NCT04998786

Brief Summary

This is a phase II, multicenter, open-label study to evaluate the rate of patients achieving very good partial response (VGPR) or better to the oral combination Iberdomide Ixazomib Dexamethasone in elderly patients with multiple myeloma at first relapse . The patient population will consist of adult men and women more than 70 years, who meet eligibility criteria. Following the screening period, patients will be enrolled and treated then, they will receive therapy with Iberdomide, Ixazomib and Dexaméthasone during 6 cycles and Iberdomide and Ixazomib until progression.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
75

participants targeted

Target at P50-P75 for phase_2

Timeline
44mo left

Started Dec 2021

Longer than P75 for phase_2

Geographic Reach
1 country

21 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress55%
Dec 2021Jan 2030

First Submitted

Initial submission to the registry

August 4, 2021

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 10, 2021

Completed
4 months until next milestone

Study Start

First participant enrolled

December 14, 2021

Completed
8.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2030

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2030

Last Updated

April 6, 2025

Status Verified

April 1, 2025

Enrollment Period

8.1 years

First QC Date

August 4, 2021

Last Update Submit

April 3, 2025

Conditions

Keywords

Multiple Myeloma, elderly patients, first relapse, previous exposed, High Risk, Ixazomib, Iberdomide, Dexametasone

Outcome Measures

Primary Outcomes (1)

  • Percentage of patients have very good partial response (VGPR) or better

    Using IMWG criteria

    approximate 18 months

Secondary Outcomes (13)

  • Number of adverse events

    approximate 18 months

  • Number of responses

    3 months

  • Number of responses

    6 months

  • Number of the death

    approximate 18 months

  • Number of progression

    approximate 18 months

  • +8 more secondary outcomes

Study Arms (1)

assessment of treatment Ixazomib, dexamethasone, iberdomide

EXPERIMENTAL

Iberdomide, Ixazomib and Dexaméthasone during 6 cycles and Iberdomide and Ixazomib until progression

Drug: IxazomibDrug: IberdomideDrug: Dexamethasone Oral

Interventions

Ixazomib 3 mg/day (days 1, 8, 15) cycle 1 to until progress

assessment of treatment Ixazomib, dexamethasone, iberdomide

Iberdomide 1.6 mg / day (day 1 to 21) cycle 1 to until progress

assessment of treatment Ixazomib, dexamethasone, iberdomide

Cycle 1 and 2 Dexaméthasone 20 mg/day on days 1, 8, 15, 22 Cycle 3 to 6 Dexamethasone 10 mg/day on days 1, 8, 15, 22

assessment of treatment Ixazomib, dexamethasone, iberdomide

Eligibility Criteria

Age70 Years+
Sexall(Gender-based eligibility)
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • Age \> 70 years
  • Eastern Collaborative Oncology Group (ECOG) performance score of ≤2
  • Life expectancy \> 6 months
  • Voluntary written informed consent must be given before performance of any study-related procedure not part of normal medical care, with the understanding that the subject may withdraw consent at any time without prejudice to future medical care.
  • Symptomatic multiple myeloma (MM) at first relapse, as defined below:
  • Symptomatic multiple myeloma according to international criteria.(Rajkumar et al, 2014)
  • Relapsed MM is defined as previously treated MM that progresses and requires initiation of salvage therapy.
  • Subject must have received one prior line of therapy for at least 3 cycles.
  • Subject has measurable disease at Screening, defined at least one of the following:
  • Serum M-protein ≥ 0.5 gram (g)/deciliter (dL), OR
  • Urine M-protein ≥ 200 mg in 24 hours, OR
  • Serum immunoglobulin free light chain (FLC) ≥ 10 mg/dL provided serum FLC ratio is abnormal.
  • Subjects must meet the following laboratory parameters, per laboratory reference range (performed at most 15 days before cycle 1 day 1):
  • Absolute neutrophil count (ANC) ≥ 1000/microliter (μL). Subjects may use growth factor support to achieve ANC eligibility criteria.
  • Platelet count ≥ 75,000 /mm3 for subjects in whom \< 50% of bone marrow nucleated cells are plasma cells; or a platelet count ≥ 50,000/mm3 for subjects in whom \> 50% of bone marrow nucleated cells are plasma cells. It is not permissible to transfuse subjects to achieve minimum platelet counts within 3 days before study.
  • +32 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (21)

CHR

Annecy, France

Location

CH de la cote basque

Bayonne, France

Location

CHRU Hopital Haut Lévêque

Bordeaux, France

Location

CHU

Caen, France

Location

CHU

Clermont-Ferrand, France

Location

CHRU

Dijon, France

Location

CHD les Oudairies

La Roche-sur-Yon, France

Location

CHRU Lille

Lille, France

Location

CHU

Limoges, France

Location

CH Lyon Sud

Lyon, France

Location

CHRU

Nancy, France

Location

CHU

Nantes, France

Location

Hopital de l'archet

Nice, France

Location

CHU Henri Mondor

Paris, France

Location

Hopital St Antoine

Paris, France

Location

Hôpital Cochin

Paris, France

Location

University Hospital

Poitiers, France

Location

CHRU

Rennes, France

Location

ICANS

Strasbourg, France

Location

CHU

Toulouse, France

Location

CHRU Bretonneau

Tours, France

Location

MeSH Terms

Conditions

Multiple Myeloma

Interventions

ixazomibiberdomideDexamethasone

Condition Hierarchy (Ancestors)

Neoplasms, Plasma CellNeoplasms by Histologic TypeNeoplasmsHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

PregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, Fluorinated

Study Officials

  • Cyrille Touzeau

    Nantes University Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 4, 2021

First Posted

August 10, 2021

Study Start

December 14, 2021

Primary Completion (Estimated)

January 1, 2030

Study Completion (Estimated)

January 1, 2030

Last Updated

April 6, 2025

Record last verified: 2025-04

Locations