A Study to Investigate Subcutaneous Isatuximab in Combination With Weekly Carfilzomib and Dexamethasone in Adult Participants With Relapsed and/or Refractory Multiple Myeloma
SubQSA
A Single-arm, Open-label, Phase 2 Study Evaluating Subcutaneous Administration of Isatuximab, Administered by an On Body Delivery System, in Combination With Weekly Carfilzomib and Dexamethasone in Adult Participants With Relapsed and/or Refractory Multiple Myeloma (RRMM)
2 other identifiers
interventional
64
1 country
34
Brief Summary
The primary purpose of this study is to assess the efficacy (overall response rate) of subcutaneous (SC) via on body delivery system (SC-OBDS) isatuximab in combination with weekly carfilzomib and dexamethasone (Kd) in adult participants with RRMM having received 1 to 3 prior lines of therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Mar 2025
34 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
April 5, 2024
CompletedFirst Posted
Study publicly available on registry
April 10, 2024
CompletedStudy Start
First participant enrolled
March 17, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 8, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 15, 2027
February 23, 2026
February 1, 2026
1.8 years
April 5, 2024
February 20, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Overall response rate (ORR)
ORR, defined as the proportion of participants with stringent complete response (sCR), complete response (CR), very good partial response (VGPR), and partial response (PR), according to IMWG criteria assessed by investigator.
6 months after the Last Participant In (LPI) i.e., approximately 32 months
Secondary Outcomes (12)
Number of participants with infusion reactions (IRs)
From the signing of informed consent to 30 days after the date of the last study treatment administration i.e., approximately 38 months
Number of participants with treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and laboratory abnormalities (per NCI-CTCAE grade or PCSA if NCI-CTCAE scale is not applicable)
From the signing of informed consent to 30 days after the date of the last study treatment administration i.e., approximately 38 months
Number of participants with injection site reactions (ISRs)
From the signing of informed consent to 30 days after the date of the last study treatment administration i.e., approximately 38 months
CR or better
12 months after the Last Participant In (LPI) i.e., approximately 38 months
VGPR or better
12 months after the Last Participant In (LPI) i.e., approximately 38 months
- +7 more secondary outcomes
Study Arms (1)
Isatuximab in combination with weekly carfilzomib and dexamethasone
EXPERIMENTALParticipants will receive isatuximab via SC-OBDS administration in combination with weekly carfilzomib and dexamethasone. Isatuximab will be administered on days 1, 8, 15 and 22 for Cycle 1 and then on days 1, 15 for subsequent cycles. Carfilzomib will be administered intravenously (IV) at a starting dose on Day 1 of Cycle 1 and then escalated dose on Days 8 and 15 of Cycle 1, followed by Days 1, 8 and 15 of subsequent cycles. Dexamethasone will be given on Days 1, 8, 15, and 22 of Cycle 1 and then on Days 1, 8 and 15 of subsequent cycles. Dexamethasone will be administered IV on Cycle 1 Day 1, and IV or PO in the subsequent administrations. 1 cycle = 28 days.
Interventions
Pharmaceutical form:As per local commercial product-Route of administration:Oral
Pharmaceutical form:As per local commercial product-Route of administration:Oral or IV
Pharmaceutical form:As per local commercial product-Route of administration:Oral or IV
Pharmaceutical form:As per local commercial product-Route of administration:Oral (as premedication) or IV/oral equivalent (for management of infusion reaction)
Pharmaceutical form:As per local commercial product-Route of administration:IV
Pharmaceutical form:As per local commercial product-Route of administration:IV
Pharmaceutical form:Solution for SC-OBDS administration-Route of administration:SC-OBDS
Eligibility Criteria
You may qualify if:
- Participants must have a documented diagnosis of MM.
- Participants with measurable disease defined as at least one of the following:
- Serum M-protein ≥0.5 g/dL measured using serum protein immunoelectrophoresis and/or
- Urine M-protein ≥200 mg/24 hours measured using urine protein immunoelectrophoresis and/or
- 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).
- Participants with relapsed and/or refractory MM with at least 1 prior line of therapy and no more than 3 prior lines of therapy.
- Contraceptive use by \[men and women\] should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- Male participants agree to practice true abstinence or agree to use contraception while receiving study treatment, during dose interruptions and at least 5 months following study treatment discontinuation, even if has undergone a successful vasectomy.
- A female participant is eligible to participate if she is not pregnant, not breastfeeding, and either is not a female of childbearing potential (FCBP XE " FCBP " \\f Abbreviation \\t "female of childbearing potential" ) or agrees to practice complete abstinence or use contraception.
- Capable of giving signed informed consent.
You may not qualify if:
- Participants are excluded from the study if any of the following criteria apply:
- Primary refractory MM defined as participants who have never achieved at least a minimal response (MR) with any treatment during the disease course.
- Participants with prior anti-CD38 treatment if: a) administered \< 6 months before first isatuximab administration or, b) intolerant to the anti-CD38 previously received.
- Participants who are refractory to carfilzomib.
- Known history of allergy to captisol (a cyclodextrin derivative used to solubilize carfilzomib), prior hypersensitivity to sucrose, histidine (as base and hydrochloride salt), polysorbate 80, or any of the components (active substance or excipient) of study treatment that are not amenable to premedication with steroids, or intolerance to arginine and Poloxamer 188 that would prohibit further treatment with these agents.
- Participants with contraindication to dexamethasone and/or to carfilzomib.
- Any anti-myeloma drug treatment within 14 days before the first isatuximab administration, including dexamethasone.
- Prior allogenic HSC transplant with active graft versus host disease (GvHD XE " GvHD " \\f Abbreviation \\t "graft versus host disease" ) (GvHD any grade and/or being under immunosuppressive treatment within the last 2 months).
- Any major procedure within 14 days before the first isatuximab administration: plasmapheresis, major surgery (kyphoplasty is not considered a major procedure), radiotherapy.
- Vaccination with a live vaccine within 4 weeks before the first isatuximab administration. Seasonal flu vaccines that do not contain live virus are permitted.
- Participant not suitable for participation, whatever the reason, as judged by the Investigator, including medical or clinical conditions, or participants potentially at risk of noncompliance to study procedures.
- The above information is not intended to contain all considerations relevant to the potential participation in a clinical trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sanofilead
Study Sites (34)
Mayo Clinic in Arizona - Phoenix- Site Number : 8400058
Phoenix, Arizona, 85054, United States
Los Angeles Hematology Oncology Medical Group- Site Number : 8400027
Los Angeles, California, 90017, United States
Private Practice - Dr. James R. Berenson- Site Number : 8400044
West Hollywood, California, 90069, United States
Smilow Cancer Center at Yale-New Haven- Site Number : 8400020
New Haven, Connecticut, 06511, United States
Maryland Oncology Hematology- Site Number : 8400038
Washington D.C., District of Columbia, 20017, United States
Life Clinical Trials - Coral Springs- Site Number : 8400055
Coral Springs, Florida, 33071, United States
Center for Rheumatology, Immunology and Arthritis- Site Number : 8400031
Fort Lauderdale, Florida, 33309, United States
Mayo Clinic in Florida- Site Number : 8400002
Jacksonville, Florida, 32224, United States
The Oncology Institute of Hope & Innovation - Lakeland- Site Number : 8400054
Lakeland, Florida, 33812, United States
D&H Pompano Research Center- Site Number : 8400049
Margate, Florida, 33063, United States
Millennium Oncology - Pembroke Pines- Site Number : 8400011
Pembroke Pines, Florida, 33024, United States
BRCR Global- Site Number : 8400008
Plantation, Florida, 33322, United States
Florida Cancer Specialists - North- Site Number : 8400030
St. Petersburg, Florida, 33705, United States
Pontchartrain Cancer Center - Covington- Site Number : 8400046
Covington, Louisiana, 70433, United States
Beth Israel Deaconess Medical Center - Boston- Site Number : 8400005
Boston, Massachusetts, 02215, United States
Michigan Hematology & Oncology Consultants - Dearborn- Site Number : 8400036
Dearborn, Michigan, 48126, United States
Hematology Oncology Consultants - Royal Oak- Site Number : 8400039
Royal Oak, Michigan, 48073, United States
Alliance for Multispeciality Research - Kansas City- Site Number : 8400056
Kansas City, Missouri, 64114, United States
Washington University- Site Number : 8400007
St Louis, Missouri, 63110, United States
Hackensack Meridian Health - Hackensack University Medical Center- Site Number : 8400021
Hackensack, New Jersey, 07601, United States
San Juan Oncology Associates- Site Number : 8400016
Farmington, New Mexico, 87401, United States
Memorial Sloan Kettering Cancer Center - New York - York Avenue- Site Number : 8400003
New York, New York, 10065, United States
Duke University Medical Center- Site Number : 8400018
Durham, North Carolina, 27710, United States
Gabrail Cancer Center- Site Number : 8400010
Canton, Ohio, 44718, United States
University of Cincinnati Medical Center- Site Number : 8400043
Cincinnati, Ohio, 45219, United States
Oncology Hematology Care - Kenwood- Site Number : 8400014
Cincinnati, Ohio, 45236, United States
Roper Saint Francis Healthcare- Site Number : 8400013
Charleston, South Carolina, 29401, United States
Prisma Health Cancer Institute - Greenville- Site Number : 8400019
Greenville, South Carolina, 29615, United States
Gibbs Cancer Center & Research Institute - Spartanburg- Site Number : 8400001
Spartanburg, South Carolina, 29303, United States
Tennessee Cancer Specialists - Knoxville - Old Weisgarber Road- Site Number : 8400035
Knoxville, Tennessee, 37909, United States
University of Tennessee Medical Center- Site Number : 8400006
Knoxville, Tennessee, 37920, United States
Tennessee Oncology Nashville- Site Number : 8400012
Nashville, Tennessee, 37203, United States
Northern Virginia Oncology Group- Site Number : 8400045
Fairfax, Virginia, 22031, United States
SSM Health Dean Medical Group - Wisconsin - Madison- Site Number : 8400009
Madison, Wisconsin, 53715, United States
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Trial Transparency email recommended (Toll free for US & Canada)
CONTACT
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 5, 2024
First Posted
April 10, 2024
Study Start
March 17, 2025
Primary Completion (Estimated)
January 8, 2027
Study Completion (Estimated)
July 15, 2027
Last Updated
February 23, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will share
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org