Phase III Study of Lenalidomide and Dexamethasone With or Without Elotuzumab to Treat Relapsed or Refractory Multiple Myeloma (ELOQUENT - 2)

May 5, 2022 updated by: Bristol-Myers Squibb

Phase 3, Randomized, Open Label Trial of Lenalidomide/Dexamethasone With or Without Elotuzumab in Relapsed or Refractory Multiple Myeloma (MM)

The purpose of the study is to determine whether the addition of Elotuzumab to Lenalidomide/low-dose Dexamethasone will increase the progression free survival (PFS).

Study Overview

Study Type

Interventional

Enrollment (Actual)

646

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Murdoch, Australia, 6150
        • Local Institution
    • New South Wales
      • Albury, New South Wales, Australia, 2640
        • Local Institution
      • Canberra, New South Wales, Australia, 2605
        • Local Institution
    • Queensland
      • South Brisbane, Queensland, Australia, 4101
        • Local Institution
    • South Australia
      • Adelaide, South Australia, Australia, 5000
        • Local Institution
    • Victoria
      • Malvern, Victoria, Australia, 3144
        • Local Institution
      • Melbourne, Victoria, Australia, 3004
        • Local Institution
    • Western Australia
      • Nedlands, Western Australia, Australia, 6009
        • Local Institution
      • Rankweil, Austria, 6830
        • Local Institution
      • Steyr, Austria, 4400
        • Local Institution
      • Wels, Austria, 4600
        • Local Institution
      • Wien, Austria, 1220
        • Local Institution
      • Antwerpen, Belgium, 2060
        • Local Institution
      • Brussels, Belgium, 1090
        • Local Institution
      • Brussels, Belgium, 1000
        • Local Institution
      • Brussels, Belgium, 1020
        • Local Institution
      • Brussles, Belgium, 1200
        • Local Institution
      • Edegem-antwerp, Belgium, 2650
        • Local Institution
      • Liege, Belgium, 4000
        • Local Institution
      • Yvoir, Belgium, 5530
        • Local Institution
      • Barrie, Canada, L4M 6M2
        • Local Institution
      • Montreal, Canada, H4A 3J1
        • Local Institution
    • Alberta
      • Calgary, Alberta, Canada, T2N 4N2
        • Local Institution
      • Edmonton, Alberta, Canada, T6G 1Z2
        • Local Institution
    • Nova Scotia
      • Halifax, Nova Scotia, Canada, B3H 2Y9
        • Local Institution
    • Ontario
      • London, Ontario, Canada, N6A 4G5
        • Local Institution
      • Toronto, Ontario, Canada, M5G 2M9
        • Local Institution
    • Quebec
      • Montreal, Quebec, Canada, H4J 1C5
        • Local Institution
    • Saskatchewan
      • Saskatoon, Saskatchewan, Canada, S7N 4H4
        • Local Institution
      • Brno, Czechia, 625 00
        • Local Institution
      • Hradec Kralove, Czechia, 500 05
        • Local Institution
      • Praha 10, Czechia, 100 34
        • Local Institution
      • Praha 2, Czechia, 128 08
        • Local Institution
      • Copenhagen, Denmark, 2100
        • Local Institution
      • Odense C, Denmark, 5000
        • Local Institution
      • Vejle, Denmark, 7100
        • Local Institution
      • Blois, France, 41016
        • Local Institution
      • Bordeaux, France, 33076
        • Local Institution
      • Caen, France, 14000
        • Local Institution
      • Clamart Cedex, France, 92140
        • Local Institution
      • La Roche Sur Yon, France, 85925
        • Local Institution
      • La Tronche, France, 38700
        • Local Institution
      • Lille, France, 59037
        • Local Institution
      • Limoges, France, 87042
        • Local Institution
      • Nantes, France, 44093
        • Local Institution
      • Paris 12, France, 75012
        • Local Institution
      • Pierre Benita, France, 69495
        • Local Institution
      • Toulouse, France, 31059
        • Local Institution
      • Tours Cedex, France, 37044
        • Local Institution
      • Vandoeuvre, France, 54511
        • Local Institution
      • Aschaffenburg, Germany, 63739
        • Local Institution
      • Berlin, Germany, 13125
        • Local Institution
      • Berlin, Germany, 12200
        • Local Institution
      • Chemnitz, Germany, 09113
        • Local Institution
      • Dresden, Germany, 01307
        • Local Institution
      • Hamburg, Germany, 20246
        • Local Institution
      • Hamburg, Germany, 22763
        • Local Institution
      • Hamburg, Germany, 66421
        • Local Institution
      • Hamm, Germany, 59071
        • Local Institution
      • Heidelberg, Germany, 69120
        • Local Institution
      • Jena, Germany, 07747
        • Local Institution
      • Kiel, Germany, 24105
        • Local Institution
      • Koln, Germany, 50937
        • Local Institution
      • Marburg, Germany, 35037
        • Local Institution
      • Munchen, Germany, 81675
        • Local Institution
      • Munchen, Germany, 81377
        • Local Institution
      • Munster, Germany, 48149
        • Local Institution
      • Ravensburg, Germany, 88212
        • Local Institution
      • Tuebingen, Germany, 72076
        • Local Institution
      • Ulm, Germany, 89081
        • Local Institution
      • Wurzburg, Germany, 97080
        • Local Institution
      • Athens, Greece, 11528
        • Local Institution
      • Ioannina, Greece, 45500
        • Local Institution
      • Larissa, Greece, 41110
        • Local Institution
      • Budapest, Hungary, 1125
        • Local Institution
      • Debrecen, Hungary, H-4032
        • Local Institution
      • Gyor, Hungary, 9024
        • Local Institution
      • Szeged, Hungary, H-6725
        • Local Institution
      • Dublin, Ireland, 7
        • Local Institution
      • Tullamore, Ireland
        • Local Institution
      • Afula, Israel, 18101
        • Local Institution
      • Jerusalem, Israel, 91120
        • Local Institution
      • Petah Tikva, Israel, 49100
        • Local Institution
      • Rehovot, Israel, 76100
        • Local Institution
      • Zerifin, Israel, 70300
        • Local Institution
      • Ancona, Italy, 60126
        • Local Institution
      • Bergamo, Italy, 24127
        • Local Institution
      • Bologna, Italy, 40138
        • Local Institution
      • Firenze, Italy, 50134
        • Local Institution
      • Genova, Italy, 16132
        • Local Institution
      • Meldola, Italy, 47014
        • Local Institution
      • Milano, Italy, 20133
        • Local Institution
      • Palermo, Italy, 90146
        • Local Institution
      • Ravenna, Italy, 48100
        • Local Institution
      • Rimini, Italy, 47923
        • Local Institution
      • Roma, Italy, 00168
        • Local Institution
      • Roma, Italy, 00161
        • Local Institution
      • Torino, Italy, 10126
        • Local Institution
      • Chiba-shi, Japan, 260-8677
        • Local Institution
      • Fukuoka, Japan, 812-8582
        • Local Institution
      • Kyoto, Japan, 602-8566
        • Local Institution
      • Niigata, Japan, 9518566
        • Local Institution
      • Okayama, Japan, 7011192
        • Local Institution
      • Toyohashi-shi, Japan, 4418570
        • Local Institution
    • Aichi
      • Nagoya-shi, Aichi, Japan, 4600001
        • Local Institution
      • Nagoya-shi, Aichi, Japan, 4678602
        • Local Institution
    • Gunma
      • Maebashi-shi, Gunma, Japan, 371-8511
        • Local Institution
      • Shibukawa-shi, Gunma, Japan, 3770280
        • Local Institution
    • Hokkaido
      • Sapporo-city, Hokkaido, Japan, 0608543
        • Local Institution
    • Miyagi
      • Sendai-shi, Miyagi, Japan, 980-8754
        • Local Institution
    • Osaka
      • Osaka-shi, Osaka, Japan, 5438555
        • Local Institution
    • Tokyo
      • Bunkyo-Ku, Tokyo, Japan, 1138677
        • Local Institution
      • Koto-ku, Tokyo, Japan, 1358550
        • Local Institution
      • Shibuya-ku, Tokyo, Japan, 1508935
        • Local Institution
      • Shinjuuku-ku, Tokyo, Japan, 1608582
        • Local Institution
    • Toyko
      • Kamogawa, Toyko, Japan, 296-8602
        • Local Institution
      • Bialystok, Poland, 15-276
        • Local Institution
      • Chorzow, Poland, 41-500
        • Local Institution
      • Lublin, Poland, 20-081
        • Local Institution
      • Poznan, Poland, 60-569
        • Local Institution
      • Warszawa, Poland, 02-106
        • Local Institution
      • Warszawa, Poland, 02-507
        • Local Institution
      • Warszawa, Poland, 02-776
        • Local Institution
      • Wroclaw, Poland, 50-367
        • Local Institution
      • Ponce, Puerto Rico, 00716
        • Local Institution
      • San Juan, Puerto Rico, 00918
        • Local Institution
      • Brasov, Romania, 500152
        • Local Institution
      • Brasov, Romania, 700106
        • Local Institution
      • Bucaresti, Romania, 030171
        • Local Institution
      • Bucuresti, Romania, 22328
        • Local Institution
      • Badalona-Barcelona, Spain, 08916
        • Local Institution
      • Madrid, Spain, 28006
        • Local Institution
      • Madrid, Spain, 28007
        • Local Institution
      • Murcia, Spain, 30008
        • Local Institution
      • Salamanca, Spain, 37007
        • Local Institution
      • Santiago De Comp-coruna, Spain, 15706
        • Local Institution
      • Toledo, Spain, 45004
        • Local Institution
      • Bern, Switzerland, 3010
        • Local Institution
      • Geneve 14, Switzerland, 1211
        • Local Institution
      • Ankara, Turkey, 06620
        • Local Institution
      • Izmir, Turkey, 35330
        • Local Institution
    • Bornova
      • Izmir, Bornova, Turkey, 35100
        • Local Institution
    • Capa
      • Istanbul, Capa, Turkey, 34390
        • Local Institution
      • Leicester, United Arab Emirates, LE1 5WW
        • Local Institution
      • Leeds, United Kingdom, LS9 7FT
        • Local Institution
      • London, United Kingdom, NW1 2PG
        • Local Institution
      • Newcastle Upon Tyne, United Kingdom, NE7 7DN
        • Local Institution
    • Greater London
      • London, Greater London, United Kingdom, EC1A 7BE
        • Local Institution
    • Greater Manchester
      • Manchester, Greater Manchester, United Kingdom, M20 4BX
        • Local Institution
    • Lancashire
      • Airdrie, Lancashire, United Kingdom, ML6 OJS
        • Local Institution
    • Midlothian
      • Edinburgh, Midlothian, United Kingdom, EH4 2XU
        • Local Institution
    • Nottinghamshire
      • Nottingham, Nottinghamshire, United Kingdom, NG5 1PB
        • Local Institution
    • Surrey
      • Sutton, Surrey, United Kingdom, SM2 5PT
        • Local Institution
    • Alabama
      • Muscle Shoals, Alabama, United States, 35661
        • Northwest Alabama Cancer Center, Pc
    • Arizona
      • Tucson, Arizona, United States, 85715
        • Acrc/Arizona Clinical Research Center, Inc.
    • California
      • Berkeley, California, United States, 94704
        • Local Institution
      • Burbank, California, United States, 91505
        • Local Institution
      • Corona, California, United States, 92879
        • Compassionate Cancer Res Grp
      • Corona, California, United States, 92879
        • Local Institution
      • Encinitas, California, United States, 92024
        • San Diego Pacific Oncology& Hematology Associates, Inc
      • Greenbrae, California, United States, 94904
        • Local Institution
      • Los Angeles, California, United States, 90095
        • Ucla-Division Of Hematology/Oncology
      • Orange, California, United States, 92868
        • Medical Oncology Care Associates
      • San Diego, California, United States, 92123
        • Sharp Clinical Oncology Research
      • Vallejo, California, United States, 94589
        • Local Institution
    • Florida
      • Boca Raton, Florida, United States, 33486
        • Local Institution
      • Brooksville, Florida, United States, 34613
        • Cancer Care Centers of Florida
      • Miami Beach, Florida, United States, 33140
        • Mount Sinai Comprehensive Cancer Center
      • New Port Richey, Florida, United States, 34652
        • Local Institution
      • Orlando, Florida, United States, 32804
        • Cancer Institute Of Florida
      • Titusville, Florida, United States, 32796
        • Local Institution
      • West Palm Beach, Florida, United States, 33401
        • Florida Cancer Specialists
    • Georgia
      • Atlanta, Georgia, United States, 30322
        • Winship Cancer Institute.
      • Augusta, Georgia, United States, 30912
        • Georgia Health Science University
    • Illinois
      • Skokie, Illinois, United States, 60077
        • Orchard Healthcare Research Inc.
    • Indiana
      • Indianapolis, Indiana, United States, 46260
        • Local Institution
      • Mishawaka, Indiana, United States, 46545
        • Local Institution
    • Iowa
      • Iowa City, Iowa, United States, 52242
        • Local Institution
    • Kentucky
      • Lexington, Kentucky, United States, 40503
        • Local Institution
      • Louisville, Kentucky, United States, 40207
        • Local Institution
      • Pikeville, Kentucky, United States, 41501
        • Pikeville Medical Center
    • Louisiana
      • Lafayette, Louisiana, United States, 70503
        • Cancer Center of Acadiana at Lafayette General
      • Shreveport, Louisiana, United States, 71103
        • Willis Knighton Cancer Center
      • Shreveport, Louisiana, United States, 71101
        • Local Institution
      • Shreveport, Louisiana, United States, 71103
        • Local Institution
    • Massachusetts
      • Boston, Massachusetts, United States, 02215
        • Dana-Farber Cancer Institute
      • Boston, Massachusetts, United States, 02215
        • Dana Farber Cancer Inst
    • Michigan
      • Detroit, Michigan, United States, 48202
        • Henry Ford Health System
    • Missouri
      • Jefferson City, Missouri, United States, 65101
        • Capitol Comprehensive Cancer Care Center
      • Saint Louis, Missouri, United States, 63110
        • Washington University School of Medicine
      • Springfield, Missouri, United States, 65807
        • Local Institution
    • Nevada
      • Las Vegas, Nevada, United States, 89106
        • Local Institution
    • New York
      • New York, New York, United States, 10065
        • Weill Cornell Medical College
      • New York, New York, United States, 10016
        • NYU Clinical Cancer Center
      • New York, New York, United States, 10019
        • Local Institution
      • Stony Brook, New York, United States, 11794-8151
        • Local Institution
    • North Carolina
      • Charlotte, North Carolina, United States, 28204
        • Levine Cancer Institute
      • Gastonia, North Carolina, United States, 28054
        • Gaston Hematology & Oncology
    • North Dakota
      • Bismarck, North Dakota, United States, 58501
        • Local Institution
    • Oklahoma
      • Oklahoma City, Oklahoma, United States, 73104
        • University of Oklahoma Health Sciences Center
      • Tulsa, Oklahoma, United States, 74136
        • Local Institution
    • Pennsylvania
      • Bethlehem, Pennsylvania, United States, 18015
        • Local Institution
      • Pittsburgh, Pennsylvania, United States, 15224
        • Western Pennsylvania Hospital
    • South Carolina
      • Charleston, South Carolina, United States, 29414
        • Local Institution
      • Greenville, South Carolina, United States, 29615
        • Local Institution
    • Tennessee
      • Knoxville, Tennessee, United States, 37909
        • Local Institution
      • Memphis, Tennessee, United States, 38120
        • The West Clinic
    • Texas
      • Corpus Christi, Texas, United States, 78412
        • Cancer Specialists Of South Texas, Pa
      • Dallas, Texas, United States, 75390-8565
        • UT southwestern Medical Center
      • Houston, Texas, United States, 77090
        • Northwest Cancer Center
      • Houston, Texas, United States, 77030
        • University Of Texas Md Anderson Cancer Ctr
    • Virginia
      • Fredericksburg, Virginia, United States, 22408
        • Hematology-Oncology Associates Of Fredricksburg, Inc
    • Washington
      • Seattle, Washington, United States, 98108
        • VA Puget Sound Health Care System
    • Wisconsin
      • La Crosse, Wisconsin, United States, 54601
        • Gundersen Clinic, Ltd
      • Madison, Wisconsin, United States, 53792
        • University of Wisconsin Hospital and Clinics
      • Milwaukee, Wisconsin, United States, 53226
        • Medical College of Wisconsin

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com.

Inclusion Criteria:

  • Documented progression from most recent line of therapy
  • 1-3 prior lines of therapy
  • Measurable disease
  • Life expectancy ≥3 months
  • Prior treatment with Lenalidomide permitted if:

    1. Best response achieved was ≥Partial Response (PR)
    2. Patient was not refractory
    3. Patient did not discontinue due to a Grade ≥3 related adverse event
    4. Subject did not receive more than 9 cycles of Lenalidomide and had at least 9 months between the last dose of Lenalidomide and progression

Exclusion Criteria:

  • Subjects with non-secretory or oligo-secretory or serum free light-chain only myeloma
  • Active plasma cell leukemia
  • Known Human immunodeficiency virus (HIV) infection or active hepatitis A, B, or C

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
ACTIVE_COMPARATOR: Lenalidomide + Dexamethasone
Capsules, Oral, 25 mg, once daily, on Days 1-21, Repeat every 28 days until subject meets criteria for discontinuation of study drug
Other Names:
  • Revlimid®
Tablets, Oral, 40 mg, weekly, on Days 1, 8, 15, 22, Repeat every 28 days until subject meets criteria for discontinuation of study drug
Other Names:
  • Decadron®
  • Dexamethasone Intensol®
  • Dexpak®
  • Taperpak®
EXPERIMENTAL: Lenalidomide + Dexamethasone +Elotuzumab
Capsules, Oral, 25 mg, once daily, on Days 1-21, Repeat every 28 days until subject meets criteria for discontinuation of study drug
Other Names:
  • Revlimid®

On weeks without Elotuzumab dosing: Tablets, Oral, 40mg, Repeat every 28 days until subject meets criteria for discontinuation of study drug.

On weeks with Elotuzumab dosing: Tablets, Oral, 28 mg, Repeat every 28 days until subject meets criteria for discontinuation of study drug

Other Names:
  • Decadron®
  • Dexamethasone Intensol®
  • Dexpak®
  • Taperpak®

On weeks without Elotuzumab dosing: Not Applicable (N/A)

On weeks with Elotuzumab dosing: Solution, Intravenous (IV), 8 mg, weekly, Repeat every 28 days until subject meets criteria for discontinuation of study drug

Other Names:
  • Decadron®
  • Dexamethasone Intensol®
  • Dexpak®
  • Taperpak®
Solution, IV, 10 mg/kg, weekly, on Days 1, 8, 15, 22 (cycles 1&2); Days 1 and 15 (cycles 3 and beyond), Repeat every 28 days until subject meets criteria for discontinuation of study drug

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Median Progression Free Survival (PFS)
Time Frame: From randomization up to 326 events (up to approximately 38 months)
Primary definition of Progression-free survival (PFS) defined as the time from randomization to the date of first documented tumor progression or death due to any cause. Participants were censored at the last adequate assessment prior to the start of any subsequent systemic-therapy or at the last adequate assessment prior to 2 missing assessments (> 10 weeks). Participants who died more than 10 weeks after the randomization date and had no on-treatment assessment were censored at the randomization date. Clinical deterioration was not considered progression. The primary analysis of PFS was based on the primary definition using the Independent Review Committee (IRC) tumor assessment using the European Group for Blood and Bone Marrow Transplant (EBMT) criteria. Tumor assessments were made every 4 weeks (±1 week) relative to the first dose of study medication.
From randomization up to 326 events (up to approximately 38 months)
Objective Response Rate (ORR)
Time Frame: From randomization up to approximately 38 months
Objective response rate (ORR) defined as the percentage of participants with a best response on-study of partial response (PR) or better (stringent CR [sCR], complete response [CR], very good partial response [VGPR], and partial response [PR]) based on the Independent Review Committee (IRC) assessment of best response using the European Group for Blood and Bone Marrow Transplant (EBMT) assessment criteria. Participants were censored at the last adequate assessment prior to the start of any subsequent systemic-therapy or at the last adequate assessment prior to 2 missing assessments (> 10 weeks). Participants who died more than 10 weeks after the randomization date and had no on-treatment assessment were censored at the randomization date. Clinical deterioration was not considered progression. Assessments were made every 4 weeks.
From randomization up to approximately 38 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Median Overall Survival (OS)
Time Frame: Randomization to the date of death from any cause (up to approximately 9 years)
Overall survival is defined as the time from randomization to the date of death from any cause. If a subject has not died, their survival time will be censored at the date of last contact ("last known alive date"). A subject will be censored at the date of randomization if they were randomized but had no follow-up. (Based on Kaplan Meier estimates)
Randomization to the date of death from any cause (up to approximately 9 years)
Change From Baseline of Mean Score Pain Severity (BPI-SF)
Time Frame: From baseline up to approximately 38 months
The change from baseline of the mean score of pain severity at the end of treatment using the Brief Pain Inventory-Short Form (BPI-SF). The BPI-SF is a self administered questionnaire developed to assess the severity of pain (the sensory dimension) as well as the degree to which pain interferes with function (the reactive dimension). The BPI-SF uses 0 ("No pain", "No interference") to 10 ("Pain as bad as you can imagine", "Highest imaginable interference") numeric rating scale.
From baseline up to approximately 38 months
Change From Baseline of Mean Score Pain Interference (BPI-SF)
Time Frame: From baseline up to approximately 38 months
The change from baseline of the mean score of pain interference at the end of treatment using the Brief Pain Inventory-Short Form (BPI-SF). The BPI-SF is a self administered questionnaire developed to assess the severity of pain (the sensory dimension) as well as the degree to which pain interferes with function (the reactive dimension). The BPI-SF uses 0 ("No pain", "No interference") to 10 ("Pain as bad as you can imagine", "Highest imaginable interference") numeric rating scale.
From baseline up to approximately 38 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ACTUAL)

June 20, 2011

Primary Completion (ACTUAL)

September 2, 2014

Study Completion (ACTUAL)

April 21, 2021

Study Registration Dates

First Submitted

November 8, 2010

First Submitted That Met QC Criteria

November 10, 2010

First Posted (ESTIMATE)

November 11, 2010

Study Record Updates

Last Update Posted (ACTUAL)

June 1, 2022

Last Update Submitted That Met QC Criteria

May 5, 2022

Last Verified

May 1, 2022

More Information

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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