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Multiple MyelomaPhase 3KarMMa-9NCT06045806

A Study to Compare the Efficacy and Safety of Idecabtagene Vicleucel With Lenalidomide Maintenance Therapy Versus Lenalidomide Maintenance Therapy Alone in Adult Participants With Newly Diagnosed Multiple Myeloma Who Have Suboptimal Response After Autologous Stem Cell Transplantation

A Phase 3 study testing idecabtagene vicleucel, Lenalidomide and Fludarabine in people with Multiple Myeloma, run by Celgene at 101 sites in 18 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The purpose of this study is to compare the efficacy, safety, and tolerability of ide-cel with lenalidomide (LEN) maintenance to that of LEN maintenance alone in adult participants with Newly Diagnosed Multiple Myeloma (NDMM) who have achieved a suboptimal response post autologous stem cell transplantation (ASCT). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Multiple Myeloma
What is being tested?
idecabtagene vicleucel, Lenalidomide and Fludarabine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
79 participants
Where
101 sitesin 18 countries
Study dates
16 Oct 2023to 20 Nov 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants aged ≥18 with Newly Diagnosed Multiple Myeloma (NDMM) who has received induction therapy followed by high-dose chemotherapy and autologous stem cell transplantation (ASCT), without subsequent consolidation or maintenance. EXCEPTION: Participant received ≤ 7 days of lenalidomide (LEN) maintenance therapy and the investigator documents that there is no impact to the overall benefit/risk assessment due to the temporary interruption of LEN.
  • Participant must have received 4 to 6 cycles of induction therapy, which must contain at a minimum an immunomodulatory drugs (IMiD) and a proteasome inhibitor (PI) (with or without anti-CD38 monoclonal antibody) and must have had a single ASCT 80 to 120 days prior to consent. Note: Participant must not have confirmed progression since commencing induction.
  • Participant must have documented response of PR or VGPR at time of consent.
  • Participant must have Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1 (participants with ECOG 2 due to pain because of underlying myeloma-associated bone lesions are eligible per investigator's discretion).
  • Participant must have recovered to ≤ Grade 1 for any nonhematologic toxicities due to prior treatments, excluding alopecia and Grade 2 neuropathy.

Who cannot join

  • Participant with known central nervous system involvement with myeloma.
  • Participant has non-secretory MM.
  • Participant has systemic and uncontrolled fungal, bacterial, viral, or other infection.
  • Participant has history of primary immunodeficiency.
  • Participant has previous history of an allogeneic hematopoietic stem cell transplantation or treatment with any gene therapy-based therapeutic for cancer or investigational cellular therapy for cancer or B-cell maturation antigen targeted therapy.
  • Other protocol-defined Inclusion/Exclusion criteria apply.

Trial locations and contacts

101 sites in 18 countries.

101 sites in 18 countries

United States20 sites
  • Local Institution - 0121

    Atlanta, Georgia, 30322

  • Local Institution - 0104

    Atlanta, Georgia, 30342

  • Local Institution - 0124

    Austin, Texas, 78704

  • Local Institution - 0151

    Boston, Massachusetts, 02215

  • Novant Health Cancer Institute - Elizabeth

    Charlotte, North Carolina, 28204

  • The James Cancer Hospital and Solove Research Institute at The Ohio State University Comprehensive Cancer Center

    Columbus, Ohio, 43210

  • Colorado Blood Cancer Institute

    Denver, Colorado, 80218

  • Local Institution - 0109

    Houston, Texas, 77030

  • University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

  • Local Institution - 0131

    Los Angeles, California, 90095

  • M Health Fairview Clinics and Surgery Center

    Minneapolis, Minnesota, 55455

  • Yale University School of Medicine

    New Haven, Connecticut, 06510

  • Columbia University Irving Medical Center

    New York, New York, 10032

  • Local Institution - 0126

    Orange, California, 92868

  • AdventHealth Orlando

    Orlando, Florida, 32804

  • Local Institution - 0132

    Philadelphia, Pennsylvania, 19104

  • Local Institution - 0113

    Sacramento, California, 95817

  • Ascension Providence Hospital

    Southfield, Michigan, 48075

  • Washington University School of Medicine

    St Louis, Missouri, 63108

  • Washington University School of Medicine

    St Louis, Missouri, 63110

Other trials in United States

France11 sites
  • Henri Mondor Hospital

    Créteil, Val-de-Marne, 94010

  • Hopital Claude Huriez - CHU de Lille

    Lille, Nord, 59000

  • Institut Paoli-Calmettes

    Marseille, Bouches-du-Rhône, 13273

  • Centre Hospitalier Universitaire de Nantes - L' Hopital l'hôtel-Dieu

    Nantes, Pays de la Loire Region, 44000

  • Local Institution - 0082

    Paris, 75010

  • Local Institution - 0031

    Paris, Île-de-France Region, 75571

  • Local Institution - 0047

    Pessac, Aquitaine, 33600

  • Local Institution - 0046

    Pierre-Bénite, Rhône, 69310

  • Local Institution - 0029

    Poitiers, Vienne, 86021

  • Institut Universitaire du Cancer Toulouse - Oncopole - CHU de TOULOUSE

    Toulouse, 31100

  • Local Institution - 0028

    Villejuif, Val-de-Marne, 94805

Other trials in France

Japan10 sites
  • Chiba University Hospital

    Chiba, 260-8677

  • Kyushu University Hospital

    Fukuoka, 812-8582

  • Local Institution - 0085

    Isehara, Kanagawa, 259-1193

  • Kanazawa University Hospital

    Kanazawa, Ishikawa-ken, 920-8641

  • Nagoya City University Hospital

    Nagoya, Aichi-ken, 467-8602

  • Hyogo Medical University Hospital

    Nishinomiya, Hyōgo, 663-8501

  • Okayama University Hospital

    Okayama, 700-8558

  • Hokkaido University Hospital

    Sapporo, Hokkaido, 060-8648

  • Japanese Red Cross Medical Center

    Shibuya-ku, Tokyo, 150-8935

  • Local Institution - 0071

    Shimotsuke, 329-0498

Other trials in Japan

Germany9 sites
  • Local Institution - 0073

    Cologne, North Rhine-Westphalia, 50937

  • Local Institution - 0079

    Dresden, 01307

  • Local Institution - 0115

    Essen, 45122

  • Local Institution - 0076

    Hamburg, 20246

  • Local Institution - 0072

    Heidelberg, Baden-Wurttemberg, 69120

  • Local Institution - 0087

    Leipzig, Saxony, 04103

  • Local Institution - 0077

    Nuremberg, Bavaria, 90419

  • Local Institution - 0078

    Ulm, Baden-Wurttemberg, 89081

  • Local Institution - 0074

    Würzburg, 97080

Other trials in Germany

Spain7 sites
  • Local Institution - 0020

    Badalona, Barcelona [Barcelona], 08916

  • Hospital Clínic de Barcelona

    Barcelona, Catalunya [Cataluña], 08036

  • Local Institution - 0017

    L'Hospitalet Del Llobregat, Barcelona [Barcelona], 08908

  • Local Institution - 0021

    Madrid, 28041

  • Local Institution - 0012

    Pamplona, Navarre, 31008

  • Local Institution - 0013

    Salamanca, 37007

  • Hospital Universitari i Politecnic La Fe

    Valencia, 46026

Other trials in Spain

Australia6 sites
  • Local Institution - 0005

    Brisbane, Queensland, 4029

  • Local Institution - 0007

    Camperdown, New South Wales, 2050

  • Local Institution - 0004

    Melbourne, Victoria, 3000

  • Local Institution - 0006

    Melbourne, Victoria, 3004

  • Local Institution - 0008

    Melbourne, Victoria, 3065

  • Local Institution - 0011

    Murdoch, Western Australia, 6150

Other trials in Australia

Israel6 sites
  • Local Institution - 0055

    Beersheba, Southern District, 8410101

  • Local Institution - 0056

    Haifa, 31096

  • Local Institution - 0059

    Jerusalem, 9112001

  • Local Institution - 0058

    Petah Tikva, Central District, 4910021

  • Local Institution - 0057

    Ramat Gan, Central District, 5262100

  • Local Institution - 0088

    Tel Aviv, Tell Abīb, 6423906

Other trials in Israel

Poland6 sites
  • Local Institution - 0026

    Gdansk, 80-952

  • Local Institution - 0022

    Gliwice, Silesian Voivodeship, 44-101

  • Local Institution - 0027

    Lublin, Lublin Voivodeship, 20-090

  • Local Institution - 0024

    Poznan, 60-569

  • Local Institution - 0095

    Warsaw, Masovian Voivodeship, 02-097

  • Local Institution - 0023

    Warsaw, Masovian Voivodeship, 02-776

Other trials in Poland

South Korea5 sites
  • Chonnam National University Hwasun Hospital

    Hwasun, Jeonranamdo, 58128

  • Seoul National University Hospital

    Seoul, Seoul Teugbyeolsi, 03080

  • Local Institution - 0038

    Seoul, Seoul Teugbyeolsi, 06351

  • Local Institution - 0043

    Seoul, Seoul Teugbyeolsi, 06591

  • Asan Medical Center

    Seoul, Seoul-teukbyeolsi, 05505

Other trials in South Korea

Greece4 sites
  • Local Institution - 0061

    Athens, Attikí, 106 76

  • Local Institution - 0062

    Chaïdári, Attikí, 12462

  • Local Institution - 0063

    Pátrai, Achaḯa, 26504

  • Local Institution - 0060

    Thessaloniki, Thessaloníki, 570 10

Other trials in Greece

Belgium3 sites
  • Local Institution - 0083

    Anderlecht, Bruxelles-Capitale, Région de, 1070

  • Local Institution - 0084

    Brussels, Bruxelles-Capitale, Région de, 1090

  • Local Institution - 0144

    Brussels, Bruxelles-Capitale, Région de, 1200

Other trials in Belgium

Canada3 sites
  • Local Institution - 0133

    Edmonton, Alberta, T6G 1Z2

  • Local Institution - 0001

    Hamilton, Ontario, L8V5C2

  • Local Institution - 0134

    Montreal, Quebec, H1T 2M4

Other trials in Canada

Italy3 sites
  • Local Institution - 0065

    Bologna, 40138

  • Local Institution - 0066

    Roma, 00161

  • Local Institution - 0064

    Rozzano, Milano, 20089

Other trials in Italy

United Kingdom3 sites
  • Local Institution - 0093

    Birmingham, England, B15 2TH

  • Local Institution - 0080

    London, London, City of, SE5 9RS

  • Local Institution - 0094

    London, London, City of, W12 0HS

Other trials in United Kingdom

Austria2 sites
  • Local Institution - 0089

    Salzburg, 5020

  • Local Institution - 0090

    Vienna, 1090

Other trials in Austria

Denmark1 site
  • Local Institution - 0070

    Odense, Region Syddanmark, 5000

Other trials in Denmark

Norway1 site
  • Local Institution - 0069

    Oslo, 0372

Other trials in Norway

Romania1 site
  • Local Institution - 0091

    Bucharest, 022328

Other trials in Romania

About this study

Official title: A Randomized, Open-Label, Phase 3 Trial to Compare the Efficacy and Safety of Idecabtagene Vicleucel With Lenalidomide Maintenance Versus Lenalidomide Maintenance Therapy Alone in Adult Participants With Newly Diagnosed Multiple Myeloma Who Have Suboptimal Response After Autologous Stem Cell Transplantation (KarMMa-9)

The purpose of this study is to compare the efficacy, safety, and tolerability of ide-cel with lenalidomide (LEN) maintenance to that of LEN maintenance alone in adult participants with Newly Diagnosed Multiple Myeloma (NDMM) who have achieved a suboptimal response post autologous stem cell transplantation (ASCT).

Being tested
idecabtagene vicleucel, Lenalidomide, Fludarabine, Cyclophosphamide
Keywords
CAR-T
Medical subject headings
Multiple Myeloma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • idecabtagene vicleucelBiological

    Also called BMS-986395, Abecma, bb2121, ide-cel

    Specified dose on specified days

  • LenalidomideDrug

    Also called Revlimid, LEN

    Specified dose on specified days

  • FludarabineDrug

    Also called FLUDARA, BENDARBIN

    Specified dose on specified days

  • CyclophosphamideDrug

    Also called ENDOXAN, CYTOXAN

    Specified dose on specified days

Study groups in NCT06045806
Study groupRoleWhat they receive
Arm AExperimentalNot described
Receives: Biological: idecabtagene vicleucel; Drug: Lenalidomide; Drug: Fludarabine; Drug: Cyclophosphamide
Arm BActive comparatorNot described
Receives: Drug: Lenalidomide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival (PFS)

    PFS as assessed by Independent Review Committee (IRC)

    Measured: Up to approximately 50 months after the first participant is randomized

Secondary outcomes (18)
  1. Overall Survival (OS)

    Measured: Up to approximately 60 months after the last participant is randomized

  2. Percentage of Participants with Sustained Minimal Residual Disease Negative (MRDneg) Complete Response (CR) for 12 months

    Measured: From randomization up to 60 months from randomization

  3. Percentage of Participants with Minimal Residual Disease Negative (MRDneg) Complete Response (CR)

    Measured: From randomization up to 15 months from randomization

  4. Event-Free Survival (EFS)

    Measured: Up to approximately 60 months after the last participant is randomized

  5. Duration of Response (DOR)

    Measured: Up to approximately 60 months after the last participant is randomized

  6. Percentage of Participants with Complete Response (CR)

    CR as assessed by IRC

    Measured: Up to approximately 60 months after the last participant is randomized

  7. Time to Progression (TTP)

    Progression as assessed by IRC

    Measured: Up to approximately 60 months after the last participant is randomized

  8. Progression post-next line of treatment (PFS2)

    Measured: Up to approximately 60 months after the last participant is randomized

  9. Time to Next Treatment (TTNT)

    Measured: Up to approximately 60 months after the last participant is randomized

  10. Number of Participants Experiencing Adverse Events (AEs)

    Measured: Up to approximately 60 months after the last participant is randomized

  11. Number of Participants Experiencing Adverse Events of Special Interest (AESI)

    Measured: Up to approximately 60 months after the last participant is randomized

  12. Maximum Observed Plasma Concentration (Cmax)

    Measured: Up to approximately 60 months after the last participant is randomized

  13. Time of Maximum Observed Plasma Concentration (Tmax)

    Measured: Up to approximately 60 months after the last participant is randomized

  14. Area Under the Curve (AUC) from time zero to 28 days post infusion (AUC [0- 28D])

    Measured: Up to 28 days post infusion

  15. Time of Last Measurable Observed Plasma Concentration (Tlast)

    Measured: Up to approximately 60 months after the last participant is randomized

  16. Time-to-Definitive Deterioration

    Time-to-definitive deterioration based on the European Organization for Research and Treatment of Cancer core quality of life questionnaire EORTC QLQ-C30 global health status/quality of life subscale

    Measured: Up to approximately 50 months after the first participant is randomized

  17. Mean Change from Baseline in EORTC QLQ-C30 Selected Subscales

    The following subscales on the European Organization for Research and Treatment of Cancer core quality of life questionnaire EORTC QLQ-C30 will be assessed:

    • Global health status/quality of life
    • Physical Functioning
    • Fatigue
    • Pain

    Measured: Up to approximately 50 months after the first participant is randomized

  18. Mean Change from Baseline in EORTC QLQ-MY20 Selected Subscales

    The following subscales on the European Organization for Research and Treatment of Cancer core quality of life questionnaire EORTC QLQ-MY20 will be assessed:

    • Disease symptoms
    • Side-effects of treatment

    Measured: Up to approximately 50 months after the first participant is randomized

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Sep 2023
  2. Study start16 Oct 2023
  3. Primary completion11 Aug 2025
  4. Study completion20 Nov 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
79 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06045806
Sponsor's protocol ID
CA089-1043
Other IDs
2022-501346-30, U1111-1280-9736
Acronym
KarMMa-9
Status last verified
Mar 2026
First submitted
13 Sep 2023
Last updated
5 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing idecabtagene vicleucel, Lenalidomide and Fludarabine in people with Multiple Myeloma, run by Celgene at 101 sites in 18 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 5 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 101 sites in United States, France, Japan, Germany, Spain and 13 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression Free Survival (PFS) (time frame: Up to approximately 50 months after the first participant is randomized). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Mar 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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