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Phase 2 N=8 Treatment

Isatuximab Single Agent Study in Japanese Relapsed AND Refractory Multiple Myeloma Patients

Multiple Myeloma

Enrolled (actual)
8
Serious AEs
38.9%
Results posted
Apr 2024
Primary outcome: Primary: Phase 1: Number of Participants With Dose Limiting Toxicities (DLTs) — 0; 0 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Isatuximab SAR650984 (Drug)
Age
Adult, Older Adult · 20+ yrs
Sex
All
Sponsor
Sanofi
Primary completion
Jul 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Phase 1: Number of Participants With Dose Limiting Toxicities (DLTs)
0; 0
PRIMARY
Phase 2: Percentage of Participants With Overall Response (OR)
32.1
SECONDARY
Phase 1: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
3; 4; 1; 2
SECONDARY
Phase 2: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
25; 11
SECONDARY
Phase 1: Percentage of Participants With Overall Response (OR)
66.7; 60.0
SECONDARY
Phase 1: Duration of Response (DOR)
100.64; 113.90
SECONDARY
Phase 2: Percentage of Participants With Clinical Benefit (CB)
53.6
SECONDARY
Phase 2: Overall Survival (OS)
NA
SECONDARY
Phase 2: Progression Free Survival (PFS)
5.6
SECONDARY
Phase 2: Duration of Response (DOR)
58.70
SECONDARY
Phase 2: Time to Progression (TTP)
5.5
SECONDARY
Phase 1: Plasma Concentration Observed at the End of Intravenous Infusion (Ceoi) of Isatuximab
122; 246
SECONDARY
Phase 1: Maximum Observed Concentration (Cmax) After First Infusion of Isatuximab
124; 280
SECONDARY
Phase 1: Time to Reach the Maximum Concentration (Tmax) After First Infusion of Isatuximab
2.68; 5.56
SECONDARY
Phase 1: Area Under the Plasma Concentration Versus Curve Over the Dosing Interval (AUC1-week) After First Infusion of Isatuximab
9300; 21300
SECONDARY
Phase 1: Trough Plasma Concentrations (Ctrough) of Isatuximab
23.77; 78.52; 71.33; 186.33; 124.87; 254.00
SECONDARY
Phase 2: Maximum Observed Concentration (Cmax) After First Infusion of Isatuximab
747.83
SECONDARY
Phase 2: Area Under the Plasma Concentration Versus Curve Over the Dosing Interval (AUC1-Week) After First Infusion of Isatuximab
65071
SECONDARY
Phase 2: Trough Plasma Concentrations (Ctrough) of Isatuximab
376.34; 662.52; 604.17; 927.63; 826.15; 734.39
SECONDARY
Phase 1 and 2: CD38 Receptor Density at Baseline
113226.2; 133378.2
SECONDARY
Phase 1: Number of Participants With Anti-drug Antibodies (ADA) Response Against Isatuximab
0; 0; 0; 0
SECONDARY
Phase 2: Number of Participants With Anti-drug Antibodies (ADA) Response Against Isatuximab
6; 0

Summary

Primary Objectives: * Phase I: To evaluate safety and tolerability of isatuximab in Japanese participants with relapsed and refractory multiple myeloma. * Phase II: To evaluate efficacy of isatuximab at recommended dose and to further evaluate the overall response rate (ORR) of isatuximab in Japanese participants with relapsed and refractory multiple myeloma. Secondary Objectives: * To evaluate the safety including immunogenicity of isatuximab. The severity, frequency and incidence of all adverse events were assessed. * To evaluate the pharmacokinetic (PK) profile of isatuximab in the proposed dosing schedule. * To assess the efficacy using International Myeloma Working Group (IMWG) uniform response criteria. * To assess the relationship between Baseline cluster of differentiation 38 (CD38) receptor density on multiple myeloma cells and efficacy.

Eligibility Criteria

Inclusion criteria

  • Males or females, age 20 years or older.
  • Participants had a known diagnosis of symptomatic multiple myeloma.
  • Participants had received at least 3 prior lines of therapies OR participants whose disease was double refractory to an Immunomodulatory Drug (IMiD) and a Proteasome Inhibitor (PI).
  • Participants had been responsive (i.e., minimal response [MR] or better) to at least one prior line of therapy.
  • Refractory to the most recently received IMiD or PI included therapy.
  • Participants with measurable disease defined as at least one of the following:
  • Immunoglobulin G (IgG) Type: Serum M-protein >=1 gram per deciliter (g/dL) (>=10 g/L);
  • Immunoglobulin A (IgA) and D Type: Serum M-protein, quantification should be performed;
  • Urine M-protein ≥200 mg/24 hours.
  • Participants with a Eastern Cooperative Oncology Group (ECOG) performance status )10 mg/day orally or equivalent except patients being treated for adrenal insufficiency/replacement therapy or treated for inhalation corticosteroids) within 14 days prior to the first dose of study treatment.
  • Participated in another clinical trial within 30 days prior to the first dose of study treatment.
  • Participants treated with systemic radiation therapy within 4 weeks prior to the first dose of study treatment OR Localized radiation therapy within 1 week prior to the first dose of study treatment.
  • Major surgical procedure within 4 weeks prior to the first dose of study treatment.
  • Any toxicity Grade >=2 (excluding alopecia, neutropenia or neuropathy) related to any prior anti-cancer therapy according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.03.
  • Neuropathy Grade >=3 or painful peripheral neuropathy Grade >=2.
  • History of significant cardiovascular disease unless the disease within the past 6 months was well-controlled.
  • Previously received an allogenic stem cell transplant.
  • Diagnosed Crow-Fukase (POEMS) syndrome OR plasma cell leukemia.
  • Participants with known or suspected amyloidosis.
  • Participants with Waldenstrom's macroglobulinemia OR Multiple myeloma IgM subtype.
  • Participants with active infection.
  • Known human immunodeficiency virus (HIV) or active hepatitis B or C viral infection.
  • Serious psychiatric illness, active alcoholism, or drug addiction that may hinder or confuse follow-up evaluation.
  • Any severe underlying medical conditions including presence of laboratory abnormalities, which could impair the ability to participate in the study or the interpretation of its results.
  • Hypersensitivity or history of intolerance to boron or mannitol, sucrose, histidine (as base and hydrochloride salt) and polysorbate 80 or any of the components of study therapy that are not amenable to pre-medication with steroids and H2 blockers or would prohibit further treatment with these agents.

The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02812706). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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