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| Name | Class |
|---|---|
| Genzyme, a Sanofi Company | INDUSTRY |
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The purpose of this study is to see if Isatuximab can alter the immune system in patients with multiple myeloma or lymphoma upon recovery from the autologous stem cell transplantation. The investigators will see if Isatuximab makes changes to the immune system so that upon recovery from the transplant, the immune system can fight the cancer. This study will have two arms. On one arm (control arm), participants will receive standard transplant procedures and on the other arm (experimental arm), participants will receive Isatuximab in addition to the standard transplant procedures. The assignment to these arms is done randomly (determined by chance, like flipping a coin) by a computer. Each participant will have about 66% chance of getting on the experimental arm and about 33% chance of getting on the control arm.
Relapse post-autologous stem cell transplantation (ASCT) remains a major challenge in the treatment of multiple myeloma (MM) and Lymphoma. The immune reconstitution post-ASCT has a major impact on the outcomes of ASCT, however effective methods to improve upon immune reconstitution have not been developed and the use of novel immunomodulators remains relatively unexplored. In addition, numerous studies have demonstrated the profound impact of graft composition on transplant outcomes, but not a single prospective study has addressed this issue successfully. In this study, the investigators intend to test a novel double pronged method of changing the immune repertoire post ASCT by modifying graft composition and improving effector T cell recovery and function post ASCT. In this study, the investigators intend to generate new information on immune modulation post-ASCT. In addition, the CD38 antibodies have not been evaluated as therapy for B-cell non-Hodgkin Lymphoma (NHL). If this study shows significant immunomodulator activity of this approach, cluster of differentiation 38 (CD38) antibodies could be further evaluated in combination with ASCT in NHL.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Isatuximab and Standard Procedures | Experimental | Subjects will receive the study drug Isatuximab in addition to standard procedures for transplant |
|
| Standard procedures | Experimental | Subjects will receive standard procedures for transplant. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Isatuximab | Drug | Isatuximab in IV form 10 mg/kg doses |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in the total lymphocyte count | Change in total lymphocyte count measured from blood sample | Day 30 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Adverse Events | The number of adverse events recorded for participants using Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. | Up to 1 year |
| Percentage of participants with absolute lymphocyte count >500 cells/microliter |
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Inclusion Criteria:
Following diagnoses are eligible for inclusion in the study:
A) Multiple Myeloma with ASCT used as consolidation after first line induction therapy or at first relapse.
B) Relapsed/Refractory Hodgkin's disease
C) Non-Hodgkin's Lymphomas as follows
Patients undergoing first ASCT will be eligible for the study.
Any prior therapy for the malignancy except CD38 antibody within the last 12 months is allowed.
Age ≥18 years
Life expectancy of greater than 6 months.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Research Nurse Navigator | Contact | 212-342-5162 | cancerclinicaltrials@cumc.columbia.edu |
| Name | Affiliation | Role |
|---|---|---|
| Divaya Bhutani | Columbia University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karmanos Cancer Institute | Recruiting | Detroit | Michigan | 48201 | United States |
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| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D009101 | Multiple Myeloma |
| D008228 | Lymphoma, Non-Hodgkin |
| D006689 | Hodgkin Disease |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
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| ID | Term |
|---|---|
| C000599209 | isatuximab |
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| Standard Procedures | Other | Standard procedures (standard of care) for transplant |
|
Percentage of participants with an absolute lymphocyte count of >500 cells/microliter on Day 30 post transplant
| Day 30 |
| CD8 and CD4 Subsets | Immune cell phenotyping ( cluster of differentiation 8 (CD8) and cluster of differentiation 4 (CD4) subsets) in the peripheral blood using flow cytometry based analysis | Up to 1 year |
| Percentage of activated B and T regulatory cells | Percentage of activated B and T regulatory cells in the peripheral blood | Up to 1 year |
| Percentage of activated helper and effector T cells | Percentage of activated helper and effector T cells in the peripheral blood | Up to 1 year |
| Percentage of Natural Killer (NK) cells | Percentage of NK cells in the peripheral blood | Up to 1 year |
| Columbia University | Recruiting | New York | New York | 10032 | United States |
|
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D054219 | Neoplasms, Plasma Cell |
| D020141 | Hemostatic Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006474 | Hemorrhagic Disorders |