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SAR650984, Pomalidomide and Dexamethasone in Combination in RRMM Patients (PomdeSAR)

Primary Purpose

Plasma Cell Myeloma

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

About this trial

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

Eligibility Criteria

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

Inclusion criteria :

  • Patient has been previously diagnosed with multiple myeloma (MM) based on standard criteria and currently requires treatment because MM has relapsed following a response, according to International Myeloma Working Group (IMWG) criteria.
  • Patient had received at least two previous therapies including lenalidomide and proteasome inhibitor and have demonstrated disease progression on therapy or after completion of the last therapy.
  • Patients with measurable disease defined as at least one of the following:

    • Serum M protein ≥0.5 g/dL (≥5 g/L);
    • Urine M protein ≥200 mg/24 hours;
    • Serum free light chain (FLC) assay: Involved FLC assay ≥10 mg/dL (≥100 mg/L) and an abnormal serum FLC ratio (<0.26 or >1.65).

Exclusion criteria:

  • Eastern Cooperative Oncology Group (ECOG) performance status >2.
  • Poor bone marrow reserve.
  • Poor organ function.
  • Known intolerance/hypersensitivity to IMiDs, dexamethasone, boron or mannitol, sucrose, histidine or polysorbate 80.
  • Any serious active disease (including clinically significant infection that is chronic, recurrent, or active) or co-morbid condition, which, in the opinion of the Investigator, could interfere with the safety, the compliance with the study or with the interpretation of the results.
  • 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.

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 840001
  • Investigational Site Number 840006
  • Investigational Site Number 840018
  • Investigational Site Number 840011
  • Investigational Site Number 840004
  • Investigational Site Number 840104
  • Investigational Site Number 840010
  • Investigational Site Number 840003
  • Investigational Site Number 840014
  • Investigational Site Number 840016
  • Investigational Site Number 840015
  • Investigational Site Number 840005
  • Investigational Site Number 840017

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

PomdeSAR

Arm Description

Part A: Isatuximab (escalating dose) on Day 1, 8, 15, and 22, then Day 1 and 15 + pomalidomide 4 mg on Day 1 to 21 + dexamethasone 40 mg (20 mg in patients of 75 years or older) on Day 1, 8, 15, 22 in 28-day cycles up to disease progression Part B: Isatuximab 10 mg/kg on Day 1, 8, 15, and 22, then Day 1 and 15 + pomalidomide 4 mg on Day 1 to 21 + dexamethasone 40 mg (20 mg in patients of 75 years or older) on Day 1, 8, 15, 22 in 28-day cycles up to disease progression

Outcomes

Primary Outcome Measures

Dose Limiting Toxicities (DLTs)
Number of patients with adverse events and clinically significant changes in laboratory tests and vital signs according to the National Cancer Institute - Common Toxicity Criteria (NCI-CTC) version 4.03 grade scaling
Incidence of grade ≥3 IARs according to the NCI-CTC version 4.03 grade scaling

Secondary Outcome Measures

Overall response rate
Pharmacokinetics: Partial area under the serum concentration time curve (AUC)
Pharmacokinetics: maximum observed concentration (Cmax)
Immune response: levels of human anti-human antibodies (ADA)
Duration of response - Time
Clinical Benefit rate
Infusion duration
Safety of isatuximab administration from fixed volume
Relationship between clinical effect and CD38 receptor density

Full Information

First Posted
November 3, 2014
Last Updated
July 8, 2021
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT02283775
Brief Title
SAR650984, Pomalidomide and Dexamethasone in Combination in RRMM Patients
Acronym
PomdeSAR
Official Title
A Phase 1b Study of SAR650984 (Isatuximab) in Combination With Pomalidomide and Dexamethasone for the Treatment of Relapsed/Refractory Multiple Myeloma
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
May 15, 2015 (Actual)
Primary Completion Date
May 26, 2021 (Actual)
Study Completion Date
May 26, 2021 (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: Part A: To evaluate the safety and determine the recommended dose of SAR650984 in combination with pomalidomide (P) and dexamethasone (d), in patients with Relapsed/Refractory Multiple Myeloma (RRMM). Part B: To evaluate the feasibility of isatuximab administered from a fixed infusion volume in combination with Pd as assessed by occurrence of grade ≥3 infusion associated reactions (IAR). Secondary Objectives: To evaluate the infusion duration (Part B). To evaluate the safety profile of the combination with isatuximab administration from fixed volume (Part B). To evaluate immunogenicity of SAR650984 in combination with Pd (Part A and B). To evaluate the pharmacokinetics (PK) of SAR650984 and its effect on the PK of pomalidomide when administered in combination (Part A). To describe the efficacy of the combination of SAR650984 with Pd in terms of overall response rate and clinical benefit rate based on International Myeloma Working Group (IMWG) defined response criteria and the duration of response (Part A and B). To assess the relationship between clinical effects (adverse event [AE] and/or tumor response) and CD38 receptor density at baseline (Part A).
Detailed Description
The study duration for an individual patient will include a screening period for inclusion of up to 21 days. The treatment period may continue until disease progression, unacceptable adverse reaction, or other reason for discontinuation. After study treatment discontinuation an end of treatment (EOT) visit will be done at approximately 30 days after last study treatment component administration to assess safety. If the last ADA sample is positive or inconclusive, additional ADA will be sampled 3 months later. No further ADA will be sampled, even if this 3-month sample is positive. Patients who discontinue treatment for reasons other than progression of disease will be followed every month until progression or initiation of subsequent therapy, for a maximum of one year, whichever comes first.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
PomdeSAR
Arm Type
Experimental
Arm Description
Part A: Isatuximab (escalating dose) on Day 1, 8, 15, and 22, then Day 1 and 15 + pomalidomide 4 mg on Day 1 to 21 + dexamethasone 40 mg (20 mg in patients of 75 years or older) on Day 1, 8, 15, 22 in 28-day cycles up to disease progression Part B: Isatuximab 10 mg/kg on Day 1, 8, 15, and 22, then Day 1 and 15 + pomalidomide 4 mg on Day 1 to 21 + dexamethasone 40 mg (20 mg in patients of 75 years or older) on Day 1, 8, 15, 22 in 28-day cycles up to disease progression
Intervention Type
Drug
Intervention Name(s)
Isatuximab SAR650984
Other Intervention Name(s)
Sarclisa
Intervention Description
Pharmaceutical form:solution for infusion Route of administration: intravenous
Intervention Type
Drug
Intervention Name(s)
Pomalidomide
Other Intervention Name(s)
Pomalyst
Intervention Description
Pharmaceutical form:capsules Route of administration: oral
Intervention Type
Drug
Intervention Name(s)
Dexamethasone
Intervention Description
Pharmaceutical form:tablets or solution for infusion Route of administration: oral or intravenous
Primary Outcome Measure Information:
Title
Dose Limiting Toxicities (DLTs)
Time Frame
Part A: Up to 4 weeks
Title
Number of patients with adverse events and clinically significant changes in laboratory tests and vital signs according to the National Cancer Institute - Common Toxicity Criteria (NCI-CTC) version 4.03 grade scaling
Time Frame
Part A: Up to 30 days for patients experiencing progressive disease and up to one year or the initiation of a new line of treatment for patients leaving the study for reasons other than progressive disease
Title
Incidence of grade ≥3 IARs according to the NCI-CTC version 4.03 grade scaling
Time Frame
Part B: Up to 8 weeks
Secondary Outcome Measure Information:
Title
Overall response rate
Time Frame
Part A: Up to approximately 8 months; Part B: Up to approximately 10 months
Title
Pharmacokinetics: Partial area under the serum concentration time curve (AUC)
Time Frame
Part A: Up to approximately 10 months
Title
Pharmacokinetics: maximum observed concentration (Cmax)
Time Frame
Part A: Up to approximately 10 months
Title
Immune response: levels of human anti-human antibodies (ADA)
Time Frame
Part A: Up to approximately 8 months; Part B: Up to approximately 10 months
Title
Duration of response - Time
Time Frame
Part A: Up to approximately 8 months; Part B: Up to approximately 10 months
Title
Clinical Benefit rate
Time Frame
Part A: Up to approximately 8 months; Part B: Up to approximately 10 months
Title
Infusion duration
Time Frame
Part B: Up to approximately 10 months
Title
Safety of isatuximab administration from fixed volume
Time Frame
Part B: Up to 30 days for patients experiencing progressive disease and up to one year or the initiation of a new line of treatment for patients leaving the study for reasons other than progressive disease
Title
Relationship between clinical effect and CD38 receptor density
Time Frame
Part A: Up to approximately 8 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria : Patient has been previously diagnosed with multiple myeloma (MM) based on standard criteria and currently requires treatment because MM has relapsed following a response, according to International Myeloma Working Group (IMWG) criteria. Patient had received at least two previous therapies including lenalidomide and proteasome inhibitor and have demonstrated disease progression on therapy or after completion of the last therapy. Patients with measurable disease defined as at least one of the following: Serum M protein ≥0.5 g/dL (≥5 g/L); Urine M protein ≥200 mg/24 hours; Serum free light chain (FLC) assay: Involved FLC assay ≥10 mg/dL (≥100 mg/L) and an abnormal serum FLC ratio (<0.26 or >1.65). Exclusion criteria: Eastern Cooperative Oncology Group (ECOG) performance status >2. Poor bone marrow reserve. Poor organ function. Known intolerance/hypersensitivity to IMiDs, dexamethasone, boron or mannitol, sucrose, histidine or polysorbate 80. Any serious active disease (including clinically significant infection that is chronic, recurrent, or active) or co-morbid condition, which, in the opinion of the Investigator, could interfere with the safety, the compliance with the study or with the interpretation of the results. 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. 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 840001
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85054
Country
United States
Facility Name
Investigational Site Number 840006
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Facility Name
Investigational Site Number 840018
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06520-8017
Country
United States
Facility Name
Investigational Site Number 840011
City
Decatur
State/Province
Illinois
ZIP/Postal Code
62526
Country
United States
Facility Name
Investigational Site Number 840004
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Investigational Site Number 840104
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
2114
Country
United States
Facility Name
Investigational Site Number 840010
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599
Country
United States
Facility Name
Investigational Site Number 840003
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
Facility Name
Investigational Site Number 840014
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Facility Name
Investigational Site Number 840016
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
Investigational Site Number 840015
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84112-5550
Country
United States
Facility Name
Investigational Site Number 840005
City
Seattle
State/Province
Washington
ZIP/Postal Code
98108
Country
United States
Facility Name
Investigational Site Number 840017
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
34050260
Citation
Usmani SZ, Karanes C, Bensinger WI, D'Souza A, Raje N, Tuchman SA, Sborov D, Laubach JP, Bianchi G, Kanagavel D, Saleem R, Dubin F, Campana F, Richardson PG. Final results of a phase 1b study of isatuximab short-duration fixed-volume infusion combination therapy for relapsed/refractory multiple myeloma. Leukemia. 2021 Dec;35(12):3526-3533. doi: 10.1038/s41375-021-01262-w. Epub 2021 May 28.
Results Reference
derived
PubMed Identifier
33980831
Citation
Mikhael J, Belhadj-Merzoug K, Hulin C, Vincent L, Moreau P, Gasparetto C, Pour L, Spicka I, Vij R, Zonder J, Atanackovic D, Gabrail N, Martin TG, Perrot A, Bensfia S, Weng Q, Brillac C, Semiond D, Mace S, Corzo KP, Leleu X. A phase 2 study of isatuximab monotherapy in patients with multiple myeloma who are refractory to daratumumab. Blood Cancer J. 2021 May 12;11(5):89. doi: 10.1038/s41408-021-00478-4. No abstract available.
Results Reference
derived
PubMed Identifier
30862646
Citation
Mikhael J, Richardson P, Usmani SZ, Raje N, Bensinger W, Karanes C, Campana F, Kanagavel D, Dubin F, Liu Q, Semiond D, Anderson K. A phase 1b study of isatuximab plus pomalidomide/dexamethasone in relapsed/refractory multiple myeloma. Blood. 2019 Jul 11;134(2):123-133. doi: 10.1182/blood-2019-02-895193. Epub 2019 Mar 12.
Results Reference
derived

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SAR650984, Pomalidomide and Dexamethasone in Combination in RRMM Patients

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