Phase 1-2 UMBRELLA Trial Evaluating Isatuximab With or Without Dexamethasone in Combination With Novel Agents Compared to Isatuximab With Pomalidomide and Dexamethasone in Relapsed or Refractory Multiple Myeloma (RRMM) - Master Protocol

Who is this study for? Patients with Plasma Cell Myeloma
What treatments are being studied? Isatuximab SAR650984+Dexamethasone
Status: Recruiting
Location: See all (27) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

The purpose of this umbrella study is to evaluate isatuximab when combined with novel agents with or without dexamethasone in participants with relapsed or refractory myeloma. Substudy 01 is the control Substudy. Substudies 02, 03, and 06 are controlled experimental substudies. Substudies 04 and 05 are independent experimental substudies.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Participant must be 18 years of age inclusive or older.

• Eastern Cooperative Oncology Group (ECOG) performance status 0-1.

• Participants with relapsed or refractory MM who have received at least 2 prior lines of therapy for MM, including PIs and IMiDs (eg, Induction regimen with autologous stem cell transplant followed by maintenance is considered one line).

• RRMM with measurable disease:

‣ Serum M protein ≥0.5 g/dL measured using serum protein immunoelectrophoresis and/or

⁃ Urine M protein ≥200 mg/24 hours measured using urine protein immunoelectrophoresis and/or

⁃ Serum free light chain (sFLC) MM without measurable M protein in serum or urine per previous criteria (serum Ig free light chain ≥10 mg/dL and abnormal serum Ig kappa lambda free light chain ratio \<0.26 or \>1.65).

• Men or woman or childbearing potential should agree to use contraception.

• Substudy 01, 06: Anti-CD38 therapy naïve or prior exposure to such drugs with a wash out of at least 12 months after the last dose. Exposure is defined as at least 2 cycles of therapy.

• Substudies 02, 03: Anti-CD38 therapy naïve or prior exposure to such drugs without being refractory but with a wash out of at least 6 months after the last dose. Refractory is defined as progressing within 60 days of last dose of anti-CD38 targeting therapy.

• Substudy 04: Anti-CD38 and anti-B cell maturation antigen (BCMA) therapy (if available) prior exposed participants with RRMM. For anti-CD38, Exposure is defined as at least 2 cycles of therapy. For anti-BCMA therapy if available, exposure is defined by at least 2 cycles of therapy.

• Substudy 05: Participants with RRMM with at least 2 cycles of prior exposure to anti-CD38 therapy. For participants to whom BCMA targeted therapy is available (ie, approved in their region and can be reimbursed), at least 2 cycles of prior exposure to a BCMA targeted agent is mandatory.

Locations
United States
Georgia
Winship Cancer Institute, Emory University- Site Number : 8400010
RECRUITING
Atlanta
Illinois
University of Illinois-Chicago - College of Medicine- Site Number : 8400007
COMPLETED
Chicago
Michigan
University of Michigan Health System - Ann Arbor- Site Number : 8400004
RECRUITING
Ann Arbor
New York
Roswell Park Cancer Institute- Site Number : 8400008
RECRUITING
Buffalo
Other Locations
Australia
Investigational Site Number : 0360002
RECRUITING
Melbourne
Investigational Site Number : 0360001
RECRUITING
Richmond
Investigational Site Number : 0360006
RECRUITING
Wollongong
France
Investigational Site Number : 2500002
RECRUITING
Lille
Investigational Site Number : 2500001
RECRUITING
Nantes
Investigational Site Number : 2500003
RECRUITING
Paris
Investigational Site Number : 2500004
RECRUITING
Paris
Germany
Investigational Site Number : 2760006
RECRUITING
Frankfurt
Investigational Site Number : 2760008
RECRUITING
Lübeck
Greece
Investigational Site Number : 3000001
RECRUITING
Athens
Investigational Site Number : 3000002
RECRUITING
Athens
Israel
Investigational Site Number : 3760002
RECRUITING
Jerusalem
Investigational Site Number : 3760003
RECRUITING
Ramat Gan
Investigational Site Number : 3760001
RECRUITING
Tel Aviv
Italy
Investigational Site Number : 3800001
RECRUITING
Meldola
Norway
Investigational Site Number : 5780001
RECRUITING
Oslo
Portugal
Investigational Site Number : 6200001
RECRUITING
Coimbra
Investigational Site Number : 6200002
RECRUITING
Porto
Puerto Rico
Puerto Rico Medical Research Center- Site Number : 8400005
RECRUITING
Hato Rey
Republic of Korea
Investigational Site Number : 4100001
RECRUITING
Seoul
Investigational Site Number : 4100002
RECRUITING
Seoul
Investigational Site Number : 4100003
RECRUITING
Seoul
Investigational Site Number : 4100004
RECRUITING
Seoul
Contact Information
Primary
Trial Transparency email recommended (Toll free number for US & Canada)
contact-us@sanofi.com
800-633-1610
Time Frame
Start Date: 2021-01-25
Estimated Completion Date: 2028-04-20
Participants
Target number of participants: 258
Treatments
Active_comparator: Control Arm: isatuximab + pomalidomide + dexamethasone (Substudy 01)
* Isatuximab, intravenous (IV) doseweekly (QW) × 4 weeks (Cycle 1), followed by every two weeks (Q2W) (subsequent cycles).~* Pomalidomide dose by mouth daily Day 1 to Day 21.~* Dexamethasone dose by mouth QW.
Experimental: isatuximab + SAR439459 + dexamethasone (Substudy 02)
SAR439459 in combination with isatuximab and dexamethasone~Part 1:~2 dose levels (DLs) of IV SAR439459:~* DL1 SAR439459 dose Q2W.~* DL2 SAR439459 dose Q2W.~* Isatuximab dose IV QW × 5 weeks (Cycle 1), followed by Q2W administrations (subsequent cycles).~* Dexamethasone fixed dose and schedule: QW by mouth In Cycle 1, the first administration of SAR439459 (Day 1) will precede isatuximab by 1 week (first dose of isatuximab will be at Cycle 1 Day 8).~Part 2:~* SAR439459 IV dose Q2W.~* Isatuximab IV dose QW × 5 weeks (Cycle 1), followed by Q2W administrations (subsequent cycles).~* Dexamethasone fixed dose and schedule: QW by mouth. In Cycle 1, the first administration of SAR439459 (Day 1) will precede isatuximab by 1 week (first dose of isatuximab will be at Cycle 1 Day 8).
Experimental: isatuximab + dexamethasone + belantamab mafodotin (Substudy 03)
Belantamab mafodotin in combination with isatuximab and dexamethasone~Part 1:~1 DL of IV belantamab mafodotin in Part 1 and de-escalation dose DL-1:~* DL1 belantamab mafodotin IV dose QW4 or de-escalation dose DL-1 QW8~* Isatuximab dose, IV QW × 4 weeks (Cycle 1), followed by Q2W (subsequent cycles).~* Dexamethasone fixed dose and schedule: QW by mouth.~Part 2:~* Isatuximab IV dose QW × 4 weeks (Cycle 1), followed by Q2W (subsequent cycles).~* Belantamab mafodotin IV dose Q4W or Q8W~* Dexamethasone fixed dose and schedule: QW by mouth.
Experimental: Isatuximab + pegenzileukin (Substudy 04)
Pegenzileukin in combination with isatuximab~Part 1- dose escalation:~* Up to 3 DLs of IV pegenzileukin are planned to be evaluated:~ * DL1 will explore pegenzileukin at Q2W.~ * DL2 will explore pegenzileukin at Q2W.~ * DL3 will explore pegenzileukin at Q2W.~* Isatuximab IV dose QW × 4 weeks, followed by Q2W (subsequent cycles).~Part 1 - dose optimization:~* Isatuximab IV dose QW × 4 weeks, followed by Q2W (subsequent cycles).~* Pegenzileukin at potential doses (DL A and DL B) Q2W.~Part 2 (dose expansion):~* Isatuximab IV dose QW × 4 weeks, followed by Q2W (subsequent cycles).~* Pegenzileukin IV dose Q2W.
Experimental: Experimental: Isatuximab + Dexamethasone + Belumosudil (Substudy 05)
Isatuximab in combination with belumosudil and dexamethasone Part 1- dose escalation: During the first cycle, belumosudil will be evaluated in monotherapy during 2 to 4 weeks, then isatuximab and dexamethasone will be added, and continued for the subsequent cycles.~* Belumosudil by mouth at Dose Level (DL) 1, DL2, DL3, and DL4~* Isatuximab IV dose QW × 4 weeks, followed by Q2W (subsequent cycles)~* Dexamethasone fixed dose and schedule: QW by mouth~Part 1- dose optimization:~* Belumosudil at potential doses (DL A and DL B), daily by mouth~* Isatuximab IV dose QW × 4 weeks, followed by Q2W (subsequent cycles)~* Dexamethasone fixed dose and schedule: QW by mouth~Part 2- dose expansion:~* Belumosudil dose daily, by mouth~* Isatuximab IV dose QW × 4 weeks, followed by Q2W (subsequent cycles)~* Dexamethasone fixed dose and schedule: QW by mouth
Experimental: Isatuximab + evorpacept + dexamethasone (Substudy 06)
Isatuximab in combination with evorpacept and dexamethasone~Part 1- dose escalation:~* Evorpacept IV dose Q2W~* Isatuximab IV dose QW × 4 weeks, followed by Q2W (subsequent cycles)~* Dexamethasone fixed dose and schedule: QW by mouth Part 1- dose optimization~* Evorpacept IV at potential doses (DL A and DL B), Q2W~* Isatuximab IV dose QW × 4 weeks, followed by Q2W (subsequent cycles)~* Dexamethasone fixed dose and schedule: QW by mouth~Part 2- dose expansion:~* Evorpacept IV dose Q2W~* Isatuximab IV dose QW × 4 weeks, followed by Q2W (subsequent cycles)~* Dexamethasone fixed dose and schedule: QW by mouth
Related Therapeutic Areas
Sponsors
Leads: Sanofi

This content was sourced from clinicaltrials.gov