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Isatuximab Single Agent Study in Japanese Relapsed AND Refractory Multiple Myeloma Patients (Islands)

Primary Purpose

Multiple Myeloma

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
Isatuximab SAR650984
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Myeloma focused on measuring Anti-CD38 monoclonal antibody

Eligibility Criteria

20 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  • Males or females, age 20 years or older.
  • Patient must have a known diagnosis of symptomatic multiple myeloma.
  • Patients must have received at least 3 prior lines of therapies OR Patients whose disease is double refractory to an Immunomodulatory Drug (IMiD) and a Proteasome Inhibitor (PI).
  • Subject must have been responsive (ie, minimal response [MR] or better) to at least one prior line of therapy.
  • Refractory to the most recently received IMiD or PI included therapy.
  • Patients with measurable disease defined as at least one of the following:
  • IgG Type: Serum M-protein ≥1 g/dL (≥10 g/L);
  • IgA and D Type: Serum M-protein, quantification should be performed;
  • Urine M-protein ≥200 mg/24 hours.
  • Patients with a Eastern Cooperative Oncology Group (ECOG) performance status ≤2.

Exclusion criteria:

  • Patients treated with any anti-CD38 agent.
  • Diagnosed or treated for another malignancy within 5 years prior to enrollment, with the exception of complete resection of basal cell carcinoma or squamous cell carcinoma of the skin, an in situ malignancy, or low-risk prostate cancer after curative therapy.
  • Prior anticancer therapy (chemotherapy, targeted agents, immunotherapy) within 21 days prior to the first drug infusion unless otherwise specified below:
  • Alkylating agents (eg, Melphalan) within 28 days prior to the first dose of study treatment.
  • Steroids treatment (eg, prednisone >10 mg/day orally or equivalent except patients being treated for adrenal insufficiency/replacement therapy or treated for inhalation corticosteroids) within 14 days prior to the first dose of study treatment.
  • Participated in another clinical trial within 30 days prior to the first dose of study treatment.
  • Patients treated with systemic radiation therapy within 4 weeks prior to the first dose of study treatment OR Localized radiation therapy within 1 week prior to the first dose of study treatment.
  • Major surgical procedure within 4 weeks prior to the first dose of study treatment.
  • Any toxicity Grade ≥2 (excluding alopecia, neutropenia or neuropathy) related to any prior anti-cancer therapy according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.03.
  • Neuropathy Grade ≥3 or painful peripheral neuropathy Grade ≥2.
  • History of significant cardiovascular disease unless the disease within the past 6 months is well-controlled.
  • Previously received an allogenic stem cell transplant.
  • Diagnosed Crow-Fukase (POEMS) syndrome OR plasma cell leukemia.
  • Patients with known or suspected amyloidosis.
  • Patients with Waldenstrom's macroglobulinemia OR Multiple myeloma IgM subtype.
  • Patients with active infection.
  • Known human immunodeficiency virus (HIV) or active hepatitis B or C viral infection.
  • Serious psychiatric illness, active alcoholism, or drug addiction that may hinder or confuse follow-up evaluation.
  • Any severe underlying medical conditions including presence of laboratory abnormalities, which could impair the ability to participate in the study or the interpretation of its results.
  • Hypersensitivity or history of intolerance to boron or mannitol, sucrose, histidine (as base and hydrochloride salt) and polysorbate 80 or any of the components of study therapy that are not amenable to pre-medication with steroids and H2 blockers or would prohibit further treatment with these agents.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number :392001
  • Investigational Site Number :392005
  • Investigational Site Number :392010
  • Investigational Site Number :392015
  • Investigational Site Number :392016
  • Investigational Site Number :392008
  • Investigational Site Number :392003
  • Investigational Site Number :392009
  • Investigational Site Number :392013
  • Investigational Site Number :392017
  • Investigational Site Number :392012
  • Investigational Site Number :392002
  • Investigational Site Number :392011

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Isatuximab

Arm Description

Isatuximab will be administered intravenously (IV) once every week (QW) for 4 weeks followed by once every other week (Q2W)

Outcomes

Primary Outcome Measures

Phase I: Dose Limiting Toxicities (DLT)
Phase II: Overall Response Rate (ORR)

Secondary Outcome Measures

Number of patients with Treatment-emergent adverse events/serious adverse events (TEAE/SAE)
Clinical Benefit Rate (CBR)
Overall Survival (OS)
Progression Free Survival (PFS)
Duration of Response (DOR)
Time to Progression (TTP)
Assessment of PK parameter: Concentration observed at the end of an intravenous infusion (Ceoi)
Assessment of PK parameter: Maximum observed concentration (Cmax)
Assessment of PK parameter: Time to reach the maximum concentration (Tmax)
Assessment of PK parameter: Concentrations just before drug infusion (Ctrough)
Assessment of PK parameter: AUC over the dosing interval
CD38 receptor density levels
Level of anti-drug antibodies (ADA)

Full Information

First Posted
June 22, 2016
Last Updated
November 22, 2022
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT02812706
Brief Title
Isatuximab Single Agent Study in Japanese Relapsed AND Refractory Multiple Myeloma Patients
Acronym
Islands
Official Title
A Phase I/II Study of Isatuximab (Anti-CD38 mAb) Administered as a Single Agent in Japanese Patients With Relapsed and Refractory Multiple Myeloma
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
September 5, 2016 (Actual)
Primary Completion Date
July 31, 2018 (Actual)
Study Completion Date
September 28, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary Objectives: Phase I: To evaluate safety and tolerability of isatuximab in Japanese patients with relapsed and refractory multiple myeloma. Phase II: To evaluate efficacy of isatuximab at recommended dose and to further evaluate the overall response rate (ORR) of isatuximab in Japanese patients with relapsed and refractory multiple myeloma. Secondary Objectives: To evaluate the safety including immunogenicity of isatuximab. The severity, frequency and incidence of all adverse events will be assessed. To evaluate the pharmacokinetic (PK) profile of isatuximab in the proposed dosing schedule. To assess the efficacy using International Myeloma Working Group (IMWG) uniform response criteria. To assess the relationship between baseline CD38 receptor density on multiple myeloma cells and efficacy.
Detailed Description
The study duration for an individual patient will include a screening period for inclusion of up to 21 days, the treatment period consisting of 28 day cycles and a follow-up period. Treatment with isatuximab may continue until disease progression, unacceptable adverse event or other reason for discontinuation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma
Keywords
Anti-CD38 monoclonal antibody

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Isatuximab
Arm Type
Experimental
Arm Description
Isatuximab will be administered intravenously (IV) once every week (QW) for 4 weeks followed by once every other week (Q2W)
Intervention Type
Drug
Intervention Name(s)
Isatuximab SAR650984
Other Intervention Name(s)
Sarclisa
Intervention Description
Pharmaceutical form:solution Route of administration: intravenous
Primary Outcome Measure Information:
Title
Phase I: Dose Limiting Toxicities (DLT)
Time Frame
28 days
Title
Phase II: Overall Response Rate (ORR)
Time Frame
4 months after the date of the first dose of the last patient
Secondary Outcome Measure Information:
Title
Number of patients with Treatment-emergent adverse events/serious adverse events (TEAE/SAE)
Time Frame
Up to approximately 30 days after the last study treatment
Title
Clinical Benefit Rate (CBR)
Time Frame
4 months after the date of the first dose of the last patient
Title
Overall Survival (OS)
Time Frame
months after the date of the first dose of the last patient
Title
Progression Free Survival (PFS)
Time Frame
12 months after the date of the first dose of the last patient
Title
Duration of Response (DOR)
Time Frame
12 months after the date of the first dose of the last patient
Title
Time to Progression (TTP)
Time Frame
12 months after the date of the first dose of the last patient
Title
Assessment of PK parameter: Concentration observed at the end of an intravenous infusion (Ceoi)
Time Frame
Up to approximately 30 days after the last study treatment
Title
Assessment of PK parameter: Maximum observed concentration (Cmax)
Time Frame
Up to approximately 30 days after the last study treatment
Title
Assessment of PK parameter: Time to reach the maximum concentration (Tmax)
Time Frame
Up to approximately 30 days after the last study treatment
Title
Assessment of PK parameter: Concentrations just before drug infusion (Ctrough)
Time Frame
Up to approximately 30 days after the last study treatment
Title
Assessment of PK parameter: AUC over the dosing interval
Time Frame
Up to approximately 30 days after the last study treatment
Title
CD38 receptor density levels
Time Frame
Baseline
Title
Level of anti-drug antibodies (ADA)
Time Frame
Up to approximately 60 days after the last study treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Males or females, age 20 years or older. Patient must have a known diagnosis of symptomatic multiple myeloma. Patients must have received at least 3 prior lines of therapies OR Patients whose disease is double refractory to an Immunomodulatory Drug (IMiD) and a Proteasome Inhibitor (PI). Subject must have been responsive (ie, minimal response [MR] or better) to at least one prior line of therapy. Refractory to the most recently received IMiD or PI included therapy. Patients with measurable disease defined as at least one of the following: IgG Type: Serum M-protein ≥1 g/dL (≥10 g/L); IgA and D Type: Serum M-protein, quantification should be performed; Urine M-protein ≥200 mg/24 hours. Patients with a Eastern Cooperative Oncology Group (ECOG) performance status ≤2. Exclusion criteria: Patients treated with any anti-CD38 agent. Diagnosed or treated for another malignancy within 5 years prior to enrollment, with the exception of complete resection of basal cell carcinoma or squamous cell carcinoma of the skin, an in situ malignancy, or low-risk prostate cancer after curative therapy. Prior anticancer therapy (chemotherapy, targeted agents, immunotherapy) within 21 days prior to the first drug infusion unless otherwise specified below: Alkylating agents (eg, Melphalan) within 28 days prior to the first dose of study treatment. Steroids treatment (eg, prednisone >10 mg/day orally or equivalent except patients being treated for adrenal insufficiency/replacement therapy or treated for inhalation corticosteroids) within 14 days prior to the first dose of study treatment. Participated in another clinical trial within 30 days prior to the first dose of study treatment. Patients treated with systemic radiation therapy within 4 weeks prior to the first dose of study treatment OR Localized radiation therapy within 1 week prior to the first dose of study treatment. Major surgical procedure within 4 weeks prior to the first dose of study treatment. Any toxicity Grade ≥2 (excluding alopecia, neutropenia or neuropathy) related to any prior anti-cancer therapy according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.03. Neuropathy Grade ≥3 or painful peripheral neuropathy Grade ≥2. History of significant cardiovascular disease unless the disease within the past 6 months is well-controlled. Previously received an allogenic stem cell transplant. Diagnosed Crow-Fukase (POEMS) syndrome OR plasma cell leukemia. Patients with known or suspected amyloidosis. Patients with Waldenstrom's macroglobulinemia OR Multiple myeloma IgM subtype. Patients with active infection. Known human immunodeficiency virus (HIV) or active hepatitis B or C viral infection. Serious psychiatric illness, active alcoholism, or drug addiction that may hinder or confuse follow-up evaluation. Any severe underlying medical conditions including presence of laboratory abnormalities, which could impair the ability to participate in the study or the interpretation of its results. Hypersensitivity or history of intolerance to boron or mannitol, sucrose, histidine (as base and hydrochloride salt) and polysorbate 80 or any of the components of study therapy that are not amenable to pre-medication with steroids and H2 blockers or would prohibit further treatment with these agents. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number :392001
City
Nagoya-shi
State/Province
Aichi
ZIP/Postal Code
467-8602
Country
Japan
Facility Name
Investigational Site Number :392005
City
Shibukawa-shi
State/Province
Gunma
ZIP/Postal Code
377-0280
Country
Japan
Facility Name
Investigational Site Number :392010
City
Hiroshima-shi
State/Province
Hiroshima
ZIP/Postal Code
730-8619
Country
Japan
Facility Name
Investigational Site Number :392015
City
Kanazawa-shi
State/Province
Ishikawa
ZIP/Postal Code
920-8641
Country
Japan
Facility Name
Investigational Site Number :392016
City
Kyoto-shi
State/Province
Kyoto
ZIP/Postal Code
603-8151
Country
Japan
Facility Name
Investigational Site Number :392008
City
Suwa-shi
State/Province
Nagano
ZIP/Postal Code
392-8510
Country
Japan
Facility Name
Investigational Site Number :392003
City
Okayama-shi
State/Province
Okayama
ZIP/Postal Code
701-1192
Country
Japan
Facility Name
Investigational Site Number :392009
City
Osaka-shi
State/Province
Osaka
ZIP/Postal Code
543-8555
Country
Japan
Facility Name
Investigational Site Number :392013
City
Suita-shi
State/Province
Osaka
ZIP/Postal Code
565-0871
Country
Japan
Facility Name
Investigational Site Number :392017
City
Sunto-gun
State/Province
Shizuoka
ZIP/Postal Code
411-8777
Country
Japan
Facility Name
Investigational Site Number :392012
City
Chuo-ku
State/Province
Tokyo
ZIP/Postal Code
104-0045
Country
Japan
Facility Name
Investigational Site Number :392002
City
Shibuya-ku
State/Province
Tokyo
ZIP/Postal Code
150-8935
Country
Japan
Facility Name
Investigational Site Number :392011
City
Yamagata-shi
ZIP/Postal Code
990-9585
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Citations:
PubMed Identifier
32975869
Citation
Sunami K, Suzuki K, Ri M, Matsumoto M, Shimazaki C, Asaoku H, Shibayama H, Ishizawa K, Takamatsu H, Ikeda T, Maruyama D, Kaneko H, Uchiyama M, Kiguchi T, Iyama S, Murakami H, Takahashi K, Tada K, Mace S, Guillemin-Paveau H, Iida S. Isatuximab monotherapy in relapsed/refractory multiple myeloma: A Japanese, multicenter, phase 1/2, safety and efficacy study. Cancer Sci. 2020 Dec;111(12):4526-4539. doi: 10.1111/cas.14657. Epub 2020 Oct 15.
Results Reference
derived

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Isatuximab Single Agent Study in Japanese Relapsed AND Refractory Multiple Myeloma Patients

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