Long-term Follow-up Study for Participants Previously Treated with Ciltacabtagene Autoleucel

2023-505530-10-00 Protocol 68284528MMY4002 Therapeutic use (Phase IV) Ongoing, recruiting

Start 14 Sep 2022 · Status Ongoing, recruiting · 4 EU/EEA countries · 9 sites · Protocol 68284528MMY4002

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 355
Countries 4
Sites 9

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

  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

VersionLevelCodeTermSystem 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

  1. 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. 2. Subjects who have provided informed consent for Study MMY4002.

Exclusion criteria 1

  1. No exclusion criteria are applicable in this study.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 6

  1. 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)
  2. - New incidence or exacerbation of a preexisting neurologic disorder (all grades)
  3. - New incidence or exacerbation of a preexisting rheumatologic or other autoimmune disorder (all grades)
  4. - New incidence of Grade ≥3 hematologic disorder including hypogammaglobulinemia (Years 1-5).Serious hematologic disorder including hypogammaglobulinemia (Years 6-15).
  5. - New incidence of Grade ≥3 infection (Years 1-5).Serious infection(Years 6-15).
  6. - All SAEs (Years 1-5). Only related SAEs as assessed by the Investigator (Years 6-15).

Secondary endpoints 5

  1. - Number of subjects with measurable RCL in peripheral blood.
  2. - Number of subjects with CAR transgene level >lower limit of quantitation (LLOQ) in peripheral blood cells.
  3. - 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.
  4. - 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.
  5. - 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

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
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

Belgium

2 sites · Ongoing, recruiting
UZ Leuven
BE10002:Hematologie, Herestraat 49, 3000, Leuven
Universitair Ziekenhuis Gent
BE10004:Hematologie, Corneel Heymanslaan 10, 9000, Gent

France

3 sites · Ongoing, recruiting
Centre Hospitalier Universitaire De Lille
FR10005:Service des Maladies du Sang, Rue Michel Polonovski, 59037, Lille Cedex
Assistance Publique Hopitaux De Paris
FR10001:Immunologie-Hematologie Clinique, 1 Avenue Claude Vellefaux, 75010, Paris
Centre Hospitalier Universitaire De Nantes
FR10004:Hematologie, 1 Place Alexis Ricordeau, 44000, Nantes

Netherlands

2 sites · Ongoing, recruiting
Amsterdam UMC
NL10003:Hematologie, De Boelelaan 1117, 1081 HV, Amsterdam
Universitair Medisch Centrum Groningen
NL10002:Hematologie, Hanzeplein 1, 9713 GZ, Groningen

Spain

2 sites · Ongoing, recruiting
Clinica Universidad De Navarra
Lab.Hematologia, Avenue Pio XII 36, 31008, Pamplona
Hospital Universitario De Salamanca
Hematología, Paseo De San Vicente 58-182, 37007, Salamanca

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment 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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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