A Study Comparing Anitocabtagene Autoleucel to Standard of Care Therapy in Participants With Relapsed/ Refractory Multiple Myeloma
This important study, named iMMagine-3, is looking for people with a type of blood cancer called multiple myeloma. Specifically, it's for those whose cancer has returned after treatment or hasn't responded to their existing medicines. Participants would have already tried 1 to 3 different treatments, including specific types of drugs (an anti-CD38 antibody and an immunomodulatory drug). The main goal is to compare a new experimental treatment, called anitocabtagene autoleucel, with standard care options. Doctors want to find out if this new treatment is more effective at controlling the cancer. If you join, you will be carefully monitored not just during the treatment period, but for up to 15 years afterwards to understand the long-term effects.
At a glance
What is this study about?
This study is about a type of cancer called multiple myeloma. This cancer affects certain cells in your bone marrow. Sometimes, despite treatment, the cancer can come back (this is called 'relapsed') or it might not respond to treatments (which is called 'refractory'). If this has happened to you after trying one to three different treatments, including specific types of drugs (an anti-CD38 antibody and an immunomodulatory drug), then this study might be for you.
The main purpose of this study is to compare a new experimental treatment, called anitocabtagene autoleucel, with treatments that doctors currently use (these are called 'standard of care'). Researchers want to find out if this new treatment works better and is safer than the current standard options for people whose multiple myeloma has relapsed or didn't respond to previous treatments.
Taking part would mean being closely monitored during the treatment phase. After that, you would continue to be followed up for a very long time – up to 15 years. This long-term follow-up is important because it helps doctors understand the long-term effects of the new treatment and how it impacts people's health over many years.
Key takeaways
- This study is for people with multiple myeloma that has come back or not responded to previous treatments.
- It compares a new treatment called anitocabtagene autoleucel with standard care.
- You would have already tried 1 to 3 prior treatments, including specific types of drugs.
- If you join, you will be followed closely for up to 15 years.
- The aim is to find out if the new treatment is more effective.
- Both new and standard treatments have potential risks and benefits.
Who may be eligible?
To be part of this study, you need to have a confirmed diagnosis of multiple myeloma and your cancer must have either come back or not responded to previous treatments. You should have already received between one and three different types of treatment, including particular medications like an immunomodulatory drug and an anti-CD38 drug. Your cancer must also be measurable when doctors check, which means they can see signs of it in your blood or urine.
You also need to be well enough to receive at least one of the standard treatments offered in the study, and your general health, as measured by a simple score (ECOG 0 or 1), should be good.
There are also some reasons why you might not be able to join. For example, if you've had certain types of previous treatments for myeloma, or if your cancer has spread to your brain or spinal cord, or if you have certain other serious health conditions like plasma cell leukaemia. If you are female and could become pregnant, you would need to have a negative pregnancy test.
- I have been diagnosed with multiple myeloma.
- My myeloma has either come back or not responded to treatments.
- I have had 1 to 3 prior treatments, including specific types of medicines (an immunomodulatory drug and an anti-CD38 drug).
- Doctors can measure my myeloma in my blood or urine.
- I am generally well and fit enough for treatment.
- I have not had certain previous cancer treatments, like CAR T-cell therapy.
This is a guide only — the research team will confirm whether you can take part.
What does participation involve?
If you join this study, you will either receive the new experimental treatment, anitocabtagene autoleucel, or one of the standard treatments for multiple myeloma. The study will involve regular visits to the clinic for assessments, which will include blood tests, urine tests, and other checks to see how you are doing and how the treatment is working. The specific medicines you receive will depend on which group you are in.
After you finish the main treatment period, the study team will continue to follow your health very closely. This means you’ll have check-ups for a long time, potentially up to 15 years. The total time you'll be involved in the study, from treatment to long-term follow-up, could be quite extensive, but this is important for understanding the full impact of the new treatment.
Potential risks and benefits
Locations (124)
- Banner MD Anderson Cancer CenterGilbert, United States· Active not recruiting
- Mayo Clinic HospitalGilbert, United States· Active not recruiting
- City of Hope (City of Hope National Medical Center, City of Hope Medical Center)Duarte, United States· Active not recruiting
- USC/Norris Comprehensive Cancer CenterLos Angeles, United States· Active not recruiting
- University of California Davis Comprehensive Cancer CenterSacramento, United States· Active not recruiting
- UC San Diego Moores Cancer CenterSan Diego, United States· Active not recruiting
- University of California San Francisco Medical CenterSan Francisco, United States· Withdrawn
- UCLA Hematology/Oncology (Bowyer Infusion Clinic)Santa Monica, United States· Active not recruiting
- Stanford Cancer InstituteStanford, United States· Active not recruiting
- Colorado Blood Cancer InstituteDenver, United States· Active not recruiting
- Sylvester Comprehensive Cancer CenterCoral Gables, United States· Active not recruiting
- Mayo ClinicJacksonville, United States· Active not recruiting
+112 more sites — see the official record for the full list.
Common questions
What is multiple myeloma?
Multiple myeloma is a type of cancer that affects plasma cells, which are a type of white blood cell found in the bone marrow.
What does 'relapsed/refractory' mean?
It means your cancer has either come back after treatment (relapsed) or it hasn't responded to previous treatments (refractory).
What is anitocabtagene autoleucel?
It's the name of the new, experimental treatment being tested in this study for multiple myeloma.
How long will I be followed up after treatment?
You will be followed up for a long time, potentially for up to 15 years, to monitor the long-term effects of the treatment.
Can I choose which treatment I receive?
The study aims to compare treatments, so you would be assigned to either the new treatment or a standard treatment, like a lottery system.
How to find out more
Medical Information
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
Discussion
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