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Completed

NCT Number: NCT02283775

SAR650984, Pomalidomide and Dexamethasone in Combination in RRMM Patients

Primary Objectives:

Part A: To evaluate the safety and determine the recommended dose of SAR650984 in combination with pomalidomide (P) and dexamethasone (d), in patients with Relapsed/Refractory Multiple Myeloma (RRMM).

Part B: To evaluate the feasibility of isatuximab administered from a fixed infusion volume in combination with Pd as assessed by occurrence of grade ≥3 infusion associated reactions (IAR).

Secondary Objectives:

* To evaluate the infusion duration (Part B). * To evaluate the safety profile of the combination with isatuximab administration from fixed volume (Part B). * To evaluate immunogenicity of SAR650984 in combination with Pd (Part A and B). * To evaluate the pharmacokinetics (PK) of SAR650984 and its effect on the PK of pomalidomide when administered in combination (Part A). * To describe the efficacy of the combination of SAR650984 with Pd in terms of overall response rate and clinical benefit rate based on International Myeloma Working Group (IMWG) defined response criteria and the duration of response (Part A and B). * To assess the relationship between clinical effects (adverse event [AE] and/or tumor response) and CD38 receptor density at baseline (Part A).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Investigational Site Number 840001, Scottsdale, Arizona, United States

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About this study

The study duration for an individual patient will include a screening period for inclusion of up to 21 days. The treatment period may continue until disease progression, unacceptable adverse reaction, or other reason for discontinuation. After study treatment discontinuation an end of treatment (EOT) visit will be done at approximately 30 days after last study treatment component administration to assess safety. If the last ADA sample is positive or inconclusive, additional ADA will be sampled 3 months later. No further ADA will be sampled, even if this 3-month sample is positive. Patients who discontinue treatment for reasons other than progression of disease will be followed every month until progression or initiation of subsequent therapy, for a maximum of one year, whichever comes first.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient has been previously diagnosed with multiple myeloma (MM) based on standard criteria and currently requires treatment because MM has relapsed following a response, according to International Myeloma Working Group (IMWG) criteria.
  • Patient had received at least two previous therapies including lenalidomide and proteasome inhibitor and have demonstrated disease progression on therapy or after completion of the last therapy.
  • Patients with measurable disease defined as at least one of the following:
  • Serum M protein ≥0.5 g/dL (≥5 g/L);
  • Urine M protein ≥200 mg/24 hours;
  • 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).

Exclusion criteria

  • Eastern Cooperative Oncology Group (ECOG) performance status >2.
  • Poor bone marrow reserve.
  • Poor organ function.
  • Known intolerance/hypersensitivity to IMiDs, dexamethasone, boron or mannitol, sucrose, histidine or polysorbate 80.
  • Any serious active disease (including clinically significant infection that is chronic, recurrent, or active) or co-morbid condition, which, in the opinion of the Investigator, could interfere with the safety, the compliance with the study or with the interpretation of the results.
  • Any severe underlying medical conditions including presence of laboratory abnormalities, which could impair the ability to participate in the study or the interpretation of its results.

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

Treatment and study plan

isatuximab SAR650984

Drug

Pharmaceutical form:solution for infusion Route of administration: intravenous

Other names: Sarclisa

Pomalidomide

Drug

Pharmaceutical form:capsules Route of administration: oral

Other names: Pomalyst

Dexamethasone

Drug

Pharmaceutical form:tablets or solution for infusion Route of administration: oral or intravenous

Primary outcomes

  1. Dose Limiting Toxicities (DLTs)

    Time frame: Part A: Up to 4 weeks

  2. Number of patients with adverse events and clinically significant changes in laboratory tests and vital signs according to the National Cancer Institute - Common Toxicity Criteria (NCI-CTC) version 4.03 grade scaling

    Time frame: Part A: Up to 30 days for patients experiencing progressive disease and up to one year or the initiation of a new line of treatment for patients leaving the study for reasons other than progressive disease

  3. Incidence of grade ≥3 IARs according to the NCI-CTC version 4.03 grade scaling

    Time frame: Part B: Up to 8 weeks

Secondary outcomes

  1. Overall response rate

    Time frame: Part A: Up to approximately 8 months; Part B: Up to approximately 10 months

  2. Pharmacokinetics: Partial area under the serum concentration time curve (AUC)

    Time frame: Part A: Up to approximately 10 months

  3. Pharmacokinetics: maximum observed concentration (Cmax)

    Time frame: Part A: Up to approximately 10 months

  4. Immune response: levels of human anti-human antibodies (ADA)

    Time frame: Part A: Up to approximately 8 months; Part B: Up to approximately 10 months

  5. Duration of response - Time

    Time frame: Part A: Up to approximately 8 months; Part B: Up to approximately 10 months

  6. Clinical Benefit rate

    Time frame: Part A: Up to approximately 8 months; Part B: Up to approximately 10 months

  7. Infusion duration

    Time frame: Part B: Up to approximately 10 months

  8. Safety of isatuximab administration from fixed volume

    Time frame: Part B: Up to 30 days for patients experiencing progressive disease and up to one year or the initiation of a new line of treatment for patients leaving the study for reasons other than progressive disease

  9. Relationship between clinical effect and CD38 receptor density

    Time frame: Part A: Up to approximately 8 months

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

A Phase 1b Study of SAR650984 (Isatuximab) in Combination With Pomalidomide and Dexamethasone for the Treatment of Relapsed/Refractory Multiple Myeloma

Acronym: PomdeSAR

Important dates

Study start
2015
Primary completion
2021
Study completion
2021
First posted
Nov 5, 2014
Registry last updated
Jul 9, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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