NCT06356571

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

77
On Track

Trial Health Score

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

Enrollment
64

participants targeted

Target at P50-P75 for phase_2

Timeline
14mo left

Started Mar 2025

Geographic Reach
1 country

34 active sites

Status
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 Progress49%
Mar 2025Jul 2027

First Submitted

Initial submission to the registry

April 5, 2024

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 10, 2024

Completed
11 months until next milestone

Study Start

First participant enrolled

March 17, 2025

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 8, 2027

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 15, 2027

Last Updated

February 23, 2026

Status Verified

February 1, 2026

Enrollment Period

1.8 years

First QC Date

April 5, 2024

Last Update Submit

February 20, 2026

Conditions

Keywords

Anti CD38 monoclonal antibodySARCLISA

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

EXPERIMENTAL

Participants 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.

Drug: Isatuximab SC-OBDSDrug: MontelukastDrug: DexamethasoneDrug: AcetaminophenDrug: DiphenhydramineDrug: MethylprednisoloneDrug: Carfilzomib

Interventions

Pharmaceutical form:As per local commercial product-Route of administration:Oral

Isatuximab in combination with weekly carfilzomib and dexamethasone

Pharmaceutical form:As per local commercial product-Route of administration:Oral or IV

Isatuximab in combination with weekly carfilzomib and dexamethasone

Pharmaceutical form:As per local commercial product-Route of administration:Oral or IV

Isatuximab in combination with weekly carfilzomib and dexamethasone

Pharmaceutical form:As per local commercial product-Route of administration:Oral (as premedication) or IV/oral equivalent (for management of infusion reaction)

Isatuximab in combination with weekly carfilzomib and dexamethasone

Pharmaceutical form:As per local commercial product-Route of administration:IV

Isatuximab in combination with weekly carfilzomib and dexamethasone

Pharmaceutical form:As per local commercial product-Route of administration:IV

Isatuximab in combination with weekly carfilzomib and dexamethasone

Pharmaceutical form:Solution for SC-OBDS administration-Route of administration:SC-OBDS

Also known as: SAR650984, Sarclisa
Isatuximab in combination with weekly carfilzomib and dexamethasone

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (34)

Mayo Clinic in Arizona - Phoenix- Site Number : 8400058

Phoenix, Arizona, 85054, United States

RECRUITING

Los Angeles Hematology Oncology Medical Group- Site Number : 8400027

Los Angeles, California, 90017, United States

RECRUITING

Private Practice - Dr. James R. Berenson- Site Number : 8400044

West Hollywood, California, 90069, United States

RECRUITING

Smilow Cancer Center at Yale-New Haven- Site Number : 8400020

New Haven, Connecticut, 06511, United States

RECRUITING

Maryland Oncology Hematology- Site Number : 8400038

Washington D.C., District of Columbia, 20017, United States

RECRUITING

Life Clinical Trials - Coral Springs- Site Number : 8400055

Coral Springs, Florida, 33071, United States

RECRUITING

Center for Rheumatology, Immunology and Arthritis- Site Number : 8400031

Fort Lauderdale, Florida, 33309, United States

RECRUITING

Mayo Clinic in Florida- Site Number : 8400002

Jacksonville, Florida, 32224, United States

RECRUITING

The Oncology Institute of Hope & Innovation - Lakeland- Site Number : 8400054

Lakeland, Florida, 33812, United States

RECRUITING

D&H Pompano Research Center- Site Number : 8400049

Margate, Florida, 33063, United States

RECRUITING

Millennium Oncology - Pembroke Pines- Site Number : 8400011

Pembroke Pines, Florida, 33024, United States

RECRUITING

BRCR Global- Site Number : 8400008

Plantation, Florida, 33322, United States

RECRUITING

Florida Cancer Specialists - North- Site Number : 8400030

St. Petersburg, Florida, 33705, United States

RECRUITING

Pontchartrain Cancer Center - Covington- Site Number : 8400046

Covington, Louisiana, 70433, United States

RECRUITING

Beth Israel Deaconess Medical Center - Boston- Site Number : 8400005

Boston, Massachusetts, 02215, United States

RECRUITING

Michigan Hematology & Oncology Consultants - Dearborn- Site Number : 8400036

Dearborn, Michigan, 48126, United States

RECRUITING

Hematology Oncology Consultants - Royal Oak- Site Number : 8400039

Royal Oak, Michigan, 48073, United States

RECRUITING

Alliance for Multispeciality Research - Kansas City- Site Number : 8400056

Kansas City, Missouri, 64114, United States

RECRUITING

Washington University- Site Number : 8400007

St Louis, Missouri, 63110, United States

RECRUITING

Hackensack Meridian Health - Hackensack University Medical Center- Site Number : 8400021

Hackensack, New Jersey, 07601, United States

RECRUITING

San Juan Oncology Associates- Site Number : 8400016

Farmington, New Mexico, 87401, United States

RECRUITING

Memorial Sloan Kettering Cancer Center - New York - York Avenue- Site Number : 8400003

New York, New York, 10065, United States

RECRUITING

Duke University Medical Center- Site Number : 8400018

Durham, North Carolina, 27710, United States

RECRUITING

Gabrail Cancer Center- Site Number : 8400010

Canton, Ohio, 44718, United States

RECRUITING

University of Cincinnati Medical Center- Site Number : 8400043

Cincinnati, Ohio, 45219, United States

RECRUITING

Oncology Hematology Care - Kenwood- Site Number : 8400014

Cincinnati, Ohio, 45236, United States

RECRUITING

Roper Saint Francis Healthcare- Site Number : 8400013

Charleston, South Carolina, 29401, United States

RECRUITING

Prisma Health Cancer Institute - Greenville- Site Number : 8400019

Greenville, South Carolina, 29615, United States

RECRUITING

Gibbs Cancer Center & Research Institute - Spartanburg- Site Number : 8400001

Spartanburg, South Carolina, 29303, United States

RECRUITING

Tennessee Cancer Specialists - Knoxville - Old Weisgarber Road- Site Number : 8400035

Knoxville, Tennessee, 37909, United States

RECRUITING

University of Tennessee Medical Center- Site Number : 8400006

Knoxville, Tennessee, 37920, United States

RECRUITING

Tennessee Oncology Nashville- Site Number : 8400012

Nashville, Tennessee, 37203, United States

RECRUITING

Northern Virginia Oncology Group- Site Number : 8400045

Fairfax, Virginia, 22031, United States

RECRUITING

SSM Health Dean Medical Group - Wisconsin - Madison- Site Number : 8400009

Madison, Wisconsin, 53715, United States

RECRUITING

Related Links

MeSH Terms

Interventions

isatuximabmontelukastDexamethasoneAcetaminophenDiphenhydramineMethylprednisolonecarfilzomib

Intervention Hierarchy (Ancestors)

PregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, FluorinatedAcetanilidesAnilidesAmidesOrganic ChemicalsAniline CompoundsAminesEthylaminesBenzhydryl CompoundsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsPrednisolone

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

Locations