A Study to Compare the Efficacy and Safety of Idecabtagene Vicleucel With Lenalidomide Maintenance Therapy Versus Lenalidomide Maintenance Therapy Alone in Adult Participants With Newly Diagnosed Multiple Myeloma Who Have Suboptimal Response After Autologous Stem Cell Transplantation (KarMMa-9)
Multiple Myeloma
About this trial
This is an interventional treatment trial for Multiple Myeloma focused on measuring CAR-T
Eligibility Criteria
Inclusion Criteria: Participants aged ≥18 with Newly Diagnosed Multiple Myeloma (NDMM) who has received induction therapy followed by high-dose chemotherapy and autologous stem cell transplantation (ASCT), without subsequent consolidation or maintenance. EXCEPTION: Participant received ≤ 7 days of lenalidomide (LEN) maintenance therapy and the investigator documents that there is no impact to the overall benefit/risk assessment due to the temporary interruption of LEN. Participant must have received 4 to 6 cycles of induction therapy, which must contain at a minimum an immunomodulatory drugs (IMiD) and a proteasome inhibitor (PI) (with or without anti-CD38 monoclonal antibody) and must have had a single ASCT 80 to 120 days prior to consent. Note: Participant must not have confirmed progression since commencing induction. Participant must have documented response of PR or VGPR at time of consent. Participant must have Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1 (participants with ECOG 2 due to pain because of underlying myeloma-associated bone lesions are eligible per investigator's discretion). Participant must have recovered to ≤ Grade 1 for any nonhematologic toxicities due to prior treatments, excluding alopecia and Grade 2 neuropathy. Exclusion Criteria: Participant with known central nervous system involvement with myeloma. Participant has non-secretory MM. Participant has systemic and uncontrolled fungal, bacterial, viral, or other infection. Participant has history of primary immunodeficiency. Participant has previous history of an allogeneic hematopoietic stem cell transplantation or treatment with any gene therapy-based therapeutic for cancer or investigational cellular therapy for cancer or B-cell maturation antigen targeted therapy.
Sites / Locations
- Banner MD Anderson Cancer Center
- Mayo Clinic in Arizona - Scottsdale
- University of California, Irvine (UCI) Health - UC Irvine Medical Center
- University of California Davis (UC Davis) Comprehensive Cancer Center
- Colorado Blood Cancer Institute
- Yale University School of Medicine
- Mayo Clinic in Florida
- AdventHealth Orlando
- Moffitt Cancer Center
- Winship Cancer Institute, Emory University
- Northside Hospital
- Massachusetts General Hospital
- Boston Medical Center
- University of Michigan
- Ascension Providence Hospital
- Mayo Clinic in Rochester, Minnesota
- Washington University School of Medicine
- Washington University School of Medicine
- Columbia University Irving Medical Center
- Wake Forest Baptist Health
- University Hospitals Cleveland Medical Center
- The James Cancer Hospital and Solove Research Institute at The Ohio State University Comprehensive Cancer Center
- UT Southwestern Medical Center
- University of Texas MD Anderson Cancer Center
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- CHU Bordeaux Haut-Leveque
- Institut Paoli-Calmettes
- Hopital Claude Huriez - CHU de Lille
- Centre Hospitalier Universitaire de Nantes - L' Hopital l'hôtel-Dieu
- Centre Hospitalier Lyon Sud
- Henri Mondor Hospital
- Gustave RoussyRecruiting
- Centre Hospitalier Universitaire de Poitiers
- Hôpital Saint-Louis
- Institut Universitaire du Cancer Toulouse - Oncopole - CHU de TOULOUSE
- Hôpital Saint Antoine
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Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Arm A
Arm B