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临床试验/NCT06615479
NCT06615479招募中3 期

A Phase 3, Randomized, Open-Label, Multicenter Study to Compare the Efficacy and Safety of Arlocabtagene Autoleucel (BMS-986393), a GPRC5D-directed CAR-T Cell Therapy, Versus Standard Regimens in Adult Participants With Relapsed or Refractory and Lenalidomide-exposed Multiple Myeloma

Juno Therapeutics, Inc., a Bristol-Myers Squibb Company215 个研究点 分布在 14 个国家目标入组 440 人开始时间: 2025年3月12日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
招募中
发起方
入组人数
440
试验地点
215
主要终点
Progression Free Survival (PFS)

研究概览

简要总结

The purpose of this study is to compare the efficacy and safety of arlo-cel (BMS-986393) versus standard regimens in adult participants with Relapsed or Refractory and Lenalidomide-exposed Multiple Myeloma.

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
None

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

  • Participants must have relapsed or refractory multiple myeloma (RRMM).
  • Participants must have received at least 1 but no greater than 3 prior multiple myeloma (MM) regimens which may include a proteasome inhibitor (PI), an immunomodulatory drug (IMiD), and an anti-CD38 monoclonal antibody and have prior exposure to lenalidomide.
  • Participants must have a documented diagnosis of MM as per International Myeloma Working Group Criteria.
  • Participants must have measurable disease during screening.
  • Participants must have adequate organ function.
  • Participants must have an Eastern Cooperative Oncology group performance status 0 or 1.

排除标准

  • Participants must not have known active or history of central nervous system (CNS) involvement of Multiple Myeloma (MM).
  • Participants must not have solitary plasmacytomas or non-secretory myeloma without other evidence of measurable disease.
  • Participants must not need urgent treatment due to rapidly progressing MM.
  • Other protocol-defined Inclusion/Exclusion criteria apply.

研究组 & 干预措施

Arm B

Active Comparator

干预措施: Carfilzomib (Drug)

Arm A

Experimental

干预措施: BMS-986393 (Drug)

Arm A

Experimental

干预措施: Fludarabine (Drug)

Arm A

Experimental

干预措施: Daratumumab (Drug)

Arm A

Experimental

干预措施: Pomalidomide (Drug)

Arm B

Active Comparator

干预措施: Daratumumab (Drug)

Arm B

Active Comparator

干预措施: Dexamethasone (Drug)

Arm A

Experimental

干预措施: Dexamethasone (Drug)

Arm A

Experimental

干预措施: Cyclophosphamide (Drug)

Arm A

Experimental

干预措施: Carfilzomib (Drug)

Arm B

Active Comparator

干预措施: Pomalidomide (Drug)

结局指标

主要结局

Progression Free Survival (PFS)

时间窗: Up to 5 years after the last participant is randomized

Minimal residual disease (MRD)-negativity in complete response (CR)

时间窗: Up to 1 year after the last participant is randomized

次要结局

  • Time of maximum observed plasma concentration (Tmax) of transgene level(Up to 5 years after the last participant is randomized)
  • Overall survival (OS)(Up to 5 years after the last participant is randomized)
  • Minimal residual disease (MRD)-negative status(Up to 5 years after the last participant is randomized)
  • Complete response rate (CRR)(Up to 5 years after the last participant is randomized)
  • Time to response (TTR)(Up to 5 years after the last participant is randomized)
  • Duration of response (DOR)(Up to 5 years after the last participant is randomized)
  • Maximum observed concentration (Cmax) of transgene level(Up to 5 years after the last participant is randomized)
  • Area under the concentration-time curve (AUC) of transgene level(Up to 5 years after the last participant is randomized)
  • Changes from baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire- Core 30 items (QLQ-C30) primary domains(Up to 5 years after the last participant is randomized)
  • Changes from baseline in EORTC Quality of Life Multiple Myeloma Module- 20 items (QLQ-MY20) primary domains(Up to 5 years after the last participant is randomized)
  • Time to meaningful improvement in EORTC QLQ-C30 global health status/QoL.(Up to 5 years after the last participant is randomized)
  • Overall response rate (ORR)(Up to 5 years after the last participant is randomized)
  • Overall survival (OS)(Up to 5 years after the last participant is randomized)
  • Overall response rate (ORR)(Up to 5 years after the last participant is randomized)
  • Minimal residual disease (MRD)-negative status(Up to 5 years after the last participant is randomized)
  • Complete response rate (CRR)(Up to 5 years after the last participant is randomized)
  • Time to response (TTR)(Up to 5 years after the last participant is randomized)
  • Duration of response (DOR)(Up to 5 years after the last participant is randomized)
  • Maximum observed concentration (Cmax) of transgene level(Up to 5 years after the last participant is randomized)
  • Time of maximum observed plasma concentration (Tmax) of transgene level(Up to 5 years after the last participant is randomized)
  • Area under the concentration-time curve (AUC) of transgene level(Up to 5 years after the last participant is randomized)
  • Changes from baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire- Core 30 items (QLQ-C30) primary domains(Up to 5 years after the last participant is randomized)
  • Changes from baseline in EORTC Quality of Life Multiple Myeloma Module- 20 items (QLQ-MY20) primary domains(Up to 5 years after the last participant is randomized)
  • Time to meaningful improvement in EORTC QLQ-C30 global health status/QoL.(Up to 5 years after the last participant is randomized)

研究者

发起方
Juno Therapeutics, Inc., a Bristol-Myers Squibb Company
申办方类型
Industry
责任方
Sponsor

研究点 (215)

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