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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
Sponsor:
Information provided by (Responsible Party):
Bristol-Myers Squibb

Brief Summary:
The purpose of the study is to compare Mezigdomide (CC-92480/BMS-986348) with carfilzomib and dexamethasone (MeziKD) against carfilzomib and dexamethasone (Kd) in the treatment of RRMM: SUCCESSOR-2.

Condition or disease Intervention/treatment Phase
Relapsed or Refractory Multiple Myeloma Drug: Mezigdomide Drug: Carfilzomib Drug: Dexamethasone Phase 3

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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:
  • BMS-986348
  • CC-92480

Drug: Carfilzomib
Specified dose on specified days
Other Name: Kyprolis

Drug: Dexamethasone
Specified dose on specified days
Other Names:
  • Decadron
  • Dex

Active Comparator: Kd (Carfilzomib + Dexamethasone) Drug: Carfilzomib
Specified dose on specified days
Other Name: Kyprolis

Drug: Dexamethasone
Specified dose on specified days
Other Names:
  • Decadron
  • Dex




Primary Outcome Measures :
  1. Progression-free Survival (PFS) [ Time Frame: Up to approximately 5 years ]

Secondary Outcome Measures :
  1. Recommended Mezigdomide Dose [ Time Frame: Up to 12 months ]
    Stage 1 only

  2. Plasma concentrations of Mezigdomide in Combination with Carfilzomib and Dexamethasone [ Time Frame: Up to 176 days ]
    Stage 1 only

  3. Overall Survival (OS) [ Time Frame: Up to approximately 5 years ]
  4. Overall Response (OR) [ Time Frame: Up to approximately 5 years ]
  5. 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.

  6. 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.

  7. Time To Response (TTR) [ Time Frame: Up to approximately 5 years ]
  8. Duration Of Response (DOR) [ Time Frame: Up to approximately 5 years ]
  9. Time To Progression (TTP) [ Time Frame: Up to approximately 5 years ]
  10. Time To Next Treatment (TTNT) [ Time Frame: Up to approximately 5 years ]
  11. Progression-free Survival 2 (PFS-2) [ Time Frame: Up to approximately 5 years ]
  12. Minimal Residual Disease (MRD) Negativity Rate [ Time Frame: Up to approximately 5 years ]
  13. Number Of Participants With Adverse Events (AEs) [ Time Frame: Up to approximately 5 years ]
  14. 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.

  15. 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.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

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.

Information from the National Library of Medicine

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


Contacts
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Contact: BMS Study Connect Contact Center www.BMSStudyConnect.com 855-907-3286 Clinical.Trials@bms.com

Locations
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Sponsors and Collaborators
Bristol-Myers Squibb
Investigators
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Study Director: Bristol-Myers Squibb Bristol-Myers Squibb
Additional Information:
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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

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Bristol-Myers Squibb:
BMS-986348
CC-92480
Carfilzomib
Dexamethasone
Multiple Myeloma
Mezigdomide
Additional relevant MeSH terms:
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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