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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 uppdaterad av: 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.

Studieöversikt

Studietyp

Interventionell

Inskrivning (Beräknad)

45

Fas

  • Fas 2

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

  • Namn: Reference Study ID Number: CO46577 https://forpatients.roche.com/No attachments to email below.
  • Telefonnummer: 888-662-6728 (U.S. and Canada)
  • E-post: global-roche-genentech-trials@gene.com

Studera Kontakt Backup

  • Namn: Fastest Response:use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Nej

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.
Andra namn:
  • Actemra/RoActemra
Participants will receive cevostamab as per the schedule given in the protocol.
Andra namn:
  • 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.

Vad mäter studien?

Primära resultatmått

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

Sekundära resultatmått

Resultatmått
Tidsram
Duration of Response (DOR)
Tidsram: Upp till cirka 3 år
Upp till cirka 3 år
ORR, as assessed by the Investigator
Tidsram: Up to approximately 3 years
Up to approximately 3 years
Rate of Very Good Partial Response (VGPR) or Better
Tidsram: Up to approximately 3 years
Up to approximately 3 years
Complete Response/Stringent Complete Response (CR/sCR) Rate
Tidsram: Up to approximately 3 years
Up to approximately 3 years
Progression-free Survival (PFS)
Tidsram: 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)
Tidsram: 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)
Tidsram: At 9 months
At 9 months
Overall MRD-Negative Complete Response Rate
Tidsram: Up to approximately 3 years
Up to approximately 3 years
Time to Response (TTR)
Tidsram: Baseline up to approximately 3 years
Baseline up to approximately 3 years
Time to Better Response (TTBR)
Tidsram: Baseline up to approximately 3 years
Baseline up to approximately 3 years
Progression-Free Survival 2 (PFS2)
Tidsram: Up to approximately 3 years
Up to approximately 3 years
Time to Confirmed Deterioration in the Disease Symptoms Scale of the EORTC QLQ-MY20
Tidsram: 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)
Tidsram: Up to approximately 3 years
Up to approximately 3 years
Incidence and Severity of Adverse Events (AEs)
Tidsram: Up to approximately 3 years
Up to approximately 3 years
Change From Baseline in the Disease Symptoms Scale of the EORTC QLQ-MY20
Tidsram: 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)
Tidsram: Baseline and up to 3 years
Baseline and up to 3 years
Change From Baseline in Fatigue as Assessed by the EORTC QLQ-C30
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: Up to approximately 3 years
Up to approximately 3 years
Percentage of Participants with Anti-Drug Antibodies (ADAs) to Cevostamab at Baseline
Tidsram: Baseline
Baseline
Percentage of Participants with ADAs to Cevostamab during the Study
Tidsram: Up to approximately 3 years
Up to approximately 3 years

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

1 oktober 2026

Primärt slutförande (Beräknad)

13 april 2029

Avslutad studie (Beräknad)

30 januari 2031

Studieregistreringsdatum

Först inskickad

14 september 2026

Först inskickad som uppfyllde QC-kriterierna

14 september 2026

Första postat (Faktisk)

17 september 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

17 september 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

14 september 2026

Senast verifierad

1 september 2026

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

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

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Ja

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

produkt tillverkad i och exporterad från U.S.A.

Ja

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