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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06055075
Registration number
NCT06055075
Ethics application status
Date submitted
20/09/2023
Date registered
26/09/2023
Titles & IDs
Public title
A Study Evaluating Safety, Tolerability, and Clinical Activity of Forimtamig-Based Treatment Combinations in Participants With Relapsed or Refractory Multiple Myeloma
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Scientific title
An Open-Label, Randomized Phase IB/II Study Evaluating Safety, Tolerability, and Clinical Activity of Forimtamig-Based Treatment Combinations in Participants With Relapsed or Refractory Multiple Myeloma
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Secondary ID [1]
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2023-503689-21-00
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Secondary ID [2]
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BP43437
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Relapsed or Refractory Multiple Myeloma
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Condition category
Condition code
Cancer
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Other cancer types
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Forimtamig
Treatment: Drugs - Carfilzomib
Treatment: Drugs - Daratumumab
Experimental: Dose Exploration Phase: Forimtamig (Dose 1) + Carfilzomib - Participants will receive Dose 1 of forimtamig, subcutaneous (SC) injection in combination with carfilzomib, intravenous (IV) infusion until disease progression.
Experimental: Dose Exploration Phase: Forimtamig (Dose 2) + Carfilzomib - Participants will receive Dose 2 of forimtamig, SC injection in combination with carfilzomib, IV infusion until disease progression.
Experimental: Dose Exploration Phase: Forimtamig (Dose 3) + Carfilzomib - Participants will receive Dose 3 of forimtamig, SC injection in combination with carfilzomib, IV infusion until disease progression.
Experimental: Dose Exploration Phase: Forimtamig (Dose 1) + Daratumumab - Participants will receive Dose 1 of forimtamig, SC injection in combination with daratumumab, SC injection until disease progression.
Experimental: Dose Exploration Phase: Forimtamig (Dose 2) + Daratumumab - Participants will receive Dose 2 of forimtamig, SC injection in combination with daratumumab, SC injection until disease progression.
Experimental: Dose Exploration Phase: Forimtamig (Dose 3) + Daratumumab - Participants will receive Dose 3 of forimtamig, SC injection in combination with daratumumab, SC injection until disease progression.
Experimental: Dose Expansion Phase: Forimtamig - Participants will receive forimtamig, SC injection at a fixed dose determined during dose exploration phase until disease progression or completion of 12 months of treatment, whichever occurs first.
Experimental: Dose Expansion Phase: Forimtamig + Carfilzomib - Participants will receive forimtamig, SC injection at a fixed dose determined during dose exploration phase in combination with carfilzomib, IV infusion until disease progression.
Experimental: Dose Expansion Phase: Forimtamig + Daratumumab - Participants will receive forimtamig, SC injection at a fixed dose determined during dose exploration phase in combination with daratumumab, SC injection until disease progression.
Treatment: Drugs: Forimtamig
Forimtamig will be administered SC at different doses during dose exploration phase. Forimtamig will be administered at a fixed dose determined during dose exploration phase in dose expansion phase.
Treatment: Drugs: Carfilzomib
Carfilzomib will be administered via IV infusion in combination with forimtamig.
Treatment: Drugs: Daratumumab
Daratumumab will be administered via SC injection in combination with forimtamig.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Percentage of Participants with Adverse Events (AEs)
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Assessment method [1]
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Timepoint [1]
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Up to approximately 24 months
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Primary outcome [2]
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Objective Response Rate (ORR) as Determined by the Investigator per International Myeloma Working Group (IMWG) Criteria
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Assessment method [2]
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Timepoint [2]
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Up to approximately 24 months
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Primary outcome [3]
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Complete Response (CR)/Stringent Complete Response (sCR) Rate as Determined by the Investigator per IMWG Criteria
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Assessment method [3]
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Timepoint [3]
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Up to approximately 24 months
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Primary outcome [4]
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Rate of Very Good Partial Response (VGPR) or Better as Determined by the Investigator per IMWG Criteria
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Assessment method [4]
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Timepoint [4]
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Up to approximately 24 months
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Secondary outcome [1]
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Progression-Free Survival (PFS) as Determined by the Investigator per IMWG Criteria
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Assessment method [1]
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Timepoint [1]
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Up to approximately 24 months
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Secondary outcome [2]
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Duration of Response (DoR) for Participants who Achieve a Partial Response (PR) or Better as Determined by the Investigator per IMWG Criteria
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Assessment method [2]
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Timepoint [2]
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Up to approximately 24 months
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Secondary outcome [3]
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Time to First Response as Determined by the Investigator per IMWG Criteria
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Assessment method [3]
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Timepoint [3]
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Up to approximately 24 months
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Secondary outcome [4]
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Time to Best Response as Determined by the Investigator per IMWG Criteria
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Assessment method [4]
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Timepoint [4]
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Up to approximately 24 months
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Secondary outcome [5]
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Overall Survival (OS) as Determined by the Investigator per IMWG Criteria
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Assessment method [5]
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Timepoint [5]
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Up to approximately 24 months
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Secondary outcome [6]
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Serum Concentration of Forimtamig
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Assessment method [6]
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Timepoint [6]
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Up to approximately 24 months
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Secondary outcome [7]
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Percentage of Participants with Anti-Drug Antibodies (ADAs) to Forimtamig
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Assessment method [7]
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Timepoint [7]
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Up to approximately 24 months
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Eligibility
Key inclusion criteria
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
* Life expectancy of at least 12 weeks
* Documented diagnosis of MM according to the IMWG diagnostic criteria
* Evidence of progressive disease based on Investigator's determination of response by IMWG criteria on or after last dosing regimen
* Measurable disease
* AEs from prior anti-cancer therapy resolved to Grade = 1,
* Adequate organ functions
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Pregnant or breastfeeding or intending to become pregnant during the study or within 3 months after the last dose of study drug
* Plasma cell leukemia with circulating plasma cell count = 5% or >500/microliter (µL)
* Participants with known amyloidosis
* Participants with myelodysplastic syndrome
* Prior treatment with monoclonal antibody (mAb) and antibody-drug conjugate within 4 weeks or 5 half-lives of the drug, whichever is shorter
* Prior anti-cancer therapy (chemotherapy, small molecule/tyrosine kinase inhibitors, radiotherapy) within 14 days prior to first forimtamig administration
* Prior solid organ transplantation
* Active auto-immune disease or flare within 6 months prior to start of study treatment
* Known or suspected chronic active Epstein-Barr virus (EBV) infection
* Hepatitis B virus (HBV) infection
* Acute or chronic hepatitis C virus (HCV) infection
* Known history of HIV seropositivity
* Live vaccine(s) within one month prior to start of the treatment
* Participants not fully vaccinated for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as per local recommendations
* Previous refractoriness to carfilzomib
* Participants who discontinued prior carfilzomib treatment due to treatment-related toxicity
* Participants with known liver cirrhosis
* Participants eligible for allogeneic stem cell transplantation (SCT) or autologous SCT at the time of enrollment for Study BP43437 are excluded
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
12/12/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
10/06/2027
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Actual
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Sample size
Target
316
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD,SA
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Recruitment hospital [1]
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Princess Alexandra Hospital Woolloongabba; Clinical Hematology and Medical Oncology - Woolloongabba
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Recruitment hospital [2]
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Royal Adelaide Hospital - Adelaide
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Recruitment postcode(s) [1]
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4102 - Woolloongabba
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Recruitment postcode(s) [2]
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5000 - Adelaide
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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United States of America
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State/province [2]
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New York
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Brazil
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State/province [3]
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RJ
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Brazil
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State/province [4]
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SP
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Country [5]
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Canada
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State/province [5]
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Ontario
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Denmark
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State/province [6]
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Aarhus N
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Country [7]
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Denmark
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State/province [7]
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København Ø
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Country [8]
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Denmark
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State/province [8]
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Odense C
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Country [9]
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France
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State/province [9]
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Lille
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Country [10]
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France
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State/province [10]
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Nantes
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Germany
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Augsburg
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Germany
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Leipzig
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Germany
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State/province [13]
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Nürnberg
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Italy
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State/province [14]
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Campania
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Italy
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State/province [15]
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Emilia-Romagna
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Italy
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State/province [16]
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Lombardia
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Korea, Republic of
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State/province [17]
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Seoul
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New Zealand
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State/province [18]
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Auckland
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Spain
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State/province [19]
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Cantabria
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Spain
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State/province [20]
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Navarra
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Country [21]
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Spain
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State/province [21]
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Madrid
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Hoffmann-La Roche
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the safety, tolerability, and preliminary anti-tumor activity of forimtamig when administered alone or in combination with carfilzomib or daratumumab or other combination partners in participants with relapsed or refractory multiple myeloma (r/r MM). The study consists of two phases: a dose exploration phase and a dose-expansion phase.
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Trial website
https://clinicaltrials.gov/study/NCT06055075
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Clinical Trials
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Address
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Hoffmann-La Roche
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Reference Study ID Number: BP43437 https://forpatients.roche.com/
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Address
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Country
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Phone
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888-662-6728 (U.S. Only)
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06055075