Multiple MyelomaPhase 3iMMagine-3NCT06413498
A Study Comparing Anitocabtagene Autoleucel to Standard of Care Therapy in Participants With Relapsed/ Refractory Multiple Myeloma
A Phase 3 study testing Anitocabtagene Autoleucel, Cyclophosphamide and Fludarabine in people with Multiple Myeloma, run by Kite, A Gilead Company at 117 sites in 15 countries.
Trial summary
The goal of this study (iMMagine-3) is to compare the study drug, anitocabtagene autoleucel to standard of care therapy (SOCT) in participants with relapsed/refractory multiple myeloma who have received 1 to 3 prior lines of therapy, including an anti-CD38 monoclonal antibody and an immunomodulatory drug. 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?
- Anitocabtagene Autoleucel, Cyclophosphamide and Fludarabine
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 452 participants
- Where
- 117 sitesin 15 countries
- Study dates
- 23 Aug 2024to Jul 2031
- 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
- Documented historical diagnosis of multiple myeloma (MM)
- Received 1 to 3 prior lines of antimyeloma therapy, including an immunomodulatory drug (IMiD) and an anti-cluster of differentiation 38 (CD38) monoclonal antibody (mAb). A minimum of 2 consecutive cycles of an IMiD and an anti-CD38 mAb in any prior line of therapy is required. The IMiD and anti-CD38 mAb do not need to be from the same regimen in the prior line(s) of therapy.
- Documented evidence of progressive disease by IMWG criteria based on the investigator's determination on or within 12 months of the last dose of the last regimen
- Measurable disease at screening per IMWG, defined as any of the following:
- Serum M-protein level ≥ 0.5 g/dL or urine M-protein level ≥ 200 mg/24 hours; or
- Light chain MM without measurable disease in the serum or urine: serum free light chain ≥ 10 mg/dL and abnormal serum free light chain ratio
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- Only individuals who are candidates to receive at least 1 of the 4 SOCT regimens (PVd, DPd, KDd, or Kd), as determined by the investigator, should be considered for this study
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Females of childbearing potential must have a negative serum or urine pregnancy test with a sensitivity of at least 25 mIU/mL (females who have undergone surgical sterilization or who have been postmenopausal for at least 2 years are not considered to be of childbearing potential)
Who cannot join
- Prior B-cell maturation antigen (BCMA)-targeted therapy
- Prior T-cell engager therapy
- Prior CAR therapy or other genetically modified T-cell therapy
- Active or prior history of central nervous system (CNS) or meningeal involvement of MM
- Cardiac atrial or cardiac ventricular MM involvement
- History of or active plasma cell leukemia, Waldenstrom's macroglobulinemia, POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes), or amyloidosis
Show all 15Show fewer
- Active malignancy (other than MM) requiring ongoing treatment for disease control within the last 24 months. Myelodysplastic syndrome (even without ongoing treatment) is not permitted.
- Prior auto-SCT within 12 weeks before randomization
- Prior allogeneic stem cell transplant (allo-SCT)
- High-dose (eg, cumulative > 70 mg prednisone or equivalent) systemic steroid therapy or any other form of immunosuppressive therapy within 14 days before randomization
- Live vaccine ≤ 4 weeks before randomization
- Contraindication to fludarabine or cyclophosphamide
- History of allergy or hypersensitivity to any study agent or study drug components. Individuals with a history of severe hypersensitivity reaction to dimethyl sulfoxide (DMSO) are excluded.
- Life expectancy < 12 weeks
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
117 sites in 15 countries.
117 sites in 15 countries
United States46 sites
New Mexico Cancer Research Alliance
Albuquerque, New Mexico, 87102
University of Michigan
Ann Arbor, Michigan, 48109
Winship Cancer Institute, Emory University
Atlanta, Georgia, 30322
St. David's South Austin Medical Center
Austin, Texas, 78704
University of Maryland Greenebaum Comprehensive Cancer Center
Baltimore, Maryland, 21201
St. Luke's Cancer Institute
Boise, Idaho, 83712
Massachusetts General Hospital
Boston, Massachusetts, 02114
Boston Medical Center
Boston, Massachusetts, 02118
Levine Cancer Institute
Charlotte, North Carolina, 28204
University of Illinois Hospital and Health Sciences System
Chicago, Illinois, 60612
University of Cincinnati Cancer Center
Cincinnati, Ohio, 45219
Sylvester Comprehensive Cancer Center
Coral Gables, Florida, 33146
Colorado Blood Cancer Institute
Denver, Colorado, 80218
City of Hope (City of Hope National Medical Center, City of Hope Medical Center)
Duarte, California, 91010
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
Mayo Clinic Hospital
Gilbert, Arizona, 85234
Corewell Health - Lemmen-Holton Cancer Pavilion
Grand Rapids, Michigan, 49503
Houston Methodist Hospital Cancer Center
Houston, Texas, 77030
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
IU Melvin and Bren Simon Comprehensive Cancer Center
Indianapolis, Indiana, 46202
Mayo Clinic
Jacksonville, Florida, 32256
University of Tennessee Medical Center
Knoxville, Tennessee, 37920
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756
USC/Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Norton Cancer Institute, St. Matthews Campus
Louisville, Kentucky, 40207
Baptist Cancer Center
Memphis, Tennessee, 38104
Tennessee Oncology, PLLC - Greco-Hainsworth Centers for Research
Nashville, Tennessee, 37203
Henry-Joyce Cancer Clinic
Nashville, Tennessee, 37232
Ochsner Clinical Foundation
New Orleans, Louisiana, 70121
Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
New York, New York, 10016
Weill Cornell Medicine - New York Presbyterian Hosptial
New York, New York, 10021
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
Southeastern Regional Medical Center, Inc. dba City of Hope Atlanta
Newnan, Georgia, 30265
Oncology Hematology West, PC dba Nebraska Cancer Specialists - Legacy
Omaha, Nebraska, 68130
Oregon Health and Science University
Portland, Oregon, 97239
Mayo Clinic
Rochester, Minnesota, 55902
University of California Davis Comprehensive Cancer Center
Sacramento, California, 95817
Huntsman Cancer Institute, University of Utah
Salt Lake City, Utah, 84112
LDS Hospital
Salt Lake City, Utah, 84143
UC San Diego Moores Cancer Center
San Diego, California, 92037
UCLA Hematology/Oncology (Bowyer Infusion Clinic)
Santa Monica, California, 90404
Swedish Cancer Institute
Seattle, Washington, 98104
Fred Hutchinson Cancer Center
Seattle, Washington, 98109
Stanford Cancer Institute
Stanford, California, 94305
Moffitt Cancer Center
Tampa, Florida, 33612
Novant Health Cancer Institute Hematology- Forsyth
Winston-Salem, North Carolina, 27103
Spain11 sites
ICO Badalona-H.U. Germans Trias i Pujol
Badalona, 08916
Hospital Clínic de Barcelona
Barcelona, 08036
Hospital Duran i Reynals
Barcelona, 08908
Hospital Clinico Universitario Virgen de la Arrixaca
El Palmar, 30120
Hospital Universitario Ramon Y Cajal
Madrid, 28034
Hospital Universitario 12 de Octubre
Madrid, 28041
Clinica Universidad de Navarra
Pamplona, 31008
Complejo Asistencial Universitario de Salamanca
Salamanca, 37007
Hospital Universitario Marqués de Valdecilla
Santander, 39008
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026
France10 sites
CHU de Lille- Hopital Claude Huriez
Lille, 59037
Institut Paoli Calmettes
Marseille, 13273
CHU De Montpellier - Hopital Saint Eloi
Montpellier, 34080
Centre Hospitalier Universitaire de Nantes
Nantes, 44093
Hopital Saint Louis
Paris, 75010
Hopital Saint Antoine
Paris, 75571
Hôpital Lyon Sud
Pierre-Bénite, 69495
Centre Hospitalier Universitaire de Poitiers
Poitiers, 86021
CHU de Rennes
Rennes, 59037
CHU de Toulouse. IUCT Oncopole
Toulouse, 31100
Germany8 sites
Charité - Universitätsmedizin Berlin
Berlin, 12203
Universitatsklinikum Koln, Klinik I fOr lnnere Medizin
Cologne
Universitätsklinikum Essen
Essen
Universitätsklinikum Freiburg
Freiburg im Breisgau, 79106
Universitatsklinikum Hamburg Eppendorf
Hamburg, 20246
Universitatsklinikum Leipzig
Leipzig, 4103
TUM Klinikum, Rechts der Isar, Klinik und Poliklinik fur Innere Medizin III, Hamatologie und Onkologie
München, 80333
Universitatsklinikum Wurzburg
Tübingen, 72076
Japan6 sites
Hyogo Medical University Hospital
Hyōgo, 663-8501
Nagoya City University Hospital
Nagoya, 467-8602
The University of Osaka Hospital
Osaka, 565-0871
Jichi Medical University Hospital
Tochigi, 329-0498
Juntendo University School of Medicine Juntendo Clinic
Tokyo, 113-8431
Japanese Red Cross Medical Center
Tokyo, 150-8935
United Kingdom6 sites
University Hospitals Bristol NHS Foundation Trust, Bristol Haematology and Oncology Centre
Bristol, BS2 8ED
University Hospital of Wales
Cardiff, CF14 4XW
Leeds Teaching Hospitals NHS Trust, St James's University Hospital
Leeds, LS9 7TF
King's College Hospital
London, SE5 9NU
University College London Hospital
London, WC1E 6JN
Newcastle Hospitals NHS Foundation Trust, Freeman Hospital
Newcastle, NE7 7DN
Australia5 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Royal Prince Alfred Hospital
Camperdown, New South Wales, NSW 2050
Sir Charles Gairdner Hospital
Nedlands, Western Australia, 6009
Epworth HealthCare
Richmond, Victoria, 3121
Royal North Shore Hospital
St Leonards, New South Wales, 2065
Italy5 sites
IRCCS AOU di Bologna
Bologna, 40138
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, MI, 20133
Ospedale San Raffaele
Milan, 3302
Policlinico Universitario Argostino Gemelli
Roma, 00168
AOU Città della Salute e della Scienza Presidio Ospedaliero Molinette
Torino, 10126
Austria4 sites
Ordensklinikum Linz GmbH Elisabethinen, Hamatologie mit Stammzelltransplantation, Hamostaseologie und medizinische Onkologie
Linz
Paracelsus Medizinischen Privatuniversitaet
Salzburg, A-5020
University Hospital St. Poelten, Department of Internal Medicine I
Sankt Pölten, 3100
Medical University of Vienna
Vienna, 1090
Belgium4 sites
Cliniques Universitaires Saint-Luc
Brussels, 1200
University Hospital of Antwerp
Edegem
UZ Leuven
Flemish Brabant, 3000
UZ Gent
Gent Oost-Vlaanderen, 9000
Canada4 sites
QEII Health Sciences Centre
Halifax, B3H 2Y9
McGill University Health Center
Montreal, H4A 3J1
The Ottawa Hospital - General Campus
Ottawa, K1H 8L6
University Health Network - The Princess Margaret Cancer Centre
Toronto, M5G 2M9
Netherlands3 sites
Amsterdam UMC - Location vUmc
Amsterdam, 1081 HV
University Medical Center Groningen
Groningen, 9700 RB
Erasmus Medical Center
Rotterdam, 3015GD
Poland3 sites
Warszawa-Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego
Warsaw, 02-097
Instytut Hematologii i Transfuzjologii
Warsaw, 02-776
Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu
Wroclaw, 50-367
About this study
Official title: A Phase 3, Randomized, Open-Label Study to Compare the Efficacy and Safety of Anitocabtagene Autoleucel Versus Standard of Care Therapy in Participants With Relapsed/Refractory Multiple Myeloma
The goal of this study (iMMagine-3) is to compare the study drug, anitocabtagene autoleucel to standard of care therapy (SOCT) in participants with relapsed/refractory multiple myeloma who have received 1 to 3 prior lines of therapy, including an anti-CD38 monoclonal antibody and an immunomodulatory drug.
The primary objective of this study is to compare the efficacy of anitocabtagene autoleucel versus SOCT in participants with RRMM.
Read the detailed description
After completing the treatment period, all participants who will receive anitocabtagene autoleucel, will be followed in the post-treatment follow-up period. Thereafter, participants will transition to a separate long-term follow-up study (KT-US-982-5968) to continue follow-up out to 15 years.
- Conditions
- Multiple Myeloma
- Being tested
- Anitocabtagene Autoleucel, Cyclophosphamide, Fludarabine, Pomalidomide, Bortezomib
- Keywords
- Multiple Myeloma, CAR-T, ddBCMA, BCMA
- Medical subject headings
- Multiple Myeloma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Anitocabtagene AutoleucelDrug
Also called CART-ddBCMA
A single infusion of CAR+ transduced autologous T cells
CyclophosphamideDrug
Administered intravenously
FludarabineDrug
Administered intravenously
PomalidomideDrug
Tablet administered orally
BortezomibDrug
Administered intravenously or subcutaneously
DexamethasoneDrug
Tablet administered orally
DaratumumabDrug
Administered intravenously or subcutaneously
CarfilzomibDrug
Administered intravenously
| Study group | Role | What they receive |
|---|---|---|
| Anitocabtagene Autoleucel | Experimental | Participants with RRMM will receive lymphodepletion chemotherapy with cyclophosphamide and fludarabine for 3 days followed by single dose of anitocabtagene autoleucel chimeric antigen receptor positive (CAR+) on Day 1. Receives: Drug: Anitocabtagene Autoleucel; Drug: Cyclophosphamide; Drug: Fludarabine |
| Standard of Care Therapy (SOCT) | Active comparator | Participants will receive the investigator's choice of one of the following therapies:
* pomalidomide, bortezomib, and dexamethasone (PVd) (21-day cycles)
* daratumumab, pomalidomide, and dexamethasone (DPd) (28-day cycles)
* carfilzomib, daratumumab, and dexamethasone (KDd) (28-day cycles)
* carfilzomib and dexamethasone (Kd) (28-day cycles) Receives: Drug: Pomalidomide; Drug: Bortezomib; Drug: Dexamethasone; Drug: Daratumumab; Drug: Carfilzomib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS)
PFS is defined as the time from randomization to disease progression per International Myeloma Working Group (IMWG) criteria as determined by independent review committee (IRC), or death due to any cause, whichever occurs first.
Measured: Up to 4 years
Minimal Residual Disease (MRD) Complete Response (CR) Rate at 9 Months
Minimal MRD is defined as the proportion of participants achieving CR/stringent CR (sCR) and MRD-negative status at 9 months. MRD negativity at 9 months is defined as negative MRD value at 9 months (± 3 months) in bone marrow assessment (< 1 in 105 nucleated cells per IMWG criteria using NGS) (Kumar 2016). CR/sCR per IMWG criteria is determined by IRC.
Measured: Up to 9 months
Secondary outcomes (17)
CR Rate (CR/ Stringent Complete Response (sCR))
CR rate is defined as the proportion of participants who achieved a best overall response of CR or sCR per IMWG criteria as determined by IRC.
Measured: Up to 4 years
Overall MRD Negativity
Overall MRD negativity, defined as the proportion of any MRD negativity in participants with bone marrow aspirate (< 1 in 10^5 nucleated cells per IMWG criteria using next-generation sequencing (NGS)) at any time after randomization until disease progression, subsequent anti-multiple myeloma (MM) therapy, or death.
Measured: Up to 7 years
Overall survival (OS)
OS is defined as the time from randomization to death due to any cause.
Measured: Up to 7 years
Overall Response Rate (ORR)
ORR is defined as the proportion of participants who achieve a best overall response of at least partial response (PR) or better (sCR, CR, very good partial response (VGPR), or PR) per IMWG criteria.
Measured: Up to 7 years
MRD-negative CR/sCR
MRD-negative CR/sCR is defined as the proportion of participants achieving MRD-negative CR/sCR until disease progression, subsequent anti-MM therapy, or death.
Measured: Up to 7 years
MRD-negative VGPR+
MRD-negative VGPR+ is defined as the proportion of participants achieving MRD negativity and sCR/CR/VGPR until disease progression, subsequent anti-MM therapy, or death.
Measured: Up to 7 years
Sustained MRD Negativity
Sustained MRD negativity is defined as the proportion of participants remaining MRD-negative at the 10^-5 sensitivity threshold for the specified number of months starting from the first MRD-negative assessment date to the last MRD-negative assessment date prior to disease progression, subsequent anti-MM therapy, or death. Duration may include ≥ 12 months. Sustained MRD negativity will be evaluated for overall MRD negativity, MRD-negative CR/sCR, and MRD-negative VGPR+.
Measured: Up to 7 years
Duration of Response (DOR)
DOR is derived only among participants who experience an overall response (sCR, CR, VGPR, or PR) per IMWG criteria and is defined as the time from first overall response to disease progression per IMWG criteria, or death from any cause, whichever occurs first.
Measured: Up to 7 years
Time to Progression
Time to progression is defined as the time from randomization to the first documented disease progression per IMWG criteria, or death due to disease progression, whichever occurs first.
Measured: Up to 7 years
Time to Next Treatment
Time to next treatment is defined as the time from randomization to the start of subsequent anti-MM therapy or death from any cause, whichever occurs first.
Measured: Up to 7 years
Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Measured: First dose up to 7 years
Percentage of Participants With Anti-Anitocabtagene Autoleucel CAR Antibodies (Anitocabtagene Autoleucel Arm)
Measured: Up to 7 years
Percentage of Participants With Presence of Replication-Competent Lentivirus (Anitocabtagene Autoleucel Arm)
Measured: Up to 7 years
Change From Baseline in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Score
The EORTC-QLQ-C30 is a multi-item questionnaire measuring the following content: five (5) multi-item functional scales, three (3) multi-item symptom scales, six (6) single item symptoms scales, one (1) global health status scale, and one (1) global health-related quality of life (HRQoL). Each scale is measured from 0 to 100 after a linear transformation. Higher scores for functioning scales and for the Global Health Status or Global HRQoL scales indicate a higher level of functioning and a better HRQoL respectively, whereas higher scores in symptom scales represent a high level of symptoms.
Measured: Up to 7 years
Change From Baseline in the EORTC - Multiple Myeloma Module (EORTC QLQ-MY20) Score
The EORTC QLQ-MY20 has 20 items across 4 independent subscales; 2 functional subscales (body image, future perspective), and 2 symptoms scales (disease symptoms, and side effects of treatment) with a recall period of one week. Scores from each subscale are transformed from 0 to 100. For the functional scales, high scores represent improvement. For the symptom scales, higher scores represent worsening.
Measured: Up to 7 years
Change From Baseline in the European Quality of Life 5-Dimension 5-Level Scale (EQ-5D-5L) Score
The EQ-5D-5L questionnaire is a generic measure of health status that provides a simple descriptive profile and a single index value. The EQ-5D-5L comprises 2 components: a questionnaire covering 5 dimensions and a tariff of values based upon direct valuations of health states using a visual analog scale (VAS). The total score for EQ-5D-5L index is presented on a range where higher scores indicate better outcome. A positive change from Baseline indicates improvement.
Measured: Up to 7 years
Percentage of Participants Using Healthcare Resources
Healthcare resource utilization will be assessed based on the numbers of hospitalizations, intensive care unit (ICU) inpatient days, and non-ICU inpatient days.
Measured: Up to 7 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 May 2024
- Study start23 Aug 2024
- Primary completionJul 2028 (estimated)
- Study completionJul 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple MyelomaStudies of the same condition, open and under way.
- More trials run by Kite, A Gilead CompanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 452 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kite, A Gilead Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Arcellx, Inc.
- Responsible party
- Sponsor
- Investigators
- Kite Study Director, Study director, Kite, A Gilead Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06413498
- Sponsor's protocol ID
- KT-US-679-0788
- Other IDs
- 2024-511188-26, jRCT2043240170
- Acronym
- iMMagine-3
- Status last verified
- Jul 2026
- First submitted
- 9 May 2024
- Last updated
- 29 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Open-Label Study to Compare the Efficacy and Safety of Anitocabtagene Autoleucel Versus Standard of Care Therapy in Participants With Relapsed/Refractory Multiple Myeloma
- ClinicalTrials.gov ID
- NCT06413498
- Acronym / sponsor ID
- iMMagine-3 / KT-US-679-0788
- Conditions
- Multiple Myeloma
- Keywords
- Multiple Myeloma, CAR-T, ddBCMA, BCMA
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 452 participants (actual)
- Lead sponsor
- Kite, A Gilead CompanyIndustry (pharma, biotech, devices)
- Collaborators
- Arcellx, Inc.
- Study start
- 23 Aug 2024 (actual)
- Primary completion
- Jul 2028 (estimated)
- Study completion
- Jul 2031 (estimated)
- First posted
- 14 May 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this study (iMMagine-3) is to compare the study drug, anitocabtagene autoleucel to standard of care therapy (SOCT) in participants with relapsed/refractory multiple myeloma who have received 1 to 3 prior lines of therapy, including an anti-CD38 monoclonal antibody and an immunomodulatory drug.
The primary objective of this study is to compare the efficacy of anitocabtagene autoleucel versus SOCT in participants with RRMM.
Detailed description
After completing the treatment period, all participants who will receive anitocabtagene autoleucel, will be followed in the post-treatment follow-up period. Thereafter, participants will transition to a separate long-term follow-up study (KT-US-982-5968) to continue follow-up out to 15 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Anitocabtagene Autoleucel | Experimental | Drug: Anitocabtagene Autoleucel, Drug: Cyclophosphamide, Drug: FludarabineParticipants with RRMM will receive lymphodepletion chemotherapy with cyclophosphamide and fludarabine for 3 days followed by single dose of anitocabtagene autoleucel chimeric antigen receptor positive (CAR+) on Day 1. |
| Standard of Care Therapy (SOCT) | Active comparator | Drug: Pomalidomide, Drug: Bortezomib, Drug: Dexamethasone, Drug: Daratumumab, Drug: CarfilzomibParticipants will receive the investigator's choice of one of the following therapies: * pomalidomide, bortezomib, and dexamethasone (PVd) (21-day cycles) * daratumumab, pomalidomide, and dexamethasone (DPd) (28-day cycles) * carfilzomib, daratumumab, and dexamethasone (KDd) (28-day cycles) * carfilzomib and dexamethasone (Kd) (28-day cycles) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Documented historical diagnosis of multiple myeloma (MM)
- Received 1 to 3 prior lines of antimyeloma therapy, including an immunomodulatory drug (IMiD) and an anti-cluster of differentiation 38 (CD38) monoclonal antibody (mAb). A minimum of 2 consecutive cycles of an IMiD and an anti-CD38 mAb in any prior line of therapy is required. The IMiD and anti-CD38 mAb do not need to be from the same regimen in the prior line(s) of therapy.
- Documented evidence of progressive disease by IMWG criteria based on the investigator's determination on or within 12 months of the last dose of the last regimen
- Measurable disease at screening per IMWG, defined as any of the following:
- Only individuals who are candidates to receive at least 1 of the 4 SOCT regimens (PVd, DPd, KDd, or Kd), as determined by the investigator, should be considered for this study
Key exclusion criteria (15 listed)
- Prior B-cell maturation antigen (BCMA)-targeted therapy
- Prior T-cell engager therapy
- Prior CAR therapy or other genetically modified T-cell therapy
- Active or prior history of central nervous system (CNS) or meningeal involvement of MM
- Cardiac atrial or cardiac ventricular MM involvement
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Anitocabtagene AutoleucelAlso: CART-ddBCMAA single infusion of CAR+ transduced autologous T cells | Drug | Anitocabtagene Autoleucel |
| CyclophosphamideAdministered intravenously | Drug | Anitocabtagene Autoleucel |
| FludarabineAdministered intravenously | Drug | Anitocabtagene Autoleucel |
| PomalidomideTablet administered orally | Drug | Standard of Care Therapy (SOCT) |
| BortezomibAdministered intravenously or subcutaneously | Drug | Standard of Care Therapy (SOCT) |
| DexamethasoneTablet administered orally | Drug | Standard of Care Therapy (SOCT) |
| DaratumumabAdministered intravenously or subcutaneously | Drug | Standard of Care Therapy (SOCT) |
| CarfilzomibAdministered intravenously | Drug | Standard of Care Therapy (SOCT) |
Primary outcome
Progression-Free Survival (PFS)
Time frame: Up to 4 years
PFS is defined as the time from randomization to disease progression per International Myeloma Working Group (IMWG) criteria as determined by independent review committee (IRC), or death due to any cause, whichever occurs first.
Minimal Residual Disease (MRD) Complete Response (CR) Rate at 9 Months
Time frame: Up to 9 months
Minimal MRD is defined as the proportion of participants achieving CR/stringent CR (sCR) and MRD-negative status at 9 months. MRD negativity at 9 months is defined as negative MRD value at 9 months (± 3 months) in bone marrow assessment (< 1 in 105 nucleated cells per IMWG criteria using NGS) (Kumar 2016). CR/sCR per IMWG criteria is determined by IRC.
17 secondary outcomes
CR Rate (CR/ Stringent Complete Response (sCR))
Time frame: Up to 4 years
Overall MRD Negativity
Time frame: Up to 7 years
Overall survival (OS)
Time frame: Up to 7 years
Overall Response Rate (ORR)
Time frame: Up to 7 years
MRD-negative CR/sCR
Time frame: Up to 7 years
MRD-negative VGPR+
Time frame: Up to 7 years
Sustained MRD Negativity
Time frame: Up to 7 years
Duration of Response (DOR)
Time frame: Up to 7 years
Time to Progression
Time frame: Up to 7 years
Time to Next Treatment
Time frame: Up to 7 years
Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Time frame: First dose up to 7 years
Percentage of Participants With Anti-Anitocabtagene Autoleucel CAR Antibodies (Anitocabtagene Autoleucel Arm)
Time frame: Up to 7 years
Percentage of Participants With Presence of Replication-Competent Lentivirus (Anitocabtagene Autoleucel Arm)
Time frame: Up to 7 years
Change From Baseline in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Score
Time frame: Up to 7 years
Change From Baseline in the EORTC - Multiple Myeloma Module (EORTC QLQ-MY20) Score
Time frame: Up to 7 years
Change From Baseline in the European Quality of Life 5-Dimension 5-Level Scale (EQ-5D-5L) Score
Time frame: Up to 7 years
Percentage of Participants Using Healthcare Resources
Time frame: Up to 7 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jul 2026.
- Gilead Clinical Trials WebsiteLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Kite Study Director study director
Kite, A Gilead Company
117 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Anitocabtagene Autoleucel, Cyclophosphamide and Fludarabine in people with Multiple Myeloma, run by Kite, A Gilead Company at 117 sites in 15 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 9 inclusion and 15 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 29 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 117 sites in United States, Spain, France, Germany, Japan and 10 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 4 years). The study lists 2 primary outcomes in all. 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 29 Jul 2026.