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Corticosteroid

Isa-Rd Combo Therapy for Multiple Myeloma

Phase 2
Recruiting
Led By Sascha Tuchman, MD
Research Sponsored by UNC Lineberger Comprehensive Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Measurable MM diagnosed according to standard criteria.
One or more MM-related organ dysfunction findings such as hypercalcemia, renal insufficiency, anemia, and bone lesions (CRAB) criteria.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from day 1 of study treatment up to 60 months
Awards & highlights

Study Summary

This trial is looking at a new, lower-dose combo of drugs for myeloma. It hasn't been approved by the FDA yet.

Who is the study for?
This trial is for older or frail patients with newly diagnosed multiple myeloma who haven't had more than 28 days of anti-myeloma therapy. They must be at high risk for severe side effects from standard treatments, have measurable MM and related organ dysfunction, and show adequate organ function. Women of childbearing age must use birth control.Check my eligibility
What is being tested?
The study tests a combination of isatuximab, lenalidomide, and dexamethasone at lower doses than usual to see if it's safe and effective for treating new multiple myeloma cases while minimizing side effects. This approach isn't FDA-approved yet.See study design
What are the potential side effects?
Potential side effects may include reactions to the drugs like allergies or infusion-related issues, blood disorders due to bone marrow suppression by lenalidomide or dexamethasone, increased infection risk, fatigue, digestive problems from oral medications.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My multiple myeloma can be measured and has been diagnosed.
Select...
I have organ issues related to my multiple myeloma, like high calcium, kidney problems, anemia, or bone damage.
Select...
My tests show markers for myeloma cancer.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from day 1 of study treatment up to 60 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and from day 1 of study treatment up to 60 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Overall Response Rate (ORR)
Secondary outcome measures
Clinical Benefit Rate (minimal response (MR) + ORR)
Duration of Response
Maximum Depth of Response
+7 more

Side effects data

From 2023 Phase 3 trial • 307 Patients • NCT02990338
35%
Neutropenia
21%
Fatigue
21%
Diarrhoea
21%
Pneumonia
20%
Constipation
19%
Asthenia
19%
Upper Respiratory Tract Infection
16%
Back Pain
13%
Pyrexia
12%
Oedema Peripheral
12%
Arthralgia
11%
Bronchitis
11%
Thrombocytopenia
11%
Muscle Spasms
9%
Dyspnoea
9%
Nausea
9%
Insomnia
9%
Urinary Tract Infection
9%
Bone Pain
7%
Cough
7%
Cataract
7%
Nasopharyngitis
7%
Peripheral Sensory Neuropathy
7%
Pruritus
6%
Headache
6%
Fall
5%
Muscular Weakness
5%
Decreased Appetite
5%
Hypertension
5%
Tremor
5%
Musculoskeletal Chest Pain
5%
Disease Progression
5%
Rash
4%
Vomiting
4%
Acute Kidney Injury
4%
Influenza
4%
Abdominal Pain
3%
Myalgia
3%
Pathological Fracture
3%
Pain In Extremity
3%
Pneumocystis Jirovecii Pneumonia
3%
Febrile Neutropenia
3%
Oropharyngeal Pain
3%
Septic Shock
3%
Dizziness
3%
Stomatitis
2%
Lower Respiratory Tract Infection
2%
Renal Failure
2%
Hypercalcaemia
2%
Oral Herpes
2%
Productive Cough
2%
General Physical Health Deterioration
2%
Lung Infection
1%
Diabetic Ulcer
1%
Spinal Compression Fracture
1%
Orthostatic Hypotension
1%
Renal Aneurysm
1%
Malnutrition
1%
Respiratory Tract Infection
1%
Confusional State
1%
Cerebral Haemorrhage
1%
Haemorrhage Intracranial
1%
Atrial Fibrillation
1%
Tumour Associated Fever
1%
Hyponatraemia
1%
Cauda Equina Syndrome
1%
Angina Pectoris
1%
Cardiac Failure
1%
Covid-19 Pneumonia
1%
Syncope
1%
Pancreatitis Acute
1%
Sudden Death
1%
Cytomegalovirus Gastrointestinal Infection
1%
Infusion Related Reaction
1%
Candida Pneumonia
1%
Pneumonia Fungal
1%
Basal Cell Carcinoma
1%
Diverticulitis
1%
Escherichia Sepsis
1%
Gastroenteritis
1%
Anaemia
1%
Dehydration
1%
Ischaemic Stroke
1%
Pleural Effusion
1%
Pulmonary Embolism
1%
Pulmonary Oedema
1%
Respiratory Failure
1%
Death
1%
Accidental Overdose
1%
Pneumonia Bacterial
1%
Pyelonephritis
1%
Pyelonephritis Acute
1%
Sepsis
1%
Sinusitis
1%
Hyperviscosity Syndrome
1%
Pancytopenia
1%
Femur Fracture
1%
Pneumonia Haemophilus
1%
Pneumonia Influenzal
1%
Pneumonia Streptococcal
1%
Bronchospasm
1%
Large Intestine Perforation
1%
Weight Decreased
1%
Covid-19
1%
Infection
1%
Presyncope
1%
Spinal Subdural Haematoma
1%
Retinal Detachment
1%
Vision Blurred
1%
Myocardial Infarction
1%
Deep Vein Thrombosis
1%
Ataxia
100%
80%
60%
40%
20%
0%
Study treatment Arm
Pd (Pomalidomide + Dexamethasone)
IPd (Isatuximab + Pomalidomide + Dexamethasone)

Trial Design

1Treatment groups
Experimental Treatment
Group I: Single ArmExperimental Treatment3 Interventions
All subjects will receive the same treatment on the study, consisting of isatuximab, lenalidomide, and dexamethasone with 28 days cycles.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Dexamethasone
2007
Completed Phase 4
~2590
Lenalidomide
2005
Completed Phase 3
~1480
Isatuximab
2016
Completed Phase 3
~370

Find a Location

Who is running the clinical trial?

UNC Lineberger Comprehensive Cancer CenterLead Sponsor
351 Previous Clinical Trials
88,283 Total Patients Enrolled
17 Trials studying Multiple Myeloma
21,962 Patients Enrolled for Multiple Myeloma
Genzyme, a Sanofi CompanyIndustry Sponsor
524 Previous Clinical Trials
85,579 Total Patients Enrolled
27 Trials studying Multiple Myeloma
9,764 Patients Enrolled for Multiple Myeloma
Sascha Tuchman, MDPrincipal InvestigatorUNC Lineberger Comprehensive Cancer Center
1 Previous Clinical Trials
2,000 Total Patients Enrolled
1 Trials studying Multiple Myeloma
2,000 Patients Enrolled for Multiple Myeloma

Media Library

Dexamethasone (Corticosteroid) Clinical Trial Eligibility Overview. Trial Name: NCT05145400 — Phase 2
Multiple Myeloma Research Study Groups: Single Arm
Multiple Myeloma Clinical Trial 2023: Dexamethasone Highlights & Side Effects. Trial Name: NCT05145400 — Phase 2
Dexamethasone (Corticosteroid) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05145400 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any open positions for trial participants at this time?

"This trial, which is currently recruiting patients and was originally posted on February 18th, 2022, as indicated by clinicaltrials.gov."

Answered by AI

What are the most significant findings from other research on Isatuximab?

"Isatuximab was first studied 18 years ago at Manitoba Blood & Marrow Transplant Program CancerCare Manitoba. So far, 1350 completed clinical trials have occurred with 741 more currently recruiting patients. Many of these ongoing studies are based in Chapel Hill, North carolina."

Answered by AI

What is the main purpose of Isatuximab?

"Isatuximab is a common treatment for ophthalmia, sympathetic. Additionally, this medication can help patients who have undergone at least two systemic chemotherapy regimens, branch retinal vein occlusion, and macular edema."

Answered by AI

Has Isatuximab been cleared by the FDA for public use?

"Isatuximab's safety is unknown but there is some evidence from Phase 2 clinical trials that it might be safe."

Answered by AI

How many people with the condition are eligible for this treatment?

"That is accurate. The clinical trial in question, which was initially posted on February 18th, 2022, is still recruiting patients. They are looking for a total of 50 individuals between 3 different locations."

Answered by AI
~23 spots leftby Mar 2026