NCT05137054Toboroz1. fázis
A Study to Examine the Effects of Novel Therapy Linvoseltamab in Combination With Other Cancer Treatments for Adult Participants With Multiple Myeloma That is Resistant to Current Standard of Care Treatments
Phase 1b Study of REGN5458 (Anti-BCMA x Anti-CD3 Bispecific Antibody) Plus Other Cancer Treatments for Patients With Relapsed/Refractory Multiple Myeloma
Forrás: ClinicalTrials.gov · Utoljára frissítve: 2026. nov. 5.
Rövid összefoglaló (regiszter, angolul)
This study is researching an experimental drug called linvoseltamab in combination with other drugs for the treatment of a blood cancer called multiple myeloma. Linvoseltamab has previously been studied as a single agent (without other cancer treatments) in participants with multiple myeloma that returned after prior therapies and needed to be treated again. In the initial study, some participants treated with linvoseltamab had improvement of their myeloma, including complete responses (no evidence of myeloma in their bodies). This study is the first time linvoseltamab will be combined with other cancer therapies. The main goal is to understand if linvoseltamab can be given safely with other cancer treatments, and if so, what dose of linvoseltamab should be used for each combination. The study is looking at several other research questions, including: * How many participants treated with linvoseltamab in combination with each of the other cancer treatments have improvement of their multiple myeloma * What side effects may happen from taking linvoseltamab together with another cancer treatment * How much study drug is in the blood at different times * Whether the body makes antibodies against the study drug(s) (which could make the study drug(s) less effective or could lead to side effects)
- Állapot (regiszter)
- Toboroz
- Fázis (regiszter)
- 1. fázis
- Vizsgálattípus
- Beavatkozással járó
- Résztvevők száma
- 317 (tervezett)
- Első benyújtás
- 2021. nov. 18.
- Kezdés
- 2022. aug. 17.
- Elsődleges befejezés
- 2028. márc. 25.
- Fő szponzor
- Regeneron Pharmaceuticals
- Betegségek
- Mielóma multiplex
- NCT-szám
- NCT05137054
- EU CT-szám
- 2023-506247-42-00
- EudraCT-szám
- 2020-004638-39
Mit vállalsz
- Vizsgálat típusa: Beavatkozással járó · 1. fázis
- Tervezett résztvevők: 317
- 2022. aug. 17. és az elsődleges befejezés (2028. márc. 25.) között
- 41 helyszín, 6 országban
- Vizitek és vizsgálatok: kérdezd a vizsgálat csapatát, a regiszter nem sorolja fel őket
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- General Key Inclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) performance status ≤1
- Participants must have measurable disease as defined in the protocol according to IMWG consensus criteria
- Adequate creatinine clearance, hematologic function and hepatic function, as defined in protocol
- Life expectancy of at least 6 months
- Cohort Specific Inclusion Criteria:
- For cohorts 1-6, each participant must have RRMM with progression following at least 3 lines of therapy, or at least 2 lines of therapy and either prior exposure to at least 1 anti-CD38 antibody, 1 immunomodulatory imide drug (IMiD) and 1 Proteasome Inhibitor (PI), or double-refractory to 1 PI and 1 IMiD, or the combination of 1 PI and 1 IMiD Cohort 1: Prior treatment with daratumumab is allowed if previously tolerated, as described in the protocol Cohort 2: Prior treatment with carfilzomib is allowed if previously tolerated at the approved full dose, as described in the protocol Cohort 3: Prior treatment with lenalidomide is allowed if previously tolerated at the approved full dose, as described in the protocol Cohort 4: Prior treatment with bortezomib is allowed if previously tolerated at the approved full dose, as described in the protocol Cohort 5: Prior treatment with pomalidomide is allowed if previously tolerated at the approved full dose, as described in the protocol Cohort 6: Prior treatment with isatuximab is allowed if previously tolerated, as described in the protocol
- Cohort 7 and 8:
- For participants without measurable disease by biochemical parameters [serum or urine M-protein, or serum involved Free Light Chain (FLC)], presence of at least 1 soft tissue plasmacytoma with a single diameter of ≥2 cm
- RRMM with progressive disease and received at least 3 lines of therapy including exposure to at least 1 anti-CD38 antibody, 1 IMiD, and 1 PI or triple-class refractory disease (anti-CD38 antibody, IMiD, PI) Cohort 9: Progressive RRMM in participants with triple-class refractory disease (anti-CD38 antibody, IMiD, PI) after at least 3 lines of therapy Cohort 10: Progressive RRMM after at least 3 lines of therapy including exposure to at least 1 anti-CD38 antibody, 1 IMiD, and 1 PI
- General Key Exclusion Criteria:
- Diagnosis of plasma cell leukemia, primary light-chain amyloidosis (excluding myeloma associated amyloidosis), Waldenström macroglobulinemia (lymphoplasmacytic lymphoma), or POEMS syndrome (Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, and Skin changes)
- Participants with known MM brain lesions or meningeal involvement
- Treatment with any systemic anti-myeloma therapy within 5 half-lives or within 21 days prior to first administration of study drug regimen, whichever is shorter
- History of allogeneic and autologous stem cell transplantation, as described in the protocol
- Unless stated otherwise in a specific sub-protocol, prior treatment with a T cell-based immunotherapy directed against B-Cell Maturation Antigen (BCMA) bispecific antibodies and Bispecific T-cell Engagers (BiTEs), and BCMA Chimeric Antigen Receptor (CAR) T cells (Note: BCMA antibody-drug conjugates are not excluded)
- History of progressive multifocal leukoencephalopathy, neurodegenerative condition or Central Nervous System (CNS) movement disorder or participants with a history of seizure within 12 months prior to study enrollment are excluded
- Live or attenuated vaccination within 28 days prior to first study drug regimen administration with a vector that has replicative potential
- Cardiac ejection fraction <40% by Echocardiogram (Echo) or Multigated Acquisition (MUGA) scan
- Cohort Specific Exclusion Criteria:
- Cohort 2: Dose expansion: Prior treatment with a BCMA-directed CAR T-cell therapy will not be exclusionary if completed at least 12 weeks prior to first study treatment Cohort 3: Known malabsorption syndrome or pre-existing gastrointestinal (GI) condition that may impair absorption of lenalidomide; delivery of lenalidomide via nasogastric tube or gastrostomy tube is not allowed Cohort 4: Peripheral neuropathy grade ≥2 Cohort 5: Known malabsorption syndrome or pre-existing GI conditions that may impair absorption of pomalidomide; delivery of pomalidomide via nasogastric tube or gastrostomy tube is not allowed
- Cohort 7:
- Prior treatment with anti-Lymphocyte Activation Gene 3 (LAG-3) agents. Prior exposure to vaccine therapies or other immune checkpoint modulating therapies such as anti-Programmed cell Death Protein 1 (PD-1) antibodies is permitted, as described in the protocol
- Ongoing or recent (within 2 years) evidence of an autoimmune disease that has required systemic treatment with immunosuppressive agents, as described in the protocol
- Prior solid organ transplant
- History of grade ≥3 immune-mediated adverse events (with the exclusion of endocrinopathies that are fully controlled by hormone replacement) from prior checkpoint inhibitor therapies
- Cohort 8:
- Prior treatment with anti-PD-1 or anti-PD-L1 agents. Prior exposure to vaccine therapies or other immune checkpoint modulating therapies such as anti-Cytotoxic T Lymphocyte-Associated Antigen 4 (CTLA-4) antibodies is permitted, as described in the protocol
- Encephalitis or meningitis in the year prior to enrollment
- History of interstitial lung disease (eg, idiopathic pulmonary fibrosis or organizing pneumonia), of active, noninfectious pneumonitis that required immune-suppressive doses of glucocorticoids to assist with management, or of pneumonitis within the last 5 years. A history of radiation pneumonitis in the radiation field is permitted as long as pneumonitis resolved ≥6 months prior to enrollment
- Ongoing or recent (within 2 years) evidence of an autoimmune disease that has required systemic treatment with immunosuppressive agents, as described in the protocol.
- Prior solid organ transplant
- History of grade ≥3 immune-mediated adverse events (with the exclusion of endocrinopathies that are fully controlled by hormone replacement) from prior checkpoint inhibitor therapies
- Cohort 9:
- Abnormal QT interval corrected by Fridericia's formula (QTcF), as described in the protocol
- Use of concomitant medications that are known to prolong the QT/QTcF interval including Class Ia and Class III antiarrhythmics at the time of informed consent
- Ongoing use or anticipated use of food or drugs that are known strong/moderate cytochrome P450 (CYP)3A4 inhibitors, or strong CYP3A inducers within 14 days prior to first dose of nirogacestat
- Known malabsorption syndrome or existing gastrointestinal GI condition that may impair absorption of nirogacestat; delivery of nirogacestat via nasogastric tube or gastrostomy tube is not allowed
- Cohort 10:
- Known or suspected active Epstein-Barr Virus (EBV) infection
- Known history of Hemophagocytic Lymphohistiocytosis/Macrophage Activation Syndrome (HLH/MAS)
- Prior treatment with cevostamab or another agent with the same target [Fragment crystallizable Receptor-like 5 (FcRH5)]
- Dose finding portion: Prior treatment with any BCMA-directed immunotherapy will not be exclusionary, as described in the protocol Dose expansion portion: Prior treatment with any T cell-engaging bispecific antibody directed against BCMA will be exclusionary, as described in the protocol
- NOTE: Other protocol defined inclusion/exclusion criteria apply
Életkor a regiszterben: 18 év – - · Nem: nők és férfiak · Egészséges önkénteseket nem fogad
Helyszínek (41)
Helyszínek a regiszter sorrendjében. Ha a profilodba mented a városodat, távolság szerint rendeződnek.
| Helyszín | Város | Ország | Helyszín állapota |
|---|---|---|---|
| Institut Catala d'Oncologia | Badalona | Spanyolország | Toboroz |
| Hospital Clinic de Barcelona | Barcelona | Spanyolország | Toboroz |
| Hospital Universitari Vall d'Hebron | Barcelona | Spanyolország | Toboroz |
| Institut Catala D'oncologia | L'Hospitalet de Llobregat | Spanyolország | Toboroz |
| Hospital Universitario 12 de Octubre | Madrid | Spanyolország | Toboroz |
| Hospital Universitario HM Sanchinarro | Madrid | Spanyolország | Toboroz |
| Hospital Universitario Ramón y Cajal | Madrid | Spanyolország | Toboroz |
| Hospital Universitario de la Princesa | Madrid | Spanyolország | Toboroz |
| Clínica Universidad de navarra | Pamplona | Spanyolország | Toboroz |
| Hospital Universitario Quironsalud Madrid | Pozuelo de Alarcón | Spanyolország | Toboroz |
| Hospital Universitario De Salamanca | Salamanca | Spanyolország | Toboroz |
| Hospital Universitario Marqués de Valdecilla | Santander | Spanyolország | Toboroz |
| Complexo Hospitalario Universitario De Santiago | Santiago de Compostela | Spanyolország | Toboroz |
| Centre Hospitalier Universitaire D'Angers | Angers | Franciaország | Toboroz |
| Assistance Publique Hopitaux De Paris | Creteil Cedex | Franciaország | Toboroz |
| Centre Hospitalier Universitaire de Lille | Lille | Franciaország | Toboroz |
| Centre Hospitalier Universitaire De Montpellier | Montpellier Cedex 5 | Franciaország | Toboroz |
| Centre Hospitalier Universitaire de Nantes | Nantes | Franciaország | Toboroz |
| Assistance Publique Hopitaux de Paris | Paris | Franciaország | Toboroz |
| Centre Hospitalier Universitaire de Poitiers | Poitiers | Franciaország | Toboroz |
| Institut Gustave Roussy | Villejuif | Franciaország | Toboroz |
| Alexandra Hospital | Athens | Görögország | Toboroz |
| Evaggelismos Hospital | Athens | Görögország | Toboroz |
| Rambam Health Care Campus | Haifa | Izrael | Toboroz |
| Hadassah medical Center | Jerusalem | Izrael | Toboroz |
| Sheba medical center | Ramat Gan | Izrael | Toboroz |
| VUMC Stichting | Amsterdam | Hollandia | Toborzás még nem indult |
| Universitair Medisch Centrum Groningen | Groningen | Hollandia | Toborzás még nem indult |
| Winship Cancer Institute of Emory University | Atlanta | Egyesült Államok | Toboroz |
| Dana-Farber Harvard Cancer Center | Boston | Egyesült Államok | Toboroz |
| University of North Carolina at Chapel Hill | Chapel Hill | Egyesült Államok | Toboroz |
| The Ohio State University James Cancer Hospital | Columbus | Egyesült Államok | Toboroz |
| University of Texas, Southwestern | Dallas | Egyesült Államok | Toboroz |
| Karmanos Cancer Institute | Detroit | Egyesült Államok | Toboroz |
| Indiana University Health Simon Cancer Center | Indianapolis | Egyesült Államok | Toboroz |
| Scripps Clinic Torrey Pines | La Jolla | Egyesült Államok | Toboroz |
| Weill Cornell Medicine-New York Presbyterian Hospital | New York | Egyesült Államok | Toboroz |
| New York Presbyterian Hospital-Columbia University Medical Center | New York | Egyesült Államok | Toboroz |
| Mayo Clinic | Rochester | Egyesült Államok | Toboroz |
| VA Puget Sound Health Care System | Seattle | Egyesült Államok | Toboroz |
| Wake Forest University Health Sciences | Winston-Salem | Egyesült Államok | Toboroz |
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