Trial Outcomes & Findings for Descartes-08 Consolidation Treatment in Patients With High-Risk Multiple Myeloma High-Risk Multiple Myeloma Who Have Residual Disease After Induction Therapy (NCT NCT04816526)

NCT ID: NCT04816526

Last Updated: 2024-10-08

Results Overview

Per IMWG 2016 Response Criteria Summary sCR: Complete response (CR) plus a normal free light chain ratio and no clonal cells in bone marrow (by immunohistochemistry). The FLC ratio must be Kappa/Lambda ≤ 4:1 or ≥ 1:2 after counting at least 100 plasma cells. CR: Negative immunofixation in serum and urine, disappearance of any soft tissue plasmacytomas, and \<5% plasma cells in bone marrow. VGPR: Serum M-protein detectable by immunofixation (not on electrophoresis) or a ≥ 90% reduction in M-protein, with urine M-protein \<100 mg/24 hours. PR: ≥ 50% reduction in serum M-protein and a ≥ 90% reduction in 24-hour urinary M-protein (or to \<200 mg/24 hours). If M-protein is unmeasurable, a ≥ 50% decrease in the difference between involved and uninvolved FLC levels is required. If both M-protein and serum-free light chains are unmeasurable, a ≥ 50% reduction in plasma cells is necessary, provided baseline plasma-cell percentage in bone marrow was ≥ 30%. Overall Response (OR): CR+VGPR+PR

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

13 participants

Primary outcome timeframe

8 months

Results posted on

2024-10-08

Participant Flow

Participant milestones

Participant milestones
Measure
Descartes 08
Six IV infusions of Descartes-08 on Days 1, 4, 11, 15, 18 at 30X10\^6 cells/kg.
Overall Study
STARTED
13
Overall Study
COMPLETED
13
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Descartes-08 Consolidation Treatment in Patients With High-Risk Multiple Myeloma High-Risk Multiple Myeloma Who Have Residual Disease After Induction Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Descartes 08
n=13 Participants
Descartes 08: Car T-cells
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
Region of Enrollment
Turkey
3 participants
n=5 Participants

PRIMARY outcome

Timeframe: 8 months

Population: All enrolled participants

Per IMWG 2016 Response Criteria Summary sCR: Complete response (CR) plus a normal free light chain ratio and no clonal cells in bone marrow (by immunohistochemistry). The FLC ratio must be Kappa/Lambda ≤ 4:1 or ≥ 1:2 after counting at least 100 plasma cells. CR: Negative immunofixation in serum and urine, disappearance of any soft tissue plasmacytomas, and \<5% plasma cells in bone marrow. VGPR: Serum M-protein detectable by immunofixation (not on electrophoresis) or a ≥ 90% reduction in M-protein, with urine M-protein \<100 mg/24 hours. PR: ≥ 50% reduction in serum M-protein and a ≥ 90% reduction in 24-hour urinary M-protein (or to \<200 mg/24 hours). If M-protein is unmeasurable, a ≥ 50% decrease in the difference between involved and uninvolved FLC levels is required. If both M-protein and serum-free light chains are unmeasurable, a ≥ 50% reduction in plasma cells is necessary, provided baseline plasma-cell percentage in bone marrow was ≥ 30%. Overall Response (OR): CR+VGPR+PR

Outcome measures

Outcome measures
Measure
Descartes 08
n=13 Participants
Descartes 08: Car T-cells
Rate of Stringent Complete Response
7 Participants

Adverse Events

Descartes 08

Serious events: 1 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Descartes 08
n=13 participants at risk
Descartes 08: Car T-cells
Immune system disorders
Fever
7.7%
1/13 • Number of events 1 • Through study completion, median follow up of 5.6 months with a range of 2-11 months.

Other adverse events

Other adverse events
Measure
Descartes 08
n=13 participants at risk
Descartes 08: Car T-cells
Immune system disorders
Fever
38.5%
5/13 • Number of events 8 • Through study completion, median follow up of 5.6 months with a range of 2-11 months.
Immune system disorders
Chills
7.7%
1/13 • Number of events 2 • Through study completion, median follow up of 5.6 months with a range of 2-11 months.
Blood and lymphatic system disorders
Thrombocytopenia
15.4%
2/13 • Number of events 2 • Through study completion, median follow up of 5.6 months with a range of 2-11 months.
Blood and lymphatic system disorders
Neutropenia
15.4%
2/13 • Number of events 2 • Through study completion, median follow up of 5.6 months with a range of 2-11 months.
Blood and lymphatic system disorders
Anemia
7.7%
1/13 • Number of events 1 • Through study completion, median follow up of 5.6 months with a range of 2-11 months.
Renal and urinary disorders
Dehydration
7.7%
1/13 • Number of events 1 • Through study completion, median follow up of 5.6 months with a range of 2-11 months.
Nervous system disorders
Headache
7.7%
1/13 • Number of events 1 • Through study completion, median follow up of 5.6 months with a range of 2-11 months.
Gastrointestinal disorders
Nausea
7.7%
1/13 • Number of events 1 • Through study completion, median follow up of 5.6 months with a range of 2-11 months.
Musculoskeletal and connective tissue disorders
Myalgia
7.7%
1/13 • Number of events 1 • Through study completion, median follow up of 5.6 months with a range of 2-11 months.
Ear and labyrinth disorders
dizziness
7.7%
1/13 • Number of events 1 • Through study completion, median follow up of 5.6 months with a range of 2-11 months.

Additional Information

Dr. Milos Miljkovic, Chief Medical Officer

Cartesian Therapeutics

Phone: 4436335855

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place