Clinical trial • Phase III • Oncology
Autologous genetically modified T lymphocytes transduced with lentivirus expressing CAR protein directed against BCMA for Relapsed/refractory multiple myeloma
Phase III trial of Autologous genetically modified T lymphocytes transduced with lentivirus expressing CAR protein directed against BCMA for Relapsed/refr…
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Relapsed/refractory multiple myeloma
- Trial Stage
- Phase III
- Drug Modality
- Cell therapy|Monoclonal antibody|Small molecule
Key dates
- Initial CTIS Submission Date
- 19-12-2025
- First CTIS Authorization Date
- 29-04-2026
Trial design
Randomised, standard of care regimens (pvd, pcd, epd, dkd or kd). comparator products listed include: pomalidomide accord 4 mg hard capsules (pomalidomide 4 mg, oral), dexamethason activase 2 mg tablet and dexamethason teva 4 mg tablets (dexamethasone 2 mg / 4 mg, oral), empliciti (elotuzumab) 300 mg or 400 mg iv formulations, kyprolis (carfilzomib) iv formulations (10 mg / 30 mg / 60 mg powder for solution for infusion), bortezomib accord 3.5 mg (subcutaneous injection), darzalex (daratumumab) 1800 mg sc, endoxan (cyclophosphamide) 50 mg oral.-controlled Phase III trial in Netherlands.
- Randomised
- Yes
- Comparator
- Standard of care regimens (PVd, PCd, EPd, DKd or Kd). Comparator products listed include: Pomalidomide Accord 4 mg hard capsules (pomalidomide 4 mg, oral), Dexamethason Activase 2 mg tablet and Dexamethason Teva 4 mg tablets (dexamethasone 2 mg / 4 mg, oral), Empliciti (elotuzumab) 300 mg or 400 mg IV formulations, Kyprolis (carfilzomib) IV formulations (10 mg / 30 mg / 60 mg powder for solution for infusion), Bortezomib Accord 3.5 mg (subcutaneous injection), DARZALEX (daratumumab) 1800 mg SC, ENDOXAN (cyclophosphamide) 50 mg oral.
- Target Sample Size
- 126
- Trial Duration For Participant
- 1461
Eligibility
Recruits 126 Participants must be capable of giving informed consent; only adults (aged 18 years or older) are eligible. The trial record indicates isVulnerablePopulationSelected = false. Consent is to be provided by the participant; no assent or parental consent arrangements are described..
- Pregnancy Exclusion
- Females who are pregnant or breastfeeding
- Vulnerable Population
- Participants must be capable of giving informed consent; only adults (aged 18 years or older) are eligible. The trial record indicates isVulnerablePopulationSelected = false. Consent is to be provided by the participant; no assent or parental consent arrangements are described.
Inclusion criteria
- {"criterion_text":"- Documented historical diagnosis of Multiple Myeloma\n- Received 2 to 4 prior lines of antimyeloma therapy, including an IMiD, a PI and an anti-CD38 mAb.\n- Refractory to the last line of treatment by IMWG criteria\n- Measurable disease at screening per IMWG criteria\n- Candidates to receive at least 1 of the 5 SoC regimens (PVd, PCd, EPd, DKd or Kd)\n- Aged 18 years or older\n- Capable of giving informed consent\n- ECOG/WHO performance status of 0-2\n- Adequate hematological, renal, hepatic, pulmonary, and cardiac function"}
Exclusion criteria
- {"criterion_text":"- Received one of the following prior therapies: BCMA-targeted therapy, T-cell engager therapy, CAR T-cell therapy, or other genetically modified T-cell therapy\n- Active or prior history of central nervous system (CNS) or meningeal involvement of MM\n- Cardiac atrial or cardiac ventricular MM involvement.\n- History of or active plasma cell leukemia, Waldenstrom’s macroglobulinemia, polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes (POEMS) syndrome, or amyloidosis.\n- Presence or suspicion of fungal, bacterial, viral, or other infection that is uncontrolled or requiring IV antimicrobials for management.\n- Females who are pregnant or breastfeeding\n- Participants who are not willing to practice highly effective birth control\n- Life expectancy < 12 weeks\n- Current participation in another clinical trial"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Progression free survival","definition_or_measurement_approach":""}
Secondary endpoints
- {"endpoint_text":"- Safety and toxicity of ARI0002h CAR T-cells and SoC","definition_or_measurement_approach":""}
- {"endpoint_text":"- Overall response rate","definition_or_measurement_approach":""}
- {"endpoint_text":"- Overall and sustained MRD-negativity","definition_or_measurement_approach":""}
- {"endpoint_text":"- MRD-negative CR/sCR and MRD-negative VGPR+","definition_or_measurement_approach":""}
- {"endpoint_text":"- Correlation of MRD-negativity with efficacy endpoints","definition_or_measurement_approach":""}
- {"endpoint_text":"- Best overall response","definition_or_measurement_approach":""}
- {"endpoint_text":"- Duration of response","definition_or_measurement_approach":""}
- {"endpoint_text":"- Overall survival from date of randomization","definition_or_measurement_approach":""}
- {"endpoint_text":"- Patient Reported Outcome/Quality of Life","definition_or_measurement_approach":""}
- {"endpoint_text":"- CAR T-cell expansion, persistence, and T-cell characteristics in ARI0002h-treated patients","definition_or_measurement_approach":""}
- {"endpoint_text":"- PoC CAR T-cell production characteristics","definition_or_measurement_approach":""}
- {"endpoint_text":"- The association of the functional characteristics of the CAR T-cell products with CAR T-cell expansion, persistence, AEs, response rates and PFS","definition_or_measurement_approach":""}
- {"endpoint_text":"- Proportion of successful batches","definition_or_measurement_approach":""}
- {"endpoint_text":"- Production and additional health care costs","definition_or_measurement_approach":""}
Recruitment
- Registry Or Advocacy Recruitment
- True, Hemato-Oncologie voor Volwassenen Nederland (Hovon) Stichting
- Planned Sample Size
- 126
- Recruitment Window Months
- 48
- Consent Approach
- Informed consent is required from participants who must be aged 18 years or older and capable of giving informed consent. Subject information and informed consent form documents (L1 HO183 SIS and ICF) are included in the dossier. Materials/translations in the dossier include English and Dutch protocol/information documents.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 126
Netherlands
- Earliest CTIS Part Ii Submission Date
- 31-03-2026
- Latest Decision Or Authorization Date
- 29-04-2026
- Processing Time Days
- 29
- Number Of Sites
- 1
- Number Of Participants
- 126
Sites
- Site Name
- Universitair Medisch Centrum Groningen
- Department Name
- Hematology
- Principal Investigator Name
- Wilfried Roeloffzen
- Principal Investigator Email
- hovon@erasmusmc.nl
- Contact Person Name
- Wilfried Roeloffzen
- Contact Person Email
- hovon@erasmusmc.nl
- Number Of Participants
- 126
Sponsor
Primary sponsor
- Full Name
- Universitair Medisch Centrum Groningen
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Netherlands
Third parties
- {"country":"Spain","full_name":"Hospital Clinic De Barcelona","duties_or_roles":"CAR T cell production","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"Netherlands","full_name":"Universitair Medisch Centrum Groningen","duties_or_roles":"4","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"Netherlands","full_name":"Hemato-Oncologie voor Volwassenen Nederland (Hovon) Stichting","duties_or_roles":"1,10,12,5,6,7,8","organisation_type":"Patient organisation/association"}
Investigational products
- Investigational Product Name
- Cesnicabtagene autoleucel
- Active Substance
- Autologous genetically modified T lymphocytes transduced with lentivirus expressing CAR protein directed against BCMA
- Modality
- Cell therapy
- Routes Of Administration
- INTRAVENOUS
- Route
- INTRAVENOUS
- Authorisation Status
- Not authorised (prodAuthStatus=1)
- Maximum Dose
- 6000000
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