AzTrials
AzTrials

Multiple MyelomaPhase 1NCT04045795

Multi-center, Open-label, Phase 1b Study in Patients With Relapsed/Refractory Multiple Myeloma (RRMM)

A Phase 1 study testing isatuximab SAR650984 IV, pomalidomide and dexamethasone in people with Multiple Myeloma, run by Sanofi at 14 sites in 6 countries.

Completed

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

Official record
Search all trials

Trial summary

Primary Objectives: To evaluate the safety and tolerability of isatuximab administered subcutaneously (SC) versus intravenously (IV) To assess the safety and tolerability (including local injection site tolerability) of isatuximab using the (investigational) isatuximab injector device To evaluate the pharmacokinetics… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Multiple Myeloma
What is being tested?
isatuximab SAR650984 IV, pomalidomide and dexamethasone
Could I receive a placebo?
No, everyone receives an active treatment
How many people
56 participants
Where
14 sitesin 6 countries
Study dates
6 Aug 2019to 27 Mar 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

  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol.
  • Participant must be above 18 years of age or country's legal age of majority if the legal age is >18 years old, at the time of signing the informed consent.
  • Participant 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.
  • Participant has received at least two previous therapies including lenalidomide and a proteasome inhibitor and has demonstrated disease progression on last therapy or after completion of the last therapy.
  • Participants with measurable disease defined as at least one of the following:
  • Serum M protein ≥ 0.5 g/dL (≥5 g/L).
Show all 9Show fewer
  • 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).
  • Male or female: Contraceptive use by men or women

Who cannot join

  • Malignancy within 3 years prior to enrollment.
  • Eastern Cooperative Oncology Group (ECOG) performance status score >2.
  • Inadequate hematological, liver or renal function.
  • Serum calcium (corrected for albumin) level above the upper limit of normal (ULN) range.
  • Patients with prior anti-CD38 treatment are excluded if:
  • Refractory to anti-CD38 treatment defined as progression on or within 60 days of the last dose of the anti-CD38 or,
Show all 21Show fewer
  • Intolerant to the anti-CD38 previously received or,
  • Progression after initial response on anti-CD38 therapy with a washout period inferior to 9 months before the first dose of isatuximab SC or IV.
  • Participant did not achieve a minimal response or better to at least one of the previous lines of treatment (ie, primary refractory disease is not eligible).
  • Received any investigational drug within 14 days or 5 half-lives of the investigational drug, whichever is longer.
  • Prior anti-cancer therapy within 14 days.
  • Any >Grade 1 adverse reaction unresolved from previous treatments according to the NCI-CTCAE v5.0. The presence of alopecia or peripheral neuropathy ≤ Grade 2 without pain is allowed.
  • Previous allogeneic stem cell transplantation with active Graft Versus Host Disease or being under immunosuppressive therapy in the last 2 months previously to the inclusion in the trial.
  • Daily requirement for corticosteroids.
  • Known to be HIV+ or to have hepatitis A or uncontrolled or active hepatitis B virus (HBV) infection (patients with positive HBsAg [HBsAg] and/or HBV DNA) or active HCV (HCV) infection (positive HCV RNA and negative anti-HCV).
  • Active tuberculosis and severe infections requiring treatment with antibiotic parenteral administration.
  • Any clinically significant, uncontrolled medical conditions that, in the Investigator's opinion, would expose excessive risk to the patient or may interfere with compliance or interpretation of the study results.
  • History of erythema multiforme or severe hypersensitivity to prior immunomodulatory drugs (IMiDs).
  • Hypersensitivity or history of intolerance to immunomodulatory drugs (IMiDs), dexamethasone, mannitol, pregelatinized starch, sodium stearyl fumarate, histidine (as base and hydrochloride salt), arginine hydrochloride, poloxamer 188, sucrose or any of the other components of study therapy that are not amenable to premedication with steroids and histamine H2 blockers or would prohibit further treatment with these agents.
  • Inability to tolerate thromboprophylaxis.
  • 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

14 sites in 6 countries.

14 sites in 6 countries

Australia4 sites
  • Investigational Site Number : 0360002

    Blacktown, New South Wales, 2148

  • Investigational Site Number : 0360004

    Fitzroy, Victoria, 3065

  • Investigational Site Number : 0360003

    Richmond, Victoria, 3121

  • Investigational Site Number : 0360001

    Wollongong, New South Wales, 2500

Other trials in Australia

United States3 sites
  • Gabrail Cancer Center Site Number : 8400001

    Canton, Ohio, 44718

  • City of Hope Site Number : 8400002

    Duarte, California, 91010

  • ~Banner MD Anderson Cancer Center Site Number : 8400005

    Gilbert, Arizona, 85234

Other trials in United States

France2 sites
  • Investigational Site Number : 2500001

    Nantes, 44093

  • Investigational Site Number : 2500002

    Toulouse, 31059

Other trials in France

Japan2 sites
  • Investigational Site Number : 3920002

    Okayama, Okayama-ken, 701-1192

  • Investigational Site Number : 3920001

    Shibuya-ku, Tokyo, 150-8935

Other trials in Japan

Spain2 sites
  • Investigational Site Number : 7240001

    Badalona, Catalunya [Cataluña], 08916

  • Investigational Site Number : 7240002

    Santander, Cantabria, 39008

Other trials in Spain

Belgium1 site
  • Investigational Site Number : 0560001

    Leuven, 3000

Other trials in Belgium

About this study

Official title: A Multi-center, Open-label, Phase 1b Study to Assess the Pharmacokinetics, Safety, and Efficacy of Subcutaneous and Intravenous Isatuximab (SAR650984) in Combination With Pomalidomide and Dexamethasone, in Patients With Relapsed/Refractory Multiple Myeloma (RRMM)

Primary Objectives:

  • To evaluate the safety and tolerability of isatuximab administered subcutaneously (SC) versus intravenously (IV)
  • To assess the safety and tolerability (including local injection site tolerability) of isatuximab using the (investigational) isatuximab injector device
  • To evaluate the pharmacokinetics (PK) of SC and IV isatuximab
Read more

Secondary Objectives:

  • To estimate absolute bioavailability of SC and IV isatuximab
  • To measure receptor occupancy (RO) after isatuximab SC versus IV administration
  • To assess efficacy of isatuximab after SC and IV administration
  • To assess patient expectations prior to and patient experience and satisfaction after SC administration
  • To evaluate potential immunogenicity of SC or IV isatuximab
Read the detailed description

Total study duration is variable depending on treatment and follow-up periods, including 21 days of screening, and treatment period until disease progression, unacceptable adverse reaction or other reason for discontinuation. End of treatment will be 30 days after last administration of investigational medicinal product, or before further anti-myeloma therapy, whichever comes first; approximately 14 months after first study treatment administration.

Being tested
isatuximab SAR650984 IV, pomalidomide, dexamethasone, isatuximab SAR650984 SC, Investigational injector device
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.

  • isatuximab SAR650984 IVDrug

    Also called Sarclisa

    Pharmaceutical form: solution

    Route of administration: intravenous

  • pomalidomideDrug

    Also called Pomalyst®

    Pharmaceutical form: tablet

    Route of administration: oral

  • dexamethasoneDrug

    Also called Decadron®

    Pharmaceutical form: tablet

    Route of administration: oral

  • isatuximab SAR650984 SCDrug

    Pharmaceutical form: solution

    Route of administration: subcutaneous

  • Investigational injector deviceDevice

    Subcutaneous administration

Study groups in NCT04045795
Study groupRoleWhat they receive
Dose regimen 1ExperimentalIsatuximab SC administration dose level 1 once weekly for 4 weeks (Cycle 1) and on Day 1 and Day 15 of each subsequent cycle
Receives: Drug: pomalidomide; Drug: dexamethasone; Drug: isatuximab SAR650984 SC
Dose regimen 2ExperimentalIsatuximab SC administration dose level 2 once weekly for 4 weeks (Cycle 1) and on Day 1 and Day 15 of each subsequent cycle
Receives: Drug: pomalidomide; Drug: dexamethasone; Drug: isatuximab SAR650984 SC
Dose regimen 3ExperimentalIsatuximab SC administration dose level 3 using the investigational injector device once weekly for 4 weeks (Cycle 1) and on Day 1 and Day 15 of each subsequent cycle
Receives: Drug: pomalidomide; Drug: dexamethasone; Drug: isatuximab SAR650984 SC; Device: Investigational injector device
Dose regimen 4ExperimentalIsatuximab IV administration once weekly for 4 weeks (Cycle 1) and on Day 1 and Day 15 of each subsequent cycle
Receives: Drug: isatuximab SAR650984 IV; Drug: pomalidomide; Drug: dexamethasone
Dose regimen 5ExperimentalIsatuximab IV administration once weekly for 4 weeks (Cycle 1) and on Day 1 and Day 15 of each subsequent cycle
Receives: Drug: isatuximab SAR650984 IV; Drug: pomalidomide; Drug: dexamethasone

What is being measured

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

  1. Assessment of adverse events (AEs)

    Number of participants with adverse events

    Measured: Baseline to 30 days after last study treatment administration (up to approximately 14 months after first study treatment administration)

  2. Pharmacokinetic (PK) assessment: Ceoi

    Concentration observed at the end of infusion (Ceoi)

    Measured: Baseline to end of treatment (EOT) after isatuximab SC and to Cycle 10 after IV (28 days per Cycle)

  3. PK assessment: Cmax

    Maximum concentration observed after the first infusion (Cmax)

    Measured: Baseline to EOT after isatuximab SC and to Cycle 10 after IV (28 days per Cycle)

  4. PK assessment: tmax

    Time to reach Cmax (tmax)

    Measured: Baseline to EOT after isatuximab SC and to Cycle 10 after IV (28 days per Cycle)

  5. PK assessment: Clast

    Last concentration observed above the lower limit of quantification after the first infusion (Clast)

    Measured: Baseline to EOT after isatuximab SC and to Cycle 10 after IV (28 days per Cycle)

  6. PK assessment: tlast

    Time of Clast (tlast)

    Measured: Baseline to EOT after isatuximab SC and to Cycle 10 after IV (28 days per Cycle)

  7. PK assessment: Ctrough

    Concentration observed just before treatment administration during repeated dosing (Ctrough)

    Measured: Baseline to EOT after isatuximab SC and to Cycle 10 after IV (28 days per Cycle)

  8. PK assessment: AUClast

    Area under the plasma concentration versus time curve calculated using the trapezoidal method from time zero to time of the last concentration observed above the lower limit of quantification (ie, Clast) (AUClast)

    Measured: Baseline to EOT after isatuximab SC and to Cycle 10 after IV (28 days per Cycle)

  9. PK assessment: AUC0 T

    Area under the plasma concentration versus time curve calculated over the dosing interval T (168h or 336h) (AUC0 T)

    Measured: Baseline to EOT after isatuximab SC and to Cycle 10 after IV (28 days per Cycle)

Secondary outcomes (11)
  1. Estimation of absolute bioavailability of isatuximab

    Absolute bioavailability of isatuximab SC, expressed as a percentage, estimated from AUC0-168h obtained after intravenous (IV) and extravascular (EV) administration

    Measured: Day 8

  2. Overall response rate (ORR)

    ORR is the proportion of patients with stringent complete response (sCR), complete response (CR), very good partial response (VGPR), and partial response (PR) using the IMWG response criteria

    Measured: From day -21 to day 60 after last study treatment (up to approximately 14 months after first study treatment administration)

  3. Duration of response (DOR)

    Time from the date of the first response to the date of first progressive disease (PD) or death, whichever happens first

    Measured: From day -21 to day 60 after last study treatment (up to approximately 14 months after first study treatment administration)

  4. Time to response (TTR)

    Time from the date of first study treatment to the first response

    Measured: From day -21 to day 60 after last study treatment (up to approximately 14 months after first study treatment administration)

  5. Time to progression (TTP)

    Time from date of first study treatment to date of first documentation of progressive disease

    Measured: From day -21 to day 60 after last study treatment (up to approximately 14 months after first study treatment administration)

  6. Overall survival (OS)

    Time from the date of first study treatment to date of death from any cause

    Measured: From day -21 to day 60 after last study treatment (up to approximately 14 months after first study treatment administration)

  7. Clinical benefit rate (CBR)

    Proportion of patients with sCR, CR, VGPR, PR or minimal response (MR) according to IMWG criteria

    Measured: From day -21 to day 60 after last study treatment (up to approximately 14 months after first study treatment administration)

  8. Progression free survival (PFS)

    Time from date of first study treatment to date of first documentation of progressive disease or death

    Measured: From day -21 to day 60 after last study treatment (up to approximately 14 months after first study treatment administration)

  9. Comparison of patient expectations and satisfaction: Patient Expectations and Satisfaction Questionnaires

    Comparison of patient expectations and satisfaction will be assessed using Patient Expectations and Satisfaction Questionnaires before and after subcutaneous (SC) administration, where a score of 1 = not satisfied and a score of 5 = extremely satisfied

    Measured: Cycles 1 and 2 (28 days per Cycle), and 30 days after last isatuximab administration (up to approximately 14 months after first study treatment administration)

  10. Immunogenicity: Anti drug antibody levels

    Incidence of patients with anti drug antibodies against isatuximab

    Measured: Baseline to EOT after isatuximab SC and to Cycle 10 after IV (28 days per Cycle)

  11. Biomarker: Change in CD38 receptor occupancy

    Change in CD38 receptor occupancy from baseline

    Measured: At screening and at Day 1 of Cycle 2 (28 days per Cycle) (predose); to be stopped once the isatuximab SC dose has been selected.

Timeline

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

  1. First posted6 Aug 2019
  2. Study start6 Aug 2019
  3. Primary completion27 Mar 2024
  4. Study completion27 Mar 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
Randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04045795
Sponsor's protocol ID
TCD15484
Other IDs
U1111-1211-9525, 2018-001996-19, 2018
Status last verified
Sep 2025
First submitted
2 Aug 2019
Last updated
12 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
Yes
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

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing isatuximab SAR650984 IV, pomalidomide and dexamethasone in people with Multiple Myeloma, run by Sanofi at 14 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 9 inclusion and 21 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 14 sites in Australia, United States, France, Japan, 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?

Assessment of adverse events (AEs) (time frame: Baseline to 30 days after last study treatment administration (up to approximately 14 months after first study treatment administration)). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in