AzTrials
AzTrials

Newly Diagnosed Multiple MyelomaPhase 3iMMagine-6NCT07903506

To Evaluate Safety and Efficacy of Anitocabtagene Autoleucel Versus Autologous Stem Cell Transplant in Newly Diagnosed Multiple Myeloma

A Phase 3 study testing Anitocabtagene Autoleucel, Isatuximab and Bortezomib in people with Newly Diagnosed Multiple Myeloma, run by Kite, A Gilead Company.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this clinical study iMMagine-6 is to compare and assess the safety and effectiveness of anitocabtagene autoleucel versus autologous stem cell transplant in participants with newly diagnosed multiple myeloma (NDMM). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Newly Diagnosed Multiple Myeloma
What is being tested?
Anitocabtagene Autoleucel, Isatuximab and Bortezomib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
750 participants
Where
No sites listed yet
Study dates
Feb 2027to Mar 2042
Phase
Phase 3
Are there results?
Not yet: the study is under way

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

  • Documented NDMM according to IMWG diagnostic criteria
  • Considered to be transplant-eligible by the investigator
  • Measurable disease at screening per IMWG, defined as any of the following:
  • Serum M-protein level ≥ 1.0 g/dL; or
  • Urine M-protein level ≥ 200 mg/24 hours; or
  • Serum free light chain (FLC) ≥ 10 mg/dL (100 mg/L) and abnormal serum FLC ratio
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate organ function including hematological, renal, hepatic and cardiac with further details in protocol defined inclusion/exclusion criteria

Who cannot join

  • Any prior anti-multiple myeloma (MM) therapy (including B-cell maturation antigen (BCMA)-directed therapy, CAR T-cell therapy, or genetically modified cells), with the exception of protocol-specified anti-MM stabilizing therapy, radiotherapy for MM plasmacytoma(s), and palliative focal radiation
  • Central nervous system (CNS) or meningeal involvement of MM
  • Cardiac atrial or ventricular MM involvement
  • History of or active plasma cell leukemia, Waldenstrom's macroglobulinemia, POEMS syndrome (polyneuropathy organomegaly, endocrinopathy, monoclonal protein, and skin changes), or amyloidosis
  • Active malignancy (other than MM) requiring treatment for disease control within the last 24 months.
  • Prior allogeneic stem cell transplant
Show all 16Show fewer
  • Any prior systemic treatment or radiotherapy treatment for any cancer other than MM within 24 months before randomization.
  • Live vaccine ≤ 4 weeks before randomization
  • Presence or suspicion of infection that is uncontrolled
  • History or presence of intracranial or CNS disorders or malignant CNS neoplasms
  • Females who are pregnant or breastfeeding
  • Females of childbearing potential who are not willing to use a highly effective method of contraception from the time of informed consent through the protocol-specified duration.
  • Contraindication to fludarabine, cyclophosphamide, or melphalan
  • History of allergy or hypersensitivity to any trial agent or trial drug components
  • Life expectancy < 12 weeks
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: A Phase 3, Randomized, Open-Label, Multicenter Trial to Evaluate the Safety and Efficacy of Anitocabtagene Autoleucel Versus Autologous Stem Cell Transplant Following Isatuximab, Lenalidomide, Bortezomib, and Dexamethasone Induction in Participants With Newly Diagnosed Multiple Myeloma

The goal of this clinical study iMMagine-6 is to compare and assess the safety and effectiveness of anitocabtagene autoleucel versus autologous stem cell transplant in participants with newly diagnosed multiple myeloma (NDMM).

The primary objective of this study is to compare the efficacy of anitocabtagene autoleucel administered after quadruplet-based induction versus standard of care therapy (SOCT; quadruplet-based induction followed by autologous stem cell transplant (auto-SCT) in participants with NDMM who are eligible for auto-SCT.

Read the detailed description

After completing quadruplet-based induction therapy followed by anitocabtagene autoleucel or autologous stem cell transplant, participants in both treatment arms will receive maintenance therapy for up to 36 cycles.

After completing the maintenance treatment period, participants will continue in a follow-up period for disease assessment and outcomes.

Being tested
Anitocabtagene Autoleucel, Isatuximab, Bortezomib, Lenalidomide, Dexamethasone
Keywords
Multiple Myeloma, CAR-T, ddBCMA, BCMA
Medical subject headings
Multiple Myeloma

What participants receive

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

Study groups in NCT07903506
Study groupRoleWhat they receive
Arm A: Standard of Care Therapy (SOCT)Active comparatorParticipants will receive a total of three induction therapy cycles, 42 days for each cycle, with isatuximab, bortezomib, lenalidomide and dexamethasone. Following induction, participants will receive high dose conditioning therapy with melphalan and autologous stem cell transplantation (auto-SCT). Following auto-SCT, participants will receive maintenance therapy with isatuximab and lenalidomide during 28-day cycles for up to 36 cycles or until unacceptable toxicity, disease progression per IMWG criteria, or withdrawal of consent, whichever occurs first.
Receives: Drug: Isatuximab; Drug: Bortezomib; Drug: Lenalidomide; Drug: Dexamethasone; Drug: Melphalan
Arm B: Anitocabtagene AutoleucelExperimentalParticipants will receive a total of three induction therapy cycles, 42 days for each cycle, with isatuximab, bortezomib, lenalidomide and dexamethasone. Following induction, participants will receive lymphodepleting chemotherapy with cyclophosphamide and fludarabine for 3 days, followed by a single infusion of anitocabtagene autoleucel. Following anitocabtagene autoleucel, participants will receive maintenance therapy with isatuximab and lenalidomide during 28-day cycles for up to 36 cycles or until unacceptable toxicity, disease progression per IMWG criteria, or withdrawal of consent, whichever occurs first.
Receives: Drug: Anitocabtagene Autoleucel; Drug: Isatuximab; Drug: Bortezomib; Drug: Lenalidomide; Drug: Dexamethasone; Drug: Fludarabine; Drug: Cyclophosphamide

What is being measured

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

  1. Minimal Residual Disease (MRD)-Negative Complete Response (CR) or Stringent CR (sCR) Rate at 12 Months

    Minimal residual disease (MRD)-negative CR/sCR is defined as the proportion of participants achieving CR/sCR and MRD-negative status (10^5 cutoff) at 12 months. CR/sCR per International Myeloma Working Group (IMWG) criteria is determined by the Independent Review Committee (IRC).

    Measured: Up to 12 months

  2. Progression-Free Survival (PFS)

    PFS is defined as the time from randomization to the first documented disease progression per International Myeloma Working Group (IMWG) criteria as determined by the Independent Review Committee (IRC), or death due to any cause, whichever occurs first.

    Measured: Up to 15 years

Secondary outcomes (21)
  1. Overall survival (OS)

    OS is defined as the time from randomization to death due to any cause.

    Measured: Up to 15 years

  2. Overall Response Rate (ORR)

    ORR is defined as the proportion of participants who achieve a best overall response of at least PR or better (sCR, CR, very good partial response (VGPR), or PR) per the 2016 IMWG criteria as determined by the IRC.

    Measured: Up to 15 years

  3. Rate of Very Good Partial Response or Better

    Rate of VGPR or better is defined as the proportion of participants who achieve a best overall response of sCR, CR, or VGPR per the 2016 IMWG criteria as determined by the IRC.

    Measured: Up to 15 years

  4. Rate of CR or Better

    Rate of CR or better is defined as the proportion of participants who achieve a best overall response of CR or sCR per the 2016 IMWG criteria as determined by the IRC.

    Measured: Up to 15 years

  5. Time to Response (TTR)

    TTR is defined as the time from date of randomization to the earliest date when a participant achieves a best overall response of sCR, CR, VGPR, or PR per 2016 IMWG criteria as determined by the IRC.

    Measured: Up to 15 years

  6. Duration of response (DOR)

    DOR is derived only among participants who experience an overall response (sCR, CR, VGPR, or PR) per the 2016 IMWG criteria and is defined as the time from first overall response to disease progression per the 2016 IMWG criteria as determined by the IRC, or death from any cause, whichever occurs first.

    Measured: Up to 15 years

  7. Time to Progression (TTP)

    TTP is defined as the time from randomization to the first documented disease progression per the 2016 IMWG criteria as determined by the IRC, or death due to disease progression, whichever occurs first.

    Measured: Up to 15 years

  8. Percentage of Participants Experiencing Serious Adverse Events (SAEs)

    Measured: Enrollment up to 15 years

  9. Percentage of Participants Experiencing Adverse Events (AEs)

    Measured: Enrollment up to 15 years

  10. Percentage of Participants With Anti-Anitocabtagene Autoleucel Chimeric Antigen Receptor (CAR) Antibodies (Anitocabtagene Autoleucel Arm B)

    Measured: Up to 15 years

  11. Change From Baseline in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Score

    The EORTC-QLQ-C30 is a multi-item questionnaire measuring the following content: five (5) multi-item functional scales, three (3) multi-item symptom scales, six (6) single item symptoms scales, and one combined global health status/global quality of life (QoL) scale. Each scale is measured from 0 to 100 after a linear transformation. Higher scores for functioning scales and for the Global Health Status /Global QoL scale indicate a higher level of functioning and a better QoL (ie, a better state of the participant), respectively, whereas higher scores in symptom scales represent a higher level of symptoms (ie, a worse state of the participant).

    Measured: Baseline, up to 15 years

  12. Change From Baseline in the European Organisation for Research and Treatment of Cancer (EORTC) - Multiple Myeloma Module (EORTC QLQ-MY20) Scores

    The EORTC QLQ-MY20 has 20 items across 4 independent subscales; 2 functional subscales (body image, future perspective), and 2 symptoms scales (disease symptoms, and side effects of treatment) with a recall period of one week. Scores from each subscale are transformed from 0 to 100. For the functional scales, high scores represent improvement. For the symptom scales, higher scores represent worsening.

    Measured: Baseline, up to 15 years

  13. Change From Baseline in the European Quality of Life (EuroQoL) 5-Dimension 5-Level (EQ-5D-5L) Scale Index Score

    The EQ-5D-5L includes a descriptive system that assesses health status across five dimensions that can be used to derive a single index score by applying a tariff based on health-state valuations. The index score typically ranges from 0 to 1, with higher values indicating better health status.

    Measured: Baseline, up to 15 years

  14. Change From Baseline in the EQ-5D-5L Visual Analog Scale (VAS) Score

    The EQ-5D-5L includes a VAS that assesses self-rated current health status on a scale from 0 ("the worst health you can imagine") to 100 ("the best health you can imagine"), with higher scores indicating better self-rated health.

    Measured: Baseline, up to 15 years

  15. Percentages of Participants Responses for Patient Global Impression Scale - Severity (PGI-S)

    The PGI-S is a single-item measure that assesses a patient's perception of disease symptom severity at a point in time using a 5-point response scale ranging from "none" to "very severe."

    Measured: Up to 15 years

  16. Percentages of Participants Responses for Patient Global Impression Scale Change (PGI-C)

    The PGI-C is a single-item measure that evaluates patients' perceptions of change in their symptoms over time using a 7-point response scale ranging from "very much worse" to "very much improved."

    Measured: Up to 15 years

  17. Percentages of Participants Responses for Functional Assessment of Cancer Therapy Item GP5 (FACT-GP5)

    The FACT-GP5 is a single-item question for assessing global treatment side effect bother from a patient's perspective ranging from "not at all" to "very much."

    Measured: Up to 15 years

  18. Percentage of Participants With Hospitalizations

    Measured: Up to 15 years

  19. Mean Number of Inpatient Days per Hospitalizations

    Measured: Up to 15 years

  20. Mean Number of Intensive Care Unit Days per Hospitalizations

    Measured: Up to 15 years

  21. Percentage of Participants by Reason for Hospitalization

    Measured: Up to 15 years

Timeline

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

  1. First posted29 Oct 2026
  2. Study startFeb 2027 (estimated)
  3. Primary completionMar 2039 (estimated)
  4. Study completionMar 2042 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
750 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07903506
Sponsor's protocol ID
KT-US-715-0795
Other IDs
2026-527841-24-00
Acronym
iMMagine-6
Status last verified
Oct 2026
First submitted
14 Oct 2026
Last updated
29 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Anitocabtagene Autoleucel, Isatuximab and Bortezomib in people with Newly Diagnosed Multiple Myeloma, run by Kite, A Gilead Company.

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 8 inclusion and 16 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: opening soon, as of the sponsor's last update on 29 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Medical Information (844-454-5483(1-844-454-KITE), medinfo@kitepharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Minimal Residual Disease (MRD)-Negative Complete Response (CR) or Stringent CR (sCR) Rate at 12 Months (time frame: Up to 12 months). The study lists 2 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 29 Oct 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in