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Summary

for people ages 18 years and up (full criteria)
at San Francisco, California and other locations
study started
estimated completion:

Description

Summary

Primary Objective: - Part A: To evaluate the safety of SAR650984 (isatuximab) in patients with relapsed/refractory multiple myeloma (RRMM). - Part B: To evaluate the activity of SAR650984 (isatuximab) as assessed by overall response rate (ORR) in RRMM patients previously treated with daratumumab. Secondary Objectives: - Part A: - To determine the pharmacokinetics (PK) of SAR650984 (isatuximab) in patients with RRMM. - Part B: - To evaluate the safety of SAR650984 (isatuximab). - To evaluate the efficacy of SAR650984 (isatuximab) as assessed by duration of response (DOR), clinical benefit rate (CBR) and progression free survival (PFS). - To assess the pharmacokinetics (PK) of SAR650984 (isatuximab) and daratumumab at baseline. - To evaluate the immunogenicity of SAR650984 (isatuximab).

Official Title

An Open-label, Dose-escalation and Multi-center Study to Evaluate the Safety, Pharmacokinetics and Efficacy of SAR650984 (Isatuximab) in Patients With Relapsed/Refractory Multiple Myeloma

Details

Study duration for an individual patient will include a screening period for inclusion of up to 3 weeks, the treatment period and, a follow up period. Treatment with SAR650984 (isatuximab) may continue until disease progression, unacceptable adverse event, or other reason for discontinuation.

After study treatment discontinuation, an end of treatment visit will be done at 30 days to assess safety and PK, and at 30 and 60 days for anti-drug antibody (ADA). If the ADA is positive at Day 60, ADA will be repeated every 30 days until ADA is negative.

Patients with partial remission or better who discontinue treatment for reasons other than progression of disease will be followed monthly until progression or initiation of subsequent therapy, the final analysis cutoff date, whichever comes first.

Keywords

Plasma Cell Myeloma Multiple Myeloma Neoplasms, Plasma Cell

Eligibility

You can join if…

Open to people ages 18 years and up

Part A

  • Patients must have a known diagnosis of multiple myeloma (MM) with evidence of measurable disease, as defined below, and have evidence of disease progression based on International Myeloma Working Group (IMWG) criteria:
  • Serum M-protein ≥1g/dL, or urine M-protein ≥200 mg/24 hours, OR
  • In the absence of measurable M-protein, serum immunoglobulin free light chain ≥10 mg/dL, and abnormal serum immunoglobulin kappa lambda free light chain ratio.
  • Patients must have received at least 3 prior lines of therapy for MM and must include treatment with an immunomodulatory drug (IMiD) (for ≥2 cycles or ≥2 months of treatment) and a proteasome inhibitor (for ≥2 cycles or ≥2 months of treatment).Induction therapy and stem cell transplant (± maintenance) will be considered as one regimen within a line, OR
  • Patients whose disease is double refractory to an IMiD and a proteasome inhibitor. For patients who have received more than one type of IMiD and proteasome inhibitor, their disease must be refractory to the most recent one.
  • Patients must have achieved a minimal response (MR) or better to at least one prior line of therapy.
  • Patients must have received an alkylating agent (for ≥2 cycles or ≥2 months of treatment) either alone or in combination with other MM treatments (history of stem cell transplant is acceptable). Treatment with high-dose Melphalan for stem cell transplantation meets this requirement.
  • Signed written informed consent and be willing and able to complete all study-related procedures.

Part B

  • Patients must have a known diagnosis of multiple myeloma (MM) with evidence of measurable disease, as defined below, and have evidence of disease progression based on International Myeloma Working Group (IMWG) criteria:
  • Serum M-protein ≥1g/dL, or urine M-protein ≥200 mg/24 hours, OR
  • In the absence of measurable M-protein, serum immunoglobulin free light chain ≥10 mg/dL, and abnormal serum immunoglobulin kappa lambda free light chain ratio.
  • Patients must have received at least 3 cycles of daratumumab treatment with at least 6 weeks from the last treatment with daratumumab to the first study treatment OR at least 2 cycles of daratumumab treatment in case another therapy is given between daratumumab and isatuximab with at least 12 weeks from the last treatment with daratumumab to the first study treatment.
  • Patients must have achieved MR or better to at least 1 prior line of therapy.
  • Signed written informed consent and be willing and able to complete all study-related procedures.

You CAN'T join if...

  • Patients <18 years old.
  • 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 comorbid 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.

Locations

  • Investigational Site Number 840004 accepting new patients
    San Francisco, California, 94117, United States
  • Investigational Site Number 840003 accepting new patients
    Scottsdale, Arizona, 85054, United States
  • Investigational Site Number 840002 accepting new patients
    Salt Lake City, Utah, 84112-5550, United States
  • Investigational Site Number 840015 accepting new patients
    Saint Louis, Missouri, 63110, United States
  • Investigational Site Number 840006 accepting new patients
    Milwaukee, Wisconsin, 53226, United States
  • Investigational Site Number 840001 accepting new patients
    Nashville, Tennessee, 37232, United States
  • Investigational Site Number 840011 accepting new patients
    Detroit, Michigan, 48201, United States
  • Investigational Site Number 840013 accepting new patients
    Canton, Ohio, 44718, United States
  • Investigational Site Number 840010 accepting new patients
    Durham, North Carolina, 27707, United States
  • Investigational Site Number 840005 accepting new patients
    Hackensack, New Jersey, 07601, United States
  • Investigational Site Number 233001 accepting new patients
    Tallinn, 13419, Estonia
  • Investigational Site Number 250008 accepting new patients
    Creteil Cedex, 94010, France
  • Investigational Site Number 250005 accepting new patients
    Montpellier, 34295, France
  • Investigational Site Number 250002 accepting new patients
    Nantes Cedex 01, 44093, France
  • Investigational Site Number 250007 accepting new patients
    Paris, 75010, France
  • Investigational Site Number 250004 accepting new patients
    Pessac Cedex, 33604, France
  • Investigational Site Number 250003 accepting new patients
    Pierre Benite, 69310, France
  • Investigational Site Number 250001 accepting new patients
    Poitiers, 86021, France
  • Investigational Site Number 250006 accepting new patients
    Vandoeuvre-Les-Nancy, 54511, France
  • Investigational Site Number 203002 accepting new patients
    Brno, 62500, Czechia
  • Investigational Site Number 203001 accepting new patients
    Praha 2, 12808, Czechia

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
Sanofi
ID
NCT02514668
Phase
Phase 1
Lead Scientist
Thomas Martin
Study Type
Interventional
Last Updated
December 6, 2017
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