A Study of JNJ-68284528, a Chimeric Antigen Receptor T Cell (CAR-T) Therapy Directed Against B-cell Maturation Antigen (BCMA) in Participants With Multiple Myeloma

Overview

Información sobre este estudio

The purpose of this study is to evaluate the overall minimal residual disease (MRD) negative rate of participants who receive JNJ-68284528.

Elegibilidad para la participación

Los requisitos de elegibilidad de los participantes incluyen la edad, el sexo, el tipo y el estadio de la enfermedad, y los problemas de salud o tratamientos previos. Las pautas difieren de un estudio a otro e identifican quiénes pueden o no pueden participar. No hay garantía de que cada persona elegible que desee participar en un ensayo se inscribirá. Comunícate con el equipo del estudio para analizar la elegibilidad del estudio y la posible participación.

Inclusion Criteria:

- Cohort A: Received a minimum of 1 to a maximum of 3 prior lines of therapy including a
proteasome inhibitor (PI) and immunomodulatory therapy (IMiD), and lenalidomide
refractory per International Myeloma Working Group (IMWG) guidelines

- Cohort B: Received one line of prior therapy including a PI and an IMiD, and disease
progression per IMWG criteria less than or equal to (<=) 12 months after treatment
with autologous stem cell transplantation (ASCT) or <=12 months from the start of
anti-myeloma therapy for participants who have not had an ASCT

- Cohort C: Previously treated with a PI, an IMiD, an anti-CD38 monoclonal antibody and
B-cell maturation antigen (BCMA)-directed therapy

- Cohort D: Newly diagnosed multiple myeloma per IMWG with a history of 4 to 8 total
cycles of initial therapy, including induction, high-dose therapy, and ASCT with or
without consolidation

- Cohort E: Have newly diagnosed multiple myeloma without prior therapy (one cycle of
prior therapy before enrollment is acceptable) and classified as high risk defined as
either: 1) International Staging System (ISS) stage III criteria, Beta 2 microglobulin
greater than or equal to (>=) 5.5 milligram per liter (mg/L) (via local or central
laboratory assessment) or 2) high risk cytogenetic features del(17/17p), t (14;16),
t(14;20), 1q amplification (at least 4 total copies) in at least 20 percent (%) of the
total plasma cell population

- Cohort F:

- Participant must have a documented efficacy response of very good partial response
(VGPR) or better, without progressive disease prior to enrollment, as assessed per
IMWG 2016 criteria

- Received initial therapy as specified below. The dose/schedule of cycles administered
will be as per standard of care. It is acceptable for up to 1 cycle of the
protocol-specified regimens to be missing one of the listed agents (example, held due
to toxicity). Acceptable combinations include: At least 5 to 8 cycles of initial
therapy with daratumumab, bortezomib, lenalidomide and dexamethasone (D-VRd). The
dose/schedule of cycles administered will be as per standard of care or; at least 4 to
8 cycles of initial therapy with daratumumab, lenalidomide and dexamethasone (D-Rd)
or; at least 4 to 8 cycles of initial therapy with a carfilzomib-based triplet or
quadruplet regimen

- Cohorts A, B, C, E:

- Serum monoclonal paraprotein (M-protein) level greater than or equal to (>=) 1.0 gram
per deciliter (g/dL) or urine M-protein level >=200 milligram (mg)/24 hours

- Light chain multiple myeloma in whom only measurable disease is by serum free light
chain (FLC) levels in the serum: Serum immunoglobulin FLC >=10 mg/dL and abnormal
serum immunoglobulin kappa lambda FLC ratio

- Cohort A: For participants with neither serum nor urine measurable disease, baseline
positron emission tomography/ computed tomography (PET/CT) or whole -body magnetic
resonance imaging (MRI) may be used to satisfy the measurable disease criteria. A
minimum of one lesion with a bi-dimensional measurement of at least 1 centimeter
(cm)*1 cm is required

- Cohorts B, C: For participants with neither serum nor urine measurable disease,
baseline positron emission tomography/ computed tomography (PET/CT) or whole body
magnetic resonance imaging (MRI) may be used to satisfy the measurable disease
criteria

- Cohorts A, B, C, D, E, F: Eastern Cooperative Oncology Group (ECOG) performance status
grade of 0 or 1

Exclusion Criteria:

- Cohorts A, B, D, F: Any therapy that is targeted to BCMA

- Cohorts A, B, C, D, F: Prior treatment with chimeric antigen receptor T (CAR-T)
therapy directed at any target

- Cohorts A, B, C, D, F:

- Ongoing toxicity from previous anticancer therapy must resolve to baseline levels or
to Grade 1 or less except for alopecia or peripheral neuropathy

- Received a cumulative dose of corticosteroids equivalent to >=70 mg of prednisone
within the 7 days (Cohort A, B, C, F) or 14 days (Cohort D) prior to apheresis

- Serious underlying medical condition, such as (a) evidence of active viral or
bacterial infection requiring systemic antimicrobial therapy, or uncontrolled systemic
fungal infection; (b) active autoimmune disease or a history of autoimmune disease
within 3 years; (c) overt clinical evidence of dementia or altered mental status; (d)
any history of Parkinson's disease or other neurodegenerative disorder

- Cohorts A, B, C, D, E, F: Known active, or prior history of central nervous system
(CNS) involvement or exhibits clinical signs of meningeal involvement of multiple
myeloma

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Eligibility last updated  8/16/22. Questions regarding updates should be directed to the study team contact.

Sedes participantes de Mayo Clinic

Los estatus de los estudios cambian con frecuencia. Comunícate con el equipo del estudio para obtener la información más actualizada acerca de la posibilidad de participar.

Sede de Mayo Clinic Estatus Contacto

Rochester, Minn.

Investigador principal de Mayo Clinic

Yi Lin, M.D., Ph.D.

Cerrado para la inscripción

Contact information:

Cancer Center Clinical Trials Referral Office

855-776-0015

More information

Publicaciones

Publications are currently not available
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CLS-20520963

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