- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04287855
Multicenter Open Label Phase 2 Study of Isatuximab Plus Pomalidomide and Dexamethasone With Carfilzomib in Relapsed or Refractory Multiple Myeloma
Study a quadruplet-based regimen with Minimal Residual Disease (MRD) 10-5 negative rate as primary end point in patients with early Relapsed or Refractory Multiple Myeloma.
Therapeutic study, phase II, prospective, multicenter, open-label. The patients will be treated until progression. Each cycle of treatment lasts 28 days. Cycle 1 to 13 : treatment phase After cycle 13 : maintenance phase
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: LELEU Xavier, Professor
- Phone Number: +33 682 602 178
- Email: xavier.leleu@chu-poitiers.fr
Study Contact Backup
- Name: KASMI Ahmed-Amine, Project manager
- Phone Number: +33 682 819 141
- Email: ahmed-amine.kasmi@chu-poitiers.fr
Study Locations
-
-
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Poitiers, France, 86000
- CHU Poitiers
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Must be able to understand and voluntarily sign an informed consent form
- Must be able to adhere to the study visit schedule and other protocol requirements
- Male or female, age 18 years or older
- Life expectancy of > 6 months.
Must have a in R1 and R2 relapse Multiple Myeloma with a measurable disease :
- 1 to maximum 2 lines of therapy prior to study entry
- Relapse Refractory or primary refractory or relapse
- Must have received prior treatment with a Lenalidomide-containing regimen for at least 2 consecutive cycles
Must have measurable disease as defined by the following: must have a clearly detectable and quantifiable monoclonal M-component value in the serum and/or urine :
- IgG/IgA (serum M-component > 5g/l),
- Light chain (serum M-component >1g/l or Bence Jones > 200mg/24H),
- Serum FLC assay (including for IgD isotypes): involved FLC level > 10 mg/dl provided serum.
FLC ratio is abnormal for patients not measurable on any of the 3 above criteria.
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1, or 2
- Wash out period without MM treatment must be of 28 days minimum before C1D1, except for anti CD-38 (See exclusion criteria#10).
Adequate bone marrow function, documented within 72 hours and without transfusion 72 hours prior to the first intake of investigational product (C1J1) with no growth factor support (one week), defined as :
- Absolute neutrophils ≥ 1 x109/L,
- Untransfused Platelet count ≥ 75 x109/L,
- Hemoglobin ≥ 8.5 g/dL.
Adequate organ function defined as :
- Serum total bilirubin < 2x upper limit of normal (ULN),
- Clearance creatinine ≥ 30ml/min,
- Serum SGOT/AST or SGPT/ALT < 3x upper limit of normal (ULN).
- Patients affiliated to an appropriate social security system.
- A man who is sexually active with a pregnant female or a FCBP* must agree to use a barrier method of birth control eg, condom with spermicidal foam/gel/film/cream/suppository, even if he has had a vasectomy. All men must also not donate sperm, spermatozoa during the study, for 5 months following treatment discontinuation.
A woman FCBP* must understand and agree to use 2 reliable effective methods (a very effective method and an effective additional method) of contraception simultaneously without interruption :
- For at least 28 days before starting experimental treatments,
- Throughout the entire duration of experimental treatments,
- During dose interruptions,
- And for at least 5 months after the last dose of experimental treatments.
- All patients must agree to not donate blood during the treatment period, interruptions of treatment and at least 5 months after the last dose of treatment.
- All patients must understand and accept to comply with the conditions of the Pomalidomide pregnancy prevention plan (Appendix of the protocol).
Exclusion Criteria:
- Any other uncontrolled medical condition or comorbidity that might interfere with patient's participation, including simultaneous participation to another interventional clinical study.
- Known positive for HIV or active infectious hepatitis, type B or C.
- Patients with non-secretory MM and non-measurable MM
- Patient with terminal renal failure that require dialysis or clearance creatinine < 30 ml/min (calculated with MDRD formula)
Any uncontrolled or severe cardiovascular or pulmonary disease determined by the investigator including :
- NYHA functional classification III or IV congestive heart failure
- LVEF (Left Ventricular Ejection Fraction) < 40%
- Uncontrolled angina, hypertension or arrhythmia
- Myocardial infarction in the past 6 months
Prior history of malignancies, other than multiple myeloma, unless the patients has been free of the disease for ≥ 5 years. Exceptions include the following:
- Basal or squamous cell carcinoma of the skin
- Carcinoma in situ of the cervix or breast
- Incidental histologic finding of prostate cancer (TNM stage of T1a or T1b)
- Evidence of central nervous system (CNS) involvement
- Ongoing active infection or other clinically significant uncontrolled cardiovascular events
- Unable to comply with IMids regulation to thromboprophylaxis, or teratogenic recommandations.
- Refractory to prior to anti CD38.Patients can be exposed to anti CD38 (any), BUT the wash out period for patient pre-treated with an anti CD38 antibody must be of 4,5 months minimum between last dose of previous anti-CD38 antibody and the first dose of isatuximab.
- Refractory to prior carfilzomib
- Known allergy to one of the study product (pomalidomide, isatuximab, carfilzomib) or dexamethasone
- Patient with a history of severe allergic reactions to thalidomide or lenalidomide
- Exposed to pomalidomide
- Known intolerance to infused protein products, sucrose, histidine, and PS80
- Contraindications to dexamethasone
- Any ongoing non hematological adverse event or medical history grade> 2 severity
- Pregnant or breast-feeding females
- Refusal to participate in the study
- Persons protected by a legal regime (guardianship, trusteeship)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
Isatuximab, Carfilzomib, Pomalidomide and Dexamethasone
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Isatuximab by IV route - Cycle 1 : 10mg/kg on days 1, 8, 15 and 22 per 28 days cycle.
After cycle 1 : 10mg/kg on days 1 and 15 per 28 days cycle
Carfilzomib by IV route - Cycle 1 : 20/27 mg/m² on days 1-2, 8-9, 15-16 per 28 days cycle.
Cycle 2-13 : 56mg/m² on days 1, 8, 15 per 28 days cycle.
After cycle 13 : 56mg/m² on days 1 and 15 per 28 days cycle.
Pomalidomide by oral route - Cycle 1-2 : 3mg on days 1 to 21 per 28 days cycle.
After cycle 2 : 4mg on days 1 to 21 per 28 days cycle.
Dexamethasone by oral route - Cycle 1-13 : 40/20 mg on days 1, 8, 15 and 22. Cycle 2-13 : 56mg/m² on days 1, 8, 15 per 28 days cycle.
After cycle 13 : 56mg/m² on days 1 and 15 per 28 days cycle.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Efficacy of trial treatment
Time Frame: Up to 5 years
|
Fraction of patients who experience a Minimal Residual Disease (MRD) 10-5 per IMWG (International Myeloma Working Group) criteria
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Up to 5 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety of trial treatment
Time Frame: Up to 5 years
|
List of AE frequency (AE assessed by Common Terminology Criteria for Adverse Events (CTCAE) criteria, version 5.0)
|
Up to 5 years
|
Depth of response to the trial treatment
Time Frame: Up to 5 years
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Per International Myeloma Working Group (IMWG) criteria
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Up to 5 years
|
Progression Free survival
Time Frame: Up to 5 years
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Time to relapse or death, whichever occurs first
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Up to 5 years
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: LELEU Xavier, Prof., Poitiers university hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Hematologic Diseases
- Hemorrhagic Disorders
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Multiple Myeloma
- Neoplasms, Plasma Cell
- Physiological Effects of Drugs
- Autonomic Agents
- Peripheral Nervous System Agents
- Anti-Inflammatory Agents
- Antineoplastic Agents
- Immunologic Factors
- Antiemetics
- Gastrointestinal Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Dexamethasone
- Pomalidomide
Other Study ID Numbers
- IsKPd - IFM2018-03
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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