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Trial Title: A Clinical Study Comparing SG301 Plus Pomalidomide and Dexamethasone to Placebo Plus Pomalidomide and Dexamethasone in Relapsed or Refractory Multiple Myeloma Patients

NCT ID: NCT06508983

Condition: Relapsed/Refractory Multiple Myeloma

Conditions: Official terms:
Multiple Myeloma
Neoplasms, Plasma Cell
Dexamethasone
Pomalidomide

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: This Study consists of Stage 1 and Stage 2. Stage 1 :Single group. Subjects will receive SG301 Injection in combination with pomalidomide and dexamethasone. Stage 2:Parallel. Subjects will be randomized to receive SG301 Injection in combination with pomalidomide and dexamethasone or placebo in combination with pomalidomide and dexamethasone.

Primary purpose: Treatment

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Masking description: Stage 1#Open-label Stage 2#Double-blind

Intervention:

Intervention type: Drug
Intervention name: SG301 Injection
Description: Dosage form: solution for infusion Route of administration: intravenous Frequency: weekly intervals (QW) for 8 weeks, then every 2 weeks (Q2W) thereafter.
Arm group label: SG301 Injection in combination with pomalidomide and dexamethasone

Intervention type: Drug
Intervention name: SG301 placebo
Description: Dosage form: solution for infusion Route of administration: intravenous Frequency: weekly intervals (QW) for 8 weeks, then every 2 weeks (Q2W) thereafter.
Arm group label: Placebo in combination with pomalidomide and dexamethasone

Intervention type: Drug
Intervention name: pomalidomide
Description: Dosage form: capsule Route of administration: oral Dosage: 4 mg Frequency: once daily on Days 1 through 21 of each 28-day cycle.
Arm group label: Placebo in combination with pomalidomide and dexamethasone
Arm group label: SG301 Injection in combination with pomalidomide and dexamethasone

Intervention type: Drug
Intervention name: dexamethasone
Description: Dosage form: tablets or solution for infusion Route of administration: oral or intravenous Dosage: 40 mg (participants with BMI < 18.5 kg/m2 received 20 mg dexamethasone) Frequency: once daily on Day 1, 8, 15, 22 of each 28-day treatment cycle.
Arm group label: Placebo in combination with pomalidomide and dexamethasone
Arm group label: SG301 Injection in combination with pomalidomide and dexamethasone

Summary: The purpose of this study is to evaluate the effects of the addition of SG301 injection to pomalidomide and dexamethasone in subjects with relapsed or refractory multiple myeloma.

Detailed description: This is a randomized, placebo-controlled, double-blind, multicenter phase III clinical study to compare SG301 injection in combination with pomalidomide and dexamethasone versus placebo in combination with pomalidomide and dexamethasone in patients with relapsed or refractory multiple myeloma who have received at least 1 prior treatment regimen with both lenalidomide and a proteasome inhibitor and have demonstrated disease progression. This study consists of two stages. Stage 1 is the dose exploration stage to confirm the recommended stage 2 dose of SG301 injection in combination with pomalidomide and dexamethasone in patients with relapsed/refractory multiple myeloma. Stage 2 is the randomized controlled stage of SG301 injection in combination with pomalidomide and dexamethasone versus placebo in combination with pomalidomide and dexamethasone in patients with relapsed/refractory multiple myeloma.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Understand and voluntarily sign the informed consent form (ICF). 2. Males and females aged 18-75 years (inclusive) 3. Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0, 1 or 2 4. Expected survival time of ≥3 months. 5. Subjects had a documented diagnosis of multiple myeloma with evidence of measurable disease. 6. Subjects had received at least 1 prior lines of anti-myeloma therapy, which must include lenalidomide and a proteasome inhibitor (bortezomib, carfilzomib or ixazomib) given alone or in combination. 7. Subjects must have documented evidence of PD on or after the last regimen. 8. Adequate function of vital organs 9. Women of childbearing potential (WOCBP) must agree to follow instructions for methods of contraception for 4 weeks before the start of study treatment, for the duration of study treatment, and for 6 months after cessation of SG301 or 4 weeks after cessation of pomalidomide, whichever is longer. WOCBP must have 2 negative serum or urine pregnancy tests, one 10-14 days prior to start of study treatment and one 24 hours prior to the start of study treatment. Exclusion Criteria: 1. Primary refractory multiple myeloma defined as participants who had never achieved at least a minimal response (MR) with any treatment during the disease course. 2. Bone independent extramedullary disease at screening. 3. Subjects who are primary refractory to a prior CD38 monoclonal antibody therapy. 4. Previous exposure to pomalidomide. 5. Subject has received chemotherapy or small molecule antitumor therapy within 2 weeks or 5 pharmacokinetic half-lives of the treatment, whichever is shorter, before the first dose of study treatment; 6. Subject has received tumor biotherapy within 4 weeks or 5 pharmacokinetic half-lives of the treatment, whichever is shorter, before the first dose of study treatment; 7. Subject has received investigational agents within 4 weeks or 5 pharmacokinetic half-lives of the treatment, whichever is shorter (but not less than 14 days), before the first dose of study treatment; 8. Active hepatitis B, or C. 9. Known HIV infection. 10. Known active tuberculosis or positive treponema pallidum antibodies. 11. Subjects with clinical significant organ dysfunction that does not meet the study needs. 12. Previous allogenic stem cell transplant or autologous stem cell transplantation (ASCT) before the first dose of study treatment. 13. Known allergy to any component of the investigational medicinal product. 14. Any concurrent medical or psychiatric condition or disease (eg, active systemic infection, uncontrolled diabetes, acute diffuse infiltrative pulmonary disease) that is likely to interfere with the study procedures or results or that, in the opinion of the investigator, would constitute a hazard for participating in this study.

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Beijing Chaoyang Hospital of Capital Medical University

Address:
City: Beijing
Zip: 100024
Country: China

Status: Recruiting

Contact:
Last name: Wenming Chen, Doctor

Contact backup:
Last name: Ying Tian

Facility:
Name: Guangzhou First People's Hospital

Address:
City: Guangzhou
Zip: 510000
Country: China

Status: Not yet recruiting

Contact:
Last name: Shunqing Wang

Contact backup:
Last name: Wei Zhou

Facility:
Name: Sun Yat-sen University Cancer Center

Address:
City: Guangzhou
Zip: 510000
Country: China

Status: Not yet recruiting

Contact:
Last name: Zhongjun Xia

Contact backup:
Last name: Xiaoqin Chen

Facility:
Name: First Affiliated Hospital of Henan University of Science and Technology

Address:
City: Luoyang
Zip: 471000
Country: China

Status: Recruiting

Contact:
Last name: Haiping Yang

Contact backup:
Last name: Bingke Zhu

Facility:
Name: Henan Cancer Hospital

Address:
City: Zhengzhou
Zip: 450000
Country: China

Status: Recruiting

Contact:
Last name: Baijun Fang

Contact backup:
Last name: Yuzhang Liu

Facility:
Name: Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Address:
City: Wuhan
Zip: 430000
Country: China

Status: Recruiting

Contact:
Last name: Chunyan Sun

Contact backup:
Last name: Fei Zhao

Facility:
Name: The First Affiliated Hospital Of Soochow University

Address:
City: Suzhou
Zip: 215006
Country: China

Status: Recruiting

Contact:
Last name: ZhengZheng Fu

Contact backup:
Last name: Yingying Zhai

Facility:
Name: Shanxi Provincial Hospital

Address:
City: Taiyuan
Zip: 030000
Country: China

Status: Recruiting

Contact:
Last name: Liping Su

Contact backup:
Last name: Jingrong Wang

Facility:
Name: The Second Affiliated Hospital Of Xi an Jiaotong University (Xibei Hospital)

Address:
City: Xi'an
Zip: 710000
Country: China

Status: Recruiting

Contact:
Last name: Wanhong Zhao

Contact backup:
Last name: Fangxia Wang

Facility:
Name: Tianjin Cancer University Airport Hospital

Address:
City: Tianjin
Zip: 300060
Country: China

Status: Recruiting

Contact:
Last name: Yafei Wang

Contact backup:
Last name: Zhiying Zhang

Facility:
Name: Tianjin Medical University Cancer Institute & Hospital

Address:
City: Tianjin
Zip: 300060
Country: China

Status: Not yet recruiting

Contact:
Last name: Yafei Wang

Contact backup:
Last name: Haifeng Zhao

Facility:
Name: The Second Affiliated Hospital Zhejiang University School Of Medicine

Address:
City: Hangzhou
Zip: 310056
Country: China

Status: Recruiting

Contact:
Last name: Wenbin Qian

Contact backup:
Last name: Xuzhao Zhang

Start date: June 14, 2024

Completion date: March 31, 2028

Lead sponsor:
Agency: Hangzhou Sumgen Biotech Co., Ltd.
Agency class: Industry

Source: Hangzhou Sumgen Biotech Co., Ltd.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06508983

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