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临床试验/NCT06895512
NCT06895512尚未招募3 期

A Randomized, Double-blind, Parallel-controlled, Multicenter, Phase III Study to Evaluate the Efficacy and Safety of HLX15-IV Versus DARZALEX® in Combination with Lenalidomide-Dexamethasone (Rd) in Transplant-ineligible Patients with Newly Diagnosed Multiple Myeloma

Shanghai Henlius Biotech1 个研究点 分布在 1 个国家目标入组 386 人开始时间: 2025年4月最近更新:
干预措施
相关药物

试验速览

阶段
3 期
状态
尚未招募
发起方
入组人数
386
试验地点
1
主要终点
IRC-assessed Week 24 rate of very good partial response (VGPR) or better

研究概览

简要总结

This is a randomized, double-blind, parallel-controlled, multicenter, phase III study to compare the efficacy and safety of HLX15-IV in combination with Rd (HLX15-IV-Rd) versus DARZALEX® in combination with Rd (D-Rd) in patients with NDMM who are ineligible for autologous stem cell transplantation (ASCT).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Capable to understand and sign the ICF.
  • Patients aged ≥ 18 years .
  • Patient must have documented multiple myeloma (MM) satisfying the International Myeloma Working Group (IMWG) diagnostic criteria for MM.
  • Newly diagnosed, untreated and not considered candidate for autologous stem cell transplantation (ASCT).
  • Patient must have an ECOG performance status score of
  • Patient must have pretreatment clinical laboratory values.
  • Contraceptive use by men or women should be consistent with local regulations.
  • A WOCBP must have a negative serum pregnancy test at screening within 72 hours prior to randomization.

排除标准

  • Patient has a diagnosis of primary amyloidosis, monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), Waldenström's disease, or other conditions in which IgM M-protein is present in the absence of a clonal plasma cell infiltration with lytic bone lesions.
  • Patient has plasma cell leukemia or POEMS syndrome .
  • Patient has prior or current systemic therapy or ASCT for MM before randomization.
  • Patient has peripheral neuropathy or neuropathic pain Grade 2 or higher.
  • Patient has a history of malignancy (other than MM) within 3 years before randomization .
  • Patient has clinical signs of meningeal involvement of MM.
  • Patient has known COPD, persistent asthma, or a history of asthma within the last 2 years.
  • Patient is known to be seropositive for history of human immunodeficiency virus (HIV) or known to have treponema pallidum antibodies (Anti-TP).
  • Patient is known to have active hepatitis B or C.
  • Patient has any concurrent medical or psychiatric condition or disease that is likely to interfere with the study procedures or results.
  • Patient has clinically significant cardiac disease.
  • Patient has known allergies, hypersensitivity, or intolerance to treatment drugs.
  • Patient has history of drug abuse or substance abuse.
  • Patient is a woman who is pregnant, or breast-feeding, or planning to become pregnant or donate eggs (ova, oocytes).
  • Patient had radiation therapy within 14 days of randomization.
  • Patient had plasmapheresis within 28 days of randomization.
  • Patient had major surgery within 28 days before randomization.
  • Patient in clinical trials of any other drug or device within 3 months before randomization.
  • Patient has any condition could prevent, limit, or confound the protocol-specified assessments.

研究组 & 干预措施

HLX15-IV-Rd

Experimental

HLX15-IV in combination with Lenalidomide-Dexamethasone (Rd)

干预措施: HLX15-IV (Drug)

DARZALEX-Rd

Active Comparator

DARZALEX in combination with Lenalidomide-Dexamethasone (Rd)

干预措施: Darzalex (Drug)

结局指标

主要结局

IRC-assessed Week 24 rate of very good partial response (VGPR) or better

时间窗: 24 weeks

the percentage of patients achieving VGPR or CR (including sCR) until Week 24 after the date of randomization.

次要结局

  • Time to reach maximum serum drug concentration at steady state (Tmax, ss)(48 weeks)
  • Investigator-assessed Week 24 rate of VGPR or better(24 weeks)
  • IRC- and investigator-assessed partial response (PR) rate(48 weeks)
  • IRC- and investigator-assessed complete response (CR) or better rate(48 weeks)
  • IRC- and investigator-assessed time to response (TTR)(48 weeks)
  • IRC- and investigator-assessed progression free survival (PFS)(48 weeks)
  • IRC- and investigator-assessed Week 12, 36 and 48 rate of VGPR or better(12,36,48 weeks)
  • IRC- and investigator-assessed overall response rate(48 weeks)
  • European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Health Status (EORTC-QLQ-C30).(48 weeks)
  • Time to reach maximum serum drug concentration(Tmax)(48 weeks)
  • IRC- and investigator-assessed complete response (CR) rate(48 weeks)
  • IRC- and investigator-assessed stringent complete response (sCR) rate(48 weeks)
  • IRC- and investigator-assessed duration of response (DOR)(48 weeks)
  • Minimal residual disease (MRD) negative rate(48 weeks)
  • EuroQoL 5-Dimension 5-Level Health Status (EQ-5D-5L) Questionnaire.(48 weeks)
  • Immunogenicity(48 weeks)
  • Incidence and severity of adverse events (AEs)(52 weeks)

研究者

发起方
Shanghai Henlius Biotech
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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