Overview
Sponsor-declared trial summary
Multiple Myeloma
To collect long-term follow-up data on delayed adverse events after administration of cilta-cel, and to characterize and understand the long-term safety profile of cilta-cel.
Key facts
- Sponsor
- Janssen - Cilag International
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 14 Sep 2022 → ongoing
- Decision date (initial)
- 2023-10-20
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- Yes
- Funding sources
- Janssen Research & Development, LLC
External identifiers
- EU CT number
- 2023-505530-10-00
- EudraCT number
- 2020-005521-84
- ClinicalTrials.gov
- NCT05201781
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Efficacy, Others
To collect long-term follow-up data on delayed adverse events after administration of cilta-cel, and to characterize and understand the long-term safety profile of cilta-cel.
Secondary objectives 1
- To collect additional long-term data on replication competent lentivirus (RCL), cilta-cel persistence, efficacy, and overall survival
Conditions and MedDRA coding
Multiple Myeloma
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.0 | LLT | 10028228 | Multiple myeloma | 10029104 |
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency
- Plan to share IPD
- Yes
- IPD plan description
- The data sharing policy of the Janssen Pharmaceutical Companies of Johnson & Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 2
- All subjects who received cilta-cel in a Company-sponsored clinical study are candidates for Study MMY4002. The inclusion criteria for the study are described below: 1. Subjects who have received at least one dose of cilta-cel in a Company-sponsored clinical study.
- 2. Subjects who have provided informed consent for Study MMY4002.
Exclusion criteria 1
- No exclusion criteria are applicable in this study.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 6
- Number of subjects with delayed adverse events associated with administration of Cilta-cel. The following adverse events will be collected: - New malignancies and recurrence of preexisting malignancy (all grades)
- - New incidence or exacerbation of a preexisting neurologic disorder (all grades)
- - New incidence or exacerbation of a preexisting rheumatologic or other autoimmune disorder (all grades)
- - New incidence of Grade ≥3 hematologic disorder including hypogammaglobulinemia (Years 1-5).Serious hematologic disorder including hypogammaglobulinemia (Years 6-15).
- - New incidence of Grade ≥3 infection (Years 1-5).Serious infection(Years 6-15).
- - All SAEs (Years 1-5). Only related SAEs as assessed by the Investigator (Years 6-15).
Secondary endpoints 5
- - Number of subjects with measurable RCL in peripheral blood.
- - Number of subjects with CAR transgene level >lower limit of quantitation (LLOQ) in peripheral blood cells.
- - Assessment of the pattern of lentiviral vector integration sites if at least 1% of cells in the blood sample or new malignancy are positive for vector sequences.
- - Long term follow-up on CAR-T therapy efficacy if the subject does not have confirmed disease progression or does not initiate subsequent antimyeloma therapy at the entry of the study and at any time of during the study.
- - Overall Survival (OS)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
CARVYKTI 3.2 × 10^6 – 1.0 × 10^8 cells dispersion for infusion
PRD9718535 · Product
- Active substance
- Ciltacabtagene Autoleucel
- Substance synonyms
- LCAR-B38M CAR-T cells, AUTOLOGOUS BI-EPITOPE BCMA-TARGETED CAR T-CELLS JNJ-68284528, LCAR-B38M-TRANSDUCED CAR-T CELLS JNJ-68284528, AUTOLOGOUS HUMAN T CELLS GENETICALLY MODIFIED EX-VIVO WITH A LENTIVIRAL VECTOR ENCODING A CHIMERIC ANTIGEN RECEPTOR FOR B-CELL MATURATION ANTIGEN, Autologous human T cells genetically modified ex-vivo with a lentiviral vector encoding a CAR for BCMA, JNJ-68284528, LCAR-B38M
- Pharmaceutical form
- DISPERSION FOR INFUSION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 0 Kg kilogram(s)
- Max total dose
- 0 Kg kilogram(s)
- Max treatment duration
- 1 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01XL05 — -
- Marketing authorisation
- EU/1/22/1648/001
- MA holder
- JANSSEN-CILAG INTERNATIONAL NV
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- Yes
- Orphan designation number
- EU/3/20/2252
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- The study treatment was administered to the participants before the start of study MMY4002.
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Janssen - Cilag International
- Sponsor organisation
- Janssen - Cilag International
- Address
- Turnhoutseweg 30
- City
- Beerse
- Postcode
- 2340
- Country
- Belgium
Scientific contact point
- Organisation
- Janssen - Cilag International
- Contact name
- CTIS point of Contact
Public contact point
- Organisation
- Janssen - Cilag International
- Contact name
- CTIS point of Contact
Third parties 2
| Organisation | City, country | Duties |
|---|---|---|
| Labcorp Central Laboratory Services LP ORG-100032236
|
Indianapolis, United States | Laboratory analysis |
| Parexel International (IRL) Limited ORG-100022780
|
Dublin 2, Ireland | Data management |
Locations
4 EU/EEA countries · 9 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Ongoing, recruiting | 16 | 2 |
| France | Ongoing, recruiting | 25 | 3 |
| Netherlands | Ongoing, recruiting | 6 | 2 |
| Spain | Ongoing, recruiting | 8 | 2 |
| Rest of world
United States, Saudi Arabia, Israel, China, Japan
|
— | 300 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Belgium | 2022-09-14 | 2022-09-14 | |||
| France | 2024-07-05 | 2024-07-05 | |||
| Netherlands | 2023-06-07 | 2023-06-07 | |||
| Spain | 2022-10-26 | 2022-10-26 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 24 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | Protocol Main English 68284528MMY4002 Public | 3 |
| Recruitment arrangements (for publication) | BEL Recruitment Procedure Description English 68284528MMY4002 Public | 1.0 |
| Recruitment arrangements (for publication) | FRA Recruitment Procedure Description French English 68284528MMY4002 Public | 1.0 |
| Recruitment arrangements (for publication) | K1_NLD Recruitment Procedure Description English 68284528MMY4002 Public | 1.0 |
| Recruitment arrangements (for publication) | K2_ESP Recruitment Procedure Description English 68284528MMY4002 Public | 1.0 |
| Subject information and informed consent form (for publication) | BEL Country ICF Procedure English 68284528MMY4002 Public | 1.0 |
| Subject information and informed consent form (for publication) | BEL Country Pregnant Medical Release Form Dutch 68284528MMY4002 Public | 1.1 |
| Subject information and informed consent form (for publication) | BEL Country Pregnant Medical Release Form English 68284528MMY4002 Public | 1.1 |
| Subject information and informed consent form (for publication) | BEL Country Pregnant Medical Release Form French 68284528MMY4002 Public | 1.1 |
| Subject information and informed consent form (for publication) | ESP Subject Information Sheet Spanish 68284528MMY4002 Public | 2.0 |
| Subject information and informed consent form (for publication) | FRA Country ICF Other Pregnant Partner French 68284528MMY4002 Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_BEL Country ICF Main Dutch 68284528MMY4002 Public | 5.0 |
| Subject information and informed consent form (for publication) | L1_BEL Country ICF Main English 68284528MMY4002 Public | 5.0 |
| Subject information and informed consent form (for publication) | L1_BEL Country ICF Main French 68284528MMY4002 Public | 5.0 |
| Subject information and informed consent form (for publication) | L1_Country ICF Main French 68284528MMY4002 Public | 3.0 |
| Subject information and informed consent form (for publication) | L1_ESP Country ICF Main Spanish 68284528MMY4002 Public | 6.0 |
| Subject information and informed consent form (for publication) | L1_NLD Country ICF Main Dutch 68284528MMY4002 Public | 4.0 |
| Synopsis of the protocol (for publication) | BEL Protocol Synopsis Main Dutch 68284528MMY4002 Public | 3 |
| Synopsis of the protocol (for publication) | BEL Protocol Synopsis Main French 68284528MMY4002 Public | 3 |
| Synopsis of the protocol (for publication) | BEL Protocol Synopsis Main German 68284528MMY4002 Public | 3 |
| Synopsis of the protocol (for publication) | ESP Protocol Synopsis Main Spanish 68284528MMY4002 Public | 3 |
| Synopsis of the protocol (for publication) | FRA Protocol Synopsis Main French 68284528MMY4002 Public | 3 |
| Synopsis of the protocol (for publication) | NLD Protocol Synopsis Main Dutch 68284528MMY4002 Public | 3 |
| Synopsis of the protocol (for publication) | Protocol Synopsis Main English 68284528MMY4002 Public | 3 |
Application history
6 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2023-09-08 | Belgium | Acceptable 2023-10-16
|
2023-10-17 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2023-11-09 | Belgium | Acceptable 2024-02-12
|
2024-02-12 |
| 3 | SUBSEQUENT ADDITION OF MSC | APP-3 | 2024-02-15 | Acceptable 2024-02-12
|
2024-05-07 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-2 | 2024-07-12 | Belgium | Acceptable 2024-10-04
|
2024-10-04 |
| 5 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-09-12 | Belgium | Acceptable 2025-11-24
|
2025-11-25 |
| 6 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2026-01-28 | Belgium | Acceptable 2025-11-24
|
2026-01-28 |