NCT07051850

Brief Summary

This is a non-interventional observational study aiming to evaluate the quality of life, efficacy, and safety of advanced immuno-oncology agents versus conventional immuno-oncology therapies in patients with relapsed or refractory multiple myeloma. A total of 174 participants are expected to be enrolled in this study. The study consists of three parts: Part 1 is the screening and enrollment phase, during which inclusion and exclusion criteria will be assessed for individuals who have agreed to participate in the study. Eligible participants will be enrolled, and data will be collected on their prioritized treatment value criteria. Part 2 is the treatment phase, during which participants will receive either conventional immuno-oncology therapy or advanced immuno-oncology agents. Participants will visit the site on Day 1 of each treatment cycle to complete patient-reported outcomes (PROs), and efficacy and safety assessments will be conducted. Part 3 is the end-of-study visit, during which PROs will again be collected, along with final efficacy and safety assessments. Additionally, for exploratory purposes, bone marrow and peripheral blood samples will be collected from participants at Seoul St. Mary's Hospital who have consented to sample collection and provision during the study period.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
174

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jul 2025

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

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

First Submitted

Initial submission to the registry

June 9, 2025

Completed
25 days until next milestone

First Posted

Study publicly available on registry

July 4, 2025

Completed
10 days until next milestone

Study Start

First participant enrolled

July 14, 2025

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2025

Completed
Last Updated

July 15, 2025

Status Verified

July 1, 2025

Enrollment Period

6 months

First QC Date

June 9, 2025

Last Update Submit

July 10, 2025

Conditions

Keywords

RelpasedRefractoryAdvanced Immuno-Oncology AgentsConventional Immunotherapies

Outcome Measures

Primary Outcomes (1)

  • Quality of Lfe

    Quality of life is assessed using validated patient-reported outcome (PRO) questionnaires at baseline and regular intervals during treatment.

    From treatment initiation up to 12 months

Secondary Outcomes (1)

  • Treatment Efficacy and Survival Outcomes

    From treatment initiation up to 12 months

Study Arms (2)

Advanced Immuno-oncology Therapy Group

Drug: Bispecific antibodyDrug: CAR-T Therapy

Conventional Immuno-oncology Therapy Group

Drug: Antibody-Drug ConjugateDrug: Monoclonal antibodyDrug: Proteasome InhibitorDrug: IMiD treatment

Interventions

It uses a dual targeting mechanism to enhance specificity and immune activation. It is an off-the-shelf treatment, and doesn't require a manufacturing process of patient cells.

Advanced Immuno-oncology Therapy Group

It is a targeted therapy consisting of a monoclonal antibody linked to a cytotoxic drug. The antibody binds to a specific antigen on cancer cells, delivering the cytotoxic agent directly to the tumor, minimizing systemic toxicity.

Conventional Immuno-oncology Therapy Group

Monoclonal antibodies are lab-engineered antibodies that target specific antigens expressed on cancer cells. These commonly target CD20 (rituximab or obinutuzumab) to mediate immune destruction.

Conventional Immuno-oncology Therapy Group

It blocks the activity of proteasomes, which role is degrading damaged proteins. This disruption induces apoptosis in cancer cells. Common agents include bortezomib and carfilzomib.

Conventional Immuno-oncology Therapy Group

Immune modulatory drugs modulate the immune response by enhancing T-cell and NK cell activty to disrupt tumor progression. Common drugs include lenalidomide and thalidomide.

Conventional Immuno-oncology Therapy Group

It uses the patient's own T cells, and requires a manufacturing process to modify and expand T cells before infusion. It directly targets B cell specific antigens, such as CD19 or CD20.

Advanced Immuno-oncology Therapy Group

Eligibility Criteria

Age19 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients will be selected from Seoul St. Mary hospital and Yeoido St. Mary hospital

You may qualify if:

  • Male or female aged 19 years or older.
  • Diagnosed with multiple myeloma and have been previously treated with at least one proteasome inhibitor, one immunomodulatory drug, and one monoclonal antibody treatment (i.e., exposed to all three classes of immunotherapy agents).
  • Diagnosed with relapsed or refractory multiple myeloma between the IRB approval date and December 2025, and scheduled to start treatment with either advanced immuno-oncology agents or conventional immuno-oncology agents within one month from screening.
  • Provided written informed consent after receiving detailed explanation about the study and voluntarily agreed to participate and comply with study requirements.

You may not qualify if:

  • Those who do not agree to participate in the study.
  • Patients diagnosed with plasma cell disorders other than multiple myeloma (e.g., lymphoma, POEMS syndrome).
  • Individuals unable to read and understand documents written in Korean.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Seoul St. Mary Hospital

Seocho, Seoul, 06591, South Korea

RECRUITING

Biospecimen

Retention: SAMPLES WITHOUT DNA

Blood serum, Bone marrow

MeSH Terms

Conditions

Multiple MyelomaRecurrence

Interventions

Antibodies, BispecificImmunoconjugatesAntibodies, MonoclonalProteasome InhibitorsImmunotherapy, Adoptive

Condition Hierarchy (Ancestors)

Neoplasms, Plasma CellNeoplasms by Histologic TypeNeoplasmsHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

AntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsImmunologic FactorsPhysiological Effects of DrugsPharmacologic ActionsChemical Actions and UsesProtease InhibitorsEnzyme InhibitorsMolecular Mechanisms of Pharmacological ActionAdoptive TransferImmunization, PassiveImmunizationImmunotherapyImmunomodulationBiological TherapyTherapeuticsImmunologic TechniquesInvestigative Techniques

Central Study Contacts

Sung-Soo Park, MD.PhD

CONTACT

SeungHwan Shin, MD.PhD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
professor

Study Record Dates

First Submitted

June 9, 2025

First Posted

July 4, 2025

Study Start

July 14, 2025

Primary Completion

December 31, 2025

Study Completion

December 31, 2025

Last Updated

July 15, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Locations