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临床试验/ISRCTN80324107
ISRCTN80324107进行中(未招募)3 期

A Phase III randomized study comparing teclistamab monotherapy versus pomalidomide, bortezomib, dexamethasone (PVd) or carfilzomib, dexamethasone (Kd) in participants with relapsed or refractory multiple myeloma who have received 1 to 3 prior lines of therapy, including an anti-CD38 monoclonal antibody and lenalidomide

Janssen-Cilag International NV0 个研究点目标入组 590 人开始时间: 2023年8月18日最近更新:
适应症

试验速览

阶段
3 期
状态
进行中(未招募)
入组人数
590

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Documented diagnosis of multiple myeloma as defined by the criteria below:
  • 1.1. Multiple myeloma diagnosis according to International Myeloma Working Group (IMWG) diagnostic criteria.
  • 1.2. Measurable disease at screening as defined by any of the following:
  • 1.2.1. Serum M-protein level =0.5 grams per deciliter (g/dL) (central laboratory)
  • 1.2.2. Urine M-protein level =200 milligrams (mg)/24 hours (central laboratory)
  • 1.2.3. Serum immunoglobulin free light chain =10 milligrams per deciliter (mg/dL) (central laboratory) and abnormal serum immunoglobulin kappa lambda free light chain ratio
  • 2. Received 1 to 3 prior lines of antimyeloma therapy including a minimum of 2 consecutive cycles of an anti-cluster of differentiation 38 (CD38) monoclonal antibody at the approved dosing regimen in any prior line and 2 consecutive cycles of lenalidomide in any prior line.
  • 3. Documented evidence of progressive disease or failure to achieve a response to the last line of therapy based on the investigator’s determination of response by International myeloma working group (IMWG) criteria.
  • 4. Have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2.
  • 5. A female participant must agree not to be pregnant, breastfeeding, or plan to become pregnant while enrolled in this study or within 6 months after the last dose of study treatment.
  • 6. Must be willing and able to adhere to the lifestyle restrictions specified in this protocol.

排除标准

  • 1. Received any prior B cell maturation antigen (BCMA)-directed therapy
  • 2. A participant is not eligible to receive PVd as control therapy if any of the following are present:
  • 2.1. Received prior pomalidomide therapy,
  • 2.2. Does not meet criteria for bortezomib retreatment,
  • 2.3. Contraindications or life-threatening allergies, hypersensitivity, or intolerance to pomalidomide or bortezomib,
  • 2.4. Grade 1 peripheral neuropathy with pain or Grade =2 peripheral neuropathy as defined by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0,
  • 2.5. Received a strong cytochrome P (CYP) 3A4 inducer within 5 half-lives prior to randomisation
  • 3. A participant is not eligible to receive Kd as control therapy if any of the following are present:
  • 3.1. Received prior carfilzomib therapy,
  • 3.2. Uncontrolled hypertension, defined as an average systolic blood pressure greater than (>)159 millimeters of mercury (mmHg) or diastolic blood pressure >99 mmHg despite optimal treatment,
  • 3.3. Grade 2 peripheral neuropathy with pain or Grade =3 peripheral neuropathy as defined by NCI-CTCAE Version 5.0,
  • 3.4. Contraindications or life-threatening allergies, hypersensitivity, or intolerance to carfilzomib (intolerance defined as prior therapy discontinued due to any adverse event [AE] related to carfilzomib)
  • 4. Central nervous system (CNS) involvement or clinical signs of meningeal involvement of multiple myeloma.
  • 5. Received a live, attenuated vaccine within 4 weeks before randomisation
  • 6. Plasma cell leukaemia at the time of screening, Waldenstrom’s macroglobulinemia, polyneuropathy, organomegaly, endocrinopathy, M-protein (POEMS) syndrome and skin changes, or primary amyloid light chain amyloidosis
  • 7. Received a maximum cumulative dose of corticosteroids of =140 mg of prednisone or equivalent within 14 days prior to randomisation

研究者

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