TJ202, Lenalidomide and Dexamethasone vs. Lenalidomide and Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma
Primary Purpose
Multiple Myeloma in Relapse, Refractory Multiple Myeloma
Status
Active
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
TJ202, Lenalidomide and Dexamethasone
Lenalidomide and Dexamethasone
Sponsored by
About this trial
This is an interventional treatment trial for Multiple Myeloma in Relapse
Eligibility Criteria
Inclusion Criteria:
- Age ≥ 18, male or female;
- Subjects must have had documented MM;
- At the screening phase, subject must have one or more measurable disease;
- Subjects must have received at least 1 prior line treatment* for relapsed or refractor MM;
- Subjects who are in a state of progressive disease (PD);
- Subjects must have life expectancy of no less than 6 months;
- Subjects must have an ECOG (Eastern Cooperative Oncology Group) performance status score of 0~2;
- A woman of child-bearing potential must have a negative serum pregnancy test within 14 days prior to the first study agent administration, and a negative urine pregnancy test on the day of the first study agent administration; as well as those should avoid sexual intercourse with the opposite sex or should adopt two reliable methods of contraception at the same time during the study period. A woman of child-bearing potential is required to take effective contraceptive measures throughout this study and within 6 months after the last dosing; female subjects must agree not to donate any eggs for the purpose of assisted reproduction throughout this study and within 6 months after completion of this study;
- Male subjects who are sexually active with women of child-bearing potential and have not undergone vasoligation must agree to use barrier methods of birth control, or that their partners use block caps (cervical cap or dome cap), spermicidal foam, contraceptive gel, contraceptive diaphragm, contraceptive cream, or suppository, and all male subjects are not allowed to donate sperms throughout this study and within 6 months after the last dosing;
- Subject must sign an informed consent form (ICF) indicating that he or she understands the purpose of, and procedures required for, the study and is willing to participate in the study;
- Subject must be willing and able to adhere to the prohibitions and restrictions specified in this protocol.
Exclusion Criteria:
- Subject has received anti-CD38 monoclonal antibody treatment previously;
- Subject has received CAR-T cell therapy previously;
- Subject has previously received allogenic stem cell transplant, or subject has received autologous stem cell transplant within 3 months before administration of the study agent;
- Primary refractory multiple myeloma;
- Subject's disease shows evidence of resistance to lenalidomide;
- Subject's disease shows evidence of intolerance to lenalidomide;
- Subject is exhibiting clinical signs of central nervous system (CNS) involvement of MM;
- Subjects with known moderate or severe persistent asthma within the past 5 years;
- Subject has active hepatitis B or C virus infection15. Subject is seropositive for human immunodeficiency virus (HIV);
- Subject has clinically significant cardiac disease;
- Subject has known allergies, hypersensitivity, or intolerance to lenalidomide, corticosteroids, monoclonal antibodies or human proteins, or their excipients or known sensitivity to mammalian-derived products;
- Subject with known or suspicious conditions that would lead to failure to abide by the study protocol.
Sites / Locations
- Capital Medical University (CMU) - Beijing Chao-Yang Hospital
- Peking University Third Hospital
- Capital Medical University (CMU) - Beijing Chao-Yang Hospital
- The First Affiliated Hospital of Bengbu Medical college
- The First Bethune Hospital of Jilin University
- Hunan Cancer Hospital
- Fujian Medical University Union Hospital
- The First Affiliated Hospital, Sun Yat-sen University
- Sun Yat-Sen University Cancer Center
- Guangdong General Hospital
- Guangzhou First People's Hospital
- Nanfang Hospital
- The First Affiliated Hospital of Zhejiang University
- The First Affiliated Hospital of Zhejiang University
- Hubei Cancer Hospital
- Affiliated Hospital of Nantong University
- Chang Gung Medical Foundation - Kaohsiung Chang Gung Memorial Hospital
- The second affiliated hospital of Kunming medical university
- The First People's Hospital of Yunnan Province
- The First Hospital of Lanzhou University
- Lanzhou University Second Hospital
- Second Affiliated Hospital of Nanchang University
- Nanjing Drum Tower Hospital
- Jiangsu Province Hospital
- Guangxi Medical Univ. 1st Hospital
- Shanghai Changzheng Hospital
- Shanghai Jiao Tong University School of Medicine - Ruijin Hospital
- Shanghai Sixth People's Hospital
- The First Hospital of China Medical University
- Shenzhen Second Hospital
- The First Affiliated Hospital of Soochow University
- National Taiwan University Hospital
- Taichung Veterans General Hospital
- Tri-Service General Hospital
- Tianjin Medical University General Hospital
- Tianjin Cancer Hospital
- The First Affiliated Hospital of Wenzhou Medical University
- The Central Hospital Of Wuhan
- Sir Run Run Shaw Hospital Zhejiang University School of Medicine
- Henan Cancer Hospital
- Taipei Veterans General Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
TJ202, Lenalidomide and Dexamethasone
Lenalidomide and Dexamethasone
Arm Description
Outcomes
Primary Outcome Measures
Progression-free survival (PFS)
defined as the duration from the date of randomization to either PD, according to the IMWG criteria, or death, whichever occurs first
Secondary Outcome Measures
Full Information
NCT ID
NCT03952091
First Posted
May 14, 2019
Last Updated
October 17, 2022
Sponsor
I-Mab Biopharma Co. Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT03952091
Brief Title
TJ202, Lenalidomide and Dexamethasone vs. Lenalidomide and Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma
Official Title
A Phase 3, Randomized, Open-label, Parallel-controlled, Multi-center Study Comparing TJ202, Lenalidomide and Dexamethasone vs. Lenalidomide and Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma Who Received at Least 1 Prior Line of Treatment
Study Type
Interventional
2. Study Status
Record Verification Date
October 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
March 27, 2019 (Actual)
Primary Completion Date
May 31, 2024 (Anticipated)
Study Completion Date
May 31, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
I-Mab Biopharma Co. Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
A phase 3, randomized, open-label, parallel-controlled, multi-center study comparing TJ202, Lenalidomide and Dexamethasone vs. Lenalidomide and Dexamethasone in subjects with relapsed or refractory multiple myeloma who received at least 1 prior line of treatment
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma in Relapse, Refractory Multiple Myeloma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
291 (Actual)
8. Arms, Groups, and Interventions
Arm Title
TJ202, Lenalidomide and Dexamethasone
Arm Type
Experimental
Arm Title
Lenalidomide and Dexamethasone
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
TJ202, Lenalidomide and Dexamethasone
Intervention Description
One dose of TJ202 will be given on Day 1 and Day 4 of Week 1, respectively, every week from Week 2 to Week 12, every 2 weeks from Week 13 to Week 24 and then every 4 weeks thereafter.Lenalidomide 25mg will be administered orally on Days 1 through 21 of each 28-days cycle.Dexamethasone 40 mg will be administered on Day 1 and Day 4 of Week 1, respectively and then 40mg weekly thereafter.
Intervention Type
Drug
Intervention Name(s)
Lenalidomide and Dexamethasone
Intervention Description
Lenalidomide 25mg will be administered orally on Days 1 through 21 of each 28-days cycle.Dexamethasone 40 mg weekly will be administered.
Primary Outcome Measure Information:
Title
Progression-free survival (PFS)
Description
defined as the duration from the date of randomization to either PD, according to the IMWG criteria, or death, whichever occurs first
Time Frame
18.4 months(Active) 30.7 months(experimental)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age ≥ 18, male or female;
Subjects must have had documented MM;
At the screening phase, subject must have one or more measurable disease;
Subjects must have received at least 1 prior line treatment* for relapsed or refractor MM;
Subjects who are in a state of progressive disease (PD);
Subjects must have life expectancy of no less than 6 months;
Subjects must have an ECOG (Eastern Cooperative Oncology Group) performance status score of 0~2;
A woman of child-bearing potential must have a negative serum pregnancy test within 14 days prior to the first study agent administration, and a negative urine pregnancy test on the day of the first study agent administration; as well as those should avoid sexual intercourse with the opposite sex or should adopt two reliable methods of contraception at the same time during the study period. A woman of child-bearing potential is required to take effective contraceptive measures throughout this study and within 6 months after the last dosing; female subjects must agree not to donate any eggs for the purpose of assisted reproduction throughout this study and within 6 months after completion of this study;
Male subjects who are sexually active with women of child-bearing potential and have not undergone vasoligation must agree to use barrier methods of birth control, or that their partners use block caps (cervical cap or dome cap), spermicidal foam, contraceptive gel, contraceptive diaphragm, contraceptive cream, or suppository, and all male subjects are not allowed to donate sperms throughout this study and within 6 months after the last dosing;
Subject must sign an informed consent form (ICF) indicating that he or she understands the purpose of, and procedures required for, the study and is willing to participate in the study;
Subject must be willing and able to adhere to the prohibitions and restrictions specified in this protocol.
Exclusion Criteria:
Subject has received anti-CD38 monoclonal antibody treatment previously;
Subject has received CAR-T cell therapy previously;
Subject has previously received allogenic stem cell transplant, or subject has received autologous stem cell transplant within 3 months before administration of the study agent;
Primary refractory multiple myeloma;
Subject's disease shows evidence of resistance to lenalidomide;
Subject's disease shows evidence of intolerance to lenalidomide;
Subject is exhibiting clinical signs of central nervous system (CNS) involvement of MM;
Subjects with known moderate or severe persistent asthma within the past 5 years;
Subject has active hepatitis B or C virus infection15. Subject is seropositive for human immunodeficiency virus (HIV);
Subject has clinically significant cardiac disease;
Subject has known allergies, hypersensitivity, or intolerance to lenalidomide, corticosteroids, monoclonal antibodies or human proteins, or their excipients or known sensitivity to mammalian-derived products;
Subject with known or suspicious conditions that would lead to failure to abide by the study protocol.
Facility Information:
Facility Name
Capital Medical University (CMU) - Beijing Chao-Yang Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100020
Country
China
Facility Name
Peking University Third Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100083
Country
China
Facility Name
Capital Medical University (CMU) - Beijing Chao-Yang Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
The First Affiliated Hospital of Bengbu Medical college
City
Bengbu
State/Province
Bengbu
Country
China
Facility Name
The First Bethune Hospital of Jilin University
City
Jilin
State/Province
Changchun
ZIP/Postal Code
130021
Country
China
Facility Name
Hunan Cancer Hospital
City
Hunan
State/Province
Changsha
Country
China
Facility Name
Fujian Medical University Union Hospital
City
Fujian
State/Province
Fuzhou
ZIP/Postal Code
350001
Country
China
Facility Name
The First Affiliated Hospital, Sun Yat-sen University
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
Sun Yat-Sen University Cancer Center
City
Guangdong
State/Province
Guangzhou
ZIP/Postal Code
510060
Country
China
Facility Name
Guangdong General Hospital
City
Guangdong
State/Province
Guangzhou
ZIP/Postal Code
510080
Country
China
Facility Name
Guangzhou First People's Hospital
City
Guangdong
State/Province
Guangzhou
ZIP/Postal Code
510180
Country
China
Facility Name
Nanfang Hospital
City
Guangdong
State/Province
Guangzhou
ZIP/Postal Code
510515
Country
China
Facility Name
The First Affiliated Hospital of Zhejiang University
City
Zhejiang
State/Province
Hangzhou
ZIP/Postal Code
310003
Country
China
Facility Name
The First Affiliated Hospital of Zhejiang University
City
Zhejiang
State/Province
Hangzhou
Country
China
Facility Name
Hubei Cancer Hospital
City
Wuhan
State/Province
Hubei
Country
China
Facility Name
Affiliated Hospital of Nantong University
City
Nantong
State/Province
Jiangsu
Country
China
Facility Name
Chang Gung Medical Foundation - Kaohsiung Chang Gung Memorial Hospital
City
Taiwan
State/Province
Kaohsiung
ZIP/Postal Code
833
Country
China
Facility Name
The second affiliated hospital of Kunming medical university
City
Yunnan
State/Province
Kunming
ZIP/Postal Code
650101
Country
China
Facility Name
The First People's Hospital of Yunnan Province
City
Yunnan
State/Province
Kunming
ZIP/Postal Code
650221
Country
China
Facility Name
The First Hospital of Lanzhou University
City
Lanzhou
State/Province
Lanzhou
ZIP/Postal Code
730000
Country
China
Facility Name
Lanzhou University Second Hospital
City
Lanzhou
State/Province
Lanzhou
ZIP/Postal Code
730030
Country
China
Facility Name
Second Affiliated Hospital of Nanchang University
City
Jiangxi
State/Province
Nanchang
ZIP/Postal Code
330006
Country
China
Facility Name
Nanjing Drum Tower Hospital
City
Nanjing
State/Province
Nanjing
ZIP/Postal Code
210008
Country
China
Facility Name
Jiangsu Province Hospital
City
Nanjing
State/Province
Nanjing
ZIP/Postal Code
210029
Country
China
Facility Name
Guangxi Medical Univ. 1st Hospital
City
Guangxi
State/Province
Nanning
ZIP/Postal Code
530021
Country
China
Facility Name
Shanghai Changzheng Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200000
Country
China
Facility Name
Shanghai Jiao Tong University School of Medicine - Ruijin Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200025
Country
China
Facility Name
Shanghai Sixth People's Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200233
Country
China
Facility Name
The First Hospital of China Medical University
City
Shenyang
State/Province
Shenyang
ZIP/Postal Code
110001
Country
China
Facility Name
Shenzhen Second Hospital
City
Guangdong
State/Province
Shenzhen
ZIP/Postal Code
518035
Country
China
Facility Name
The First Affiliated Hospital of Soochow University
City
Suzhou
State/Province
Suzhou
ZIP/Postal Code
215006
Country
China
Facility Name
National Taiwan University Hospital
City
Taiwan
State/Province
Taibei
ZIP/Postal Code
100
Country
China
Facility Name
Taichung Veterans General Hospital
City
Taiwan
State/Province
Taichung
ZIP/Postal Code
40705
Country
China
Facility Name
Tri-Service General Hospital
City
Taiwan
State/Province
Taipei
ZIP/Postal Code
114
Country
China
Facility Name
Tianjin Medical University General Hospital
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300052
Country
China
Facility Name
Tianjin Cancer Hospital
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300060
Country
China
Facility Name
The First Affiliated Hospital of Wenzhou Medical University
City
Zhejiang
State/Province
Wenzhou
ZIP/Postal Code
325000
Country
China
Facility Name
The Central Hospital Of Wuhan
City
Hubei
State/Province
Wuhan
ZIP/Postal Code
430014
Country
China
Facility Name
Sir Run Run Shaw Hospital Zhejiang University School of Medicine
City
Hangzhou
State/Province
Zhejiang
Country
China
Facility Name
Henan Cancer Hospital
City
Henan
State/Province
Zhengzhou
ZIP/Postal Code
450008
Country
China
Facility Name
Taipei Veterans General Hospital
City
Taipei
Country
Taiwan
12. IPD Sharing Statement
Learn more about this trial
TJ202, Lenalidomide and Dexamethasone vs. Lenalidomide and Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma
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