- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07391657
En fase III, åben, randomiseret, multicentrisk undersøgelse til evaluering af AZD0120 hos deltagere med tilbagevendende refraktær myelomatose. (DURGA-4)
En fase III åben-label, randomiseret, multicentrisk undersøgelse, der sammenligner AZD0120, en dual-targeting autolog chimerisk antigen receptor T-celle (CART)-terapi rettet mod BCMA og CD19, versus standardregimer hos deltagere med recidiverende refraktær myelomatose.
This is a randomised, multicentre, controlled, open-label, Phase III global study comparing the efficacy and safety of AZD0120 versus standard regimens (DKd [daratumumab, carfilzomib, and dexamethasone], DPd [daratumumab, pomalidomide, and dexamethasone], PVd [pomalidomide, bortezomib and dexamethasone], or Kd [carfilzomib and dexamethasone]) in participants with RRMM.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 3
Kontakter og lokationer
Studiekontakt
- Navn: AstraZeneca Clinical Study Information Center
- Telefonnummer: 1-877-240-9479
- E-mail: information.center@astrazeneca.com
Studiesteder
-
-
-
Camperdown, Australien, 2050
- Rekruttering
- Research Site
-
Darlinghurst, Australien, 2010
- Rekruttering
- Research Site
-
Fitzroy, Australien, VIC3065
- Rekruttering
- Research Site
-
Liverpool, Australien, 2170
- Ikke rekrutterer endnu
- Research Site
-
Melbourne, Australien, 3000
- Rekruttering
- Research Site
-
Melbourne, Australien, 3004
- Rekruttering
- Research Site
-
Murdoch, Australien, WA6150
- Ikke rekrutterer endnu
- Research Site
-
-
-
-
-
Salvador, Brasilien, 41253-190
- Rekruttering
- Research Site
-
São Paulo, Brasilien, 05652-900
- Rekruttering
- Research Site
-
São Paulo, Brasilien, 01509-900
- Rekruttering
- Research Site
-
-
-
-
Alberta
-
Calgary, Alberta, Canada, T2N 5G2
- Ikke rekrutterer endnu
- Research Site
-
-
British Columbia
-
Vancouver, British Columbia, Canada, V5Z 4E6
- Ikke rekrutterer endnu
- Research Site
-
-
Ontario
-
Toronto, Ontario, Canada, M5G 2M9
- Rekruttering
- Research Site
-
-
Quebec
-
Montreal, Quebec, Canada, H3A 1A1
- Rekruttering
- Research Site
-
-
-
-
-
Birmingham, Det Forenede Kongerige, B9 5SS
- Rekruttering
- Research Site
-
Bristol, Det Forenede Kongerige, BS2 8ED
- Rekruttering
- Research Site
-
Glasgow, Scotland, Det Forenede Kongerige, G12 0YN
- Ikke rekrutterer endnu
- Research Site
-
London, Det Forenede Kongerige, SM2 5NG
- Rekruttering
- Research Site
-
-
-
-
Arizona
-
Gilbert, Arizona, Forenede Stater, 85234
- Ikke rekrutterer endnu
- Research Site
-
Phoenix, Arizona, Forenede Stater, 85054
- Trukket tilbage
- Research Site
-
Tucson, Arizona, Forenede Stater, 85719
- Ikke rekrutterer endnu
- Research Site
-
-
California
-
La Jolla, California, Forenede Stater, 92093
- Trukket tilbage
- Research Site
-
Sacramento, California, Forenede Stater, 95817
- Ikke rekrutterer endnu
- Research Site
-
Santa Monica, California, Forenede Stater, 90404
- Ikke rekrutterer endnu
- Research Site
-
-
Colorado
-
Denver, Colorado, Forenede Stater, 80218
- Rekruttering
- Research Site
-
-
Connecticut
-
New Haven, Connecticut, Forenede Stater, 06510
- Rekruttering
- Research Site
-
-
District of Columbia
-
Washington D.C., District of Columbia, Forenede Stater, 20007
- Ikke rekrutterer endnu
- Research Site
-
-
Florida
-
Coral Gables, Florida, Forenede Stater, 33156
- Trukket tilbage
- Research Site
-
Tampa, Florida, Forenede Stater, 33606
- Ikke rekrutterer endnu
- Research Site
-
-
Georgia
-
Atlanta, Georgia, Forenede Stater, 30322
- Rekruttering
- Research Site
-
-
Illinois
-
Chicago, Illinois, Forenede Stater, 60612
- Ikke rekrutterer endnu
- Research Site
-
Park Ridge, Illinois, Forenede Stater, 60068
- Ikke rekrutterer endnu
- Research Site
-
-
Iowa
-
Iowa City, Iowa, Forenede Stater, 52242
- Trukket tilbage
- Research Site
-
-
Kansas
-
Kansas City, Kansas, Forenede Stater, 66160
- Ikke rekrutterer endnu
- Research Site
-
-
Kentucky
-
Louisville, Kentucky, Forenede Stater, 40207
- Rekruttering
- Research Site
-
-
Massachusetts
-
Boston, Massachusetts, Forenede Stater, 02215
- Trukket tilbage
- Research Site
-
Boston, Massachusetts, Forenede Stater, 02114
- Ikke rekrutterer endnu
- Research Site
-
Boston, Massachusetts, Forenede Stater, 02215
- Ikke rekrutterer endnu
- Research Site
-
-
Michigan
-
Detroit, Michigan, Forenede Stater, 48201
- Trukket tilbage
- Research Site
-
Detroit, Michigan, Forenede Stater, 48202
- Trukket tilbage
- Research Site
-
-
Minnesota
-
Rochester, Minnesota, Forenede Stater, 55905
- Trukket tilbage
- Research Site
-
-
New York
-
Albany, New York, Forenede Stater, 12208
- Ikke rekrutterer endnu
- Research Site
-
New York, New York, Forenede Stater, 10065
- Trukket tilbage
- Research Site
-
New York, New York, Forenede Stater, 10065
- Rekruttering
- Research Site
-
New York, New York, Forenede Stater, 10029
- Rekruttering
- Research Site
-
New York, New York, Forenede Stater, 10016
- Trukket tilbage
- Research Site
-
Rochester, New York, Forenede Stater, 14642
- Trukket tilbage
- Research Site
-
The Bronx, New York, Forenede Stater, 10467
- Trukket tilbage
- Research Site
-
-
North Carolina
-
Chapel Hill, North Carolina, Forenede Stater, 27514
- Ikke rekrutterer endnu
- Research Site
-
Charlotte, North Carolina, Forenede Stater, 28204
- Rekruttering
- Research Site
-
Charlotte, North Carolina, Forenede Stater, 28204
- Ikke rekrutterer endnu
- Research Site
-
Winston-Salem, North Carolina, Forenede Stater, 27103
- Rekruttering
- Research Site
-
Winston-Salem, North Carolina, Forenede Stater, 27157
- Ikke rekrutterer endnu
- Research Site
-
-
Ohio
-
Cincinnati, Ohio, Forenede Stater, 45220
- Ikke rekrutterer endnu
- Research Site
-
Cleveland, Ohio, Forenede Stater, 44195
- Ikke rekrutterer endnu
- Research Site
-
-
Oregon
-
Portland, Oregon, Forenede Stater, 97239
- Ikke rekrutterer endnu
- Research Site
-
-
South Carolina
-
Charleston, South Carolina, Forenede Stater, 29425
- Trukket tilbage
- Research Site
-
-
Tennessee
-
Nashville, Tennessee, Forenede Stater, 37203
- Rekruttering
- Research Site
-
-
Texas
-
Austin, Texas, Forenede Stater, 78704
- Rekruttering
- Research Site
-
Dallas, Texas, Forenede Stater, 75235
- Ikke rekrutterer endnu
- Research Site
-
Houston, Texas, Forenede Stater, 77030
- Rekruttering
- Research Site
-
-
Utah
-
Salt Lake City, Utah, Forenede Stater, 84112
- Ikke rekrutterer endnu
- Research Site
-
-
Virginia
-
Charlottesville, Virginia, Forenede Stater, 22908
- Trukket tilbage
- Research Site
-
Gainesville, Virginia, Forenede Stater, 20155
- Ikke rekrutterer endnu
- Research Site
-
Richmond, Virginia, Forenede Stater, 23298
- Trukket tilbage
- Research Site
-
-
Washington
-
Puyallup, Washington, Forenede Stater, 98373
- Ikke rekrutterer endnu
- Research Site
-
Seattle, Washington, Forenede Stater, 98104
- Rekruttering
- Research Site
-
-
Wisconsin
-
Madison, Wisconsin, Forenede Stater, 53792
- Ikke rekrutterer endnu
- Research Site
-
Milwaukee, Wisconsin, Forenede Stater, 53226
- Rekruttering
- Research Site
-
-
-
-
-
Lille, Frankrig, 59037
- Ikke rekrutterer endnu
- Research Site
-
Nantes, Frankrig, 44093
- Ikke rekrutterer endnu
- Research Site
-
Paris, Frankrig, 75010
- Ikke rekrutterer endnu
- Research Site
-
Pierre-Bénite, Frankrig, 69495
- Ikke rekrutterer endnu
- Research Site
-
Poitiers, Frankrig, 86021
- Ikke rekrutterer endnu
- Research Site
-
Toulouse, Frankrig, 31059
- Ikke rekrutterer endnu
- Research Site
-
-
-
-
-
Bologna, Italien, 40138
- Ikke rekrutterer endnu
- Research Site
-
Milan, Italien, 20133
- Ikke rekrutterer endnu
- Research Site
-
Milan, Italien, 20132
- Ikke rekrutterer endnu
- Research Site
-
Naples, Italien, 80131
- Ikke rekrutterer endnu
- Research Site
-
Rozzano, Italien, 20089
- Ikke rekrutterer endnu
- Research Site
-
Torino, Italien, 10126
- Ikke rekrutterer endnu
- Research Site
-
-
-
-
-
Bunkyō City, Japan, 113-8431
- Rekruttering
- Research Site
-
Kashiwa, Japan, 277-8577
- Rekruttering
- Research Site
-
Kyoto, Japan, 602-8566
- Rekruttering
- Research Site
-
Nagoya, Japan, 467-8602
- Rekruttering
- Research Site
-
Shibuya-ku, Japan, 150-8935
- Rekruttering
- Research Site
-
Shinjuku-ku, Japan, 160-8582
- Rekruttering
- Research Site
-
-
-
-
-
Beijing, Kina, 100044
- Ikke rekrutterer endnu
- Research Site
-
Beijing, Kina, 100024
- Ikke rekrutterer endnu
- Research Site
-
Changchun, Kina, 130021
- Ikke rekrutterer endnu
- Research Site
-
Changsha, Kina, 410013
- Ikke rekrutterer endnu
- Research Site
-
Changsha, Kina, 410008
- Ikke rekrutterer endnu
- Research Site
-
Chongqing, Kina, 400030
- Ikke rekrutterer endnu
- Research Site
-
Guangzhou, Kina, 510000
- Ikke rekrutterer endnu
- Research Site
-
Guangzhou, Kina, 510700
- Ikke rekrutterer endnu
- Research Site
-
Hefei, Kina, 230601
- Ikke rekrutterer endnu
- Research Site
-
Nanchang, Kina, 330006
- Ikke rekrutterer endnu
- Research Site
-
Nanchang, Kina, 330000
- Ikke rekrutterer endnu
- Research Site
-
Nanjing, Kina, 210000
- Ikke rekrutterer endnu
- Research Site
-
Ningbo, Kina, 315040
- Ikke rekrutterer endnu
- Research Site
-
Shanghai, Kina, 200025
- Ikke rekrutterer endnu
- Research Site
-
Shanghai, Kina, 201210
- Ikke rekrutterer endnu
- Research Site
-
Shanghai, Kina, 200065
- Ikke rekrutterer endnu
- Research Site
-
Shenzhen, Kina, 518039
- Ikke rekrutterer endnu
- Research Site
-
Tianjin, Kina, 300020
- Ikke rekrutterer endnu
- Research Site
-
Wenzhou, Kina, 325000
- Ikke rekrutterer endnu
- Research Site
-
Wuhan, Kina, 430030
- Ikke rekrutterer endnu
- Research Site
-
Xi'an, Kina, 710061
- Ikke rekrutterer endnu
- Research Site
-
Xi'an, Kina, 710004
- Ikke rekrutterer endnu
- Research Site
-
Zhengzhou, Kina, 450000
- Ikke rekrutterer endnu
- Research Site
-
Zhengzhou, Kina, 450008
- Ikke rekrutterer endnu
- Research Site
-
-
-
-
-
Oslo, Norge, 0450
- Rekruttering
- Research Site
-
-
-
-
-
Gdansk, Polen, 80-952
- Ikke rekrutterer endnu
- Research Site
-
Gliwice, Polen, 44-101
- Rekruttering
- Research Site
-
Lublin, Polen, 20-090
- Ikke rekrutterer endnu
- Research Site
-
Poznan, Polen, 60-569
- Ikke rekrutterer endnu
- Research Site
-
Warsaw, Polen, 02-776
- Ikke rekrutterer endnu
- Research Site
-
Wroclaw, Polen, 50-367
- Ikke rekrutterer endnu
- Research Site
-
-
-
-
-
Barcelona, Spanien, 08036
- Ikke rekrutterer endnu
- Research Site
-
Barcelona, Spanien, 8035
- Ikke rekrutterer endnu
- Research Site
-
Madrid, Spanien, 28041
- Rekruttering
- Research Site
-
Pamplona, Spanien, 31008
- Ikke rekrutterer endnu
- Research Site
-
Salamanca, Spanien, 37007
- Ikke rekrutterer endnu
- Research Site
-
Santander, Spanien, 39008
- Rekruttering
- Research Site
-
Valencia, Spanien, 46026
- Ikke rekrutterer endnu
- Research Site
-
-
-
-
-
Seoul, Sydkorea, 03080
- Ikke rekrutterer endnu
- Research Site
-
Seoul, Sydkorea, 06591
- Ikke rekrutterer endnu
- Research Site
-
Seoul, Sydkorea, 5505
- Ikke rekrutterer endnu
- Research Site
-
Seoul, Sydkorea, 06351
- Ikke rekrutterer endnu
- Research Site
-
-
-
-
-
Taipei, Taiwan, 10002
- Rekruttering
- Research Site
-
Taipei, Taiwan, 112
- Rekruttering
- Research Site
-
Taipei, Taiwan, 106
- Rekruttering
- Research Site
-
-
-
-
-
Berlin, Tyskland, 12200
- Ikke rekrutterer endnu
- Research Site
-
Dresden, Tyskland, 01307
- Ikke rekrutterer endnu
- Research Site
-
Erlangen, Tyskland, 91054
- Ikke rekrutterer endnu
- Research Site
-
Essen, Tyskland, 45147
- Ikke rekrutterer endnu
- Research Site
-
Freiburg im Breisgau, Tyskland, 79106
- Ikke rekrutterer endnu
- Research Site
-
Hamburg, Tyskland, 20246
- Rekruttering
- Research Site
-
Leipzig, Tyskland, 04103
- Ikke rekrutterer endnu
- Research Site
-
Mainz, Tyskland, 55131
- Ikke rekrutterer endnu
- Research Site
-
München, Tyskland, 81675
- Ikke rekrutterer endnu
- Research Site
-
Nuremberg, Tyskland, 90419
- Ikke rekrutterer endnu
- Research Site
-
Würzburg, Tyskland, 97080
- Ikke rekrutterer endnu
- Research Site
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
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
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Arm A
AZD0120 |
CAR-T Cells |
|
Aktiv komparator: Arm B
1 of the following 4 standard regimens per investigator choice; DKd, DPd, PVd, Kd. |
Daratumumab
Andre navne:
Carfilzomib
Andre navne:
Dexamethasone Bortezomib
Andre navne:
Pomalidomides
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
To demonstrate the superiority of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of PFS in participants with RRMM.
Tidsramme: 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.
Tidsramme: 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
|
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
For yderligere at demonstrere effektiviteten af AZD0120 i forhold til standardbehandling (DKd, DPd, PVd eller Kd) ved vurdering af CRR hos deltagere med RRMM.
Tidsramme: 2 år
|
2 år
|
|
For yderligere at demonstrere effektiviteten af AZD0120 i forhold til standardterapi (DKd, DPd, PVd eller Kd) gennem vurdering af ORR hos deltagere med RRMM.
Tidsramme: 2 år
|
2 år
|
|
For yderligere at demonstrere effektiviteten af AZD0120 i forhold til standardbehandling (DKd, DPd, PVd eller Kd) ved vurdering af OS hos deltagere med RRMM.
Tidsramme: 5 år
|
5 år
|
Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Karsygdomme
- Hjerte-kar-sygdomme
- Neoplasmer
- Sygdomme i immunsystemet
- Neoplasmer efter histologisk type
- Hæmatologiske sygdomme
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Neoplasmer, Plasmacelle
- Hæmostatiske lidelser
- Paraproteinæmier
- Blodproteinforstyrrelser
- Hæmoragiske lidelser
- Hemiske og lymfatiske sygdomme
- Myelomatose
- Organiske kemikalier
- Heterocykliske forbindelser, 1-ring
- Heterocykliske forbindelser
- Polycykliske forbindelser
- Uorganiske kemikalier
- Gravidier
- Graviditet
- Steroider
- SMUSED-RING-forbindelser
- Steroider, fluoreret
- Gravideretrioler
- Boronsyrer
- Syrer, ikke -carboxylisk
- Syrer
- Borforbindelser
- Pyraziner
- Bortezomib
- Dexamethason
- carfilzomib
- Pomalidomid
- Daratumumab
Andre undersøgelses-id-numre
- D8311C00001
- AZD0120 (Anden identifikator: AstraZeneca)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD-delingstidsramme
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD-delingsadgangskriterier
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .