A Study of Linvo-VR vs DVRd in Transplant-Eligible Adult Participants With Newly Diagnosed Multiple Myeloma (NDMM) (LINKER-MM8)
A Phase 2/3, Open-Label, Randomized Study of Linvoseltamab, Bortezomib and Lenalidomide (Linvo-VR) With and Without Autologous Stem Cell Transplantation (ASCT) Vs Daratumumab, Bortezomib, Lenalidomide and Dexamethasone (DVRd) in Transplant-Eligible Participants With Newly Diagnosed Multiple Myeloma
This study is focused on participants with Newly Diagnosed Multiple Myeloma (NDMM) who are eligible for high dose chemotherapy followed by Autologous Stem Cell Transplantation (ASCT).
This study is evaluating a drug called linvoseltamab in combination with standard therapies for multiple myeloma called bortezomib (V) and lenalidomide (R). This combination is abbreviated as Linvo-VR.
The aim of this study is to compare how well Linvo-VR, with and without ASCT, treats myeloma to how well the current standard of care regimen for NDMM treats myeloma. That current standard of care regimen includes the drugs daratumumab (D), bortezomib (V), lenalidomide (R), and dexamethasone (d). This combination is referred to as DVRd. The study is also evaluating if Linvo-VR treats myeloma well enough that ASCT is no longer needed with the first myeloma treatments.
The study is looking at several other research questions, including:
- What side effects may happen from taking linvoseltamab
- How much linvoseltamab is in the blood at different times
- Whether the body makes antibodies against the linvoseltamab (which could make the drug less effective or could lead to side effects)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Clinical Trials Administrator
- Phone Number: 844-734-6643
- Email: clinicaltrials@regeneron.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Participants must have a histologically or cytologically confirmed diagnosis of multiple myeloma, which requires the presence of clonal bone marrow plasma cells ≥10% or biopsy-proven bony or extramedullary plasmacytoma, and at least one other criteria as defined by the SLiM (>=60%, Light chains I/U >10, Magnetic resonance imaging >1 focal lesion) CRAB (Calcium elevation, Renal insufficiency, Anemia, Bone disease) criteria
- Participants must have measurable disease, as defined in the protocol
- Participants must be considered eligible for high-dose chemotherapy (melphalan) and ASCT per local standard guidelines
- Eastern Cooperative Oncology Group (ECOG) performance status ≤2
- Must be willing to defer ASCT
Key Exclusion Criteria:
- Any prior therapy for Monoclonal Gammopathy of Undetermined Significance (MGUS), Monoclonal Gammopathy of Renal Significance (MGRS), Smoldering Multiple Myeloma (SMM), or MM, with the exception of those defined in the protocol
- Participants who have received or are receiving any investigational agent or cell therapy with known or suspected activity against MM (or another plasma cell disorder), or those whose AEs due to agents administered earlier (such as radiation and/or corticosteroids) have not recovered to a severity of grade 0 or grade 1
- Participants with non-secretory MM, diagnosis of plasma cell leukemia (>20% circulating plasma cells), symptomatic amyloidosis (including myeloma associated amyloidosis), Waldenström macroglobulinemia (lymphoplasmacytic lymphoma), or POEMS syndrome (Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, and Skin changes).
- Participants who have known Central Nervous System (CNS) or meningeal involvement with MM or known or suspected Progressive Multifocal Leukoencephalopathy (PML), a history of a neurocognitive condition or CNS movement disorder, OR a history of seizure, Transient Ischemic Attack (TIA), or stroke within 12 months prior to study randomization
- Another malignancy besides MM that is progressive or has required treatment in the 3 years preceding randomization with the exceptions defined in the protocol
NOTE: Other protocol defined inclusion/exclusion criteria apply
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: Linvo-VR with ASCT
|
Administered per the protocol
Other Names:
Administered per the protocol
Other Names:
Administered per the protocol
Other Names:
|
|
Experimental: Linvo-VR without ASCT
|
Administered per the protocol
Other Names:
Administered per the protocol
Other Names:
Administered per the protocol
Other Names:
|
|
Active Comparator: DVRd with ASCT
|
Administered per the protocol
Other Names:
Administered per the protocol
Other Names:
Administered per the protocol
Other Names:
Administered per the protocol
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Occurrence of Treatment-Emergent Adverse Events (TEAEs)
Time Frame: Up to day 112
|
Phase 2
|
Up to day 112
|
|
Severity of TEAEs
Time Frame: Up to day 112
|
Phase 2
|
Up to day 112
|
|
Achievement of Complete Response or better (≥CR) per International Myeloma Working Group (IMWG) criteria
Time Frame: Up to day 112
|
Phase 2
|
Up to day 112
|
|
Minimal Residual Disease (MRD) negative CR at 10^-5 per IMWG criteria
Time Frame: Up to 12 months
|
Phase 3
|
Up to 12 months
|
|
Progression Free Survival (PFS) per IMWG
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Survival (OS)
Time Frame: Up to 5 years
|
Up to 5 years
|
|
|
Time to Very Good Partial Response or better (≥VGPR) per IMWG criteria
Time Frame: Up to 5 years
|
Up to 5 years
|
|
|
Time to ≥CR per IMWG criteria
Time Frame: Up to 5 years
|
Up to 5 years
|
|
|
Occurrence of TEAEs
Time Frame: Up to 3.5 years
|
Phase 2
|
Up to 3.5 years
|
|
Severity of TEAEs
Time Frame: Up to 3.5 years
|
Phase 2
|
Up to 3.5 years
|
|
Occurrence of Serious Adverse Events (SAEs)
Time Frame: Up to 3.5 years
|
Phase 2
|
Up to 3.5 years
|
|
Severity of SAEs
Time Frame: Up to 3.5 years
|
Phase 2
|
Up to 3.5 years
|
|
Occurrence of Cytokine Release Syndrome (CRS)
Time Frame: Up to day 30
|
Phase 2
|
Up to day 30
|
|
Severity of CRS
Time Frame: Up to day 30
|
Phase 2
|
Up to day 30
|
|
Occurrence of Cell-Associated Neurotoxicity Syndrome (ICANS)
Time Frame: Up to day 30
|
Phase 2
|
Up to day 30
|
|
Severity of ICANS
Time Frame: Up to day 30
|
Phase 2
|
Up to day 30
|
|
Achievement of objective response [Partial Response or better (≥PR)] per IMWG criteria
Time Frame: Up to 5 years
|
Up to 5 years
|
|
|
Time to ≥PR per IMWG criteria
Time Frame: Up to 5 years
|
Up to 5 years
|
|
|
Achievement of MRD negative (at 10^-5 sensitivity) CR per IMWG criteria
Time Frame: Up to 5 years
|
Up to 5 years
|
|
|
Duration Of Response (DOR) of ≥PR per IMWG criteria
Time Frame: Up to 5 years
|
Up to 5 years
|
|
|
Duration of ≥VGPR per IMWG criteria
Time Frame: Up to 5 years
|
Up to 5 years
|
|
|
Duration of ≥CR per IMWG criteria
Time Frame: Up to 5 years
|
Up to 5 years
|
|
|
PFS per IMWG criteria
Time Frame: Up to 5 years
|
Up to 5 years
|
|
|
Second PFS (PFS2) per IMWG criteria
Time Frame: Up to 5 years
|
Up to 5 years
|
|
|
Concentrations of total linvoseltamab in serum
Time Frame: Up to 5 years
|
Up to 5 years
|
|
|
Occurrence of TEAEs
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Severity of TEAEs
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Occurrence of SAEs
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Severity of SAEs
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Occurrence of second primary malignancies
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Change from baseline in Global Health Status (GHS) per European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire 30 (EORTC QLQ-C30)
Time Frame: Up to 5 years
|
Phase 3 The EORTC QLQ-C30 is a 30-item validated questionnaire developed to measure patient-reported Quality of Life (QoL). For GHS, scores range from 1 = "very poor" to 5 = "excellent" with higher scores indicating better functioning and positive changes from baseline indicate improvement. |
Up to 5 years
|
|
Change from baseline in physical functioning per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3 The EORTC QLQ-C30 is a validated 30-item questionnaire designed to measure patient-reported quality of life. Physical functioning is scored from 1 'very poor' to 5 'excellent,' with higher scores indicating better functioning; positive changes from baseline indicate improvement. |
Up to 5 years
|
|
Change from baseline in role functioning per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3 The EORTC QLQ-C30 is a validated 30-item questionnaire designed to measure patient-reported quality of life. Role functioning is scored from 1 'very poor' to 5 'excellent,' with higher scores indicating better functioning; positive changes from baseline indicate improvement. |
Up to 5 years
|
|
Change from baseline in pain per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3 The EORTC QLQ-C30 is a validated 30-item questionnaire designed to measure patient-reported quality of life. Pain is scored from 1 = "not at all" to 9 = "very much". Higher scores indicate higher symptom burden. |
Up to 5 years
|
|
Change from baseline in fatigue per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3 The EORTC QLQ-C30 is a validated 30-item questionnaire designed to measure patient-reported quality of life. Fatigue is scored from1 = "not at all" to 9 = "very much". Higher scores indicate higher symptom burden. |
Up to 5 years
|
|
Change from baseline in disease symptoms per EORTC QLQ- Multiple Myeloma Module 20 (MY20)
Time Frame: Up to 5 years
|
Phase 3 The EORTC QLQ-MY20 is a self-administered instrument to assess QoL in persons with MM. This 20-item questionnaire includes 6 items for disease symptoms. A high score for a symptom scale/item represents a high level of symptomatic problem. |
Up to 5 years
|
|
Change from baseline in treatment side effects per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3 The EORTC QLQ-MY20 is a self-administered instrument to assess QoL in persons with MM. This 20-item questionnaire includes 10 items for treatment side effects. A high score for a symptom scale/item represents a high level of symptomatic problem. |
Up to 5 years
|
|
Change from baseline in body image per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3 The EORTC QLQ-MY20 is a self-administered instrument to assess QoL in persons with MM. This 20-item questionnaire includes 1 item for treatment body image. A high score for a symptom scale/item represents a high level of symptomatic problem. |
Up to 5 years
|
|
Change from baseline in future perspective per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3 The EORTC QLQ-MY20 is a self-administered instrument to assess QoL in persons with MM. This 20-item questionnaire includes 3 items for treatment future perspective. A high score for a symptom scale/item represents a high level of symptomatic problem. |
Up to 5 years
|
|
Change from baseline in EuroQoL-5 Dimensions 5-Level Questionnaire (EQ-5D-5L) Visual Analogue Scale (VAS)
Time Frame: Up to 5 years
|
Phase 3 The EQ-5D-5L consists of the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS).
The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.
Each dimension has 5 levels: "no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems".
The EQ VAS records the participant's self-rated health on a vertical visual analogue scale where the endpoints are labeled "Best imaginable health state" and "Worst imaginable health state".
|
Up to 5 years
|
|
Time to definitive deterioration in GHS per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to definitive deterioration in physical functioning per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to definitive deterioration in role functioning per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to definitive deterioration in pain per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to definitive deterioration in fatigue per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to definitive deterioration in disease symptoms per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to definitive deterioration in treatment side effects per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to definitive deterioration in body image per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to definitive deterioration in future perspective per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to definitive deterioration in EQ-5D-5L VAS
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to first improvement in GHS per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to first improvement in physical functioning per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to first improvement in role functioning per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to first improvement in pain per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to first improvement in fatigue per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to first improvement in disease symptoms per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to first improvement in treatment side effects per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to first improvement in body image per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to first improvement in future perspective per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Time to first improvement in EQ-5D-5L VAS
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Proportion with clinically meaningful improvement in GHS per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Proportion with clinically meaningful improvement in physical functioning per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Proportion with clinically meaningful improvement in role functioning per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Proportion with clinically meaningful improvement in pain per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Proportion with clinically meaningful improvement in fatigue per EORTC QLQ-C30
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Proportion with clinically meaningful improvement in disease symptoms per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Proportion with clinically meaningful improvement in treatment side effects per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Proportion with clinically meaningful improvement in body image per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Proportion with clinically meaningful improvement in future perspective per EORTC QLQ-MY20
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Proportion of clinically meaningful improvement in EQ-5D-5L VAS
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Mean proportion of time with high side effect bother as measured by Functional Assessment of Cancer Therapy (FACIT)- Item Global Population 5 (GP5)
Time Frame: Up to 5 years
|
Phase 3 FACIT-Item GP5 will be used to assess the patient-reported impact of treatment toxicity that uses a single item "I am bothered by side effects of treatment" on a 5-point scale (0 = not at all, 1 = a little bit, 2 = somewhat, 3 = quite a bit, 4 = very much).
|
Up to 5 years
|
|
Proportion of patients with high side effect bother as measured by FACIT- Item GP5
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Occurrence of Anti-Drug Antibody (ADA) to linvoseltamab in serum
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
|
Magnitude of ADA to linvoseltamab in serum
Time Frame: Up to 5 years
|
Phase 3
|
Up to 5 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Clinical Trial Management, Regeneron Pharmaceuticals
Study record dates
Study Major Dates
Study Start (Estimated)
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
Keywords
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
- Sulfur Compounds
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Hydrocarbons
- Hydrocarbons, Cyclic
- Carboxylic Acids
- Hydrocarbons, Aromatic
- Polycyclic Compounds
- Piperidines
- Inorganic Chemicals
- Pregnadienes
- Pregnanes
- Steroids
- Fused-Ring Compounds
- Steroids, Fluorinated
- Benzene Derivatives
- Sulfonic Acids
- Sulfur Acids
- Pregnadienetriols
- Boronic Acids
- Acids, Noncarboxylic
- Acids
- Boron Compounds
- Pyrazines
- Phthalimides
- Phthalic Acids
- Acids, Carbocyclic
- Piperidones
- Isoindoles
- Benzenesulfonates
- Arylsulfonates
- Arylsulfonic Acids
- Lenalidomide
- Bortezomib
- Dexamethasone
- Calcium Dobesilate
- daratumumab
Other Study ID Numbers
Other Study ID Numbers
- R5458-HM-2504
- 2025-524032-19-00 (Ctis)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
When Regeneron has:
- received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development
- made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry)
- the legal authority to share the data, and
- ensured the ability to protect participant privacy
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
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.
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