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Isatuximab in Combination With Cemiplimab in Relapsed/Refractory Multiple Myeloma (RRMM) Patients
Isatuximab in Combination With Cemiplimab in Relapsed/Refractory Multiple Myeloma (RRMM) Patients

NCT03194867

CompletedPhase 1, Phase 2

Sponsor: Sanofi

Conditions: Plasma Cell Myeloma

Interventions: Isatuximab SAR650984, Cemiplimab REGN2810

Countries: United States, Australia, Brazil, Canada, Czechia, France, Greece, Hungary

Primary Objectives: * To evaluate the safety and tolerability of the combination of isatuximab (also known as SAR650984) and cemiplimab (also known as REGN2810) in patients with relapse/refractory multiple myeloma. * To compare the overall response of the combination of isatuximab and cemiplimab versus isatuximab alone in patients with RRMM based on International Myeloma Working Group (IMWG) criteria. Secondary Objectives: * To evaluate the efficacy as assessed by clinical benefit rate (CBR), duration of response (DOR), time to response (TTR), progression free survival (PFS), and overall survival (OS). * To assess the pharmacokinetics (PK) of isatuximab and cemiplimab when given in combination. * To assess the immunogenicity of isatuximab and cemiplimab when given in combination.

Eligibility overview

Sex: ALL

Age: 18 Years to

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria
Inclusion criteria:

* Patients must have a known diagnosis of multiple myeloma with evidence of measurable disease, as defined below:

  * Serum M-protein ≥1 g/dL (≥0.5 g/dL in case of immunoglobulin A \[IgA\] disease), AND/OR
  * Urine M-protein ≥200 mg/24 hours, OR
  * In the absence of measurable M-protein, serum immunoglobulin free light chain ≥10 mg/dL, and abnormal serum immunoglobulin kappa lambda free light chain ratio (\<0.26 or \>1.65).
* Patients must have received prior treatment with an immunomodulatory drug (IMiD) (for ≥2 cycles or ≥2 months of treatment) and a proteasome inhibitor (PI) (for ≥2 cycles or ≥2 months of treatment).
* Patients must have received at least 3 prior lines of therapy (Note: Induction therapy and stem cell transplant ± maintenance will be considered as one line).
* Patient must have achieved MR or better with any anti-myeloma therapy (ie, primary refractory disease is not eligible).

Exclusion criteria:

* Prior exposure to isatuximab or participated clinical studies with isatuximab.
* Prior exposure to any agent (approved or investigational) that blocks the programmed cell death-1 (PD-1)/PD-L1 pathway.
* Evidence of other immune related disease/conditions.
* History of non-infectious pneumonitis requiring steroids or current pneumonitis; history of the thoracic radiation.
* Has received a live-virus vaccination within 30 days of planned treatment start. Seasonal flu vaccines that do not contain live virus are permitted.
* Has allogenic haemopoietic stem cell (HSC) transplant.
* Prior treatment with idelalisib (a PI3K inhibitor).
* Eastern Cooperative Oncology Group (ECOG) performance status (PS) \>2.
* Poor bone marrow reserve.
* Poor organ function.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Locations (30)
  • Denver, Colorado, United States
  • Kansas City, Kansas, United States
  • New York, New York, United States
  • Philadelphia, Pennsylvania, United States
  • Wollongong, New South Wales, Australia
  • Richmond, Victoria, Australia
  • West Perth, Western Australia, Australia
  • Goiânia, Goiás, Brazil
  • Porto Alegre, Rio Grande do Sul, Brazil
  • São Paulo, São Paulo, Brazil
  • Montreal, Quebec, Canada
  • Montreal, Quebec, Canada
  • Sherbrooke, Quebec, Canada
  • Brno, Czechia
  • Ostrava - Poruba, Czechia
  • Prague, Czechia
  • Lille, France
  • Nantes, France
  • Pierre-Bénite, France
  • Villejuif, France
  • Athens, Greece
  • Budapest, Hungary
  • Rozzano, Milano, Italy
  • Brescia, Italy
  • Torino, Italy
  • Barcelona, Barcelona [Barcelona], Spain
  • Badalona, Catalunya [Cataluña], Spain
  • Barcelona, Catalunya [Cataluña], Spain
  • Valencia, Valenciana, Comunidad, Spain
  • Madrid, Spain