Isatuximab During Stem Cell Collection and Transplant in Patients With Multiple Myeloma and Lymphoma

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorDivaya Bhutani

About this trial

The purpose of this study is to see if Isatuximab can alter the immune system in patients with multiple myeloma or lymphoma upon recovery from the autologous stem cell transplantation. The investigators will see if Isatuximab makes changes to the immune system so that upon recovery from the transplant, the immune system can fight the cancer. This study will have two arms. On one arm (control arm), participants will receive standard transplant procedures and on the other arm (experimental arm), participants will receive Isatuximab in addition to the standard transplant procedures. The assignment to these arms is done randomly (determined by chance, like flipping a coin) by a computer. Each participant will have about 66% chance of getting on the experimental arm and about 33% chance of getting on the control arm.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Relapsed/Refractory Diffuse large B cell lymphoma

Relapsed/Refractory indolent or relapsed/refractory transformed indolent B cell lymphomas as consolidation after second line therapy

Mantle Cell lymphoma as consolidation after first-line therapy

Peripheral T cell lymphoma as consolidation after first-line therapy or at relapse or primary refractory disease

Disqualifiers

Previously exposure to a CD38 antibody during the last 12 months.

Participants who are receiving any other investigational agents concurrently or received any investigational agent within the last 8 weeks.

History of severe allergic reactions or anaphylaxis attributed to compounds of similar chemical or biologic composition to Isatuximab.

Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Isatuximab

    Drug

    Isatuximab in IV form 10 mg/kg doses

  • Standard Procedures

    Other intervention

    Standard procedures (standard of care) for transplant

Treatment groups

39 Participants
are divided into 2 treatment groups
Group A: Isatuximab and Standard ProceduresExperimental treatment 1 intervention
Group B: Standard proceduresExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in the total lymphocyte count

Change in total lymphocyte count measured from blood sample

Time frame
Day 30

Secondary outcomes

1

Number of Adverse Events

The number of adverse events recorded for participants using Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

Time frame
Up to 1 year
2

Percentage of participants with absolute lymphocyte count >500 cells/microliter

Percentage of participants with an absolute lymphocyte count of \>500 cells/microliter on Day 30 post transplant

Time frame
Day 30
3

CD8 and CD4 Subsets

Immune cell phenotyping ( cluster of differentiation 8 (CD8) and cluster of differentiation 4 (CD4) subsets) in the peripheral blood using flow cytometry based analysis

Time frame
Up to 1 year
4

Percentage of activated B and T regulatory cells

Percentage of activated B and T regulatory cells in the peripheral blood

Time frame
Up to 1 year

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Divaya Bhutani

Lead sponsor

Columbia University

Sponsor institution

Genzyme, a Sanofi Company

Collaborator