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| ID | Type | Description | Link |
|---|---|---|---|
| 2022-500800-24-00 | EU Trial (CTIS) Number |
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This study is researching an experimental drug called linvoseltamab (called "study drug"). The study is focused on participants with newly diagnosed multiple myeloma (NDMM) who are eligible for high dose chemotherapy with autologous stem cell transplantation (transplant-eligible) or ineligible for autologous stem cell transplantation (transplant-ineligible).
The aim of this clinical trial is to study the safety, tolerability (how the body reacts to the drug), and effectiveness (tumor shrinkage) of linvoseltamab in study participants with NDMM as a first step in determining if the study drug has a role in the treatment of NDMM.
This study consists of 2 phases:
The study is looking at several research questions, including:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 1 cohorts | Experimental | Linvoseltamab dose escalation (part A), dose expansion (part B), and evaluation of alternative step-up regimen (part C) for participants with NDMM who are treatment-naïve. |
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| Phase 2 - transplant ineligible cohort | Experimental | Transplant-ineligible participants, enrolled in dose expansion, will receive selected linvoseltamab regimen until disease progression as per protocol. |
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| Phase 2 - transplant eligible cohort | Experimental | Transplant-eligible participants, enrolled in dose expansion, will receive selected linvoseltamab regimen for a fixed duration of treatment as per protocol |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Linvoseltamab | Drug | Linvoseltamab will be administered by intravenous (IV) infusion |
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Dose-Limiting Toxicities (DLTs) | Phase 1 | End of the Observation period; up to day 28 |
| Incidence of Treatment-Emergent Adverse Events (TEAEs) | Phase 1 | Post-Last Linvoseltamab Dose, up to 90 days |
| Severity of TEAEs | Phase 1 | Post-Last Linvoseltamab Dose, up to 90 days |
| Incidence of Adverse Events of Special Interest (AESIs) | Phase 1 | Post-Last Linvoseltamab Dose, up to 90 days |
| Severity of AESIs | Phase 1 | Post-Last Linvoseltamab Dose, up to 90 days |
| Proportion of participants with a Very Good Partial Response (VGPR) or better using the International Myeloma Working Group (IMWG) response criteria | Phase 2 | Up to 5 years |
| Proportion of participants achieving Minimal Residual Disease (MRD) negative status (at 10^-5) after induction with consolidation therapy | Phase 2 Transplant-eligible cohort | Up to 5 years |
| Proportion of participants achieving MRD-negative status (at 10^-5) after induction without consolidation therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Concentrations of Linvoseltamab in serum | Phases 1 and 2 | Post-Last Linvoseltamab Dose, up to 12 weeks |
| Concentrations of total soluble B-Cell Maturation Antigen (BCMA) | Phases 1 and 2 |
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Key Inclusion Criteria:
Key Exclusion Criteria:
Note: Other protocol-defined Inclusion/Exclusion criteria apply
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trials Administrator | Contact | 844-734-6643 | clinicaltrials@regeneron.com |
| Name | Affiliation | Role |
|---|---|---|
| Clinical Trial Management | Regeneron Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California Los Angeles (UCLA) | Recruiting | Los Angeles | California | 90095 | United States | |
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
When Regeneron has:
Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf
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Note: Phase 1 part B will be randomized 1:1. All other participants will be non-randomized.
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|
Phase 2 Transplant-eligible cohort
| Up to 5 years |
| Proportion of participants achieving MRD-negative status as their best response after treatment period I with continuing to treatment period II | Phase 2 Transplant-ineligible cohort | Up to 5 years |
| Proportion of participants achieving MRD-negative status as their best response after treatment period I without continuing to treatment period II | Phase 2 Transplant ineligible cohort | Up to 5 years |
| Post-Last Linvoseltamab Dose, up to 12 weeks |
| Incidence of Anti-Drug Antibodies (ADAs) to Linvoseltamab | Phases 1 and 2 | Post-Last Linvoseltamab Dose, up to 30 days |
| Magnitude of ADAs to Linvoseltamab | Phases 1 and 2 | Post-Last Linvoseltamab Dose, up to 30 days |
| Objective Response Rate (ORR) measured using the IMWG criteria | Phase 1 | Up to 5 years |
| Duration Of Response (DOR) measured using the IMWG criteria | Phase 1 | Post-Last Linvoseltamab Dose, up to 90 days |
| Progression-Free Survival (PFS) measured using the IMWG criteria | Phase 1 | Post-Last Linvoseltamab Dose, up to 90 days |
| Proportion of participants achieving MRD-negative status (at 10^-5) in participants with NDMM measured using the IMWG criteria | Phase 1 | Post-Last Linvoseltamab Dose, up to 90 days |
| Incidence of TEAEs | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| Severity of TEAEs | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| Incidence of AESIs | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| Severity of AESIs | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| ORR of participants deemed transplant-eligible and transplant-ineligible by the treating physician | Phase 2 | Up to 5 years |
| MRD-negative status of participants deemed transplant-eligible and transplant-ineligible by the treating physician | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| DOR of participants deemed transplant-eligible and transplant-ineligible by the treating physician | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| PFS of participants deemed transplant-eligible and transplant-ineligible by the treating physician | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| Overall Survival (OS) of participants deemed transplant-eligible and transplant-ineligible by the treating physician | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| Time To Response (TTR) as measured using the IMWG criteria | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| ORR by risk levels | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| MRD-negative status by risk levels | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| DOR by risk levels | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| TTR by risk levels | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| PFS by risk levels | Phase 2 | Post-Last Linvoseltamab Dose, up to 90 days |
| Incidence of MRD-negative status | Phase 2 | Up to 5 years |
| Cluster of Differentiation 34+ (CD34+) stem cell yield | Phase 2 Transplant-eligible cohort | At cycle 4 of induction (each cycle is 28 days long) |
| Time to neutrophil engraftment | Phase 2 Transplant-eligible cohort | Up to 100 days post-transplant |
| Time to platelet engraftment | Phase 2 Transplant-eligible cohort | Up to 100 days post-transplant |
| PFS after ASCT followed by 3 cycles of linvoseltamab | Phase 2 Transplant-eligible cohort | Up to 5 years |
| UC Irvine Health |
| Recruiting |
| Orange |
| California |
| 92868 |
| United States |
| Colorado Blood Cancer Institute/SCRI | Recruiting | Denver | Colorado | 80218 | United States |
| Norton Cancer Institute | Recruiting | Louisville | Kentucky | 40207 | United States |
| Karmanos Cancer Institute | Recruiting | Detroit | Michigan | 48201 | United States |
| Rutgers Cancer Institute of New Jersey | Recruiting | New Brunswick | New Jersey | 08901 | United States |
| Perlmutter Cancer Center at NYU Langone Hospital - Long Island | Recruiting | Mineola | New York | 11501 | United States |
| Perlmutter Cancer Center | Recruiting | New York | New York | 10016 | United States |
| Columbia University _ New York Presbyterian | Recruiting | New York | New York | 10032 | United States |
| Stony Brook University Hospital | Recruiting | Stony Brook | New York | 11794 | United States |
| Levine Cancer Institute | Recruiting | Charlotte | North Carolina | 28204 | United States |
| Duke University Health System (DUHS) | Recruiting | Durham | North Carolina | 27705 | United States |
| The University of Texas MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
| Centre Hospitalier Universitaire (CHU) de Poitiers | Recruiting | Poitiers | Vienne | 86021 | France |
| CHU De Lille | Not yet recruiting | Lille | 59000 | France |
| Centre Hospitalier Universitaire (CHU) Montpellier | Recruiting | Montpellier | 342950 | France |
| Hopital Saint Louis | Recruiting | Paris | 75010 | France |
| University Hospitals Pitie Salpetriere - Charles Foix | Recruiting | Paris | 75651 | France |
| Hopital Prive d'Antony | Recruiting | Antony | Île-de-France Region | 92160 | France |
| Hopital Necker | Recruiting | Paris | Île-de-France Region | 75015 | France |
| Gustave Roussy | Recruiting | Villejuif | Île-de-France Region | 94800 | France |
| Hospital Germans Trias i Pujol | Recruiting | Badalona | Barcelona | 08916 | Spain |
| Hospital Universitario Quiron Salud Madrid | Recruiting | Pozuelo de Alarcón | Madrid | 28223 | Spain |
| Clinica Universidad de Navarra | Recruiting | Pamplona | Navarre | 31008 | Spain |
| Hospital Universitario Central de Asturias | Recruiting | Oviedo | Principality of Asturias | 33011 | Spain |
| Hospital General Universitario Doctor Balmis Alicante | Recruiting | Alicante | Valencia | 03010 | Spain |
| Hospital Clinic de Barcelona | Recruiting | Barcelona | 08036 | Spain |
| Institut Catala dOncologia (ICO Hospitalet) | Recruiting | Barcelona | 08908 | Spain |
| Universitary Hospital La Princesa | Recruiting | Madrid | 28006 | Spain |
| Clinica Universidad de Navarra - Madrid | Recruiting | Madrid | 28027 | Spain |
| Hospital Universitario de Salamanca | Recruiting | Salamanca | 37007 | Spain |
| Hospital Universitari i Politecnic La Fe | Recruiting | Valencia | 46026 | Spain |
| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D020141 | Hemostatic Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D008232 | Lymphoproliferative Disorders |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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