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Not yet recruiting NCT06895512

A Study to Evaluate the Efficacy and Safety of HLX15-IV Versus DARZALEX® in Combination with Lenalidomide-Dexamethasone (Rd) in Transplant-ineligible Patients with Newly Diagnosed Multiple Myeloma

Phase III Interventional Newly Diagnosed Multiple Myeloma

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: HLX15-IV, Darzalex.
Who it may be relevant to
Registry conditions: Newly Diagnosed Multiple Myeloma. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
China
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

A Randomized, Double-blind, Parallel-controlled, Multicenter, Phase III Study to Evaluate the Efficacy and Safety of HLX15-IV Versus DARZALEX® in Combination with Lenalidomide-Dexamethasone (Rd) in Transplant-ineligible Patients with Newly Diagnosed Multiple Myeloma

Overview

This is a randomized, double-blind, parallel-controlled, multicenter, phase III study to compare the efficacy and safety of HLX15-IV in combination with Rd (HLX15-IV-Rd) versus DARZALEX® in combination with Rd (D-Rd) in patients with NDMM who are ineligible for autologous stem cell transplantation (ASCT).

Interventions

  • Drug HLX15-IV
    recombinant anti-CD38 human monoclonal antibody injection
  • Drug Darzalex
    recombinant anti-CD38 human monoclonal antibody injection

Primary outcome measures

  • IRC-assessed Week 24 rate of very good partial response (VGPR) or better [Time frame: 24 weeks]
Secondary outcome measures (12)
  • Investigator-assessed Week 24 rate of VGPR or better [Time frame: 24 weeks]
  • IRC- and investigator-assessed Week 12, 36 and 48 rate of VGPR or better [Time frame: 12,36,48 weeks]
  • IRC- and investigator-assessed partial response (PR) rate [Time frame: 48 weeks]
  • IRC- and investigator-assessed complete response (CR) rate [Time frame: 48 weeks]
  • IRC- and investigator-assessed stringent complete response (sCR) rate [Time frame: 48 weeks]
  • IRC- and investigator-assessed complete response (CR) or better rate [Time frame: 48 weeks]
  • IRC- and investigator-assessed overall response rate [Time frame: 48 weeks]
  • IRC- and investigator-assessed time to response (TTR) [Time frame: 48 weeks]
  • IRC- and investigator-assessed duration of response (DOR) [Time frame: 48 weeks]
  • IRC- and investigator-assessed progression free survival (PFS) [Time frame: 48 weeks]
  • Minimal residual disease (MRD) negative rate [Time frame: 48 weeks]
  • European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Health Status (EORTC-QLQ-C30). [Time frame: 48 weeks]

Eligibility criteria

Inclusion criteria

  • Capable to understand and sign the ICF.
  • Patients aged ≥ 18 years .
  • Patient must have documented multiple myeloma (MM) satisfying the International Myeloma Working Group (IMWG) diagnostic criteria for MM.
  • Newly diagnosed, untreated and not considered candidate for autologous stem cell transplantation (ASCT).
  • Patient must have an ECOG performance status score of 0.
  • Patient must have pretreatment clinical laboratory values.
  • Contraceptive use by men or women should be consistent with local regulations.
  • A WOCBP must have a negative serum pregnancy test at screening within 72 hours prior to randomization.

Exclusion criteria

  • Patient has a diagnosis of primary amyloidosis, monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), Waldenström's disease, or other conditions in which IgM M-protein is present in the absence of a clonal plasma cell infiltration with lytic bone lesions.
  • Patient has plasma cell leukemia or POEMS syndrome .
  • Patient has prior or current systemic therapy or ASCT for MM before randomization.
  • Patient has peripheral neuropathy or neuropathic pain Grade 2 or higher.
  • Patient has a history of malignancy (other than MM) within 3 years before randomization .
  • Patient has clinical signs of meningeal involvement of MM.
  • Patient has known COPD, persistent asthma, or a history of asthma within the last 2 years.
  • Patient is known to be seropositive for history of human immunodeficiency virus (HIV) or known to have treponema pallidum antibodies (Anti-TP).
  • Patient is known to have active hepatitis B or C.
  • Patient has any concurrent medical or psychiatric condition or disease that is likely to interfere with the study procedures or results.
  • Patient has clinically significant cardiac disease.
  • Patient has known allergies, hypersensitivity, or intolerance to treatment drugs.
  • Patient has history of drug abuse or substance abuse.
  • Patient is a woman who is pregnant, or breast-feeding, or planning to become pregnant or donate eggs (ova, oocytes).
  • Patient had radiation therapy within 14 days of randomization.
  • Patient had plasmapheresis within 28 days of randomization.
  • Patient had major surgery within 28 days before randomization.
  • Patient in clinical trials of any other drug or device within 3 months before randomization.
  • Patient has any condition could prevent, limit, or confound the protocol-specified assessments.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Quadruple blind
Primary purpose
Treatment

Study locations

China · 1 center
  • Zhongshan hospital, Shanghai — Shanghai

Identifiers

NCT: NCT06895512 · HLX15-IV-NDMM-301

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗