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Study of Elranatamab for Relapsed or Refractory Myeloma in Patients Previously Exposed to Three-drug Classes
Sponsor: PETHEMA Foundation
Summary
The goal of this phase II, open-label, single-arm, multicenter study is to evaluate i) the efficacy and ii) safety of elranatamab monotherapy at the dose of 76 mg subcutaneously in participants with RRMM after at least one or two prior lines of therapy who have received prior treatment with immunomodulatory drugs, protease inhibitors, and anti-CD38 therapy and were refractory to the last line of therapy, defined as progression while receiving treatment or in the first 60 days after the last dose of treatment. Efficacy refers to the rate of Undetectable Measurable Residual Disease at 6 and 12 months as per International Myeloma Working Group (IMWG) criteria evaluated by the investigators. Safety refers to the measurement of: i) Adverse events (AEs) and serious adverse events (SAEs) according to standard clinical and laboratory tests (hematology and chemistry, physical examination, vital sign measurements, and diagnostic tests). ii) Incidence and severity of Cytokine Release Syndrome (CRS) and Immune effector cell associated neurotoxicity syndrome (ICANS) according to the American Society for Transplantation and Cellular Therapy (ASTCT) criteria. iii) Incidence and severity of other neurotoxicities. iv) Incidence of cytopenias and infections The study consists of a screening/baseline period, a treatment period, and a posttreatment follow-up period. The study includes a periodic review of safety data, that will be independently analyzed by the Data Safety Independent Committee (DSMC) and will recommend how to proceed with the study.
Official title: An Open Label, Multicenter, Phase II Study of Elranatamab as Single Agent for the Treatment of Relapsed or Refractory Myeloma in Patients Previously Exposed to Three-drug Classes (GEM-RANTAB)
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
50
Start Date
2023-11-23
Completion Date
2029-12
Last Updated
2024-03-06
Healthy Volunteers
No
Conditions
Interventions
Elranatamab (PF-06863135)
The scheme of administration includes weekly administrations for at least six 4-weeks cycles and, if patients have achieved at least PR (or better) persisting for at least 2 months, the dose interval should be changed from weekly to every other week. Treatment will be scheduled with a response-adapted duration and patients achieving undetectable measurable residual disease (MRD) and maintained for 12 months will stop therapy. After stopping therapy, and if the patient is in sustained undetectable MRD for at least 12 months, it would be possible to re-start treatment with elranatamab in case the MRD will be detectable or relapse from CR will occur. Patients who will not achieve undetectable MRD sustained for 12 months will receive continuous treatment until progressive disease.
Locations (15)
Hospital Clínico Universitario de Santiago ~ CHUS
Santiago de Compostela, A Coruña, Spain
Hospital Son Llàtzer
Palma de Mallorca, Balearic Islands, Spain
Institut Catala d'Oncologia (ICO) Badalona - Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, Spain
Institut Catala d'Oncologia (ICO) Hospital Duran i Reynals
L'Hospitalet de Llobregat, Barcelona, Spain
Hospital Universitario Marqués de Valdecilla
Santander, Cantabria, Spain
Hospital Universitario de Jerez de la Frontera
Jerez de la Frontera, Cádiz, Spain
CHU de Gran Canaria Doctor Negrín
Las Palmas de Gran Canaria, Las Palmas, Spain
Hospital HM Sanchinarro
PAU de Sanchinarro, Madrid, Spain
Hospital Clínico Universitario Virgen de la Arrixaca
El Palmar, Murcia, Spain
Clinica Universidad Navarra (CUN)
Pamplona, Navarre, Spain
H. Clínic i Provincial de Barcelona
Barcelona, Spain
Hospital de Cabueñes
Gijón, Spain
Instituto de Investigación Sanitaria Hospital 12 de Octubre
Madrid, Spain
Hospital Clínico Universitario Salamanca
Salamanca, Spain
C.H. de Toledo (Virgen de la Salud)
Toledo, Spain