Study Comparing Therapy for Advanced Relapsed/Refractory Multiple Myeloma With and Without
Patients with relapsed/refractory symptomatic multiple myeloma who meet all inclusion criteria, will be randomized 1:1 to receive either standard of care chemotherapy (IKEMA or ICARIA) and dexamethasone until disease progression ("dexamethasone arm", arm A) or standard of care chemotherapy (IKEMA or ICARIA) and dexamet
| Condition(s) | Multiple Myeloma, Relapse Multiple Myeloma |
|---|---|
| Status | Recruiting |
| Phase | Phase 3 |
| Study type | Interventional |
| Summary | Patients with relapsed/refractory symptomatic multiple myeloma who meet all inclusion criteria, will be randomized 1:1 to receive either standard of care chemotherapy (IKEMA or ICARIA) and dexamethasone until disease progression ("dexamethasone arm", arm A) or standard of care chemotherapy (IKEMA or ICARIA) and dexamethasone with dexamethasone discontinuation from the 3rd cycle of treatment (after 8 weeks) ("dexamethasone-free arm", arm B). In most centers, IKEMA and ICARIA schema can be adapted according to the standard of care in each center Choice between the ICARIA and IKEMA schema is at the discretion of the investigator, in compliance with each drug's SmPC, but must be performed before randomisation for the purpose of stratification. |
| Who can participate | Inclusion Criteria: 1. Adult patients (≥18 years old) 2. Documented MM in relapse according to standard criteria. 3. All patients must have received between 1 to 3 prior therapies for MM (a prior therapy is defined as 2 or more cycles of therapy given as a MM treatment plan) * Eligible for one of the following antibody-based approved combinations: 1. ICARIA schema: isatuximab, pomalidomide and dexamethasone. 2. IKEMA schema: isatuximab, carfilzomib and dexamethasone 4. Subject must have achieved a response (PR or better) to the prior regimen. 5. ECOG Performance Status score of 0, 1, or 2. 6. For subjects experiencing toxicities resulting from previous therapy (including peripheral neuropathy), the toxicities must have been resolved or stabilized. 7. Signed informed consent Exclusion Crite |
| Ages | 18 Years |
| Sex | All |
| Lead sponsor | Assistance Publique - Hôpitaux de Paris |
| Locations | Paris, France |
| Start date | 2024-12-12 |
| NCT ID | NCT06561854 |
| Official listing | https://clinicaltrials.gov/study/NCT06561854 |