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临床试验/NCT07393282
NCT07393282招募中3 期

A Phase 3, Randomized, Open-Label Study of Linvoseltamab Versus Daratumumab in Participants With Smoldering Multiple Myeloma at High Risk of Developing Multiple Myeloma

Regeneron Pharmaceuticals15 个研究点 分布在 3 个国家目标入组 270 人开始时间: 2026年5月21日最近更新:
干预措施

试验速览

阶段
3 期
状态
招募中
入组人数
270
试验地点
15
主要终点
Clinical Progression Free Survival (PFS) per International Myeloma Working Group (IMWG) criteria

研究概览

简要总结

This study is researching an experimental drug called linvoseltamab (also called "study drug") compared to another drug called daratumumab, in participants with Smoldering Multiple Myeloma (SMM), who are at a High Risk (HR) of developing active multiple myeloma.

The aim of this study is to find out whether linvoseltamab is better than daratumumab in delaying the development of MM.

The study is looking at several other research questions, including:

  • What side effects may happen from taking the study drug
  • How much study drug is in the blood at different times
  • Whether the body makes antibodies against the study drug (which could make the drug less effective or could lead to side effects)

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

  • Eastern Cooperative Oncology Group performance status score ≤1
  • SMM diagnosis per IMWG criteria as defined in the protocol
  • Meets HR-SMM criteria by 1 of the risk models as defined in the protocol

排除标准

  • Evidence of myeloma-defining events attributable to the underlying plasma cell dyscrasia, as defined in the protocol
  • Diagnosis of systemic light chain amyloidosis, Waldenström macroglobulinemia (lymphoplasmacytic lymphoma), plasma cell leukemia, or soft tissue plasmacytoma
  • History of neurodegenerative condition, progressive multifocal leukoencephalopathy, or Central Nervous System (CNS) movement disorder
  • History of a seizure within the 12 months of randomization
  • Prior exposure to any approved or investigational treatments directed against a clonal plasma cell disorder (including but not limited to conventional chemotherapies, radiotherapy, immunomodulatory drugs, proteasome inhibitors, anti-CD38 antibodies). Ongoing treatment with other monoclonal antibodies (eg, infliximab, rituximab) or other treatments likely to interfere with study procedures or results, as described in the protocol.
  • NOTE: Other protocol defined inclusion/exclusion criteria apply

研究组 & 干预措施

Linvoseltamab

Experimental

干预措施: Linvoseltamab (Drug)

Daratumumab

Active Comparator

干预措施: Daratumumab (Drug)

结局指标

主要结局

Clinical Progression Free Survival (PFS) per International Myeloma Working Group (IMWG) criteria

时间窗: Up to 5 years

Biochemical PFS per IMWG criteria

时间窗: Up to 5 years

次要结局

  • Duration of MRD-negative CR(Up to 3 years)
  • Occurrence of Treatment-Emergent Adverse Events (TEAEs)(Up to 3 years)
  • Achievement of Minimal Residual Disease (MRD) Complete Response (CR) at 10^-5 per IMWG criteria(Up to 3 years)
  • Severity of TEAEs(Up to 3 years)
  • Overall Response Rate (ORR) of Partial Response or better (≥PR) per IMWG criteria(Up to 3 years)
  • Achievement of Overall Response Rate (ORR) of Partial Response or better (≥PR) per IMWG criteria(Up to 3 years)
  • Best Overall Response (BOR) per IMWG criteria(Up to 3 years)
  • Achievement of MRD-negativity(Up to 3 years)
  • Sustained MRD-negativity(Up to 3 years)
  • Occurrence of Serious Adverse Events (SAEs)(Up to 3 years)
  • Change from baseline score in European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire 30 (EORTC QLQ-C30) Global Health Status (GHS)/Quality of Life (QoL) scale(Up to 5 years)
  • Change from baseline score in EORTC QLQ-C30 physical functioning scale(Up to 5 years)
  • Change from baseline score in EORTC QLQ-C30 role functioning scale(Up to 5 years)
  • Change from baseline score in EORTC QLQ-C30 emotional functioning scale(Up to 5 years)
  • Change from baseline score in EORTC QLQ-C30 pain scale(Up to 5 years)
  • Change from baseline score in EORTC QLQ-C30 fatigue scale(Up to 5 years)
  • Change from baseline score in EORTC IL478 future perspectives scale(Up to 5 years)
  • Change from baseline score in EuroQoL-5 Dimensions 5-Level Questionnaire Visual Analogue Scale (EQ-5D-5L VAS )(Up to 5 years)
  • Concentrations of linvoseltamab in serum(Up to 5 years)
  • Occurrence of Anti-Drug Antibodies (ADAs) to linvoseltamab in serum(Up to 5 years)
  • Magnitude of ADA to linvoseltamab in serum(Up to 5 years)
  • Time to death(Up to 9 years)
  • Duration Of Response (DOR) per IMWG criteria(Up to 5 years)
  • Functional Assessment of Cancer Therapy (FACIT)- Item Global Population 5 (GP5) responses(Up to 5 years)
  • Change from baseline in FACIT- Item GP5 score(Up to 5 years)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (15)

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