Needle-Free hope: new shot delivery may ease myeloma treatment
NCT ID NCT05704049
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a drug combination (isatuximab, carfilzomib, and dexamethasone) given under the skin to adults whose multiple myeloma has returned or stopped responding to prior treatments. The main goal is to see how well the cancer responds and to compare two ways of giving the shot: by hand or using a wearable device. About 118 participants will be enrolled, and the study is currently active but no longer recruiting.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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118 people
The number who actually took part.
- Started
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Apr 2023
- Expected to finish
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May 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Participants must have a documented diagnosis of multiple myeloma (MM) * Participants with measurable disease defined as at least one of the following: * Serum M-protein ≥0.5 g/dL measured using serum protein immunoelectrophoresis and/or * Urine M-protein ≥200 mg/24 hours measured using urine protein immunoelectrophoresis and/or * Serum free light chain (FLC) assay: Involved FLC assay ≥10 mg/dL (≥100 mg/L) and an abnormal serum FLC ratio (\<0.26 or \>1.65). * Participant with relapsed and/or refractory MM with at least 1 prior line of therapy and no more than 3 prior lines of therapy. * A female participant is eligible to participate if she is not pregnant, not breastfeeding, and either is not a female of childbearing potential (FCBP) or agrees to practice complete abstinence or use approved contraception methods. * Male participants agree to practice true abstinence or agree to use approved contraception methods while receiving study treatment, during dose interruptions and at least 5 months following study treatment discontinuation, even if has undergone a successful vasectomy. * Capable of giving signed informed consent. Exclusion Criteria: * Primary refractory MM defined as participants who have never achieved at least a minimal response (MR) with any treatment during the disease course * Participants with prior anti-CD38 treatment if: a) administered \<9 months before first isatuximab administration or randomization as applicable or, b) Intolerant to the anti-CD38 previously received * Prior treatment with carfilzomib * Known history of allergy to captisol (a cyclodextrin derivative used to solubilize carfilzomib), prior hypersensitivity to sucrose, histidine (as base and hydrochloride salt), polysorbate 80, or any of the components (active substance or excipient) of study treatment that are not amenable to premedication with steroids, or intolerance to arginine and Poloxamer 188 that would prohibit further treatment with these agents * Uncontrolled or active infection with hepatitis A, B, and C virus; known acquired immunodeficiency syndrome (AIDS)-related illness; active primary amyloid light chain (AL) amyloidosis * Any severe acute or chronic medical condition which could impair the ability of the participant to participate in the study or interfere with interpretation of study results (eg, systemic infection unless specific anti-infective therapy is employed) or participant unable to comply with the study procedures. The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Clinica São Germano- Site Number : 0760003
São Paulo, 04537-080, Brazil
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Hospital Mae de Deus Site Number : 0760002
Porto Alegre, Rio Grande do Sul, 90880-480, Brazil
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Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo- Site Number : 0760001
São Paulo, 05403-000, Brazil
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Investigational Site Number : 0360001
Melbourne, Victoria, 3065, Australia
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Investigational Site Number : 0360002
Wollongong, New South Wales, 2500, Australia
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Investigational Site Number : 1560001
Tianjin, 300020, China
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Investigational Site Number : 1560002
Guangzhou, 510060, China
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Investigational Site Number : 1560003
Wuhan, 430030, China
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Investigational Site Number : 1560004
Shenyang, 110004, China
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Investigational Site Number : 1560005
Nanchang, 330006, China
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Investigational Site Number : 1560006
Changsha, 410013, China
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Investigational Site Number : 1560007
Tianjin, 300060, China
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Investigational Site Number : 2030001
Prague, 128 08, Czechia
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Investigational Site Number : 2030002
Brno, 625 00, Czechia
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Investigational Site Number : 2030003
Ostrava, 708 52, Czechia
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Investigational Site Number : 2030004
Olomouc, 779 00, Czechia
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Investigational Site Number : 3000001
Athens, 106 76, Greece
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Investigational Site Number : 3000002
Athens, 115 28, Greece
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Investigational Site Number : 3920001
Kashiwa, Chiba, 277-8577, Japan
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Investigational Site Number : 3920002
Okayama, 701-1192, Japan
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Investigational Site Number : 6200001
Braga, 4710-243, Portugal
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Investigational Site Number : 6200004
Lisbon, 1400-038, Portugal
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Investigational Site Number : 6200005
Lisbon, 1649-035, Portugal
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Engineered immune cells take aim at Hard-to-Treat myeloma
- Can engineered immune cells outsmart Treatment-Resistant myeloma?
- Can a lower dose of a myeloma drug keep the disease in check with fewer side effects?
- A pre-treatment pill may supercharge cancer-fighting immune cells