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Isatuximab-VRd in Transplant-Ineligible Newly Diagnosed Multiple Myeloma Patients (CHAMPION-01)

17 czerwca 2026 zaktualizowane przez: Peng Liu, Shanghai Zhongshan Hospital

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.

Przegląd badań

Status

Rekrutacyjny

Warunki

Interwencja / Leczenie

Szczegółowy opis

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.

Typ studiów

Obserwacyjny

Zapisy (Szacowany)

333

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Kontakt w sprawie studiów

Kopia zapasowa kontaktu do badania

Lokalizacje studiów

    • Beijing Municipality
      • Beijing, Beijing Municipality, Chiny
    • Guangdong
      • Guangzhou, Guangdong, Chiny
        • Rekrutacyjny
        • Sun Yat-sen University Cancer Center
        • Kontakt:
      • Shenzhen, Guangdong, Chiny
    • Guangxi
      • Naning, Guangxi, Chiny, 450000
        • Rekrutacyjny
        • The First Affiliated Hospital of Guangxi Medical University
        • Kontakt:
    • Heilongjiang
      • Harbin, Heilongjiang, Chiny
        • Rekrutacyjny
        • Harbin Institute of Hematologic Oncology
        • Kontakt:
    • Henan
    • Hubei
      • Wuhan, Hubei, Chiny
        • Rekrutacyjny
        • Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology.
        • Kontakt:
    • Jiangsu
      • Nanjing, Jiangsu, Chiny
      • Nantong, Jiangsu, Chiny
        • Rekrutacyjny
        • Affiliated Hospital of Nantong University
        • Kontakt:
    • Shanghai Municipality
      • Shanghai, Shanghai Municipality, Chiny, 200032
        • Rekrutacyjny
        • Fudan University Affiliated Zhongshan Hospital
        • Kontakt:
    • Shanxi
      • Xi’an, Shanxi, Chiny
    • Sichuan
    • Yunnan
      • Kunming, Yunnan, Chiny
        • Rekrutacyjny
        • The First Affiliated Hospital of Kunming Medical University
        • Kontakt:

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

  • Dorosły
  • Starszy dorosły

Akceptuje zdrowych ochotników

Nie

Metoda próbkowania

Próbka bez prawdopodobieństwa

Badana populacja

Adult patients (≥18 years old) with newly diagnosed multiple myeloma, ineligible for autologous stem cell transplantation due to age or comorbidities, who are scheduled to receive the Isatuximab + Bortezomib + Lenalidomide + Dexamethasone (Isa-VRd) combination regimen.

Opis

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

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

Kohorty i interwencje

Grupa / Kohorta
Interwencja / Leczenie
Isatuximab Combined with Bortezomib, Lenalidomide, and Dexamethasone(Isa-VRd)regimen

Arm Description:

Isatuximab 10 mg/kg Intravenous injection

  • Cycle 1: Every weeks on Days 1, 8, 15, and 22
  • Cycles 2-8: Every 2 weeks on Days 1 and 15 Bortezomib subcutaneous injection 1.3 mg/m²
  • Cycles 1-8: Days 1, 8, and 15 of each cycle 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) 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

Isatuximab 10 mg/kg Intravenous (IV) infusion

  • Cycle 1: Every weeks on Days 1, 8, 15, and 22
  • Cycles 2-8: Every 2 weeks on Days 1 and 15 Following Cycle 8, the investigator may assess and adjust the treatment regimen Prior to administration of this product, premedication should be given 15-60 minutes before use: acetaminophen 650 mg to 1000 mg orally, H2 receptor antagonist, and diphenhydramine 25 mg to 50 mg intravenously or orally.
Inne nazwy:
  • sarclisa

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

Inne nazwy:
  • Velcade, PS-341

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

Inne nazwy:
  • Revlimid

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

Inne nazwy:
  • Dekadron

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
≥CR rate after induction treatment
Ramy czasowe: 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)

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
MRD negativity rate
Ramy czasowe: At the end of induction phase (Week 32 / approximately 8 months)
At the end of induction phase (Week 32 / approximately 8 months)
≥VGPR rate
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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.

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Sponsor

Śledczy

  • Główny śledczy: Peng Liu, Fudan University

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Szacowany)

1 czerwca 2026

Zakończenie podstawowe (Szacowany)

1 lutego 2027

Ukończenie studiów (Szacowany)

1 września 2030

Daty rejestracji na studia

Pierwszy przesłany

5 czerwca 2026

Pierwszy przesłany, który spełnia kryteria kontroli jakości

17 czerwca 2026

Pierwszy wysłany (Rzeczywisty)

23 czerwca 2026

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

23 czerwca 2026

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

17 czerwca 2026

Ostatnia weryfikacja

1 czerwca 2026

Więcej informacji

Terminy związane z tym badaniem

Inne numery identyfikacyjne badania

  • B2026-229

Plan dla danych uczestnika indywidualnego (IPD)

Planujesz udostępniać dane poszczególnych uczestników (IPD)?

NIE

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Tak

Bada produkt urządzenia regulowany przez amerykańską FDA

Nie

produkt wyprodukowany i wyeksportowany z USA

Nie

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .