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Plasma Cell MyelomaPhase 1NCT02513186

Study of Isatuximab Combined With Bortezomib + Cyclophosphamide + Dexamethasone (VCD) and Bortezomib + Lenalidomide + Dexamethasone (VRD) in Newly Diagnosed Multiple Myeloma (MM) Non Eligible for Transplant or No Intent for Immediate Transplantation

A Phase 1 study testing lenalidomide, bortezomib and cyclophosphamide in people with Plasma Cell Myeloma, run by Sanofi at 12 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Primary Objectives: VCDI cohort: To determine the maximum tolerated dose (MTD) and recommended dose (RD) of SAR650984 isatuximab when administered in combination with bortezomib (Velcade®) , cyclophosphamide, and dexamethasone (VCDI) based on the dose-limiting toxicity(ies) (DLTs) observed in patients with newly… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Plasma Cell Myeloma
What is being tested?
lenalidomide, bortezomib and cyclophosphamide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
12 sitesin 4 countries
Study dates
30 Sep 2015to 22 Jan 2024
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Newly diagnosed patients with measurable multiple myeloma defined as at least one of the following:
  • Serum M protein ≥1 g/dL (≥10 g/L).
  • Urine M protein ≥200 mg/24 hours.
  • Serum free light chain (sFLC) assay: involved free light chain assay ≥10 mg/dL (≥100 mg/L) and an abnormal sFLC ratio (<0.26 or >1.65).
  • Patients with ultra-high risk smoldering multiple myeloma fulfilling the International Myeloma Working Group criteria are eligible.
  • Patient is not eligible for transplant.
  • Patient with no intent for immediate transplant as per investigator's decision are also eligible for VRDI Part B cohort only.

Who cannot join

  • Eastern Cooperative Oncology Group performance status >2.
  • Poor bone marrow reserve.
  • Poor organ function.
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Trial locations and contacts

12 sites in 4 countries.

12 sites in 4 countries

Spain4 sites
  • Investigational Site Number : 724003

    Madrid, 28041

  • Investigational Site Number : 724001

    Pamplona, Navarre, 31008

  • Investigational Site Number : 724002

    Salamanca, 37007

  • Investigational Site Number : 724004

    Santander, Cantabria, 39008

Other trials in Spain

France3 sites
  • Investigational Site Number : 250002

    Nantes, 44093

  • Investigational Site Number : 250003

    Pierre-Bénite, 69495

  • Investigational Site Number : 250001

    Toulouse, 31059

Other trials in France

Italy3 sites
  • Investigational Site Number : 380003

    Milan, 20132

  • Investigational Site Number : 380002

    Roma, 00161

  • Investigational Site Number : 380001

    Torino, 10126

Other trials in Italy

Germany2 sites
  • Investigational Site Number : 276003

    Berlin, 12200

  • Investigational Site Number : 276002

    Leipzig, 04103

Other trials in Germany

About this study

Official title: A Dose Escalation, Safety, Pharmacokinetic, Pharmacodynamic and Preliminary Efficacy Study of SAR650984 (Isatuximab) Administered Intravenously in Combination With Bortezomib - Based Regimens in Adult Patients With Newly Diagnosed Multiple Myeloma Non Eligible for Transplantation or No Intent for Immediate Transplantation

Primary Objectives:

  • VCDI cohort:
  • To determine the maximum tolerated dose (MTD) and recommended dose (RD) of SAR650984 isatuximab when administered in combination with bortezomib (Velcade®) , cyclophosphamide, and dexamethasone (VCDI) based on the dose-limiting toxicity(ies) (DLTs) observed in patients with newly diagnosed multiple myeloma non-eligible for transplantation
  • To evaluate safety and preliminary efficacy (overall response rate and complete response rate) of isatuximab administered at the selected dose in combination with bortezomib based regimin VCDI according to IMWG criteria.
  • VRDI Part A cohort and Part B cohort:
  • To evaluate the preliminary efficacy (complete response [CR] rate) of isatuximab administered at the selected dose in combination with bortezomib based regimen: VRDI, (bortezomib, lenalidomide, dexamethasone) according to IMWG criteria in adult patients with newly diagnosed MM non eligible for transplantation or no intent for immediate transplantation.
Read more

Secondary Objectives:

  • VCDI cohort:
  • To characterize the overall safety profile of SAR650984 in combination with VCD regimen, including cumulative toxicities.
  • To characterize the pharmacokinetic (PK) profile of SAR650984/isatuximab and each combination drug in VCDI regimen.
  • To evaluate the immunogenicity of SAR650984 in combination treatments.
  • To evaluate the preliminary efficacy of VCDI regimen in terms of duration of response and progression-free survival.
  • To assess the relationship between clinical effects (adverse event [AE] and/or tumor response) and CD38 receptor density.
  • VRDI Part A cohort and Part B cohort:
  • To characterize the overall safety profile of isatuximab in combination with VRD regimen.
  • To evaluate the infusion duration (only applicable for VRDI Part B cohort)
  • To characterize the PK profile of isatuximab and each combination drug in VRDI regimen.
  • To evaluate the immunogenicity of isatuximab in combination treatments.
  • To evaluate the preliminary efficacy of VRDI regimen in terms of ORR, DOR, and PFS.
  • To evaluate the impact of M protein measurement without isatuximab interference (via the SEBIA HYDRASHIFT 2/4 isatuximab IFE test) on CR and BOR assessment.
  • To assess the relationship between clinical effects (AE and/or tumor response) and CD38 receptor density (only applicable for VRDI Part A cohort).
  • To assess MRD negativity rate in patients achieving a CR or VGPR and explore correlation with clinical outcome.
Read the detailed description

The duration of the study for an individual patient will include:

  • A period to assess eligibility (screening or baseline period) of up to 3 weeks for VCDI cohort, up to 28 days for VRDI cohort;
  • for patients in the VCDI cohort: a treatment period including up to 12 induction treatment cycles (50-week duration).
  • for patients in the VRDI cohort: a treatment period including up to 4 induction cycles (24 week duration).
  • Following induction, both cohorts have maintenance periods consisting of 4 week cycles until progression, unacceptable AE, or patient willingness to discontinue and an end-of-treatment visit at least 30 days following the last administration of treatment.
  • Patients that discontinue therapy for reasons other than progression will have follow-up visits until progression or until the patient receives another anticancer therapy, whichever is earlier.
Being tested
lenalidomide, bortezomib, cyclophosphamide, dexamethasone, isatuximab SAR650984
Keywords
Anti-CD38 monoclonal antibody
Medical subject headings
Multiple Myeloma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • lenalidomideDrug

    Also called Revlimid

    Pharmaceutical form: tablet Route of administration: oral

  • bortezomibDrug

    Also called Velcade

    Pharmaceutical form: lyophilized powder for subcutaneous injection Route of administration: subcutaneous

  • cyclophosphamideDrug

    Also called Endoxan

    Pharmaceutical form: tablet Route of administration: oral

  • dexamethasoneDrug

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

  • isatuximab SAR650984Drug

    Also called Sarclisa

    Pharmaceutical form: solution for infusion Route of administration: intravenous

Study groups in NCT02513186
Study groupRoleWhat they receive
IsatuximabExperimentalVCDI cohort: Isatuximab (escalating dose) + bortezomib + cyclophosphamide + dexamethasone (VCDI): Induction phase will be 50 weeks (12 cycles). The duration of a cycle will be 42 days (6 weeks) for Cycle 1 (C1) and 28 days (4 weeks) for subsequent cycles. The duration of a cycle of the maintenance phase will be 28 days (4 weeks). After C12, isatuximab will be administered at its initial assigned dose and dexamethasone once every 28 days. VRDI cohort parts A and B: Isatuximab + bortezomib + dexamethasone + lenalidomide (VRDI): Induction phase will be 24 weeks (4 cycles at 6 weeks/cycle). The duration of a cycle of the maintenance phase will be 28 days (4 weeks). Maintenance therapy may continue until disease progression, unacceptable AE or patient willingness to discontinue. VRDI Part A: Enrollment to begin after the VCDI cohort is completed. VRDI Part B: Enrollment to begin after the VRDI part A is completed.
Receives: Drug: lenalidomide; Drug: bortezomib; Drug: cyclophosphamide; Drug: dexamethasone; Drug: isatuximab SAR650984

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assessment of dose-limiting toxicities (DLTs) in VCDI cohort

    Measured: Up to 6 weeks per treated patient

  2. Overall response rate (VCDI)

    Measured: Up to 34 weeks of treatment (induction phase)

  3. Complete response rate (VCDI)

    Measured: Up to 34 weeks of treatment (induction phase)

  4. Complete response rate (VRDI)

    Measured: Up to 104 weeks of treatment (induction and maintenance phase) in VRDI part A and part B cohorts

Secondary outcomes (10)
  1. Number of patients with adverse events (AEs), 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

    Measured: VCDI: Up to approximately 106 weeks, VRDI Part A and Part B: Up to approximately 104 weeks

  2. Overall response rate (VRDI)

    Measured: Up to 104 weeks of treatment (induction and maintenance phase) in VRDI part A and part B cohorts

  3. Infusion duration

    Measured: VRDI Part B: Up to 104 weeks of treatment

  4. Assessment of PK parameter: Partial area under the serum concentration time curve (AUC)

    Measured: VCDI: Up to approximately 42 weeks, VRDI: Up to approximately 48 weeks

  5. Assessment of PK parameter: Maximum observed concentration (Cmax)

    Measured: VCDI: Up to approximately 42 weeks, VRDI: Up to approximately 48 weeks

  6. Levels of human antidrug antibodies (ADA)

    Measured: VCDI: Up to approximately 42 weeks, VRDI: Up to approximately 48 weeks

  7. Duration of response - time

    Measured: VCDI and VRDI: Until treatment discontinuation by the last patient

  8. Progression-free survival for VCDI

    Measured: VCDI: 30 months after LPI

  9. Progression-free survival for VRDI

    Measured: VRDI Part A and Part B: 24 months after LPI

  10. MRD negativity rate

    Measured: Up to 3 years of treatment (induction and maintenance phase) in VRDI part A and part B cohorts

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Jul 2015 (estimated)
  2. Study start30 Sep 2015
  3. Primary completion28 Jan 2022
  4. Study completion22 Jan 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
90 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02513186
Sponsor's protocol ID
TCD13983
Other IDs
U1111-1154-6102, 2014-001251-23, 2014
Status last verified
Jan 2024
First submitted
16 Jul 2015
Last updated
29 Jan 2024
Results posted
No
Data monitoring committee
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Publications

  • Ocio EM, Perrot A, Moreau P, Mateos MV, Bringhen S, Martinez-Lopez J, Karlin L, Oprea C, Li Y, Kodas E, San-Miguel J. Plain language summary of a study on 30-minute intravenous infusion of isatuximab in people with newly diagnosed multiple myeloma. Future Oncol. 2026 May;22(11):1235-1246. doi: 10.1080/14796694.2026.2652723. Epub 2026 Apr 27.

    PubMed 42041169
  • Ocio EM, Perrot A, Bories P, San-Miguel JF, Blau IW, Karlin L, Martinez-Lopez J, Wang SY, Bringhen S, Marcatti M, Mateos MV, Rodriguez-Otero P, Oliva S, Nogai A, Le Roux N, Dong L, Mace S, Gassiot M, Fitzmaurice T, Oprea C, Moreau P. Efficacy and safety of isatuximab plus bortezomib, lenalidomide, and dexamethasone in patients with newly diagnosed multiple myeloma ineligible/with no immediate intent for autologous stem cell transplantation. Leukemia. 2023 Jul;37(7):1521-1529. doi: 10.1038/s41375-023-01936-7. Epub 2023 Jun 14.

    PubMed 37316728

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing lenalidomide, bortezomib and cyclophosphamide in people with Plasma Cell Myeloma, run by Sanofi at 12 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in Spain, France, Italy, Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Assessment of dose-limiting toxicities (DLTs) in VCDI cohort (time frame: Up to 6 weeks per treated patient). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02513186, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jan 2024.

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