Anitocabtagene Autoleucel

Clinical trials of Anitocabtagene Autoleucel are studying its use in multiple myeloma, a cancer of plasma cells in the bone marrow. The trials are looking at safety, response rates, and disease control in people with newly diagnosed or relapsed/refractory disease. They include Phase 2 and Phase 3 studies in adults who meet specific prior-treatment criteria.

Table of Contents

Trials overview

Two interventional studies are investigating Anitocabtagene Autoleucel in multiple myeloma, which is a cancer of plasma cells in the bone marrow.[1][2] One study is in people with newly diagnosed disease, and the other is in people with relapsed/refractory disease, meaning the cancer came back or did not respond well to earlier treatment.[1][2] The studies are listed as authorised.[1][2]

Phase 2 study in newly diagnosed multiple myeloma

The first trial is a Phase 2, open-label study in participants with newly diagnosed multiple myeloma according to IMWG criteria.[1] Open-label means everyone in the study knows which treatment is being given.[1] This study aims to evaluate the safety and efficacy of Anitocabtagene Autoleucel after induction therapy, which means treatment given before the main study therapy.[1]

The brief summary says the study is designed to characterize safety after induction therapy and to further characterize the efficacy profile in this newly diagnosed group.[1] The planned enrollment is 30 participants.[1]

Phase 3 study in relapsed/refractory multiple myeloma

The second trial is a Phase 3 study comparing Anitocabtagene Autoleucel with standard of care therapy in participants with relapsed/refractory multiple myeloma.[2] This study is larger and is meant to compare how well the treatment works against usual treatment options.[2] It includes patients who have had 1 to 3 prior lines of therapy and have been exposed to both an immunomodulatory drug and an anti-CD38 monoclonal antibody.[2]

The brief summary states that the study will compare the efficacy of Anitocabtagene Autoleucel versus standard of care therapy in relapsed/refractory multiple myeloma.[2] The planned enrollment is 642 participants.[2]

Who can participate

Eligibility is different for each trial.[1][2] In the Phase 2 study, participants must have newly diagnosed multiple myeloma according to IMWG criteria.[1] In the Phase 3 study, participants must have relapsed/refractory multiple myeloma, 1 to 3 prior treatment lines, and prior exposure to both an immunomodulatory drug and an anti-CD38 monoclonal antibody.[2]

  • Newly diagnosed group: people whose multiple myeloma has just been found and who meet IMWG diagnostic rules.[1]

  • Relapsed/refractory group: people whose disease returned after treatment or did not respond well enough, and who already received several prior therapies.[2]

What the trials measure

The Phase 2 study measures the incidence, seriousness, and severity of all adverse events, which are medical problems that happen during a study.[1] It also measures the rate of uMRD negative complete response at 12 months, with a small allowed time window of plus or minus 3 months after enrollment.[1] uMRD means undetectable minimal residual disease, so this endpoint checks whether no tiny signs of disease can be found by the study test level used in the trial.[1]

The Phase 3 study measures progression-free survival, which is the time until the disease gets worse or death occurs from any cause, whichever happens first.[2] It also measures MRD-negative complete response at 9 months, using bone marrow testing and IMWG response rules assessed by an independent review committee.[2] MRD negativity in this trial means a negative test result at 9 months, with a small allowed time window of plus or minus 3 months.[2]

  • Adverse events: unwanted medical problems that happen during the study.[1]

  • Complete response: a strong treatment result where disease is not found by the study rules.[1][2]

  • Bone marrow assessment: a test of the soft tissue inside bones where myeloma cells are found.[2]

  • Independent review committee (IRC): a separate group that checks study results in a fair way.[2]

Trial status and size

Both studies are listed as authorised, meaning they have been approved to proceed in the provided trial data.[1][2] The Phase 2 study plans to enroll 30 participants, while the Phase 3 study plans to enroll 642 participants.[1][2] The difference in size fits the different goals of the studies: early safety and response checking in a smaller group, and comparison with standard care in a larger group.[1][2]

Trial ID Phase Condition studied Status Enrollment
2024-517020-18-00 Phase 2 Newly diagnosed multiple myeloma according to IMWG criteria Authorised 30
NCT06413498 Phase 3 Relapsed/refractory multiple myeloma after 1 to 3 prior lines of therapy, with exposure to an immunomodulatory drug and an anti-CD38 monoclonal antibody Authorised 642

Ongoing Clinical Trials on Anitocabtagene Autoleucel

  • Study Comparing Anitocabtagene Autoleucel with Standard Treatment for Patients with Relapsed or Refractory Multiple Myeloma

    Recruiting

    1 1 1 1
    Austria Belgium Czechia France Germany Italy +3
  • Study on the Safety and Effectiveness of Anitocabtagene Autoleucel and Drug Combination for Patients with Newly Diagnosed Multiple Myeloma

    Not recruiting

    1 1 1
    Spain

Glossary

  • Multiple myeloma: A cancer of plasma cells, which are a type of white blood cell found in the bone marrow.
  • Newly diagnosed: A disease that has been found for the first time.
  • Relapsed/refractory: Relapsed means the cancer came back after treatment. Refractory means it did not respond well to treatment.
  • IMWG criteria: Rules from the International Myeloma Working Group used to diagnose and judge response in multiple myeloma.
  • Phase 2: A study stage that looks at safety and early signs of benefit in a smaller group.
  • Phase 3: A larger study stage that compares a treatment with standard care to better see how well it works.
  • Open-label: A study where both the researchers and participants know which treatment is being given.
  • Standard of care: The usual treatment used in routine medical care.
  • Adverse events: Medical problems or unwanted effects that happen during a study.
  • Complete response: A very strong treatment result where signs of disease are no longer found by the study rules.
  • Minimal residual disease (MRD): Very small amounts of cancer left in the body after treatment, which may only be seen with special tests.
  • Progression-free survival (PFS): The length of time a person lives without the cancer getting worse.

References