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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

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

      • Jena, Tyskland, 07747
        • Rekruttering
        • Universitätsklinikum Jena, Klinik für Innere Medizin II

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
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.
Tocilizumab may be used as rescue medication for participants who experience a cytokine release syndrome (CRS) event.
Andre navne:
  • Actemra/RoActemra
Participants will receive cevostamab as per the schedule given in the protocol.
Andre navne:
  • RO7187797
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.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
Overall Response Rate (ORR) as assessed by an Independent Review Committee
Tidsramme: Up to approximately 3 years
Up to approximately 3 years

Sekundære resultatmål

Resultatmål
Tidsramme
Varighed af svar (DOR)
Tidsramme: Op til cirka 3 år
Op til cirka 3 år
ORR, as assessed by the Investigator
Tidsramme: Up to approximately 3 years
Up to approximately 3 years
Rate of Very Good Partial Response (VGPR) or Better
Tidsramme: Up to approximately 3 years
Up to approximately 3 years
Complete Response/Stringent Complete Response (CR/sCR) Rate
Tidsramme: Up to approximately 3 years
Up to approximately 3 years
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)
Start of study treatment to first date of disease progression or death from any cause, whichever occurs first (up to approximately 3 years)
Overall Survival (OS)
Tidsramme: Baseline up until death from any cause (up to approximately 3 years)
Baseline up until death from any cause (up to approximately 3 years)
MRD-negative CR rate at 9 months measured in bone marrow aspirate by next-generation sequencing (NGS)
Tidsramme: At 9 months
At 9 months
Overall MRD-Negative Complete Response Rate
Tidsramme: Up to approximately 3 years
Up to approximately 3 years
Time to Response (TTR)
Tidsramme: Baseline up to approximately 3 years
Baseline up to approximately 3 years
Time to Better Response (TTBR)
Tidsramme: Baseline up to approximately 3 years
Baseline up to approximately 3 years
Progression-Free Survival 2 (PFS2)
Tidsramme: Up to approximately 3 years
Up to approximately 3 years
Time to Confirmed Deterioration in the Disease Symptoms Scale of the EORTC QLQ-MY20
Tidsramme: Up to approximately 3 years
Up to approximately 3 years
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
Up to approximately 3 years
Incidence and Severity of Adverse Events (AEs)
Tidsramme: Up to approximately 3 years
Up to approximately 3 years
Change From Baseline in the Disease Symptoms Scale of the EORTC QLQ-MY20
Tidsramme: Baseline and up to 3 years
Baseline and up to 3 years
Change From Baseline in the GHS/QoL of the EORTC QLQ-Core 30 (C30)
Tidsramme: Baseline and up to 3 years
Baseline and up to 3 years
Change From Baseline in Fatigue as Assessed by the EORTC QLQ-C30
Tidsramme: Baseline and up to 3 years
Baseline and up to 3 years
Time to Confirmed Deterioration in Fatigue as Assessed by the EORTC QLQ-C30
Tidsramme: Up to approximately 3 years
Up to approximately 3 years
Percentage of Participants Experiencing Clinically Meaningful Improvement in Disease Symptoms as Assessed by the EORTC QLQ-MY20
Tidsramme: Up to approximately 3 years
Up to approximately 3 years
Percentage of Participants Experiencing Clinically Meaningful Improvement in GHS/QoL as Assessed by the EORTC QLQ-C30
Tidsramme: Up to approximately 3 years
Up to approximately 3 years
Percentage of Participants Experiencing Clinically Meaningful Improvement in Fatigue as Assessed by the EORTC QLQ-C30
Tidsramme: Up to approximately 3 years
Up to approximately 3 years
Percentage of Participants with Anti-Drug Antibodies (ADAs) to Cevostamab at Baseline
Tidsramme: Baseline
Baseline
Percentage of Participants with ADAs to Cevostamab during the Study
Tidsramme: Up to approximately 3 years
Up to approximately 3 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

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

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

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