- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT07764978
Study of AZD0120 in Newly Diagnosed Multiple Myeloma Ineligible for ASCT (DURGA-5)
Phase III Open-Label, Randomised Study of Consolidation With AZD0120 (Dual-Targeting BCMA/CD19 CAR-T) vs Continuous Standard Therapy in NDMM Patients Ineligible for ASCT as Initial Therapy (DURGA-5)
Studieoversikt
Status
Forhold
Detaljert beskrivelse
Studietype
Registrering (Antatt)
Fase
- Fase 3
Kontakter og plasseringer
Studiekontakt
- Navn: AstraZeneca Clinical Study Information Center
- Telefonnummer: 1-877-240-9479
- E-post: information.center@astrazeneca.com
Studiesteder
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Concord, Australia, 2139
- Har ikke rekruttert ennå
- Research Site
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Darlinghurst, Australia, 2010
- Har ikke rekruttert ennå
- Research Site
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East Melbourne, Australia, 3002
- Har ikke rekruttert ennå
- Research Site
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Fitzroy, Australia, VIC3065
- Rekruttering
- Research Site
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Liverpool, Australia, 2170
- Har ikke rekruttert ennå
- Research Site
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Melbourne, Australia, 3004
- Har ikke rekruttert ennå
- Research Site
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Murdoch, Australia, 6150
- Har ikke rekruttert ennå
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Waratah, Australia, 2298
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Salvador, Brasil, 41253-190
- Har ikke rekruttert ennå
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São Paulo, Brasil, 05651-901
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São Paulo, Brasil, 01525-001
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- Research Site
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Alberta
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Calgary, Alberta, Canada, T2N 5G2
- Har ikke rekruttert ennå
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 4E6
- Har ikke rekruttert ennå
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Nova Scotia
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Halifax, Nova Scotia, Canada, B3H 2Y9
- Har ikke rekruttert ennå
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Ontario
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Ottawa, Ontario, Canada, K1H 8L6
- Har ikke rekruttert ennå
- Research Site
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Quebec
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Montreal, Quebec, Canada, H1T 2M4
- Har ikke rekruttert ennå
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Sherbrooke, Quebec, Canada, J1G 2K7
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Århus N, Danmark, 8200
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Arizona
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Gilbert, Arizona, Forente stater, 85234
- Har ikke rekruttert ennå
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Phoenix, Arizona, Forente stater, 85054
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Tucson, Arizona, Forente stater, 85719
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- Research Site
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California
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Orange, California, Forente stater, 92868
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Santa Monica, California, Forente stater, 90404
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- Research Site
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Colorado
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Aurora, Colorado, Forente stater, 80045
- Har ikke rekruttert ennå
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Denver, Colorado, Forente stater, 80218
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- Research Site
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Connecticut
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New Haven, Connecticut, Forente stater, 06510
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Florida
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Coral Gables, Florida, Forente stater, 33156
- Har ikke rekruttert ennå
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Tampa, Florida, Forente stater, 33606
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Georgia
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Atlanta, Georgia, Forente stater, 30322
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Illinois
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Chicago, Illinois, Forente stater, 60607
- Har ikke rekruttert ennå
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Iowa
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Iowa City, Iowa, Forente stater, 52242
- Har ikke rekruttert ennå
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Kansas
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Wichita, Kansas, Forente stater, 67214
- Har ikke rekruttert ennå
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Kentucky
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Louisville, Kentucky, Forente stater, 40207
- Har ikke rekruttert ennå
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Louisiana
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Baton Rouge, Louisiana, Forente stater, 70809
- Har ikke rekruttert ennå
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Maryland
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Baltimore, Maryland, Forente stater, 21201
- Har ikke rekruttert ennå
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Michigan
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Detroit, Michigan, Forente stater, 48201
- Har ikke rekruttert ennå
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Missouri
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St Louis, Missouri, Forente stater, 63110
- Har ikke rekruttert ennå
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New Jersey
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East Brunswick, New Jersey, Forente stater, 08816
- Har ikke rekruttert ennå
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New York
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Albany, New York, Forente stater, 12208
- Har ikke rekruttert ennå
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New Hyde Park, New York, Forente stater, 11042
- Har ikke rekruttert ennå
- Research Site
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New York, New York, Forente stater, 10029
- Har ikke rekruttert ennå
- Research Site
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New York, New York, Forente stater, 10016
- Har ikke rekruttert ennå
- Research Site
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New York, New York, Forente stater, 10032
- Har ikke rekruttert ennå
- Research Site
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The Bronx, New York, Forente stater, 10467
- Har ikke rekruttert ennå
- Research Site
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North Carolina
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Chapel Hill, North Carolina, Forente stater, 27599
- Har ikke rekruttert ennå
- Research Site
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Charlotte, North Carolina, Forente stater, 28203
- Har ikke rekruttert ennå
- Research Site
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Durham, North Carolina, Forente stater, 27705
- Har ikke rekruttert ennå
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Winston-Salem, North Carolina, Forente stater, 27157
- Har ikke rekruttert ennå
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Winston-Salem, North Carolina, Forente stater, 27103
- Har ikke rekruttert ennå
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Ohio
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Cincinnati, Ohio, Forente stater, 45236
- Har ikke rekruttert ennå
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Cleveland, Ohio, Forente stater, 44195
- Har ikke rekruttert ennå
- Research Site
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Columbus, Ohio, Forente stater, 43210
- Har ikke rekruttert ennå
- Research Site
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Montgomery, Ohio, Forente stater, 45242
- Har ikke rekruttert ennå
- Research Site
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Oregon
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Portland, Oregon, Forente stater, 97239
- Har ikke rekruttert ennå
- Research Site
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Tennessee
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Nashville, Tennessee, Forente stater, 37203
- Har ikke rekruttert ennå
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Nashville, Tennessee, Forente stater, 37219
- Har ikke rekruttert ennå
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Texas
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Dallas, Texas, Forente stater, 75235
- Har ikke rekruttert ennå
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Houston, Texas, Forente stater, 77030
- Har ikke rekruttert ennå
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Virginia
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Fairfax, Virginia, Forente stater, 22031
- Har ikke rekruttert ennå
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Washington
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Puyallup, Washington, Forente stater, 98373
- Har ikke rekruttert ennå
- Research Site
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Seattle, Washington, Forente stater, 98104
- Har ikke rekruttert ennå
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Seattle, Washington, Forente stater, 98101
- Har ikke rekruttert ennå
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Wisconsin
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Milwaukee, Wisconsin, Forente stater, 53226
- Tilbaketrukket
- Research Site
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Lille, Frankrike, 59037
- Har ikke rekruttert ennå
- Research Site
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Nantes, Frankrike, 44093
- Har ikke rekruttert ennå
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Paris, Frankrike, 75010
- Har ikke rekruttert ennå
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Poitiers, Frankrike, 86021
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Toulouse, Frankrike, 31059
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Bologna, Italia, 40138
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Milan, Italia, 20141
- Har ikke rekruttert ennå
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Milan, Italia, 20133
- Har ikke rekruttert ennå
- Research Site
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Rome, Italia, 00168
- Har ikke rekruttert ennå
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Rozzano, Italia, 20089
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- Research Site
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Torino, Italia, 10100
- Har ikke rekruttert ennå
- Research Site
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Fukuoka, Japan, 812-8582
- Har ikke rekruttert ennå
- Research Site
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Kyoto, Japan, 602-8566
- Har ikke rekruttert ennå
- Research Site
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Nishinomiya-shi, Japan, 663-8501
- Har ikke rekruttert ennå
- Research Site
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Okayama, Japan, 700-8558
- Har ikke rekruttert ennå
- Research Site
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Sapporo, Japan, 060-8648
- Har ikke rekruttert ennå
- Research Site
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Shibuya-ku, Japan, 150-8935
- Har ikke rekruttert ennå
- Research Site
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Shinjuku-ku, Japan, 160-8582
- Har ikke rekruttert ennå
- Research Site
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Suita-shi, Japan, 565-0871
- Har ikke rekruttert ennå
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Gdansk, Polen, 80-952
- Har ikke rekruttert ennå
- Research Site
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Gliwice, Polen, 44-101
- Har ikke rekruttert ennå
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Kielce, Polen, 25-734
- Har ikke rekruttert ennå
- Research Site
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Lublin, Polen, 20-090
- Har ikke rekruttert ennå
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Poznan, Polen, 60-569
- Har ikke rekruttert ennå
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Wroclaw, Polen, 50-367
- Har ikke rekruttert ennå
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Badalona, Spania, 8916
- Har ikke rekruttert ennå
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Barcelona, Spania, 08036
- Har ikke rekruttert ennå
- Research Site
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Madrid, Spania, 28007
- Har ikke rekruttert ennå
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Madrid, Spania, 28041
- Har ikke rekruttert ennå
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Pamplona, Spania, 31008
- Har ikke rekruttert ennå
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Salamanca, Spania, 37007
- Har ikke rekruttert ennå
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Seville, Spania, 41013
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Valencia, Spania, 46026
- Har ikke rekruttert ennå
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Edinburgh, Storbritannia, EH4 2XU
- Har ikke rekruttert ennå
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London, Storbritannia, SE5 9RS
- Har ikke rekruttert ennå
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Manchester, Storbritannia, M20 4BX
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Gothenburg, Sverige, 413 45
- Har ikke rekruttert ennå
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Huddinge, Sverige, 141 57
- Har ikke rekruttert ennå
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Lund, Sverige, 22242
- Har ikke rekruttert ennå
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Seoul, Sør -Korea, 3722
- Har ikke rekruttert ennå
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Seoul, Sør -Korea, 03080
- Har ikke rekruttert ennå
- Research Site
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Seoul, Sør -Korea, 06591
- Har ikke rekruttert ennå
- Research Site
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Seoul, Sør -Korea, 5505
- Har ikke rekruttert ennå
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Seoul, Sør -Korea, 06351
- Har ikke rekruttert ennå
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Taipei, Taiwan, 10002
- Har ikke rekruttert ennå
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Taipei, Taiwan, 112
- Har ikke rekruttert ennå
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Taipei, Taiwan, 106
- Har ikke rekruttert ennå
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Taoyuan, Taiwan, 33305
- Har ikke rekruttert ennå
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Berlin, Tyskland, 13353
- Har ikke rekruttert ennå
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Cologne, Tyskland, 50937
- Har ikke rekruttert ennå
- Research Site
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Dresden, Tyskland, 01307
- Har ikke rekruttert ennå
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Essen, Tyskland, 45122
- Har ikke rekruttert ennå
- Research Site
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Freiburg im Breisgau, Tyskland, 79106
- Har ikke rekruttert ennå
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Hamburg, Tyskland, 20246
- Har ikke rekruttert ennå
- Research Site
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Kiel, Tyskland, 24105
- Har ikke rekruttert ennå
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Leipzig, Tyskland, 04103
- Har ikke rekruttert ennå
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Magdeburg, Tyskland, 39120
- Har ikke rekruttert ennå
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Mainz, Tyskland, 55131
- Har ikke rekruttert ennå
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München, Tyskland, 81675
- Har ikke rekruttert ennå
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Nuremberg, Tyskland, 90419
- Har ikke rekruttert ennå
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Würzburg, Tyskland, 97080
- Har ikke rekruttert ennå
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
INCLUSION CRITERIA:
- Participants must be 18 years or older, at the time of signing the ICF.
- Participant must have documented diagnosis of MM according to the IMWG diagnostic criteria.
- Participant must have one or more of the following measurable disease criteria: (a) Serum M-protein level ≥1.0 g/dL, (b) Urine M-protein level ≥ 200 mg/24 h, (c)Serum immunoglobulin FLC ≥ 10 mg/dL (100 mg/L) and abnormal serum immunoglobulin kappa lambda FLC ratio.
- Participant must be deemed ineligible for ASCT while also having adequate organ function for CAR-T cell treatment.
- Participant is a candidate to receive at least one of the regimens (IsaVRd or DRd) as determined by the Investigator.
- ECOG performance status Grade of 0 to 2.
- Participant must have adequate organ and bone marrow function.
EXCLUSION CRITERIA:
- Participant has active or prior CNS or meningeal involvement of MM.
- Participant has primary amyloidosis, active plasma cell leukemia (≥5% circulating plasma cells), Waldenström macroglobulinemia, or POEMS syndrome.
- Participant has significant neurological or psychiatric condition posing risk or impairing evaluation.
- Participant has any other significant medical condition that increases unacceptable risk, interferes with therapy delivery, or confounds evaluation.
- Participant has a history of a prior non-haematologic malignancy unless the participant has been disease-free with no evidence of recurrence for ≥ 2 years.
- Participant has a history of haematologic malignancies, other than MM, regardless of remission status.
Participant is positive for any of the following:
- HIV: Known to be seropositive for HIV (including any history of HIV).
- Chronic or active hepatitis B.
- Active hepatitis C: Hepatitis C infection.
- Additional local requirements for the testing for infectious diseases and exclusions of applicable participants should be followed per local regulations.
- Participant has clinically significant cardiovascular disease.
- Participant has COPD with an FEV1 < 50% of predicted normal.
- Additional exclusion for participants who are planned to receive IsaVRd as induction: Participant has peripheral neuropathy Grade 4, Grade 3, Grade 2, or Grade 1 with pain.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Arm A: Investigational Arm
Arm A is the sequence of induction with IsaVRd or DRd, apheresis, optional bridging therapy, lymphodepletion (cyclophosphamide and fludarabine), and AZD0120.
|
Lymfodeplesjon
Lymfodeplesjon
AZD0120, is a BCMA/CD19 dual CAR T-cell product, which is administered intravenously.
Induction, optional bridging and continuous therapy.
Induction, optional bridging and continuous therapy.
Induction, optional bridging and continuous therapy.
Induction, optional bridging and continuous therapy.
Induction therapy.
|
|
Aktiv komparator: Arm B: Control Arm
Arm B is the standard therapy induction with IsaVRd or DRd, followed by continuous IsaRd or DRd until disease progression or intolerable toxicity.
|
Induction, optional bridging and continuous therapy.
Induction, optional bridging and continuous therapy.
Induction, optional bridging and continuous therapy.
Induction, optional bridging and continuous therapy.
Induction therapy.
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
PFS in NDMM who are ineligible to receive ASCT is measured to demonstrate the superiority of IsaVRd or DRd induction followed by AZD0120 compared to IsaVRd or DRd induction followed by continuous DRd or IsaRd.
Tidsramme: Up to 9 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.
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Up to 9 years.
|
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MRD negative CR rate at 9M in NDMM who are ineligible to receive ASCT is measured to demonstrate the superiority of IsaVRd or DRd induction followed by AZD0120 compared to IsaVRd or DRd induction followed by continuous DRd or IsaRd
Tidsramme: Up to 9 years.
|
MRD negative CR rate at 9 months: defined as the proportion of participants with MRD negative status (at threshold of 10-5) and have a response of CR or sCR (according to the IMWG 2016 criteria) as assessed by BICR at 9 months (± 3 months) from randomisation before initiation of subsequent anti-myeloma therapy.
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Up to 9 years.
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Complete Response Rate
Tidsramme: Up to 9 years.
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The proportion of participants who achieved CR or better according to IMWG 2016 criteria, as assessed by BICR
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Up to 9 years.
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Overall Survival
Tidsramme: Up to 9 years.
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Time from randomisation until date of death due to any cause
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Up to 9 years.
|
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Number and percentage of participants with adverse events as graded by CTCAE v6 and ASTCT Consensus Grading criteria
Tidsramme: Up to 9 years.
|
Adverse Event Incidence
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Up to 9 years.
|
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Concentration of Circulating CAR-T+ Cells in Peripheral Blood
Tidsramme: Up to 9 years.
|
Quantification of circulating CAR-T+ cell levels by measuring CAR transgene in peripheral blood and CK parameters of AZD0120 will be measured to characterise the cellular kinetics of AZD0120 in blood.
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Up to 9 years.
|
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Number and percentage of participants with incidence of ADAs against AZD0120
Tidsramme: Up to 9 years.
|
Assessment humoral immunogenicity of AZ0120 based on incidence of ADAs.
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Up to 9 years.
|
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Patient Reported Outcomes
Tidsramme: Up to 9 years.
|
Change from baseline in bone pain severity measured by the European Organisation for Research and Treatment of Cancer Item Library 469 single bone pain item (EORTC IL469 - score range 0 - 100, with higher scores indicating worse bone pain) in participants with newly diagnosed multiple myeloma ineligible for autologous stem cell transplantation as initial therapy.
|
Up to 9 years.
|
|
Patient Reported Outcomes
Tidsramme: Up to 9 years.
|
Change from baseline in fatigue severity, physical functioning, and global health status/quality of life measured by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 fatigue, physical functioning, and global health status/quality of life scales (EORTC QLQ-C30 - score range 0 to 100; higher scores indicate worse fatigue, better physical functioning, and better general health status/quality of life) in participants with newly diagnosed multiple myeloma ineligible for autologous stem cell transplantation as initial therapy.
|
Up to 9 years.
|
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Overall Response Rate
Tidsramme: Up to 9 years
|
Proportion of participants who achieved PR or better according to IMWG 2016 criteria
|
Up to 9 years
|
|
Duration of Response
Tidsramme: Up to 9 years
|
Time from first documented confirmed response (PR or better) until date of documented PD per IMWG 2016 criteria or death due to any cause, whichever occurs first.
|
Up to 9 years
|
|
Time to Response
Tidsramme: Up to 9 years
|
Time from randomisation until the date of first documented objective response (PR or better), as assessed per IMWG 2016 criteria.
|
Up to 9 years
|
|
MRD negative CR rate
Tidsramme: Up to 9 years
|
Proportion of participants who have MRD negative status and have a response of CR or sCR (according to the IMWG 2016 criteria) at any time after the date of randomisation and before initiation of subsequent therapy.
|
Up to 9 years
|
|
Rate of sustained MRD negative CR
Tidsramme: Up to 9 years
|
Proportion of participants who have achieved MRD negative status and have a response of CR or sCR
|
Up to 9 years
|
|
Progression Free Survival 2 (PFS2)
Tidsramme: Up to 9 years
|
Time from randomisation to progression on next line of therapy, as assessed by Investigator, or death due to any cause, whichever occurs first
|
Up to 9 years
|
Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Studieleder: Jen Brudno, MD, AstraZeneca
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Vaskulære sykdommer
- Kardiovaskulære sykdommer
- Neoplasmer
- Sykdommer i immunsystemet
- Neoplasmer etter histologisk type
- Hematologiske sykdommer
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Neoplasmer, plasmacelle
- Hemostatiske lidelser
- Paraproteinemier
- Blodproteinforstyrrelser
- Hemoragiske lidelser
- Hemic og lymfatiske sykdommer
- Multippelt myelom
- Organiske kjemikalier
- Heterocykliske forbindelser, 1-ring
- Heterocykliske forbindelser
- Heterocykliske forbindelser, 2-ring
- Heterocykliske forbindelser, smeltet ringen
- Hydrokarboner
- Karboksylsyrer
- Polysykliske forbindelser
- Piperidines
- Uorganiske kjemikalier
- Gravadienes
- Gravaner
- Steroider
- Smeltede ringforbindelser
- Steroider, fluorert
- Fosforamid -sennep
- Nitrogen sennepsforbindelser
- Sennepsforbindelser
- Hydrokarboner, halogenert
- Fosforamider
- Organofosforforbindelser
- Gravadienetrioler
- Boronsyrer
- Syrer, ikke -karboksyliske
- Syrer
- Borforbindelser
- Pyrazines
- Ftalimider
- Ftalsyrer
- Syrer, karbosykliske
- Piperidoner
- Isoindoles
- Lenalidomid
- Bortezomib
- Deksametason
- Cyklofosfamid
- fludarabin
- daratumumab
- Isatuximab
Andre studie-ID-numre
- D8312C00002
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (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
Tilgangskriterier for IPD-deling
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 Støtteinformasjonstype
- STUDY_PROTOCOL
- SEVJE
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Studerer et amerikansk FDA-regulert enhetsprodukt
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. .