UNC Lineberger Comprehensive Cancer Center
This research study is investigating the safety and effectiveness of using combination of isatuximab, lenalidomide and dexamethasone for the treatment of newly diagnosed multiple myeloma (MM). The study team will use lower doses than is currently standard for these drugs. Lower doses will be used to avoid or possibly reduce any unwanted side effects commonly associated with these drugs. Using lower doses of the combination isatuximab, lenalidomide and dexamethasone, has not been approved by the Food and Drug Administration (FDA) for the treatment of newly diagnosed MM.
Multiple Myeloma
Cancer
Isatuximab
Lenalidomide
Dexamethasone
Phase 2
This study aims to determine the optimal treatment regimen for older and/or otherwise toxicity-vulnerable patients with newly diagnosed multiple myeloma (NDMM) who cannot receive approved standard therapy. As a result, this Phase II trial of isatuximab, lenalidomide, and dexamethasone (Isa-Rd) selectively enroll much older and/or otherwise highly toxicity-vulnerable participants. Furthermore, the safety and effectiveness of isatuximab when used in combination with lenalidomide and dexamethasone at lower doses will be evaluated. It is expected that using this combination at lower doses, may help patients achieve a better response while causing fewer or less severe side effects. All participants on the trial will also be evaluated by Cancer and Aging Research Group Geriatric Assessments (CARG-GA) and patient-reported outcome (PRO) measures of quality of life (QOL). "Geriatric assessment" will be referred to as "global assessment" for study purposes, to reflect the fact that younger participants will likely participate in the study. Optional correlative blood samples will be collected to study biomarkers of aging and frailty with a focus on both the relation to isatuximab specifically, as well as treatment response and risk for intolerability. Duration of Therapy: The length of study participation will depend on the response to the treatment, and it may last approximately 2 years. Participants will receive isatuximab for two years, and then isatuximab will be discontinued. Dexamethasone administration will occur weekly for the first eight cycles. Lenalidomide will be continued as maintenance until disease progression or unacceptable toxicity. In the absence of treatment delays due to adverse events, treatment should continue until: Disease progression Inter-current illness that prevents further administration of treatment Treatment delay of more than 12 weeks. Unacceptable adverse event(s) Pregnancy Subject decides to withdraw from study treatment, or General or specific changes in the subject's condition render the subject unacceptable for further treatment in the judgment of the investigator. Subject is lost to follow up Duration of Follow Up: All participants (including those withdrawn for AE (Adverse Event) will be followed after removal from study treatment until death or full subject withdrawal from the study for other reasons. Participants removed from study treatment for unacceptable AEs will be followed for resolution or stabilization of the adverse event(s).}}
Study Type : | Interventional |
Estimated Enrollment : | 50 participants |
Masking : | None (Open Label) |
Primary Purpose : | Treatment |
Official Title : | Phase 2 Study of Isatuximab Plus Lenalidomide and Dexamethasone in Highly Toxicity-vulnerable Subjects With Newly Diagnosed Multiple Myeloma |
Actual Study Start Date : | February 18, 2022 |
Estimated Primary Completion Date : | March 1, 2026 |
Estimated Study Completion Date : | March 1, 2031 |
Arm | Intervention/treatment |
---|---|
Experimental: Single Arm All subjects will receive the same treatment on the study, consisting of isatuximab, lenalidomide, and dexamethasone with 28 days cycles. |
Drug: Isatuximab Drug: Lenalidomide Drug: Dexamethasone |
Ages Eligible for Study: | 18 Years |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.
Recruiting
University of North Carolina at Chapel Hill, Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, United States, 27599
Not yet recruiting
Duke Comprehensive Cancer Center
Durham, North Carolina, United States, 27710
Not yet recruiting
The Ohio State University Comprehensive Cancer Center
Columbus, Ohio, United States, 43210