Isatuximab-VRd in Transplant-Ineligible Newly Diagnosed Multiple Myeloma Patients (CHAMPION-01)
A Single-Arm, Multicenter, Prospective, Observational Clinical Study on the Efficacy and Safety of Isatuximab Combined With Bortezomib, Lenalidomide, and Dexamethasone (Isa-VRd) Regimen in Transplant-Ineligible Newly Diagnosed Multiple Myeloma (TI-NDMM) Patients
Primary Objective of the trial is to evaluate the efficacy and safety of Isa-VRd-based regimen in transplant-ineligible newly diagnosed multiple myeloma (TI-NDMM) patients receiving treatment in real-world clinical practice in China.
And Secondary Objectives is, To assess the MRD negativity rate in Chinese TI-NDMM patients treated with Isa-VRd To assess the safety and tolerability of Isa-VRd in Chinese TI-NDMM patients
Participants will:
Receive Isatuximab 10 mg/kg iv
- Cycle 1: Every weeks on Days 1, 8, 15, and 22
- Cycles 2-8: Every 2 weeks on Days 1 and 15 Receive Bortezomib subcutaneous injection 1.3 mg/m²
- Cycles 1-8: Days 1, 8, and 15 of each cycle Receive Lenalidomide oral 25 mg/day
- Cycles 1-8: Days 1-21 at 25 mg/day (10 mg/day for patients with creatinine clearance [CrCl] ≥30 and <60 mL/min) Receive Dexamethasone oral 20 mg
- Cycles 1-8: Days 1, 8, 15, and 22 of each cycle Following Cycle 8, the investigator may assess and adjust the treatment regimen During the induction phase, efficacy assessment is recommended at each treatment cycle. Patients who achieve ≥CR at the end of induction are recommended to undergo the first MRD monitoring assessment.
During the maintenance phase, efficacy assessment is recommended at least every 3 cycles. Patients are recommended to undergo MRD status monitoring (≥CR) every 6 months (i.e., at months 14, 20, and 26) for MRD assessment.
During the follow-up period, MRD status monitoring (≥CR) is recommended every 12 months to observe the depth of response.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
This is a single-arm, multicenter, prospective observational cohort study with a planned total enrollment of 333 transplant-ineligible newly diagnosed multiple myeloma (TI-NDMM) patients aged ≥18 years old in China. All enrolled participants will receive the Isa-VRd induction regimen for 8 cycles (4 weeks per cycle, total 32 weeks). After induction therapy, investigators will determine whether patients continue maintenance treatment based on individual response status, followed by a 2-year long-term follow-up period from the initiation of Isa-VRd treatment, with the maximum observation window of each subject capped at 24 months.
For efficacy evaluation, minimal residual disease (MRD) testing with a cutoff of NGF=10-⁵ will be performed at multiple prespecified time points: at month 8 post-induction, and every 6 months throughout the maintenance and follow-up phase (at months 14, 20 and 26). The primary endpoint of this study is ≥CR rate after induction therapy. Secondary efficacy endpoints include stringent complete response (sCR), very good partial response (VGPR), overall response rate (ORR), duration of response (DOR), time to response (TTR), time to next treatment (TNT), progression-free survival (PFS), overall survival (OS), as well as all safety and tolerability outcomes.
Throughout the entire treatment and follow-up period, all treatment-emergent adverse events (TEAEs), grade ≥3 adverse events, serious adverse events (SAEs), and adverse events of special interest (AESIs, including infusion reactions and second primary malignancies) will be continuously collected and recorded to evaluate the real-world safety profile of the Isa-VRd regimen in Chinese TI-NDMM patients. The overall planned study duration spans approximately 24 months from the first subject's enrollment to the completion of the last patient's 24-month follow-up assessment.
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Peng Liu
- Telefonnummer: +86-021-64041990
- E-Mail: liu.peng@zs-hospital.sh.cn
Studieren Sie die Kontaktsicherung
- Name: Jiadai Xu
- E-Mail: xu.jiadai@zs-hospital.sh.cn
Studienorte
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, China
- Rekrutierung
- Peking Union Medical College Hospital
-
Kontakt:
- Junling Zhuang
- E-Mail: zhuangjunling@pumch.cn
-
-
Guangdong
-
Guangzhou, Guangdong, China
- Rekrutierung
- Sun Yat-sen University Cancer Center
-
Kontakt:
- Zhongjun Xia
- E-Mail: xiazhj@sysucc.org.cn
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Shenzhen, Guangdong, China
- Rekrutierung
- Shenzhen People's Hospital
-
Kontakt:
- Jihao Zhou
- E-Mail: zhoujihao@aliyun.com
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Guangxi
-
Naning, Guangxi, China, 450000
- Rekrutierung
- The First Affiliated Hospital of Guangxi Medical University
-
Kontakt:
- Jun Luo
- E-Mail: luojungz@medmail.com.cn
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-
Heilongjiang
-
Harbin, Heilongjiang, China
- Rekrutierung
- Harbin Institute of Hematologic Oncology
-
Kontakt:
- Tiejun Gong
- E-Mail: gongtiejun678@163.com
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Henan
-
Zhengzhou, Henan, China
- Rekrutierung
- Henan Cancer Hospital
-
Kontakt:
- Baijun Fang
- E-Mail: zlyyfangbaijun1051@zzu.edu.cn
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-
Hubei
-
Wuhan, Hubei, China
- Rekrutierung
- Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology.
-
Kontakt:
- Chunrui Li
- E-Mail: cunrui5650@hust.edu.cn
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Jiangsu
-
Nanjing, Jiangsu, China
- Rekrutierung
- Jiangsu Provincial People's Hospital
-
Kontakt:
- Xiaoyan Qu
- E-Mail: quxiaoyan@jsph.org.cn
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Nantong, Jiangsu, China
- Rekrutierung
- Affiliated Hospital of Nantong University
-
Kontakt:
- Hongming Huang
- E-Mail: hhmmmc@163.com
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-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 200032
- Rekrutierung
- Fudan University Affiliated Zhongshan Hospital
-
Kontakt:
- Peng Liu
- Telefonnummer: +86-021-64041990
- E-Mail: liu.peng@zs-hospital.sh.cn
-
-
Shanxi
-
Xi’an, Shanxi, China
- Rekrutierung
- Xijing Hospital, Air Force Medical University
-
Kontakt:
- Guangxun Gao
- E-Mail: gaoguangxun@fmmu.edu.cn
-
-
Sichuan
-
Chengdu, Sichuan, China
- Rekrutierung
- Sichuan Provincial People's Hospital
-
Kontakt:
- xiaobing Huang
- E-Mail: huangxiaobing@med.uestc.edu.cn
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-
Yunnan
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Kunming, Yunnan, China
- Rekrutierung
- The First Affiliated Hospital of Kunming Medical University
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Kontakt:
- Mingxia Shi
- E-Mail: shmxia2002@sina.com
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Probenahmeverfahren
Studienpopulation
Beschreibung
Inclusion Criteria:
- Age ≥18 years
- Newly diagnosed transplant-ineligible multiple myeloma patients as assessed by investigator, specifically referring to CSCO guidelines
Must meet corresponding laboratory test results (refer to restrictions in package inserts of combination drugs):
- Absolute neutrophil count (ANC) ≥1.0×10⁹/L
- Platelet count ≥50×10⁹/L
- Calculated creatinine clearance ≥30 mL/min (using Cockcroft-Gault formula)
- Total bilirubin ≤3× upper limit of normal (ULN)
- TI-NDMM patients intended for Isa-VRd regimen treatment as determined by investigator judgment, independent of study objectives Signed informed consent form (by patient or their legal representative)
Exclusion Criteria:
- Patients currently participating in other interventional clinical studies
- Patients with known severe hypersensitivity reactions to Isatuximab or any other excipients
- Severe bacteremia at the time of administration
Currently uncontrolled cardiovascular disease, including:
- Uncontrolled hypertension
- Uncontrolled arrhythmia
- Uncontrollable congestive heart failure
- Unstable angina
- Patients with peripheral neuropathy ≥Grade 2
- Active infectious disease, known human immunodeficiency virus (HIV) positivity, active hepatitis B or hepatitis C
- Patients who are currently pregnant
- Patients who, at the physician's discretion, are unable to tolerate any drug in the combination regimen
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
Anzahl der Gruppen / Kohorten
Kohorten und Interventionen
Gruppe / KohorteGruppe / Kohorte |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Isatuximab Combined with Bortezomib, Lenalidomide, and Dexamethasone(Isa-VRd)regimen
Arm Description: Isatuximab 10 mg/kg Intravenous injection
|
Isatuximab 10 mg/kg Intravenous (IV) infusion
Andere Namen:
Bortezomib subcutaneous injection 1.3 mg/m² • Cycles 1-8: Days 1, 8, and 15 of each cycle Following Cycle 8, the investigator may assess and adjust the treatment regimen
Andere Namen:
Lenalidomide oral 25 mg/day • Cycles 1-8: Days 1-21 at 25 mg/day (10 mg/day for patients with creatinine clearance [CrCl] ≥30 and <60 mL/min) Following Cycle 8, the investigator may assess and adjust the treatment regimen
Andere Namen:
Dexamethasone oral 20 mg • Cycles 1-8: Days 1, 8, 15, and 22 of each cycle Following Cycle 8, the investigator may assess and adjust the treatment regimen
Andere Namen:
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
≥CR rate after induction treatment
Zeitfenster: After completion of 8 cycles of induction treatment (approximately 32 weeks or 8 months)
|
The combined proportion of patients achieving stringent complete response (sCR) and complete response (CR) as assessed according to the 2016 IMWG criteria.
|
After completion of 8 cycles of induction treatment (approximately 32 weeks or 8 months)
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
MRD negativity rate
Zeitfenster: At the end of induction phase (Week 32 / approximately 8 months)
|
At the end of induction phase (Week 32 / approximately 8 months)
|
|
|
≥VGPR rate
Zeitfenster: At the end of induction phase (Week 32 / approximately 8 months)
|
At the end of induction phase (Week 32 / approximately 8 months)
|
|
|
Overall response rate
Zeitfenster: At the end of induction phase (Week 32 / approximately 8 months)
|
At the end of induction phase (Week 32 / approximately 8 months)
|
|
|
Duration of Response
Zeitfenster: From the date of first confirmed response (≥PR) to the date of first documented disease progression or death from any cause, whichever occurs first, assessed up to 48 months.
|
From the date of first confirmed response (≥PR) to the date of first documented disease progression or death from any cause, whichever occurs first, assessed up to 48 months.
|
|
|
Time to Response
Zeitfenster: Time from the start date of Isa-VRd treatment to the date of first confirmed response (≥PR) as assessed by investigator, assessed up to 24 months
|
Time from the start date of Isa-VRd treatment to the date of first confirmed response (≥PR) as assessed by investigator, assessed up to 24 months
|
|
|
Duration of Treatment
Zeitfenster: Time from the start date of Isa-VRd treatment to the date of discontinuation of Isa-VRd regimen for any reason,assessed up to 24 months
|
Time from the start date of Isa-VRd treatment to the date of discontinuation of Isa-VRd regimen for any reason,assessed up to 24 months
|
|
|
Progression free survival
Zeitfenster: Time from the start date of Isa-VRd treatment to disease progression (as assessed according to 2016 IMWG criteria) or death from any cause, whichever occurs first,assessed up to 48 months
|
Time from the start date of Isa-VRd treatment to disease progression (as assessed according to 2016 IMWG criteria) or death from any cause, whichever occurs first,assessed up to 48 months
|
|
|
Overall Survival
Zeitfenster: Time from the start date of Isa-VRd treatment to death from any cause,assessed up to 48 months
|
Time from the start date of Isa-VRd treatment to death from any cause,assessed up to 48 months
|
|
|
Incidence Adverse Events
Zeitfenster: From the start date of Isa-VRd treatment through study completion, assessed up to 24 months.
|
Adverse events (AEs) include treatment-emergent adverse events (TEAEs), grade ≥3 TEAEs, serious adverse events (SAEs), and adverse events of special interest (AESIs), defined as infusion reactions (IRs) and occurrence of second primary malignancies.
|
From the start date of Isa-VRd treatment through study completion, assessed up to 24 months.
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Peng Liu, Fudan University
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Gefäßerkrankungen
- Herz-Kreislauf-Erkrankungen
- Neubildungen
- Erkrankungen des Immunsystems
- Neubildungen nach histologischem Typ
- Hämatologische Erkrankungen
- Lymphoproliferative Erkrankungen
- Immunproliferative Erkrankungen
- Neubildungen, Plasmazelle
- Hämostasestörungen
- Paraproteinämien
- Bluteiweißstörungen
- Hämorrhagische Störungen
- Hämische und lymphatische Krankheiten
- Multiples Myelom
- Schwefelverbindungen
- Organische Chemikalien
- Heterocyclische Verbindungen, 1-Ring
- Heterocyclische Verbindungen
- Heterocyclische Verbindungen, 2-Ring
- Heterocyclische Verbindungen, Fusionsring
- Kohlenwasserstoffe
- Kohlenwasserstoffe, zyklisch
- Carboxylsäuren
- Kohlenwasserstoffe, aromatisch
- Polycyclische Verbindungen
- Piperidine
- Anorganische Chemikalien
- Schwangerschaft
- Schwangerschaft
- Steroide
- Fusions-Ring-Verbindungen
- Steroide, fluoriert
- Benzolderivate
- Sulfonsäuren
- Schwefelsäuren
- Schwangerschaften
- Boronsäuren
- Säuren, nicht carboxylisch
- Säuren
- Borverbindungen
- Pyraziner
- Phthalimides
- Phthalsäuren
- Säuren, carbocyclisch
- Piperidones
- Isoindolen
- Benzenesulfonaten
- Arylsulfonate
- Arylsulfonsäuren
- Lenalidomid
- Bortezomib
- Dexamethason
- Calciumdobesilat
- Isatuximab
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- B2026-229
Plan für individuelle Teilnehmerdaten (IPD)
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Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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