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Brief Title: A Phase 3 Randomized, Open-label, Multicenter Study of Isatuximab (SAR650984) in Combination With Lenalidomide and Dexamethasone Versus Lenalidomide and Dexamethasone in Patients With High-risk Smoldering Multiple Myeloma
Official Title: A Phase 3 Randomized, Open Label, Multicenter Study of Isatuximab (SAR650984) in Combination With Lenalidomide and Dexamethasone Versus Lenalidomide and Dexamethasone in Patients With High-risk Smoldering Multiple Myeloma
Study ID: NCT04270409
Brief Summary: Primary Objectives: * Safety run-in: To confirm the recommended dose of isatuximab when combined with lenalidomide and dexamethasone in participants with high-risk smoldering multiple myeloma (SMM) * Randomized Phase 3: To demonstrate the clinical benefit of isatuximab in combination with lenalidomide and dexamethasone in the prolongation of progression-free survival when compared to lenalidomide and dexamethasone in subjects with high-risk SMM Secondary Objectives: Safety run-in * To assess overall response rate (ORR) * To assess duration of response (DOR) * To assess minimal residual disease (MRD) negativity in participants achieving very good partial response (VGPR) or complete response (CR) * To assess time to diagnostic (SLiM CRAB) progression or death * To assess time to first-line treatment for multiple myeloma (MM) * To assess the potential immunogenicity of isatuximab * Impact of abnormal cytogenetic subtype on participant outcome Randomized Phase 3 - Key Secondary Objectives: To compare between the arms * MRD negativity * Sustained MRD negativity * Second progression-free survival (PFS2) * Overall survival Other Secondary Objectives: To evaluate in both arms * CR rate * ORR * DOR * Time to diagnostic (SLiM CRAB) progression * Time to biochemical progression * Time to first-line treatment for MM * Safety and tolerability * Pharmacokinetics (PK) * Potential of isatuximab immunogenicity * Clinical outcome assessments (COAs)
Detailed Description: Study duration is expected to be approximately 12 years, including a 42-day screening period, followed by an up to 36-month treatment period, and a follow-up period of approximately 9 years.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: Yes
UCLA Site Number : 8400010, Los Angeles, California, United States
Colorado Blood Cancer Institute Site Number : 8400007, Denver, Colorado, United States
Cancer Specialist of North Florida Site Number : 8400011, Jacksonville, Florida, United States
University of Miami Site Number : 8400012, Miami, Florida, United States
Dana Farber Cancer Institute Site Number : 8400001, Boston, Massachusetts, United States
Presbyterian Hospital Site Number : 8400015, Charlotte, North Carolina, United States
Novant Health Forsyth Medical Center Site Number : 8401015, Winston-Salem, North Carolina, United States
Tennessee Oncology Site Number : 8400006, Nashville, Tennessee, United States
~University of Texas - MD Anderson Cancer Center Site Number : 8400002, Houston, Texas, United States
Investigational Site Number :0360008, Liverpool, New South Wales, Australia
Investigational Site Number :0360005, Waratah, New South Wales, Australia
Investigational Site Number :0360001, Wollongong, New South Wales, Australia
Investigational Site Number :0360002, Fitzroy, Victoria, Australia
Investigational Site Number :0360007, Heidelberg West, Victoria, Australia
Investigational Site Number :0360004, Richmond, Victoria, Australia
Investigational Site Number :0360006, Nedlands, Western Australia, Australia
Investigational Site Number :0760002, Sao Paulo, São Paulo, Brazil
Investigational Site Number :1240004, Edmonton, Alberta, Canada
Investigational Site Number :1240005, Moncton, New Brunswick, Canada
Investigational Site Number :1240001, Montreal, Quebec, Canada
Investigational Site Number :1560002, Hangzhou, , China
Investigational Site Number :1560003, Hangzhou, , China
Investigational Site Number :1560006, Nanchang, , China
Investigational Site Number :1560004, Shanghai, , China
Investigational Site Number :1560005, Shenyang, , China
Investigational Site Number :1560001, Tianjin, , China
Investigational Site Number : 2030004, Brno, , Czechia
Investigational Site Number : 2030005, Hradec Kralove, , Czechia
Investigational Site Number : 2030002, Olomouc, , Czechia
Investigational Site Number : 2030003, Ostrava - Poruba, , Czechia
Investigational Site Number : 2030001, Praha 2, , Czechia
Investigational Site Number :2080001, Aalborg, , Denmark
Investigational Site Number :2080003, Aarhus N, , Denmark
Investigational Site Number :2080005, Copenhagen, , Denmark
Investigational Site Number :2080002, Roskilde, , Denmark
Investigational Site Number :2500009, Ars-Laquenexy, , France
Investigational Site Number :2500010, Bayonne, , France
Investigational Site Number :2500007, GRENOBLE Cedex 9, , France
Investigational Site Number :2500006, La Roche sur Yon, , France
Investigational Site Number :2500003, Lille, , France
Investigational Site Number :2500005, Paris, , France
Investigational Site Number :2500011, Paris, , France
Investigational Site Number :2500002, Poitiers Cedex, , France
Investigational Site Number :2500001, RENNES Cedex 09, , France
Investigational Site Number :2760001, Hamburg, , Germany
Investigational Site Number :2760002, Heidelberg, , Germany
Investigational Site Number :3000002, Athens, , Greece
Investigational Site Number :3000001, Athens, , Greece
Investigational Site Number :3000003, Thessaloniki, , Greece
Investigational Site Number :3480003, Budapest, , Hungary
Investigational Site Number :3480001, Budapest, , Hungary
Investigational Site Number :3480002, Debrecen, , Hungary
Investigational Site Number :3480004, Kaposvár, , Hungary
Investigational Site Number :3720003, Dublin 7, Dublin, Ireland
Investigational Site Number :3720002, Dublin 8, Dublin, Ireland
Investigational Site Number :3720001, Dublin 9, Dublin, Ireland
Investigational Site Number :3760004, Ashdod, , Israel
Investigational Site Number :3760001, Jerusalem, , Israel
Investigational Site Number :3760002, Jerusalem, , Israel
Investigational Site Number :3760005, Petah-Tikva, , Israel
Investigational Site Number :3760006, Ramat Gan, , Israel
Investigational Site Number :3760003, Tel Aviv, , Israel
Investigational Site Number :3800006, Meldola, Forlì-Cesena, Italy
Investigational Site Number :3800001, Rozzano, Milano, Italy
Investigational Site Number :3800005, Ancona, , Italy
Investigational Site Number :3800003, Bologna, , Italy
Investigational Site Number :3800002, Terni, , Italy
Investigational Site Number :3920002, Nagoya-shi, Aichi, Japan
Investigational Site Number :3920006, Kamogawa-shi, Chiba, Japan
Investigational Site Number :3920008, Maebashi-shi, Gunma, Japan
Investigational Site Number :3920005, Higashiibaraki-gun, Ibaraki, Japan
Investigational Site Number :3920003, Okayama-shi, Okayama, Japan
Investigational Site Number :3920009, Sunto-gun, Shizuoka, Japan
Investigational Site Number :3920001, Shibuya-ku, Tokyo, Japan
Investigational Site Number :4100004, Gangnam-gu, Seoul-teukbyeolsi, Korea, Republic of
Investigational Site Number :4100003, Seoul, Seoul-teukbyeolsi, Korea, Republic of
Investigational Site Number :4100001, Seoul, Seoul-teukbyeolsi, Korea, Republic of
Investigational Site Number :4100002, Seoul, , Korea, Republic of
Investigational Site Number :4400001, Vilnius, , Lithuania
Investigational Site Number :5540004, Christchurch, Canterbury, New Zealand
Investigational Site Number :5540001, Hamilton, Waikato, New Zealand
Investigational Site Number :5780002, Bergen, , Norway
Investigational Site Number :5780001, Oslo, , Norway
Investigational Site Number :6160006, Bydgoszcz, Kujawsko-pomorskie, Poland
Investigational Site Number :6160002, Lodz, Lódzkie, Poland
Investigational Site Number :6160008, Gdansk, Pomorskie, Poland
Investigational Site Number :6160005, Chorzow, Slaskie, Poland
Investigational Site Number :7240004, Barcelona, Barcelona [Barcelona], Spain
Investigational Site Number :7240001, Barcelona, Barcelona [Barcelona], Spain
Investigational Site Number :7240006, Pamplona, Navarra, Spain
Investigational Site Number :7240002, Valencia, Valenciana, Comunidad, Spain
Investigational Site Number :7240005, Madrid, , Spain
Investigational Site Number :7240007, Salamanca, , Spain
Investigational Site Number :7240003, Zaragoza, , Spain
Investigational Site Number :7520001, Göteborg, , Sweden
Investigational Site Number :7520003, Helsingborg, , Sweden
Investigational Site Number : 7920005, Ankara, , Turkey
Investigational Site Number : 7920001, Ankara, , Turkey
Investigational Site Number : 7920004, Istanbul, , Turkey
Investigational Site Number : 7920002, Istanbul, , Turkey
Investigational Site Number : 7920003, Izmir, , Turkey
Investigational Site Number :8260002, Bournemouth, Hampshire, United Kingdom
Investigational Site Number :8260003, London, London, City Of, United Kingdom
Investigational Site Number :8260001, Leicester, , United Kingdom
Investigational Site Number :8260004, Southampton, , United Kingdom
Name: Clinical Sciences & Operations
Affiliation: Sanofi
Role: STUDY_DIRECTOR