Study of BiRd Regimen Combined With BCMA CAR T-cell Therapy in Newly Diagnosed Multiple Myeloma (MM) Patients

NCT ID: NCT04287660

Last Updated: 2021-10-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-19

Study Completion Date

2025-01-31

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of BiRd regimen combined with BCMA CAR T cell therapy in newly diagnosed multiple myeloma patients

Detailed Description

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This is a phase 3, single arm, multi-center study. The patients will receive BiRd regimen (clarithromycin,lenalidomide, dexamethasone) combined with infusion of autologous BCMA-directed CAR T-cells in newly diagnosed MM patients. The study participation will be 4 years including treatment and follow-up periods.

Conditions

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Multiple Myeloma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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BiRd combined with BCMA CAR T-cells infusion

Group Type EXPERIMENTAL

clarithromycin, lenalidomide, dexamethasone and autologous BCMA-directed CAR T-cells

Intervention Type DRUG

* clarithromycin: 500mg, PO, twice daily, on days 1\~21 for a 28-day cycle.
* lenalidomide: 25mg, PO, on days 1\~21 for a 28-day cycle. dexamethasone: 40mg, PO on days 1,8,15 and 22 for a 28-day cycle. BCMA CAR T cell: (2-3)×10E7/kg, intravenously infusion.
* Doses should be adjusted according to renal function.

Interventions

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clarithromycin, lenalidomide, dexamethasone and autologous BCMA-directed CAR T-cells

* clarithromycin: 500mg, PO, twice daily, on days 1\~21 for a 28-day cycle.
* lenalidomide: 25mg, PO, on days 1\~21 for a 28-day cycle. dexamethasone: 40mg, PO on days 1,8,15 and 22 for a 28-day cycle. BCMA CAR T cell: (2-3)×10E7/kg, intravenously infusion.
* Doses should be adjusted according to renal function.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Newly diagnosed MM according to the criteria by International Myeloma Working Group (IMWG)
2. Age 18-75
3. Eastern Cooperative Oncology Group (ECOG) score 0-2
4. BCMA positive as detected with flowcytometry or ELISA.
5. Patients with left ventricular ejection fraction ≥ 0.5 by echocardiography or grade I/II cardiovascular dysfunction according to the New York Heart Association Classification.
6. Patients with aspartate aminotransferase or glutamic-pyruvic transaminase \> 3x upper limit of normal or bilirubin \> 2.0 mg/dL

Exclusion Criteria

1. Patients are pregnant or lactating.
2. Nonsecretory MM.
3. History of previous treatment of MM.
4. Patients with uncontrolled active infection.
5. Patients with active hepatitis B or hepatitis C infection.
6. Patients with HIV infection.
7. Patients with atrial or venous thrombosis or embolism.
8. Patients with myo-infarction or severe arrythmia in the recent 6 months.
9. Other comorbidities that investigators considered not suitable for this study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Changshu Frist People's Hospital

UNKNOWN

Sponsor Role collaborator

The Second People's Hospital of Huai'an

OTHER

Sponsor Role collaborator

Affiliated Hospital of Jiangnan University

OTHER

Sponsor Role collaborator

Jiangsu Province Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Jiangyin People's Hospital

OTHER

Sponsor Role collaborator

Jingjiang People's Hospital

OTHER

Sponsor Role collaborator

The Third People's Hospital of Kunshan

UNKNOWN

Sponsor Role collaborator

Lianyungang Hospital Affiliated Bengbu Medical College

OTHER

Sponsor Role collaborator

Suzhou Municipal Hospital

OTHER

Sponsor Role collaborator

Zhangjiagang First People's Hospital

OTHER

Sponsor Role collaborator

Shanghai Unicar-Therapy Bio-medicine Technology Co.,Ltd

INDUSTRY

Sponsor Role collaborator

The First Affiliated Hospital with Nanjing Medical University

OTHER

Sponsor Role collaborator

Nanjing Medical University

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Soochow University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xiaowen Tang, Ph.D

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of Soochow University

Locations

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The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xiaowen Tang, Ph.D

Role: CONTACT

86-512677801856

Depei Wu, Ph.D

Role: CONTACT

86-512677801856

Facility Contacts

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Xiaowen Tang, Ph.D

Role: primary

86-512677801856

Other Identifiers

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BiRd-01

Identifier Type: -

Identifier Source: org_study_id