Germany, 90419
- Not yet recruiting
- Research Site
-
Würzburg, Germany, 97080
- Not yet recruiting
- Research Site
-
-
-
-
-
Bologna, Italy, 40138
- Not yet recruiting
- Research Site
-
Milan, Italy, 20133
- Not yet recruiting
- Research Site
-
Milan, Italy, 20132
- Not yet recruiting
- Research Site
-
Naples, Italy, 80131
- Not yet recruiting
- Research Site
-
Rozzano, Italy, 20089
- Not yet recruiting
- Research Site
-
Torino, Italy, 10100
- Not yet recruiting
- Research Site
-
-
-
-
-
Bunkyō City, Japan, 113-8431
- Recruiting
- Research Site
-
Kashiwa, Japan, 277-8577
- Recruiting
- Research Site
-
Kyoto, Japan, 602-8566
- Recruiting
- Research Site
-
Nagoya, Japan, 467-8602
- Recruiting
- Research Site
-
Shibuya-ku, Japan, 150-8935
- Recruiting
- Research Site
-
Shinjuku-ku, Japan, 160-8582
- Recruiting
- Research Site
-
-
-
-
-
Oslo, Norway, 0450
- Not yet recruiting
- Research Site
-
-
-
-
-
Gdansk, Poland, 80-952
- Not yet recruiting
- Research Site
-
Gliwice, Poland, 44-101
- Not yet recruiting
- Research Site
-
Lublin, Poland, 20-090
- Not yet recruiting
- Research Site
-
Poznan, Poland, 60-569
- Not yet recruiting
- Research Site
-
Warsaw, Poland, 02-776
- Not yet recruiting
- Research Site
-
Wroclaw, Poland, 50-367
- Not yet recruiting
- Research Site
-
-
-
-
-
Seoul, South Korea, 03080
- Not yet recruiting
- Research Site
-
Seoul, South Korea, 06591
- Not yet recruiting
- Research Site
-
Seoul, South Korea, 5505
- Not yet recruiting
- Research Site
-
Seoul, South Korea, 06351
- Not yet recruiting
- Research Site
-
-
-
-
-
Barcelona, Spain, 08036
- Not yet recruiting
- Research Site
-
Barcelona, Spain, 8035
- Not yet recruiting
- Research Site
-
Madrid, Spain, 28041
- Not yet recruiting
- Research Site
-
Pamplona, Spain, 31008
- Not yet recruiting
- Research Site
-
Salamanca, Spain, 37007
- Not yet recruiting
- Research Site
-
Santander, Spain, 39008
- Not yet recruiting
- Research Site
-
Valencia, Spain, 46026
- Not yet recruiting
- Research Site
-
-
-
-
-
Taipei, Taiwan, 112
- Recruiting
- Research Site
-
Taipei, Taiwan, 10002
- Not yet recruiting
- Research Site
-
Taipei, Taiwan, 106
- Recruiting
- Research Site
-
-
-
-
-
Birmingham, United Kingdom, B9 5SS
- Recruiting
- Research Site
-
Bristol, United Kingdom, BS2 8ED
- Recruiting
- Research Site
-
Glasgow, Scotland, United Kingdom, G12 0YN
- Not yet recruiting
- Research Site
-
London, United Kingdom, SM2 5NG
- Recruiting
- Research Site
-
-
-
-
Arizona
-
Gilbert, Arizona, United States, 85234
- Not yet recruiting
- Research Site
-
Phoenix, Arizona, United States, 85054
- Withdrawn
- Research Site
-
Tucson, Arizona, United States, 85719
- Not yet recruiting
- Research Site
-
-
California
-
La Jolla, California, United States, 92093
- Withdrawn
- Research Site
-
Sacramento, California, United States, 95817
- Not yet recruiting
- Research Site
-
Santa Monica, California, United States, 90404
- Not yet recruiting
- Research Site
-
-
Colorado
-
Denver, Colorado, United States, 80218
- Recruiting
- Research Site
-
-
Connecticut
-
New Haven, Connecticut, United States, 06510
- Recruiting
- Research Site
-
-
District of Columbia
-
Washington D.C., District of Columbia, United States, 20007
- Not yet recruiting
- Research Site
-
-
Florida
-
Coral Gables, Florida, United States, 33156
- Withdrawn
- Research Site
-
Tampa, Florida, United States, 33606
- Not yet recruiting
- Research Site
-
-
Georgia
-
Atlanta, Georgia, United States, 30322
- Recruiting
- Research Site
-
-
Illinois
-
Chicago, Illinois, United States, 60612
- Not yet recruiting
- Research Site
-
Park Ridge, Illinois, United States, 60068
- Not yet recruiting
- Research Site
-
-
Iowa
-
Iowa City, Iowa, United States, 52242
- Withdrawn
- Research Site
-
-
Kansas
-
Kansas City, Kansas, United States, 66160
- Not yet recruiting
- Research Site
-
-
Kentucky
-
Louisville, Kentucky, United States, 40207
- Recruiting
- Research Site
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02215
- Withdrawn
- Research Site
-
Boston, Massachusetts, United States, 02114
- Not yet recruiting
- Research Site
-
Boston, Massachusetts, United States, 02215
- Not yet recruiting
- Research Site
-
-
Michigan
-
Detroit, Michigan, United States, 48201
- Withdrawn
- Research Site
-
Detroit, Michigan, United States, 48202
- Withdrawn
- Research Site
-
-
Minnesota
-
Rochester, Minnesota, United States, 55905
- Withdrawn
- Research Site
-
-
New York
-
Albany, New York, United States, 12208
- Not yet recruiting
- Research Site
-
New York, New York, United States, 10065
- Withdrawn
- Research Site
-
New York, New York, United States, 10065
- Recruiting
- Research Site
-
New York, New York, United States, 10029
- Recruiting
- Research Site
-
New York, New York, United States, 10016
- Withdrawn
- Research Site
-
Rochester, New York, United States, 14642
- Withdrawn
- Research Site
-
The Bronx, New York, United States, 10467
- Withdrawn
- Research Site
-
-
North Carolina
-
Chapel Hill, North Carolina, United States, 27514
- Not yet recruiting
- Research Site
-
Charlotte, North Carolina, United States, 28204
- Recruiting
- Research Site
-
Charlotte, North Carolina, United States, 28204
- Not yet recruiting
- Research Site
-
Winston-Salem, North Carolina, United States, 27103
- Recruiting
- Research Site
-
Winston-Salem, North Carolina, United States, 27157
- Not yet recruiting
- Research Site
-
-
Ohio
-
Cincinnati, Ohio, United States, 45220
- Not yet recruiting
- Research Site
-
Cleveland, Ohio, United States, 44195
- Not yet recruiting
- Research Site
-
-
Oregon
-
Portland, Oregon, United States, 97239
- Not yet recruiting
- Research Site
-
-
South Carolina
-
Charleston, South Carolina, United States, 29425
- Withdrawn
- Research Site
-
-
Tennessee
-
Nashville, Tennessee, United States, 37203
- Recruiting
- Research Site
-
-
Texas
-
Austin, Texas, United States, 78704
- Recruiting
- Research Site
-
Dallas, Texas, United States, 75235
- Not yet recruiting
- Research Site
-
Houston, Texas, United States, 77030
- Recruiting
- Research Site
-
-
Utah
-
Salt Lake City, Utah, United States, 84112
- Not yet recruiting
- Research Site
-
-
Virginia
-
Charlottesville, Virginia, United States, 22908
- Withdrawn
- Research Site
-
Gainesville, Virginia, United States, 20155
- Not yet recruiting
- Research Site
-
Richmond, Virginia, United States, 23298
- Withdrawn
- Research Site
-
-
Washington
-
Puyallup, Washington, United States, 98373
- Not yet recruiting
- Research Site
-
Seattle, Washington, United States, 98104
- Recruiting
- Research Site
-
-
Wisconsin
-
Madison, Wisconsin, United States, 53792
- Not yet recruiting
- Research Site
-
Milwaukee, Wisconsin, United States, 53226
- Not yet recruiting
- Research Site
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 18 years
- Documented diagnosis of multiple myeloma according to the IMWG diagnostic criteria
Documented evidence of measurable disease:
- Serum M-protein level ≥ 1 g/dL
- Urine M-protein level ≥ 200 mg/24h
- Serum immunoglobulin free light chain ≥ 10 mg/dL (100 mg/L) and abnormal serum immunoglobulin kappa lambda free light chain ratio
- Documented evidence of PD by IMWG 2016 criteria based on investigator's determination during or after the most recent line of therapy. Participants with only 1 prior line of therapy must have progressed within 47 months of a stem cell transplant, or if not transplanted, then within 42 months of starting initial therapy
- Received 1 to 3 lines of prior therapy including an IMiD and either a PI or a CD38 antibody. Participant must have undergone at least 2 complete cycles of treatment for each line of therapy, unless PD was the best response to the line of therapy
- Eligible to receive at least one of the standard regimens (DKd, PVd, DPd, or Kd) as determined by the Investigator.
- ECOG performance status score of 0 to 1
Adequate hematology and chemistry laboratory values:
- Haemoglobin ≥ 8.0 g/dL
- Absolute neutrophil count ≥ 1 × 10^9/L (1000 per mm3)
- Platelet count ≥ 75 × 10^9/L (75000 per mm3) in participants with < 50% of bone marrow nucleated cells are plasma cells or ≥ 50 × 10^9/L (50000 per mm3) in participants with ≥ 50% of bone marrow nucleated cells are plasma cells
- Absolute lymphocyte count ≥ 300/µL (0.3 × 109/L)
- Total bilirubin ≤ 1.5 × ULN in the absence of Gilbert's syndrome or ≤ 3 × ULN if the participant has Gilbert's syndrome. AST and ALT≤ 3.0 × ULN. CrCl by Cockcroft and Gault method ≥ 30 mL/minute
Exclusion Criteria:
- Known active, or prior history of CNS involvement or exhibits clinical signs of meningeal involvement of MM.
- Primary amyloidosis, active plasma cell leukaemia, Waldenstrom macroglobulinemia or Polyneuropathy Organomegaly Endocrinopathy M-protein and Skin (POEMS) syndrome.
- Participants with primary refractory MM (failed to generate at least a minimal response to any prior therapy)
- Significant neurological or psychiatric condition
- Significant medical condition that places the participant at an unacceptable risk for treatment-related complications
- Previously received any prior BCMA-targeted treatment
- Previously received CAR-T or CAR-NK therapy directed at any target
- Previously received T-cell engager therapy directed at any target
- Previously received allogeneic stem cell transplantation at any time during prior therapy or received autologous stem cell transplantation within 12 weeks of randomization
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Arm A
AZD0120
|
CAR-T Cells
|
|
Active Comparator: Arm B
1 of the following 4 standard regimens per investigator choice; DKd, DPd, PVd, Kd.
|
Dexamethasone
Bortezomib
Other Names:
Carfilzomib
Other Names:
Daratumumab
Other Names:
Pomalidomides
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To demonstrate the superiority of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of PFS in participants with RRMM.
Time Frame: 3 years
|
PFS: defined as time from randomisation until progression according to IMWG 2016 criteria as assessed by BICR, or death due to any cause, whichever occurs first.
|
3 years
|
|
To demonstrate the superiority of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of MRD negativity rate at 9 months in participants with RRMM.
Time Frame: 2 years
|
MRD negative CR rate at 9 months: defined as the proportion of participants with MRD negative status and have a response of CR or sCR (according to the IMWG 2016 criteria) at 9 months (± 3 months) from randomisation before initiation of subsequent anti-myeloma therapy.
|
2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
To further demonstrate the effectiveness of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of CRR in participants with RRMM.
Time Frame: 2 years
|
2 years
|
|
To further demonstrate the effectiveness of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of ORR in participants with RRMM.
Time Frame: 2 years
|
2 years
|
|
To further demonstrate the effectiveness of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of OS in participants with RRMM.
Time Frame: 5 years
|
5 years
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Vascular Diseases
- Cardiovascular Diseases
- Neoplasms
- Immune System Diseases
- Neoplasms by Histologic Type
- Hematologic Diseases
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Neoplasms, Plasma Cell
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Hemorrhagic Disorders
- Hemic and Lymphatic Diseases
- Multiple Myeloma
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Polycyclic Compounds
- Inorganic Chemicals
- Pregnadienes
- Pregnanes
- Steroids
- Fused-Ring Compounds
- Steroids, Fluorinated
- Pregnadienetriols
- Boronic Acids
- Acids, Noncarboxylic
- Acids
- Boron Compounds
- Pyrazines
- Bortezomib
- Dexamethasone
- carfilzomib
- pomalidomide
- daratumumab
Other Study ID Numbers
Other Study ID Numbers
- D8311C00001
- AZD0120 (Other Identifier: AstraZeneca)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.