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Plasma Cell MyelomaPhase 1NCT04000282

First-in-human Single Agent Study of SAR442085 in Relapsed or Refractory Multiple Myeloma

A Phase 1 study testing SAR442085 in people with Plasma Cell Myeloma, run by Sanofi at 12 sites in 6 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: Dose Escalation Part A: To determine the maximum tolerated dose (MTD) of SAR442085 administered as a single agent in patients with relapsed or refractory multiple myeloma (RRMM), and determine the recommended Phase 2 dose (RP2D) for the subsequent Expansion Part B Dose Expansion Part B: To assess… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Plasma Cell Myeloma
What is being tested?
SAR442085
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
37 participants
Where
12 sitesin 6 countries
Study dates
19 Aug 2019to 4 Sep 2023
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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Participant must be at least 18 years of age or of the country's legal age of majority if the legal age is >18 years old, at the time of signing the informed consent.
  • Participant has given voluntary written informed consent.
  • Participant has been previousy diagnosed with multiple myeloma based on standard criteria.
  • Part A: (1) participant has received at least 3 prior lines of therapy for multiple myeloma, or at least 2 prior lines of therapy if at least 1 of those lines consisted of 2 or more multi-agent regimens (eg, multi-agent induction regimen with autologous stem cell transplantation, followed by maintenance regimen). (2) Prior therapy for multiple myeloma has included at least 1 proteasome inhibitor (bortezomib, carfilzomib, ixazomib), at least 1 immunomodulatory agent (lenalidomide, thalidomide, pomalidomide), at least 1 anti-CD38 monoclonal antibody and at least 1 steroid. Applicable countries in EU and Asia can enroll anti-CD38 naive RRMM patients from DL4 and onwards. (3) Participant had at least a minimal response (MR) to the anti-CD38 antibody containing regimen and had last dose of anti-CD38 monoclonal antibody at least 9 months prior to study entry. Applicable countries in EU and Asia can enroll anti-CD38 naive RRMM patients from DL4 and onwards.
  • Part B and the last cohort(s) of Part A: (1) participant has received at least 3 prior lines of therapy for multiple myeloma, or at least 2 prior line of therapy if at least 1 of those lines consisted of 2 or more multi-agent regimens (eg, multi-agent induction regimen with autologous stem cell transplantation, followed by maintenance regimen). (2) Prior therapy for multiple myeloma has included at least 1 proteasome inhibitor (bortezomib, carfilzomib, ixazomib), at least 1 immunomodulatory agent (lenalidomide, thalidomide, pomalidomide) and at least 1 steroid. (3) Prior therapy has not included an anti-CD38 monoclonal antibody.
  • Participant has myeloma disease progression on or after last therapy.
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  • Participant must have measurable disease as 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 FLC assay: Involved FLC assay ≥10 mg/dL (≥100 mg/L) and an abnormal serum
  • FLC ratio (<0.26 or >1.65).
  • A male participant must agree to use contraception during the intervention period and for at least 150 days after the last dose of study drug and refrain from donating sperm during this period.
  • A female participant is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies:
  • Not a woman of childbearing potential (WOCBP)
  • A WOCBP who agrees to follow the contraceptive guidance during the intervention period and for at least 150 days after the last dose of study intervention.

Who cannot join

  • Participant is diagnosed or treated for another malignancy within 3 years prior to enrollment, with the exception of basal cell carcinoma or squamous cell carcinoma of the skin, an in situ malignancy, superficial bladder carcinoma or low risk prostate cancer.
  • Participant has an Eastern Cooperative Oncology Group (ECOG) performance status score >2.
  • Participant has a history of Chronic obstructive pulmonary disease (COPD) or asthma.
  • Participant has not recovered from adverse reactions to prior myeloma treatment or procedures (chemotherapy, immunotherapy, radiation therapy) to NCI CTCAE Grade ≤1 or baseline (exception: alopecia).
  • Participant has congestive heart failure (New York Heart Association) Grade ≥II; cardiac myopathy, active ischemia, or any other uncontrolled cardiac condition such as angina pectoris, clinically significant arrhythmia requiring therapy including anticoagulants, or clinically significant uncontrolled hypertension, QT interval corrected by the Fridericia method >480 msec (Grade ≥2).
  • Participant has had acute myocardial infarction within 6 months before first dose of study medication.
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  • Participant has ongoing sensory or motor neuropathy of National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Grade ≥3.
  • Participant has active autoimmune disease including autoimmune hemolytic anemia, idiopathic thrombocytopenic purpura, inflammatory bowel syndrome, pneumonitis or any chronic condition requiring a higher corticosteroid systemic equivalent than prednisone 10 mg daily.
  • Known acquired immunodeficiency syndrome (AIDS) or related illnesses or human immunodeficiency virus (HIV) disease requiring antiretroviral treatment, or to have active hepatitis A, B (defined as a known positive hepatitis B surface antigen (HBsAg) result or positive HepB DNA), or C (defined as a known quantitative hepatitis C [HCV] ribonucleic acid RNA results greater than the lower limits of detection of the assay or positive HCV antigen) infection.
  • Participant has positive Coombs test at baseline.
  • 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 6 countries.

12 sites in 6 countries

United States5 sites
  • Dana Farber Cancer Institute Site Number : 8400003

    Boston, Massachusetts, 02115

  • UNC Chapel Hill Site Number : 8400006

    Chapel Hill, North Carolina, 27599

  • City of Hope Site Number : 8400002

    Duarte, California, 91010

  • Froedtert Hospital & Medical College of Wisconsin Site Number : 8400004

    Milwaukee, Wisconsin, 53226

  • Mayo Clinic of Rochester Site Number : 8400005

    Rochester, Minnesota, 55905

Other trials in United States

Czechia3 sites
  • Investigational Site Number : 2030002

    Brno, 62500

  • Investigational Site Number : 2030003

    Ostrava - Poruba, 70852

  • Investigational Site Number : 2030001

    Prague, 12808

Other trials in Czechia

France1 site
  • Investigational Site Number : 2500001

    Toulouse, 31059

Other trials in France

Greece1 site
  • Investigational Site Number : 3000001

    Athens, 11528

Other trials in Greece

Spain1 site
  • Investigational Site Number : 7240001

    Salamanca, Salamanca, 37007

Other trials in Spain

Taiwan1 site
  • Investigational Site Number : 1580001

    Taipei, 10002

Other trials in Taiwan

About this study

Official title: An Open-label, First-in-human, Single Agent, Dose-escalation and Expansion Study for the Evaluation of Safety, Pharmacokinetics, Pharmacodynamics and Anti-tumor Activity of SAR442085 in Patients With Relapsed or Refractory Multiple Myeloma (RRMM)

Primary Objectives:

  • Dose Escalation Part A: To determine the maximum tolerated dose (MTD) of SAR442085 administered as a single agent in patients with relapsed or refractory multiple myeloma (RRMM), and determine the recommended Phase 2 dose (RP2D) for the subsequent Expansion Part B
  • Dose Expansion Part B: To assess the antitumor activity of single agent of SAR442085 at the RP2D in patients with RRMM
Read more

Secondary Objectives:

  • To characterize the safety profile of SAR442085
  • To characterize the pharmacokinetics (PK) profile of SAR442085 when administered as a single agent
  • To evaluate the potential immunogenicity of SAR442085
  • To assess preliminary evidence of antitumor activity in the Dose Escalation Part A
Read the detailed description

Patient will continue to receive study medication until disease progression, unacceptable toxicity, withdrawal of informed consent, or other reason why investigator considers it appropriate to discontinue study medication. Once permanently discontinued, study medication cannot be restarted at later timepoint.

Being tested
SAR442085
Medical subject headings
Multiple Myeloma

What participants receive

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

  • SAR442085Drug

    Pharmaceutical form:Sterile lyophilized powder for reconstitution for infusion Route of administration: intravenous

Study groups in NCT04000282
Study groupRoleWhat they receive
Part A: SAR442085 dose escalationExperimentalSAR442085 will be given intravenously weekly for 4 weeks (Cycle 1) and on Day 1 and Day 15 of each subsequent cycle until the patient has progressive disease, unacceptable toxicity or other reasons to terminate study treatment. Each cycle will be approximately 28 days in duration.
Receives: Drug: SAR442085
Part B: SAR442085 dose expansionExperimentalSAR442085 will be given intravenously weekly for 4 weeks (Cycle 1) and on Day 1 and Day 15 of each subsequent cycle until the patient has progressive disease, unacceptable toxicity or other reasons to terminate study treatment. Each cycle will be approximately 28 days in duration.
Receives: Drug: SAR442085

What is being measured

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

  1. The maximum tolerated dose (MTD) of SAR442085 (Part A)

    MTD is defined as the dose level with highest probability of investigational medicinal product (IMP) related dose limiting toxicity (DLT) rate within the target range (16 to 33%) among dose levels with less than 0.25 probability of DLT rate above target (>33%)

    Measured: At the end of Cycle 1 (each cycle is approximately 28 days)

  2. Recommended Phase 2 dose (RP2D) (Part A)

    RP2D is defined as the dose selected for the further single agent testing - including in Phase 1 expansion part B.

    Measured: At the end of Cycle 1 (each cycle is approximately 28 days)

  3. Overall response rate (Part B)

    Overall response rate (ORR): is defined as the proportion of patients with stringent complete response (sCR), complete response (CR), very good partial response (VGPR), and partial response (PR), using the International Myeloma Working Group (IMWG) criteria.

    Measured: approximately 6 months after the last patient has started treatment in Part B (approx. 2 years)

Secondary outcomes (7)
  1. Treatment-emergent adverse events (AEs)/serious adverse events (SAE) (Both Part A and B)

    Number of participants with Treatment-Emergent Adverse events (TEAEs) from baseline to End of Study.

    Measured: From baseline to end of treatment + 30 days (approx. 2 years)

  2. PK parameters of SAR442085: Cmax (Both Part A and B)

    Maximum plasma concentration observed (Cmax).

    Measured: Cycle 1 Day 1 to Day 28

  3. PK parameters of SAR442085: Tmax (Both Part A and B)

    First time to reach Cmax (tmax).

    Measured: Cycle 1 Day 1 to Day 28

  4. PK parameters of SAR442085: AUC (Both Part A and B)

    Area under the plasma concentration versus time curve extrapolated to infinity (AUC).

    Measured: Cycle 1 Day 1 to Day 28

  5. Anti-drug antibody (ADA) against SAR442085 (Both Part A and B)

    Number of participants with ADA against SAR442085.

    Measured: Cycle 1, 2, 3, 6 and 9 (each cycle is approximately 28 days)

  6. Progression-free survival (Part B)

    Progression-free survival (PFS) is defined as the time interval from the date of enrollment to the date of documented tumor progression as per IMWG or death (due to any cause), whichever comes first.

    Measured: approximately 12 months after the last patient has started treatment in Part B (approx. 2 years)

  7. Duration of response (Part B)

    Duration of response (DOR) is defined as the time from first documented evidence of CR or PR until progressive disease (PD) as per IMWG or death from any cause, whichever occurs first.

    Measured: approximately 12 months after the last patient has started treatment in Part B (approx. 2 years)

Timeline

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

  1. First posted27 Jun 2019
  2. Study start19 Aug 2019
  3. Primary completion29 Aug 2022
  4. Study completion4 Sep 2023

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
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
37 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04000282
Sponsor's protocol ID
TED16132
Other IDs
U1111-1223-4410, 2019-001018-40, 2019
Status last verified
Sep 2025
First submitted
11 Jun 2019
Last updated
12 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
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

  • Kapoor P, Nathwani N, Jelinek T, Pour L, Perrot A, Dimopoulos MA, Huang SY, Spicka I, Chhabra S, Lichtman E, Mateos MV, Kanagavel D, Zhao L, Guillemin-Paveau H, Mace S, van de Velde H, Richardson PG. An open-label, first-in-human, single agent, dose escalation study for the evaluation of safety and efficacy of SAR442085 in patients with relapsed or refractory multiple myeloma. Eur J Haematol. 2024 Nov;113(5):593-605. doi: 10.1111/ejh.14270. Epub 2024 Jul 12.

    PubMed 38993150

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing SAR442085 in people with Plasma Cell Myeloma, run by Sanofi at 12 sites in 6 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 15 inclusion and 11 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 12 Sep 2025. 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 United States, Czechia, France, Greece, Spain and 1 more country. 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?

The maximum tolerated dose (MTD) of SAR442085 (Part A) (time frame: At the end of Cycle 1 (each cycle is approximately 28 days)). The study lists 3 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 NCT04000282, which also lists 1 linked publication.

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 12 Sep 2025.

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