A Study to Investigate Subcutaneous Isatuximab in Combination With Weekly Carfilzomib and Dexamethasone in Adult Participants With Relapsed and/or Refractory Multiple Myeloma

Last updated: May 16, 2025
Sponsor: Sanofi
Overall Status: Active - Recruiting

Phase

2

Condition

Red Blood Cell Disorders

Cancer/tumors

Platelet Disorders

Treatment

Methylprednisolone

Acetaminophen

Carfilzomib

Clinical Study ID

NCT06356571
LPS18183
U1111-1298-7348
  • Ages > 18
  • All Genders

Study Summary

The primary purpose of this study is to assess the efficacy (overall response rate) of subcutaneous (SC) via on body delivery system (SC-OBDS) isatuximab in combination with weekly carfilzomib and dexamethasone (Kd) in adult participants with RRMM having received 1 to 3 prior lines of therapy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Participants must have a documented diagnosis of MM.

  • Participants with measurable disease defined as at least one of the following:

  • Serum M-protein ≥0.5 g/dL measured using serum protein immunoelectrophoresisand/or

  • Urine M-protein ≥200 mg/24 hours measured using urine proteinimmunoelectrophoresis and/or

  • Serum free light chain (FLC) assay: Involved FLC assay ≥10 mg/dL (≥100 mg/L)and an abnormal serum FLC ratio (<0.26 or >1.65).

  • Participants with relapsed and/or refractory MM with at least 1 prior line oftherapy and no more than 3 prior lines of therapy.

  • Contraceptive use by [men and women] should be consistent with local regulationsregarding the methods of contraception for those participating in clinical studies.

  • Male participants agree to practice true abstinence or agree to usecontraception while receiving study treatment, during dose interruptions and atleast 5 months following study treatment discontinuation, even if has undergonea successful vasectomy.

  • A female participant is eligible to participate if she is not pregnant, notbreastfeeding, and either is not a female of childbearing potential (FCBP XE "FCBP " \f Abbreviation \t "female of childbearing potential" ) or agrees topractice complete abstinence or use contraception.

  • Capable of giving signed informed consent.

Exclusion

Exclusion Criteria:

Participants are excluded from the study if any of the following criteria apply:

  • Primary refractory MM defined as participants who have never achieved at least aminimal response (MR) with any treatment during the disease course.

  • Participants with prior anti-CD38 treatment if: a) administered < 6 months beforefirst isatuximab administration or, b) intolerant to the anti-CD38 previouslyreceived.

  • Participants who are refractory to carfilzomib.

  • Known history of allergy to captisol (a cyclodextrin derivative used to solubilizecarfilzomib), prior hypersensitivity to sucrose, histidine (as base andhydrochloride salt), polysorbate 80, or any of the components (active substance orexcipient) of study treatment that are not amenable to premedication with steroids,or intolerance to arginine and Poloxamer 188 that would prohibit further treatmentwith these agents.

  • Participants with contraindication to dexamethasone and/or to carfilzomib.

  • Any anti-myeloma drug treatment within 14 days before the first isatuximabadministration, including dexamethasone.

  • Prior allogenic HSC transplant with active graft versus host disease (GvHD XE " GvHD " \f Abbreviation \t "graft versus host disease" ) (GvHD any grade and/or beingunder immunosuppressive treatment within the last 2 months).

  • Any major procedure within 14 days before the first isatuximab administration:plasmapheresis, major surgery (kyphoplasty is not considered a major procedure),radiotherapy.

  • Vaccination with a live vaccine within 4 weeks before the first isatuximabadministration. Seasonal flu vaccines that do not contain live virus are permitted.

  • Participant not suitable for participation, whatever the reason, as judged by theInvestigator, including medical or clinical conditions, or participants potentiallyat risk of noncompliance to study procedures.

The above information is not intended to contain all considerations relevant to the potential participation in a clinical trial.

Study Design

Total Participants: 64
Treatment Group(s): 7
Primary Treatment: Methylprednisolone
Phase: 2
Study Start date:
March 17, 2025
Estimated Completion Date:
July 15, 2027

Study Description

The duration of the study for a participant will include a period for screening of up to 28 days, a study treatment period of 12 months (except early discontinuation), the end-of-treatment (EOT) visit about 30 days after the last dose of study treatment, and a study follow-up period until death or the final study cut-off date. A cycle duration is 28 days. After study treatment discontinuation, participants will return to the study site 30 days after the last dose of study treatment for the EOT visit or before further anti-myeloma therapy initiation, whichever comes first.

Connect with a study center

  • Smilow Cancer Center at Yale-New Haven- Site Number : 8400020

    New Haven, Connecticut 06511
    United States

    Active - Recruiting

  • Millennium Oncology- Site Number : 8400011

    Pembroke Pines, Florida 33024
    United States

    Active - Recruiting

  • BRCR Global- Site Number : 8400008

    Plantation, Florida 33324
    United States

    Active - Recruiting

  • Michigan Hematology and Oncology Consultants- Site Number : 8400036

    Dearborn, Michigan 48126
    United States

    Active - Recruiting

  • Michigan Hematology and Oncology Consultants- Site Number : 8400039

    Royal Oak, Michigan 48073
    United States

    Active - Recruiting

  • San Juan Oncology Associates- Site Number : 8400016

    Farmington, New Mexico 87401
    United States

    Active - Recruiting

  • Circuit Clinical - Buffalo - West Seneca Street- Site Number : 8400009

    Buffalo, New York 14203
    United States

    Site Not Available

  • Memorial Sloan Kettering Cancer Center - New York - York Avenue- Site Number : 8400003

    New York, New York 10065
    United States

    Active - Recruiting

  • Gabrail Cancer Center- Site Number : 8400010

    Canton, Ohio 44718
    United States

    Active - Recruiting

  • Prisma Health - Eastside Office- Site Number : 8400019

    Greenville, South Carolina 29615
    United States

    Active - Recruiting

  • SSM Health - Dean Medical Group South Madison Campus- Site Number : 8400009

    Madison, Wisconsin 53715
    United States

    Active - Recruiting

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