A Study of the Efficacy and Safety of Monotherapy With BCD-264 and Darzalex in Subjects With Relapsed and Refractory Multiple Myeloma

NCT ID: NCT06296121

Last Updated: 2024-03-06

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

252 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-21

Study Completion Date

2026-07-31

Brief Summary

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The aim of this study is to confirm the comparability of the efficacy and safety profiles of BCD-264 and Darzalex as monotherapy for relapsed and refractory multiple myeloma in subjects previously treated with proteasome inhibitors and immunomodulatory drugs, and who had disease progression on prior therapy.

Detailed Description

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Conditions

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Multiple Myeloma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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BCD-264

Blinded period: BCD-264 (daratumumab) will be administered intravenously once weekly for the first 8 weeks (Cycles 1 and 2), then once every two weeks for 16 weeks (Cycles 3, 4, 5 and 6). The total duration of the blinded treatment period is 6 cycles.

Open-label period: starting from Day 1 of Cycle 7, the subjects will receive open-label BCD-264 once every 4 weeks

Group Type EXPERIMENTAL

BCD-264

Intervention Type DRUG

IV, 16 mg/kg

Darzalex

Blinded period: Darzalex (daratumumab) will be administered intravenously once weekly for the first 8 weeks (Cycles 1 and 2), then once every two weeks for 16 weeks (Cycles 3, 4, 5 and 6). The total duration of the blinded treatment period is 6 cycles.

Open-label period: starting from Day 1 of Cycle 7, the subjects will receive open-label BCD-264 once every 4 weeks

Group Type ACTIVE_COMPARATOR

Darzalex

Intervention Type DRUG

IV, 16 mg/kg

Interventions

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BCD-264

IV, 16 mg/kg

Intervention Type DRUG

Darzalex

IV, 16 mg/kg

Intervention Type DRUG

Other Intervention Names

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daratumumab daratumumab

Eligibility Criteria

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Inclusion Criteria

1. Signed informed consent form.
2. Age ≥ 18 years at the time of signing of the informed consent form.
3. Documented diagnosis of multiple myeloma according to IMWG criteria
4. Measurable disease at screening:

1. M-protein in serum ≥ 1.0 g/dL (10 g/L) or in 24-hour urine ≥ 200 mg; or
2. light chain myeloma: serum "involved" FLC level ≥ 10 mg/dL (100 mg/L) and abnormal κ/λ FLC ratio .
5. At least a partial response according to IMWG criteria to at least 1 prior line of therapy.
6. Subjects with relapsed and refractory multiple myeloma who previously received therapy with proteasome inhibitors and immunomodulatory drugs, and who had disease progression on prior therapy
7. ECOG score 0-2.
8. Not pregnant and willing to use contraception.
9. Consent to bone marrow biopsy in the study.

Exclusion Criteria

1. Prior treatment with daratumumab or other anti-CD38 therapy.
2. Prior treatment for multiple myeloma within 2 weeks or 5 half-lives before the date of randomization, except for a short course of glucocorticoids
3. Autologous hematopoietic stem cell transplantation within 12 weeks prior to the date of randomization.
4. Allogeneic hematopoietic stem cell transplantation, regardless of timing.
5. Scheduled hematopoietic stem cell transplantation prior to progressive disease during this study.
6. Plasma cell leukemia, POEMS syndrome or amyloidosis.
7. Waldenstrom macroglobulinemia or other concomitant diseases with hyperproduction of monoclonal IgM (M-protein) in the absence of clonal proliferation of plasma cells with lytic bone involvement.
8. A history of other malignancies within the last 5 years, with the exception of squamous cell and basal cell skin cancer, cervical, breast carcinoma in situ, or other non-invasive malignancies that, in the Investigator's opinion are considered to have been adequately treated and have a minimal risk of recurrence for 5 years.
9. Plasmapheresis within 28 days prior to randomization.
10. Clinical signs of meningeal involvement of multiple myeloma.
11. Pregnancy or breastfeeding, as well as planning pregnancy throughout the study and within 3 months after the last dose of daratumumab; for male subjects, planning to conceive a child throughout the study and within 3 months after the last dose of daratumumab.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biocad

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Chelyabinsk Regional Clinical Hospital

Chelyabinsk, , Russia

Site Status RECRUITING

Kuzbass Regional Clinical Hospital named after S.V. Belyaev

Kemerovo, , Russia

Site Status RECRUITING

Regional Clinical Hospital

Krasnoyarsk, , Russia

Site Status RECRUITING

Moscow City Clinical Hospital 52

Moscow, , Russia

Site Status RECRUITING

S.P. Botkin Moscow City Clinical Hospital

Moscow, , Russia

Site Status RECRUITING

Almazov National Medical Research Centre

Saint Petersburg, , Russia

Site Status RECRUITING

N.N. Petrov National Medicine Research Center of oncology

Saint Petersburg, , Russia

Site Status RECRUITING

Russian Research Institute of Hematology and Transfusiology of the Federal Medical and Biological Agency

Saint Petersburg, , Russia

Site Status RECRUITING

St Petersburg State I.P. Pavlov Medical University

Saint Petersburg, , Russia

Site Status RECRUITING

State budgetary healthcare institution Leningrad Regional Clinical Hospital

Saint Petersburg, , Russia

Site Status RECRUITING

Samara State Medical University

Samara, , Russia

Site Status RECRUITING

Oncological dispensary No. 2 of the Ministry of Health of the Krasnodar Territory

Sochi, , Russia

Site Status RECRUITING

Bashkir State Medical University

Ufa, , Russia

Site Status RECRUITING

Sverdlovsk Regional Clinical Hospital No. 1

Yekaterinburg, , Russia

Site Status RECRUITING

Countries

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Russia

Facility Contacts

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Alexander Korobkin

Role: primary

+7 (351) 749-37-10

Marina Kosinova

Role: primary

8(384-2)39-65-33

Elena Martynova

Role: primary

+7 (391) 202-68-50

Elena Misyurina

Role: primary

+7 (495) 870-36-04

Vadim Doronin

Role: primary

+7 495 945 9972

Yuri Osipov

Role: primary

+7 (812) 660-37-06

Ilya Zyuzgin

Role: primary

+7(812)43-99-555

Sergei Voloshin

Role: primary

+78123097982

Ivan Moiseev

Role: primary

(812) 338 67 48

Margarita Ulyanova

Role: primary

8 (812) 670-18-88

Igor Davydkin

Role: primary

8 (846) 374-91-00

Dmitrii Kirtbaya

Role: primary

(862) 261-43-89

Bulat Bakirov

Role: primary

8 (347) 272-41-73

Tatiana Konstantinova

Role: primary

+7 (343) 363-03-03

Other Identifiers

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BCD-264-2

Identifier Type: -

Identifier Source: org_study_id

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