The purpose of this study is to compare the pharmacokinetic (PK) similarity, safety, tolerability, immunogenicity, and efficacy of HLX15-SC versus US-DARZALEX FASPRO® following single and multiple subcutaneous (SC) injections in newly diagnosed MM patients ineligible for transplant. Participants who meet all inclusion criteria and none of the exclusion criteria will receive either the HLX15-SC-Rd regimen or the D-Rd regimen for 4 cycles (one cycle = 4 weeks). After 4 cycles of treatment, based on clinical benefit and participant preference, participants may continue to receive the locally marketed daratumumab subcutaneous formulation (Dara-SC) in combination with Rd according to clinical practice, up to 32 weeks or until loss of clinical benefit, death, unacceptable toxicity, withdrawal of informed consent, or any other protocol-specified reason, whichever occurs first. After 32 weeks of dosing, participants will continue to receive appropriate standard of care according to local guidelines (including marketed Dara-SC).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
258
Subjects will receive 1800 mg HLX15-SC via SC administration for up to 16 weeks: weekly during Week 1-8 (Cycle 1-2; 1 cycle = 4 weeks) and every two weeks during Week 9-16 (Cycle 3-4).
Subjects will receive 1800 mg US-DARZALEX FASPRO® via SC administration for up to 16 weeks: weekly during Week 1-8 (Cycle 1-2; 1 cycle = 4 weeks) and every two weeks during Week 9-16 (Cycle 3-4).
Highlands Oncology Group, PA
Springdale, Arkansas, United States
RECRUITINGCancer Specialists of North Florida
Jacksonville, Florida, United States
RECRUITINGD&H National Research Center
Margate, Florida, United States
RECRUITINGOcala Oncology Center
Ocala, Florida, United States
pharmacokinetic (PK) similarity
Area under the serum concentration-time curve from time 0 to day 7 (AUC0-7d) after the 1st dose.
Time frame: 7 days
pharmacokinetic (PK) similarity
The maximum (peak) serum drug concentration (Cmax) after the 1st dose.
Time frame: 7 days
pharmacokinetic (PK) similarity
Area under the serum concentration-time curve within a dosing interval at steady-state (AUCss) after the 12th dose
Time frame: 16 weeks
pharmacokinetic (PK) similarity
The maximum (peak) serum drug concentration at steady-state (Cmax,ss) after the 12th dose
Time frame: 16 weeks
PK characteristics
trough concentration (Ctrough)
Time frame: 16 weeks
PK characteristics
trough concentration at steady state (Ctrough,ss).
Time frame: 16 weeks
Safety: Adverse events (AEs), serious adverse events (SAEs), and adverse events of special interest (AESIs)
Adverse events (AEs), serious adverse events (SAEs), and adverse events of special interest (AESIs) terms and frequency of occurrence judged by investigators
Time frame: 16 weeks
Safety: Vital Signs
Vital Signs: including blood pressure (systolic and diastolic; mmHg) , pulse rate (beats/min) measured by hematomanometer
Time frame: 16 weeks
Safety: Vital Signs
including body temperature (°C) measured by clinical thermometer
Time frame: 16 weeks
Safety: Physical examinations
Physical examinations: includes general condition; head and neck; mucous membranes; chest; abdomen; spine; extremities; musculoskeletal system; neurological system; lymphatic system; and skin checked by investigators
Time frame: 16 weeks
Safety: Laboratory tests
Laboratory tests: include hematology, blood chemistry, and urinalysis measured by the department of medical laboratory in site
Time frame: 16 weeks
Safety: Electrocardiography
Electrocardiography: 12-lead ECG will be performed by qualified personnel using an ECG machine, includes heart rate(beats per minute )
Time frame: 16 weeks
Safety: Electrocardiography
Electrocardiography: 12-lead ECG will be performed by qualified personnel using an ECG machine, includes PR interval(msec).
Time frame: 16 weeks
Safety: Electrocardiography
Electrocardiography: 12-lead ECG will be performed by qualified personnel using an ECG machine, includes QRS duration (msec).
Time frame: 16 weeks
Safety: Electrocardiography
Electrocardiography: 12-lead ECG will be performed by qualified personnel using an ECG machine, includes QTc interval (msec).
Time frame: 16 weeks
Immunogenicity:
Incidence of anti-drug antibodies (ADA) and neutralizing antibodies (NAb) against the study products (HLX15-SC and US-DARZALEX FASPRO®) and hyaluronidase.
Time frame: 16 weeks
Efficacy:ORR
Investigator-assessed overall response rate (ORR): is defined as the percentage of all patients achieving a PR or better after the randomization date.
Time frame: 16 weeks
Efficacy: partial response (PR) rate
Partial response (PR) rate is defined as the percentage of all patients achieving a PR at any time point after the randomization date
Time frame: 16 weeks
Efficacy: very good partial response (VGPR) rate
Very good partial response (VGPR) rate is defined as the percentage of all patients achieving a VGPR at any time point after the randomization date.
Time frame: 16 weeks
Efficacy: complete response (CR) rate
Complete response (CR) rate is defined as the percentage of all patients achieving a CR at any time point after the randomization date.
Time frame: 16 weeks
Efficacy: stringent complete response (sCR) rate
Stringent complete response (sCR) rate is defined as the percentage of all patients achieving an sCR at any time point after the randomization date.
Time frame: 16 weeks
Efficacy: time to response
Time to Response (TTR) is defined as the time from randomization to the first documented response of PR or better. TTR will be analyzed only for patients who achieve a response of PR or better.
Time frame: 16 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Florida Clinical Trials Group
Plantation, Florida, United States
RECRUITINGFlorida Clinical Trials Group
Tamarac, Florida, United States
RECRUITINGPontchartrain Cancer Center
Covington, Louisiana, United States
RECRUITINGOncology Consultants (P1 Trials -Exigent Network)
Houston, Texas, United States
RECRUITINGAmerican Oncology Network Vista Oncology Division / Physician partner associate
Olympia, Washington, United States
RECRUITINGPerth Blood Institute
Perth, Australia
RECRUITING...and 71 more locations