This study is researching a drug called linvoseltamab (also called "study drug") either given alone or in combination with another anti-myeloma drug called carfilzomib, compared to several standard treatments for progressive Multiple Myeloma (MM) after at least 1 but no more than 3 prior therapies. The aim of this study is to see if the safety and efficacy of linvoseltamab alone or in combination with carfilzomib can deliver better outcomes (deeper and longer responses that help extend life) than standard treatment options. The study is looking at several other research questions, including: * What side effects may happen from taking the study drug * How much study drug is in the blood at different times * Whether the body makes antibodies against the study drug (which could make the drug less effective or could lead to side effects)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
915
Administered per the protocol
Administered per the protocol
Administered per the protocol
Administered per the protocol
Administered per the protocol
Administered per the protocol
Gold Coast Hospital and Health Service
Southport, Queensland, Australia
RECRUITINGSamsung Medical Center
Seoul, South Korea
RECRUITINGOccurrence of Treatment Emergent Adverse Events (TEAEs)
Part 1
Time frame: Up to 5 years
Severity of TEAEs
Part 1
Time frame: Up to 5 years
Occurrence of Adverse Events of Special Interest (AESI)
Part 1
Time frame: Up to 5 years
Severity of AESIs
Part 1
Time frame: Up to 5 years
Occurrence of Serious Adverse Events (SAEs)
Part 1
Time frame: Up to 5 years
Severity of SAEs
Part 1
Time frame: Up to 5 years
Minimal Residual Disease (MRD)-negative Complete Response (CR)
Part 2
Time frame: At 12 months
Progression-Free Survival (PFS) per IMWG response criteria as determined by BIRC
Part 2
Time frame: Up to 5 years
Occurrence of grade ≥2 Cytokine Release Syndrome (CRS)
Part 1
Time frame: Up to 28 days
Timing of grade ≥2 CRS
Part 1
Time frame: Up to 28 days
Overall Survival (OS)
Part 2
Time frame: Up to 7 years
Achievement of Partial Response (PR) or better per IMWG response criteria as determined by BIRC
Part 2
Time frame: Up to 5 years
Achievement of Very Good Partial Response (VGPR) or better per IMWG response criteria as determined by BIRC
Part 2
Time frame: Up to 5 years
Achievement of CR or better per IMWG response criteria as determined by BIRC
Part 2
Time frame: Up to 5 years
Duration Of Response (DOR) as per IMWG response criteria
Part 2
Time frame: Up to 5 years
Time To Progression (TTP) as per IMWG response criteria
Part 2
Time frame: Up to 5 years
Time To Next Treatment (TTNT)
Part 2
Time frame: Up to 5 years
Second PFS
Part 2
Time frame: Up to 5 years
MRD-negative CR criteria at any time
Part 2
Time frame: Up to 5 years
Time to PR IMWG response category
Part 2
Time frame: Up to 5 years
Time to VGPR IMWG response category
Part 2
Time frame: Up to 5 years
Time to CR IMWG response category
Part 2
Time frame: Up to 5 years
Time to stringent Complete Response (sCR) IMWG response category
Part 2
Time frame: Up to 5 years
Sustained MRD-negative CR
Part 2
Time frame: Up to 5 years
Duration of MRD-negative CR
Part 2
Time frame: Up to 5 years
Occurrence of TEAEs
Part 2
Time frame: Up to 5 years
Severity of TEAEs
Part 2
Time frame: Up to 5 years
Occurrence of AESIs
Part 2
Time frame: Up to 5 years
Severity of AESIs
Part 2
Time frame: Up to 5 years
Occurrence of SAEs
Part 2
Time frame: Up to 5 years
Severity of SAEs
Part 2
Time frame: Up to 5 years
Concentrations of linvoseltamab in serum over time
Part 2
Time frame: Up to 5 years
Incidence of Antidrug Antibodies (ADAs) to linvoseltamab
Part 2
Time frame: Up to 5 years
Magnitude of ADAs to linvoseltamab
Part 2
Time frame: Up to 5 years
Concentrations total soluble B-cell Maturation Antigen (sBCMA) in serum over time
Part 2
Time frame: Up to 5 years
Change from baseline in Global Health Status (GHS)/Quality of Life (QoL), per European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)
Part 2 The EORTC QLQ-C30 is a 30-item validated questionnaire developed to measure patient-reported QoL using 1 GHS/QoL scale, 5 functioning scales (physical, role, emotional, cognitive and social) and 9 symptom scales / items (fatigue, nausea/vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea and financial difficulties) among patients with cancer. Participants rate items on a 4-point scale, with 1 as "not at all" and 4 as "very much."
Time frame: Up to 5 years
Change from baseline in Physical Functioning (PF), per EORTC QLQ-C30
Part 2
Time frame: Up to 5 years
Change from baseline in Role Functioning (RF), per EORTC QLQ-C30
Part 2
Time frame: Up to 5 years
Change from baseline in pain, per EORTC QLQ-C30
Part 2
Time frame: Up to 5 years
Change from baseline in fatigue, per EORTC QLQ-C30
Part 2
Time frame: Up to 5 years
Change in patient reported Disease Symptoms (DS) per EORTC Quality of Life Questionnaire-Multiple Myeloma (MM) module 20 [QLQ-MY20])
Part 2 EORTC QLQ-MY20 is an accompanying 20-item validated questionnaire that measure quality of life among patients living with MM across 4 scales (disease symptoms, side effect of treatment, body image and future perspective). A high score represents a high level of symptoms or problems.
Time frame: Up to 5 years
Change in patient reported Treatment Side Effects (TSE) per EORTC QLQ-MY20
Part 2
Time frame: Up to 5 years
Change in patient-reported health state per EuroQoL-5 Dimension-5 Level Scale [EQ-5D-5L]) Visual Analogue Scale (VAS)
Part 2 The EQ-5D-5L is a generic questionnaire that measures HRQoL across 5 dimensions of health (mobility, self-care, usual activities, pain/discomfort and anxiety/depression) across 5 levels (no problems, slight problems, some problems, severe problems and extreme problems) and a VAS of pain (where 0: no pain and 10: worst pain), higher scores indicate higher pain.
Time frame: Up to 5 years
Change in patient-reported overall impact of treatment per Functional Assessment of Chronic Illness Therapy (FACIT) item GP5
Part 2 FACIT Item GP5 is a recommended item by the Federal Drug Administration (FDA) in its recent draft guidance for cancer trials to assess patient-reported overall impact of treatment toxicity. It uses a single item "I am bothered by side effects of treatment" on a 5-point scale (0= not at all, 1= a little bit, 2= somewhat, 3= quite a bit, 4= very much)
Time frame: Up to 5 years
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