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Adult Outpatient Linvoseltamab With Tocilizumab Prophylaxis to Mitigate the Risk of Cytokine Release Syndrome (CRS) (POPLIN)

10. september 2026 oppdatert av: Regeneron Pharmaceuticals

A Phase 4, Single-Arm, Multicenter Study of Prophylactic Tocilizumab in Participants With Relapsed/Refractory Multiple Myeloma Treated With Linvoseltamab in the Outpatient Setting

This study is researching whether the use of tocilizumab before the first dose of linvoseltamab will decrease the risk of Cytokine Release Syndrome (CRS) in participants who have Relapsed or Refractory Multiple Myeloma (RRMM) who have already been treated with at least four lines of treatment for their multiple myeloma, including medicines called a proteasome inhibitor, an immunomodulatory drug, and an anti-Cluster of Differentiation (CD) 38 antibody.

The aim of the study is to see how safe, tolerable and effective linvoseltamab is when given after tocilizumab.

The study is looking at several other research questions, including:

  • What side effects may happen from taking tocilizumab before the first dose of linvoseltamab
  • Whether tocilizumab has an impact on CRS, including whether participants require hospital care and, if so, how many hospital visits occur and how long they last
  • How frequently other medications (for example, corticosteroids or additional doses of tocilizumab) are used to support participants' care if needed

Studieoversikt

Studietype

Intervensjonell

Registrering (Antatt)

30

Fase

  • Fase 4

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studiesteder

    • California
      • Los Angeles, California, Forente stater, 90069
        • Rekruttering
        • Berenson Cancer Center
    • Louisiana
      • Baton Rouge, Louisiana, Forente stater, 70809
        • Rekruttering
        • Mary Bird Perkins Cancer Center
    • Maryland
      • Bethesda, Maryland, Forente stater, 20817
        • Rekruttering
        • American Oncology Partners, PA dba The Center for Cancer and Blood Disorders
    • Washington
      • Tacoma, Washington, Forente stater, 98405
        • Rekruttering
        • NorthWest Medical Specialties, PLLC

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Nei

Beskrivelse

Key Inclusion Criteria:

  1. Disease progression on or after at least 4 prior lines of therapy including a(n) Protease Inhibitor (PI), Immunomodulatory imide Drug (IMiD), and anti-CD 38 antibody
  2. Eastern Cooperative Oncology Group (ECOG) performance status score ≤2
  3. Confirmed progressive disease according to IMWG criteria during or after the most recent line of therapy

Key Exclusion Criteria:

  1. Diagnosis of plasma cell leukemia, symptomatic amyloidosis (including myeloma-associated amyloidosis), Waldenström macroglobulinemia (lymphoplasmacytic lymphoma), or Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes (POEMS) syndrome
  2. Known myeloma brain lesions or meningeal involvement
  3. History of neurodegenerative condition, Progressive Multifocal Leukoencephalopathy [PML], or Central Nervous System (CNS) movement disorder

NOTE: Other protocol defined inclusion/exclusion criteria apply

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Linvoseltamab
Administrert i henhold til protokollen
Andre navn:
  • REGN5458
  • Lynozyfic ™
Administrert i henhold til protokollen
Andre navn:
  • ACTEMRA®

Hva måler studien?

Primære resultatmål

Resultatmål
Tidsramme
Occurrence of any grade CRS per American Society for Transplantation and Cellular Therapy (ASTCT) grading
Tidsramme: Up to 28 days
Up to 28 days
Severity of any grade CRS per ASTCT grading
Tidsramme: Up to 28 days
Up to 28 days

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Samlet overlevelse
Tidsramme: Inntil 12 måneder
Inntil 12 måneder
Varighet av respons (DOR)
Tidsramme: Inntil 12 måneder
Inntil 12 måneder
Progresjonsfri overlevelse (PFS)
Tidsramme: Inntil 12 måneder
Inntil 12 måneder
Occurrence of CRS of any grade
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of recurrent CRS of any grade
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of grade ≥2 CRS per ASTCT grading
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of recurrent grade ≥2 CRS per ASTCT grading
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of any grade infections per National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0
Tidsramme: Up to 12 months
NCI CTCAE grade 1 to 5 version 5.0
Up to 12 months
Occurrence of grade ≥3 infections per NCI-CTCAE version 5.0
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of any grade Immune effector Cell-Associated Neurotoxicity Syndrome (ICANS) per ASTCT grading
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of grade ≥3 ICANS per ASTCT grading
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of any grade neurotoxicity per NCI-CTCAE version 5.0 grading
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of any grade neurotoxicity per ASTCT grading
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of grade ≥3 neurotoxicity per NCI-CTCAE version 5.0 grading
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of grade ≥3 neurotoxicity per ASTCT grading
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of any grade neutropenia per NCI-CTCAE version 5.0 grading
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of grade ≥3 neutropenia per NCI-CTCAE version 5.0 grading
Tidsramme: Up to 12 months
Up to 12 months
Number of treatment doses of tocilizumab following at least 1 dose of linvoseltamab for the management CRS
Tidsramme: Up to 12 months
Up to 12 months
Number of treatment doses of corticosteroid following at least 1 dose of linvoseltamab for the management CRS
Tidsramme: Up to 12 months
Up to 12 months
Total duration of corticosteroid treatment following at least 1 dose of linvoseltamab for the management CRS
Tidsramme: Up to 12 months
Up to 12 months
Number of hospitalizations per participant treated with at least 1 dose of linvoseltamab
Tidsramme: Up to 12 months
Up to 12 months
Total length of each Adverse Event (AE)-related hospital stay
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of Treatment-Emergent Adverse Events (TEAEs) in participants treated with at least 1 dose of linvoseltamab
Tidsramme: Up to 12 months
Up to 12 months
Severity of TEAEs in participants treated with at least 1 dose of linvoseltamab
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of Adverse Events of Special Interest (AESI) in participants treated with at least 1 dose of linvoseltamab
Tidsramme: Up to 12 months
Up to 12 months
Severity of AESI in participants treated with at least 1 dose of linvoseltamab
Tidsramme: Up to 12 months
Up to 12 months
Occurrence of Serious Adverse Events (SAEs) in participants treated with at least 1 dose of linvoseltamab
Tidsramme: Up to 12 months
Up to 12 months
Severity of SAEs in participants treated with at least 1 dose of linvoseltamab
Tidsramme: Up to 12 months
Up to 12 months
Achievement of Partial Response or better (≥PR) per International Myeloma Working Group (IMWG) criteria
Tidsramme: Up to 12 months
Up to 12 months
Time To Response (TTR)
Tidsramme: Up to 12 months
Up to 12 months

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Studieleder: Clinical Trial Management, Regeneron Pharmaceuticals

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

15. juli 2026

Primær fullføring (Antatt)

11. oktober 2027

Studiet fullført (Antatt)

6. desember 2028

Datoer for studieregistrering

Først innsendt

20. mai 2026

Først innsendt som oppfylte QC-kriteriene

20. mai 2026

Først lagt ut (Faktiske)

27. mai 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

11. september 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

10. september 2026

Sist bekreftet

1. september 2026

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.

IPD-delingstidsramme

When Regeneron has:

  • received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development
  • made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry)
  • the legal authority to share the data, and
  • ensured the ability to protect participant privacy

Tilgangskriterier for IPD-deling

Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf

IPD-deling Støtteinformasjonstype

  • STUDY_PROTOCOL
  • SEVJE
  • ICF
  • ANALYTIC_CODE
  • CSR

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Ja

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

Abonnere