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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