- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07825064
Cevostamab in Combination With Pomalidomide and Dexamethasone After BCMA- Targeting CAR T-Cell Therapy in Participants With Previously Treated Multiple Myeloma
14. september 2026 opdateret af: Hoffmann-La Roche
A Phase II, Single Arm, Open-Label, Multicenter Study Evaluating the Efficacy and Safety of Cevostamab in Combination With Pomalidomide and Dexamethasone in Patients With Multiple Myeloma Who Have Received a Prior BCMA-Targeting CAR T-Cell Therapy
The purpose of this study is to assess the efficacy and safety of cevostamab in combination with pomalidomide and dexamethasone (CevosPd) in patients with multiple myeloma (MM) who have received one to four prior lines of therapy and have been exposed to an anti-cluster of differentiation 38 (CD38) antibody, lenalidomide, a proteasome inhibitor (PI) and a B cell maturation antigen (BCMA)-targeting chimeric antigen receptor (CAR) T-cell therapy.
Studieoversigt
Status
Rekruttering
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Anslået)
45
Fase
- Fase 2
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiekontakt
- Navn: Reference Study ID Number: CO46577 https://forpatients.roche.com/No attachments to email below.
- Telefonnummer: 888-662-6728 (U.S. and Canada)
- E-mail: global-roche-genentech-trials@gene.com
Undersøgelse Kontakt Backup
- Navn: Fastest Response:use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry
Studiesteder
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Jena, Tyskland, 07747
- Rekruttering
- Universitätsklinikum Jena, Klinik für Innere Medizin II
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Ingen
Beskrivelse
Inclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 at screening and immediately prior to the start of administration of study treatment.
- Received one to four lines of prior therapy, including prior B-cell maturation antigen (BCMA)-targeting Chimeric Antigen Receptors (CAR) T-cell therapy
- Multiple Myeloma diagnosis according to the International Myeloma Working Group (IMWG) diagnostic criteria
- Is triple-class exposed, i.e. received anti- cluster of differentiation 38 (CD38) therapy, a proteasome inhibitor (PI) and lenalidomide in any prior line
- Participants must have measurable disease during screening
Exclusion Criteria:
- Known history of amyloidosis (e.g., positive Congo Red stain or equivalent in tissue biopsy or documented within serum amyloid P component scan)
- Plasma cell leukemia or circulating plasma cell count exceeding 500 cells/µL or 5% of the peripheral blood white cells
- History of severe allergic or anaphylactic reactions to mAb therapy (or recombinant antibody-related fusion proteins) or known hypersensitivity to any of the excipients of cevostamab
- Gastrointestinal (GI) disease that might significantly alter absorption of oral drugs
- Known active Central Nervous System (CNS) involvement, or exhibits clinical signs of meningeal involvement of MM. If either is suspected, negative whole-brain MRI and lumbar cytology are required.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: Cevostamab plus Pomalidomide and Dexamethasone (Pd)
Cevostamab will be combined with pomalidomide and dexamethasone as the experimental treatment in this study.
Participants will receive Cevostamab as per the schedule in the protocol.
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Tocilizumab may be used as rescue medication for participants who experience a cytokine release syndrome (CRS) event.
Andre navne:
Participants will receive cevostamab as per the schedule given in the protocol.
Andre navne:
Pomalidomide will be administered as per the schedule given in the protocol.
Dexamethasone will be administered as a premedication as per the schedule given in the protocol.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Overall Response Rate (ORR) as assessed by an Independent Review Committee
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Varighed af svar (DOR)
Tidsramme: Op til cirka 3 år
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Op til cirka 3 år
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ORR, as assessed by the Investigator
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Rate of Very Good Partial Response (VGPR) or Better
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Complete Response/Stringent Complete Response (CR/sCR) Rate
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
|
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Progression-free Survival (PFS)
Tidsramme: Start of study treatment to first date of disease progression or death from any cause, whichever occurs first (up to approximately 3 years)
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Start of study treatment to first date of disease progression or death from any cause, whichever occurs first (up to approximately 3 years)
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Overall Survival (OS)
Tidsramme: Baseline up until death from any cause (up to approximately 3 years)
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Baseline up until death from any cause (up to approximately 3 years)
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MRD-negative CR rate at 9 months measured in bone marrow aspirate by next-generation sequencing (NGS)
Tidsramme: At 9 months
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At 9 months
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Overall MRD-Negative Complete Response Rate
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Time to Response (TTR)
Tidsramme: Baseline up to approximately 3 years
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Baseline up to approximately 3 years
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Time to Better Response (TTBR)
Tidsramme: Baseline up to approximately 3 years
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Baseline up to approximately 3 years
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Progression-Free Survival 2 (PFS2)
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Time to Confirmed Deterioration in the Disease Symptoms Scale of the EORTC QLQ-MY20
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Time to Confirmed Deterioration in the Global Health Status/Quality of Life (GHS/QoL) of the EORTC QLQ-Core 30 (C30)
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Incidence and Severity of Adverse Events (AEs)
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Change From Baseline in the Disease Symptoms Scale of the EORTC QLQ-MY20
Tidsramme: Baseline and up to 3 years
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Baseline and up to 3 years
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Change From Baseline in the GHS/QoL of the EORTC QLQ-Core 30 (C30)
Tidsramme: Baseline and up to 3 years
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Baseline and up to 3 years
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Change From Baseline in Fatigue as Assessed by the EORTC QLQ-C30
Tidsramme: Baseline and up to 3 years
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Baseline and up to 3 years
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Time to Confirmed Deterioration in Fatigue as Assessed by the EORTC QLQ-C30
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Percentage of Participants Experiencing Clinically Meaningful Improvement in Disease Symptoms as Assessed by the EORTC QLQ-MY20
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Percentage of Participants Experiencing Clinically Meaningful Improvement in GHS/QoL as Assessed by the EORTC QLQ-C30
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Percentage of Participants Experiencing Clinically Meaningful Improvement in Fatigue as Assessed by the EORTC QLQ-C30
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Percentage of Participants with Anti-Drug Antibodies (ADAs) to Cevostamab at Baseline
Tidsramme: Baseline
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Baseline
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Percentage of Participants with ADAs to Cevostamab during the Study
Tidsramme: Up to approximately 3 years
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Up to approximately 3 years
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Anslået)
1. oktober 2026
Primær færdiggørelse (Anslået)
13. april 2029
Studieafslutning (Anslået)
30. januar 2031
Datoer for studieregistrering
Først indsendt
14. september 2026
Først indsendt, der opfyldte QC-kriterier
14. september 2026
Først opslået (Faktiske)
17. september 2026
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
17. september 2026
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
14. september 2026
Sidst verificeret
1. september 2026
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
- Polycykliske forbindelser
- Gravidier
- Graviditet
- Steroider
- SMUSED-RING-forbindelser
- Steroider, fluoreret
- Gravideretrioler
- Dexamethason
- tocilizumab
- Pomalidomid
Andre undersøgelses-id-numre
- CO46577
- 2026-525736-42-00 (Ctis)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
JA
IPD-planbeskrivelse
For eligible studies, qualified researchers may request access to individual patient level clinical data.
See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Ja
Studerer et amerikansk FDA-reguleret enhedsprodukt
Ingen
produkt fremstillet i og eksporteret fra U.S.A.
Ja
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 .