A Study to Evaluate Mezigdomide in Combination With Carfilzomib and Dexamethasone (MeziKD) Versus Carfilzomib and Dexamethasone (Kd) in Participants With Relapsed or Refractory Multiple Myeloma (SUCCESSOR-2) (SUCCESSOR-2)
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ClinicalTrials.gov Identifier: NCT05552976 |
Recruitment Status :
Recruiting
First Posted : September 23, 2022
Last Update Posted : April 11, 2024
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Relapsed or Refractory Multiple Myeloma | Drug: Mezigdomide Drug: Carfilzomib Drug: Dexamethasone | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 525 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | This is a two-stage inferentially seamless design. |
Masking: | None (Open Label) |
Masking Description: | This is an open-label study; however, any review of aggregate study data by the Sponsor will be performed in a blinded manner. |
Primary Purpose: | Treatment |
Official Title: | A Phase 3, Two-stage, Randomized, Multicenter, Open-label Study Comparing Mezigdomide (CC-92480/BMS-986348), Carfilzomib, and Dexamethasone (MeziKD) Versus Carfilzomib and Dexamethasone (Kd) in Participants With Relapsed or Refractory Multiple Myeloma (RRMM): SUCCESSOR-2 |
Actual Study Start Date : | January 10, 2023 |
Estimated Primary Completion Date : | February 4, 2026 |
Estimated Study Completion Date : | July 25, 2029 |
Arm | Intervention/treatment |
---|---|
Experimental: MeziKd (Mezigdomide + Carfilzomib + Dexamethasone) |
Drug: Mezigdomide
Specified dose on specified days
Other Names:
Drug: Carfilzomib Specified dose on specified days
Other Name: Kyprolis Drug: Dexamethasone Specified dose on specified days
Other Names:
|
Active Comparator: Kd (Carfilzomib + Dexamethasone) |
Drug: Carfilzomib
Specified dose on specified days
Other Name: Kyprolis Drug: Dexamethasone Specified dose on specified days
Other Names:
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- Progression-free Survival (PFS) [ Time Frame: Up to approximately 5 years ]
- Recommended Mezigdomide Dose [ Time Frame: Up to 12 months ]Stage 1 only
- Plasma concentrations of Mezigdomide in Combination with Carfilzomib and Dexamethasone [ Time Frame: Up to 176 days ]Stage 1 only
- Overall Survival (OS) [ Time Frame: Up to approximately 5 years ]
- Overall Response (OR) [ Time Frame: Up to approximately 5 years ]
- Rate Of Very Good Partial Response (VGPR) Or Better (VGPRR) [ Time Frame: Up to approximately 5 years ]VGPRR will be calculated as the percentage of participants who achieve best response of VGPR or better according to the International Myeloma Working Group (IMWG) Uniform Response Criteria for Multiple Myeloma.
- Complete Response (CR) Or Better (CRR) [ Time Frame: Up to approximately 5 years ]CRR will be calculated as the percentage of participants who achieve best response of CR or better according to the IMWG Uniform Response Criteria for Multiple Myeloma.
- Time To Response (TTR) [ Time Frame: Up to approximately 5 years ]
- Duration Of Response (DOR) [ Time Frame: Up to approximately 5 years ]
- Time To Progression (TTP) [ Time Frame: Up to approximately 5 years ]
- Time To Next Treatment (TTNT) [ Time Frame: Up to approximately 5 years ]
- Progression-free Survival 2 (PFS-2) [ Time Frame: Up to approximately 5 years ]
- Minimal Residual Disease (MRD) Negativity Rate [ Time Frame: Up to approximately 5 years ]
- Number Of Participants With Adverse Events (AEs) [ Time Frame: Up to approximately 5 years ]
- Change From Baseline in the European Organization for Research and Treatment of Cancer - Quality of Life C30 Questionnaire (EORTC QLQ-C30) [ Time Frame: Up to approximately 5 years ]The EORTC QLQ-C30 is the most commonly used quality of life instrument in oncology trials. The QLQ-C30 consists of 30 questions incorporated into 5 functional domains physical, role, cognitive, emotional, and social), 9 symptom/other scales (fatigue, pain, nausea and vomiting, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties), and a single global Quality of Life (QoL)/global health status score. Items in the functional and symptom scale use raw participant response of 1 to 4, where 1 = "not at all" and 4 = "very much." The 2 global items contain responses ranging from 1 "very poor" to 7 "excellent." The recall period is 1 week. All domain scores are transformed in a range from 0 to 100, where a higher functional score indicates more favorable outcomes and a higher score on the symptom domains indicates a less favorable participant outcome. Stage 2 only.
- Change From Baseline in the European Quality of Life Multiple Myeloma Module (EORTC QLQ-MY20) [ Time Frame: Up to approximately 5 years ]The EORTC QLQ-MY20 is a 20-item myeloma module intended for use among participants varying in disease stage and treatment modality. Participants rate symptoms or problems on a scale from 1 to 4 where 1 = "not at all" and 4 = "very much." Stage 2 only.
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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria
- Participant has documented diagnosis of multiple myeloma and measurable disease, defined as any of the following:.
i) Myeloma-protein (M-protein) ≥ 0.5 grams/deciliter (g/dL) by serum protein electrophoresis (sPEP), or.
ii) M-protein ≥ 200 milligrams (mg)/24-hour urine collection by urine protein electrophoresis (uPEP) or,.
iii) For participants without measurable disease in sPEP or uPEP: serum free light chain levels > 100 mg/liter (L) (10 mg/dL) involved light chain and an abnormal κ/λ free light chain ratio.
- Participant has received at least one prior line of anti-myeloma therapy. Note: One line can contain several phases (e.g., induction, [with or without] hematopoietic stem cell transplant, (with or without) consolidation, and/or [with or without] maintenance therapy).
- Participant must have received prior treatment with lenalidomide and at least 2 cycles of an anti-CD38 monoclonal antibody (mAb) (participants who were intolerant of an anti-CD38 mAb and received < 2 cycles are still eligible).
- Participant achieved minimal response or better to at least 1 prior anti-myeloma therapy.
- Participant must have documented disease progression during or after their last antimyeloma regimen.
Exclusion Criteria
- Participant who has had prior treatment with mezigdomide or carfilzomib.
- Participant has previously received allogeneic stem cell transplant at any time or received autologous stem cell transplant within 12 weeks of initiating study treatment.
- Other protocol-defined Inclusion/Exclusion criteria apply.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05552976
Contact: BMS Study Connect Contact Center www.BMSStudyConnect.com | 855-907-3286 | Clinical.Trials@bms.com |
Study Director: | Bristol-Myers Squibb | Bristol-Myers Squibb |
Responsible Party: | Bristol-Myers Squibb |
ClinicalTrials.gov Identifier: | NCT05552976 |
Other Study ID Numbers: |
CA057-008 |
First Posted: | September 23, 2022 Key Record Dates |
Last Update Posted: | April 11, 2024 |
Last Verified: | April 2024 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myers Squibb's data sharing policy and process can be found at: https://www.bms.com/researchers-and-partners/clinical-trials-and-research/disclosurecommitment.html |
Supporting Materials: |
Study Protocol Statistical Analysis Plan (SAP) Clinical Study Report (CSR) |
Time Frame: | See Plan Description |
Access Criteria: | See Plan Description |
URL: | https://www.bms.com/researchers-and-partners/clinical-trials-and-research/disclosure-commitment.html |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
BMS-986348 CC-92480 Carfilzomib |
Dexamethasone Multiple Myeloma Mezigdomide |
Multiple Myeloma Neoplasms, Plasma Cell Neoplasms by Histologic Type Neoplasms Hemostatic Disorders Vascular Diseases Cardiovascular Diseases Paraproteinemias Blood Protein Disorders Hematologic Diseases Hemorrhagic Disorders Lymphoproliferative Disorders Immunoproliferative Disorders |
Immune System Diseases Dexamethasone Anti-Inflammatory Agents Antiemetics Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs Gastrointestinal Agents Glucocorticoids Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Antineoplastic Agents, Hormonal Antineoplastic Agents |