Minimal Residual Disease-based Strategy With T-Cell Redirector After Treatment With Daratumumab, Bortezomib, Lenalidomide, and Dexamethasone (D-VRd) in Newly Diagnosed Multiple Myeloma
IFm2022-01
2 other identifiers
interventional
103
1 country
19
Brief Summary
This is a Phase 2 study, open-label, 2-cohort, multicenter, national, interventional in patients with newly diagnosed multiple myeloma. The study will investigate teclistamab (Tec) in combination with lenalidomide (Len) (Tec-Len; Cohort A) or in combination with talquetamab (Tal) (Tec-Tal; Cohort B), allocated based on minimal residual disease (MRD) status (MRD \[-\] \[standard-risk\] vs MRD \[+\] \[high-risk\] respectively). The patient population will consist of adults men and women at least 18 years to younger than 66 years of age, who meet eligibility criteria.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 multiple-myeloma
Started Jun 2024
Typical duration for phase_2 multiple-myeloma
19 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 22, 2024
CompletedFirst Posted
Study publicly available on registry
April 8, 2024
CompletedStudy Start
First participant enrolled
June 26, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 26, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 26, 2030
March 17, 2026
March 1, 2026
3.8 years
March 22, 2024
March 13, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Rate of sustained MRD negativity (NGS, 10^-5)
38 months
Rate of conversion from positive MRD to negative MRD (NGS, 10^-5)
38 months
Secondary Outcomes (9)
Number of adverse events
50 months
Rate of sustained MRD negativity (NGS, 10^-6)
38 months
Rate of conversion from positive MRD to negative MRD (NGS, 10^-6).
38 months
Rate of conversion from positive MRD to negative MRD (NGS, 10^-5).
23 months
Number of the death
74 months
- +4 more secondary outcomes
Other Outcomes (2)
Percentage of value of biological prognostic factors influencing outcome and response.
38 months
Percentage of score of quality of life
38 months
Study Arms (2)
Teclistamab and Lenalidomide
EXPERIMENTALPatients treated with Teclistamab and Lenalidomide for finite duration.
Talquetamab andTeclistamab
EXPERIMENTALPatients treated with Teclistamab and Talquetamab for finite duration
Interventions
Maintenance therapy wtih teclistamab (administered via SC injections) for finite duration. Teclistamab will be used in 28 day cycles following initial step up doses
Maintenance therapy with talquetamab (administered via SC injections) for finite duration. Talquetamab will be used in 28 day cycles following initial step up doses
Induction therapy with lenalidomide: Lenalidomide 25 mg/day oral from Day 1 to Day 21. Maintenance therapy lenalidomide (administered orally) for finite duration.
Induction therapy with Borthezomib Cycle 1 to 6: Bortezomib 1.3 mg/m² SC twice a week on Days 1, 4, 8 and 11
Induction therapy with Daratumumab Cycle 1 to 6 Daratumumab 1800 mg SC on Days 1, 8, 15, 22 of Cycle 1 and Cycle 2 and on Days 1 and 15 of Cycle 3
Induction therapy with Dexamethasone: cycle 1 to 3 Dexamethasone 40 mg/day oral or IV on Days 1, 8, 15, 22 Cycle 4 to 6 --\> Dexamethasone 40 mg/day oral or IV on Days 1, 8, 15, 22
Eligibility Criteria
You may qualify if:
- Each potential patient must satisfy all of the following criteria to be enrolled in the study:
- Age, Type of Patient, Disease Characteristics
- Male or female patients must be at least 18 years of age at the time of consent younger than 66 years.
- Documented multiple myeloma satisfying the calcium elevation, renal insufficiency, anemia, and bone lesions (CRAB) criteria and measurable disease (Source: Rajkumar 2014)
- Newly diagnosed patients eligible for high dose therapy and autologous Stem cell therapy.
- Have a Karnofsky performance status score ≥50% (Eastern Cooperative Oncology Group ECOG performance status ECOG score ≤2.
- Have clinical laboratory values meeting the following criteria.
- Sex and Contraceptive/Barrier Requirements
- A female patient of childbearing potential must have a negative serum pregnancy test within 10 to 14 days prior to the start of study treatment and again either a serum or urine pregnancy test within 24 hours of the start of study treatment and must agree to further serum or urine pregnancy tests during the study and for a period of 6 months after the last dose of study treatments.
- A female patient must be :
- Not of childbearing potential, or
- Of childbearing potential and 1) Practicing 2 reliable methods of contraception simultaneously including one highly effective method of contraception and one other effective method of contraception starting 4 weeks prior to dosing, throughout the study including during dose interruptions and for period of 6 months after the last dose of study treatments. For patients who are of childbearing potential.
- A female patient must agree not to donate eggs or freeze for future use, for the purposes of assisted reproduction during the study and for a period of 6 months after the last dose of other study treatments. Female patients should consider preservation of eggs prior to study treatment as anti-cancer treatments may impair fertility.
- A male patient must wear a condom (with spermicidal foam/gel/film/cream/suppository) when engaging in any activity that allows for passage of ejaculate to another person during the study and for a period of 6 months after the last dose of study treatments. If the male patient's partner is a female of childbearing potential, she must also be practicing a highly effective method of contraception.
- A male patient must agree not to donate sperm for the purpose of reproduction during the study and for a period of 6 months after receiving the last dose of study. Male patients should consider preservation of sperm prior to study treatment as anti cancer treatments may impair fertility.
- +51 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nantes University Hospitallead
- Janssen Pharmaceuticacollaborator
Study Sites (19)
CH de la Côte Basque
Bayonne, 64109, France
CHU Caen
Caen, 14033, France
CHRU DIjon
Dijon, 21000, France
Chd Vendee
La Roche-sur-Yon, 85925, France
CHRU LILLE - Hôpital Claude Huriez
Lille, 59037, France
CHU Limoges
Limoges, 87000, France
CH Lyon Sud
Lyon, 69495, France
IPC Marseille Institut Paoli Calmettes
Marseille, 13009, France
CHU Montpellier
Montpellier, 34295, France
CHU de Nantes
Nantes, 44093, France
APHP Hôpital Saint-Antoine
Paris, 75012, France
APHP Hôpital La Pitié Salpétrière
Paris, 75013, France
CHU BORDEAUX - Hôpital du Haut Lévêque
Pessac, 33604, France
CHU Poitiers
Poitiers, 86000, France
CHRU Rennes - Hôpital de Pontchaillou
Rennes, 35033, France
CHU de Strasbourg (HUS)
Strasbourg, 67200, France
CHU Toulouse
Toulouse, 31059, France
CHU Tours Hôpital Bretonneau
Tours, 37044, France
CHRU Nancy - Hôpitaux de Brabois
Vandœuvre-lès-Nancy, 54511, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 22, 2024
First Posted
April 8, 2024
Study Start
June 26, 2024
Primary Completion (Estimated)
April 26, 2028
Study Completion (Estimated)
June 26, 2030
Last Updated
March 17, 2026
Record last verified: 2026-03