Multiple Myeloma (MM)Phase 1NCT07477587
A Study to Compare the PK Characteristics, Safety, Tolerability, and Immunogenicity of HLX15-SC With DARZALEX FASPRO® in Combination With Lenalidomide and Dexamethasone (Rd) in Transplant-ineligible Patients With Newly Diagnosed Multiple Myeloma
A Phase 1 study testing HLX15-SC-Rd and US-DARZALEX FASPRO®-Rd in people with Multiple Myeloma (MM), run by Shanghai Henlius Biotech at 84 sites in 5 countries.
Trial summary
The purpose of this study is to compare the pharmacokinetic (PK) similarity, safety, tolerability, immunogenicity, and efficacy of HLX15-SC versus US-DARZALEX FASPRO® following single and multiple subcutaneous (SC) injections in newly diagnosed MM patients ineligible for transplant. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Multiple Myeloma (MM)
- What is being tested?
- HLX15-SC-Rd and US-DARZALEX FASPRO®-Rd
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 258 participants
- Where
- 84 sitesin 5 countries
- Study dates
- 25 May 2026to 22 Feb 2028
- Phase
- Phase 1
- 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
- Age ≥ 18 years at the time of signing the informed consent form (ICF).
- Body mass index (BMI): 18.5 kg/m2 ≤ BMI < 28 kg/m2.
- Subjects must participate voluntarily, understand the study, and sign the ICF.
- Patients must have a documented diagnosis of multiple myeloma (MM) according to the International Myeloma Working Group (IMWG) criteria, with measurable lesion .
- Serum albumin ≥ 35 g/L.
- Newly diagnosed, untreated, and considered ineligible for high-dose chemotherapy with autologous stem cell transplantation (ASCT) by the investigator.
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- The patient's ECOG performance status must be 0 or 1 .
- Patient must have clinical laboratory values meeting the following criteria during the screening period:
- Hemoglobin ≥ 7.5 g/dL (≥ 5 mmol/L; red blood cell [RBC] transfusion or use of recombinant human erythropoietin at least 1 week prior to randomization is allowed).
- Absolute neutrophil count (ANC) ≥ 1.0 × 109/L (use of granulocyte-colony stimulating factor [G-CSF] is allowed).
- Alanine aminotransferase (ALT) ≤ 2.5 × upper limit of normal (ULN).
- Without the following evidence of impaired liver function, including mild impairment (total bilirubin ≤ ULN and AST > ULN or ULN < total bilirubin ≤ 1.5 x ULN), moderate impairment (1.5 x ULN < total bilirubin ≤ 3 x ULN), and severe impairment (total bilirubin > 3 x ULN).
- Measured creatinine clearance ≥ 40 mL/min .
- Corrected serum calcium < 14 mg/dL (< 3.5 mmol/L); or free ionized calcium < 6.5 mg/dL (< 1.6 mmol/L) .
- Platelet count ≥ 70 × 109/L for patients with plasma cells < 50% of bone marrow nucleated cells; platelet count > 50 × 109/L for all other patients (transfusion within 3 days prior to randomization to achieve the minimum platelet count is not permitted).
- Contraceptive criteria: Contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- Female patients: a female patient is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies:
- Not a woman of childbearing potential (WOCBP) or WOCBP: must commit to either abstain continuously from heterosexual sexual intercourse or to use 2 methods of reliable birth control simultaneously from signed ICF to at least 140 days following the last dose of study products. This includes one highly effective contraceptive method with a failure rate of < 1% per year (tubal ligation, intrauterine device, hormonal [birth control pills, injections, hormonal patches, vaginal rings or implants] or partner's vasectomy) and one additional effective contraceptive method (male latex or synthetic condom, diaphragm, or cervical cap). Reliable contraception is indicated even where there has been a history of infertility, unless due to hysterectomy or bilateral oophorectomy.
- The subjects also need to agree not to donate or cryopreservation eggs (ova, oocytes) from signed ICF to at least 140 days following the last dose of study products.
- Male patients: male patients are eligible to participate if they agree to the following during the intervention period and for at least 140 days following the last dose of study products:
- Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) and agree to remain abstinent.
- or Agree to use a male condom and female partner to use an additional highly effective contraceptive method with a failure rate of <1% per year as when having sexual intercourse with a woman of childbearing potential who is not currently pregnant.
- Agree not to donate or cryopreservation sperm.
- A WOCBP must have a negative serum pregnancy test at screening within 72 h prior to randomization. The investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a woman with an early undetected pregnancy
Who cannot join
- Patient has a diagnosis of primary amyloidosis, monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), Waldenström's disease, or other conditions in which IgM M-protein is present in the absence of a clonal plasma cell infiltration with lytic bone lesions.
- Patient has plasma cell leukemia (according to IMWG criterion: ≥ 5% of plasma cells in the peripheral blood and/or an absolute plasma cell count of ≥ 2 x 109/L) or POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes).
- Patient has prior or current systemic therapy or ASCT for MM, with the exception of an emergency use of a short course (equivalent of dexamethasone 40 mg/day for a maximum 4 days) of corticosteroids before randomization.
- Patient has peripheral neuropathy or neuropathic pain Grade 2 or higher, as defined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 6.
- Patient has a history of malignancy (other than MM) within 3 years before the date of randomization (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix, or malignancy that in the opinion of the investigator is considered cured with minimal risk of recurrence within 3 years).
- Patient has clinical signs of meningeal involvement of MM.
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- Patient has known chronic obstructive pulmonary disease (COPD) (defined as a forced expiratory volume in 1 second [FEV1] < 50% of predicted normal), persistent asthma, or a history of asthma within the last 2 years. Patient with known or suspected COPD or asthma must have a FEV1 test during screening.
- Patient is known to be seropositive for history of human immunodeficiency virus (HIV) or known to have treponema pallidum antibodies (Anti-TP).
- Patient is known to have active hepatitis B or C.
- Patient is seropositive for hepatitis B (defined by a positive test for hepatitis B surface antigen [HBsAg]). Patients with resolved infection (that is, patients who are HBsAg negative but positive for antibodies to hepatitis B core antigen [Anti-HBc] and/or antibodies to hepatitis B surface antigen [Anti-HBs]) must be screened using real-time polymerase chain reaction (PCR) measurement of hepatitis B virus (HBV) deoxyribonucleic acid (DNA) levels. Those who are PCR positive will be excluded.
- EXCEPTION: Patients with serologic findings suggestive of HBV vaccination (Anti-HBs positivity as the only serologic marker) AND a known history of prior HBV vaccination, do not need to be tested for HBV DNA by PCR.
- Patient is seropositive for hepatitis C must be screened using PCR measurement of hepatitis C virus (HCV) ribonucleic acid (RNA) levels. Those who are PCR positive will be excluded.
- Patient has any concurrent medical or psychiatric condition or disease (e.g., active systemic infection, uncontrolled diabetes, acute diffuse infiltrative pulmonary disease) that is likely to interfere with the study procedures or results, or that in the opinion of the investigator, would constitute a hazard for participating in this study.
- Patient has clinically significant cardiac disease, including:
- Myocardial infarction within 1 year before randomization, or an unstable or uncontrolled disease/condition related to or affecting cardiac function (e.g., unstable angina, congestive heart failure, New York Heart Association [NYHA] Class III-IV ).
- Cardiac arrhythmia (NCI-CTCAE Version 6 Grade ≥ 2) or clinically significant ECG abnormalities.
- Screening 12-lead ECG showing a baseline QT interval as corrected by Fridericia's formula (QTcF) (See Appendix 6) > 470 ms.
- Patient has known allergies, hypersensitivity, or intolerance to lenalidomide, corticosteroids, monoclonal antibodies or human proteins, or their excipients or known sensitivity to mammalian-derived products.
- Patient has history of drug abuse or substance abuse one year prior to randomization. Patient is known or suspected of not being able to comply with the study protocol (e.g., because of alcoholism, drug dependency, or psychological disorder).
- Patient is a woman who is pregnant, or breast-feeding, or planning to become pregnant or donate eggs (ova, oocytes) while enrolled in this study or within 140 days after the last dose of study products.
- Or patient is a man who plans to father a child and/or donate sperm while enrolled in this study or within 140 days after the last dose of study products.
- Patient does not agree to abstain completely from sexual intercourse, or plan to use a contraceptive method that is not acceptable to the investigator (unacceptable methods of contraception include: i. periodic abstinence [such as calendar method, ovulation method, basal body temperature method, post-ovulation safety period method, etc.], withdrawal, etc.; ii. medical contraceptive measures such as oral contraceptives, contraceptive injections, contraceptive patches, subcutaneous implantation, intrauterine hormone contraceptive devices, local contraceptives such as spermicides, etc.).
- Patient had radiation therapy within 14 days of randomization.
- Patient had plasmapheresis within 28 days of randomization.
- Patient had a history of blood donation or total blood loss of 200 mL or more within 3 months before randomization.
- Patient had major surgery within 28 days before randomization or has not fully recovered from surgery, or has surgery planned during the time the patient is expected to participate in the study or within 28 days after the last dose of study treatment. Kyphoplasty is not considered major surgery.
- Patient in clinical trials of any other drug or device within 3 months (or 5 half-lives of the corresponding investigational product if the half-life of the drug is long [5 half-lives > 3 months]) before randomization.
- Patient has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the patient (e.g., compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments
Trial locations and contacts
84 sites in 5 countries. Contact the study team or a site near you to ask about taking part.
84 sites in 5 countries
China66 sites, 66 recruiting
- Recruiting
Affiliated Hospital of Hebei University
Baoding, Hebei, 071030
- Recruiting
Beijing Chao-Yang Hospital Capital Medical University
Beijing, Beijing Municipality, 100027
- Recruiting
Peking University First Hospital
Beijing, Beijing Municipality, 100035
- Recruiting
Peking University Third Hospital
Beijing, Beijing Municipality, 100191
- Recruiting
The First Affiliated Hospital of Bengbu Medical University
Bengbu, Anhui, 233000
- Recruiting
Cangzhou People's Hospital
Cangzhou, Hebei, 061000
- Recruiting
The Second Xiangya Hospital of Central South University
Changsha, Hunan, 410011
- Recruiting
Sichuan Cancer Hospital
Chengdu, Sichuan, 610041
- Recruiting
Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital
Chengdu, Sichuan, 610073
- Recruiting
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400016
- Recruiting
Affiliated Zhongshan Hospital of Dalian University
Dalian, Liaoning, 116001
- Recruiting
The First Affiliated Hospital of Fujian Medical University
Fuzhou, Fujian, 350004
- Recruiting
First Affiliated Hospital of Gannan Medical University
Ganzhou, Jiangxi, 341000
- Recruiting
Guangzhou First People's Hospital
Guangzhou, Guangdong, 510013
- Recruiting
Guangdong General Hospital
Guangzhou, Guangdong, 510080
- Recruiting
Zhujiang Hospital of Southern Medical University
Guangzhou, Guangdong, 510220
- Recruiting
The Affiliated Hospital of Guizhou Medical University
Guiyang, Guizhou, 550004
- Recruiting
Hangzhou First People's Hospital
Hangzhou, Zhejiang, 310006
- Recruiting
Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang, 310015
- Recruiting
Sir Run Run Shaw Hospital Zhejiang University School of Medicine(The Grand Canal Campus)
Hangzhou, Zhejiang, 310016
- Recruiting
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310020
- Recruiting
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150069
- Recruiting
Anhui Provincial Cancer Hospital
Hefei, Anhui, 230031
- Recruiting
The Second Affiliated Hospital of Anhui Medical University
Hefei, Anhui, 230601
- Recruiting
The First Affiliated Hospital Of University South China
Hengyang, Hunan, 421001
- Recruiting
The Affiliated Hospital of Inner Mongolia Medical University
Hohhot, Inner Mongolia, 010030
- Recruiting
Shandong Provincial Hospital
Jinan, Shandong, 250022
- Recruiting
Jining No.1 People's Hospital
Jining, Shandong, 272000
- Recruiting
Liuzhou Worker's Hospital
Liuzhou, Guangxi, 545007
- Recruiting
The First Affiliated Hospital of Henan University of Science & Techinology
Luoyang, Henan, 471003
- Recruiting
Meizhou People's Hospital
Meizhou, Guangdong, 514031
- Recruiting
The First Affiliated Hospital of Nanchang University
Nanchang, Jangxi, 330008
- Recruiting
The second affiliated hospital of Nanchang University
Nanchang, Jangxi, 330008
- Recruiting
Jiangxi Cancer Hospital
Nanchang, Jiangxi, 330029
- Recruiting
Zhongda Hospital Southeast University
Nanjing, Jiangsu, 210009
- Recruiting
Sir Run Run Hospital of Nanjing Medical University
Nanjing, Jiangsu, 211166
- Recruiting
Guangxi Medical University Cancer Hospital
Nanning, Guangxi, 530213
- Recruiting
The First Affiliated Hospital of Ningbo University
Ningbo, Zhejiang, 315010
- Recruiting
The Affiliated Hospital of Qingdao University
Qingdao, Shandong, 266001
- Recruiting
Zhongshan Hospital, Fudan University
Shanghai, Shanghai Municipality, 200032
- Recruiting
The First Hospital of China Medical University
Shenyang, Liaoning, 110001
- Recruiting
Shengjing Hospital of China Medical University
Shenyang, Liaoning, 110004
- Recruiting
Liaoning Cancer Hospital & Institute
Shenyang, Liaoning, 110041
- Recruiting
Shenzhen People's Hospital
Shenzhen, Guangdong, 518020
- Recruiting
Peking University Shenzhen Hospital
Shenzhen, Guangdong, 518036
- Recruiting
Hebei medical university third hospital
Shijiazhuang, Hebei, 050052
- Recruiting
The Second Hospital of Hebei Medical Universit
Shijiazhuang, Hebei, 050071
- Recruiting
Nuclear Industry General Hospital (The Second Affiliated Hospital of Soochow University)
Suzhou, Jiangsu, 215004
- Recruiting
The Second Hospital of Shanxi Medical University
Taiyuan, Shanxi, 030001
- Recruiting
Shanxi Cancer Hospital
Taiyuan, Shanxi, 030013
- Recruiting
Tianjin Medical University Cancer Institute & Hospital
Tianjin, Tianjin Municipality, 300060
- Recruiting
Tianjin People's Hospital
Tianjin, Tianjin Municipality, 300131
- Recruiting
Tianjin Cancer Hospital Airport Hospital
Tianjin, Tianjin Municipality, 300308
- Recruiting
Weifang People's Hospital
Weifang, Shandong, 261041
- Recruiting
The Second Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325000
- Recruiting
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430014
- Recruiting
Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science & Technology
Wuhan, Hubei, 430030
- Recruiting
Renmin Hospital of Wuhan University
Wuhan, Hubei, 430061
- Recruiting
Zhongnan Hospital of Wuhan University
Wuhan, Hubei, 430071
- Recruiting
Affiliated Hospital of Jiangnan University
Wuxi, Jiangsu, 214000
- Recruiting
The First Affiliated Hospital of Xiamen University
Xiamen, Fujian, 361001
- Recruiting
Xinxiang Central Hospital
Xinxiang, Henan, 453000
- Recruiting
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, 221006
- Recruiting
Henan Cancer Hospital
Zhengzhou, Henan, 450003
- Recruiting
Henan Provincial People's Hospital
Zhengzhou, Henan, 450003
- Recruiting
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052
United States12 sites, 12 recruiting
- Recruiting
Pontchartrain Cancer Center
Covington, Louisiana, 70433
- Recruiting
Genesis Medical Research
Dyer, Indiana, 46311
- Recruiting
Optum Care Washington
Everett, Washington, 98201
- Recruiting
Oncology Consultants (P1 Trials -Exigent Network)
Houston, Texas, 77030
- Recruiting
Lumi Research
Houston, Texas, 77090
- Recruiting
Cancer Specialists of North Florida
Jacksonville, Florida, 32256
- Recruiting
D&H National Research Center
Margate, Florida, 33063
- Recruiting
Ocala Oncology Center
Ocala, Florida, 34474
- Recruiting
American Oncology Network Vista Oncology Division / Physician partner associate
Olympia, Washington, 98506
- Recruiting
Florida Clinical Trials Group
Plantation, Florida, 33322
- Recruiting
Highlands Oncology Group, PA
Springdale, Arkansas, 72762
- Recruiting
Florida Clinical Trials Group
Tamarac, Florida, 33321
Serbia3 sites, 3 recruiting
- Not yet recruiting
Clinical Hospital Centre Zemun
Belgrade, 11080
- Not yet recruiting
University Clinical Center Kragujevac
Kragujevac, 34000
- Not yet recruiting
University Clinical Center Nis
Niš, 8000
Georgia2 sites, 2 recruiting
- Not yet recruiting
JSC K. Eristavi National Center of Experimental and Clinical Surgery
Tbilisi, 0159
- Not yet recruiting
LLC Caucasus Medical Centre
Tbilisi, 0160
About this study
Official title: A Randomized, Double-blind, Parallel-controlled Phase I Study to Compare the Pharmacokinetic Characteristics, Safety, Tolerability, and Immunogenicity of HLX15-SC With DARZALEX FASPRO® in Combination With Lenalidomide and Dexamethasone (Rd) in Transplant-ineligible Patients With Newly Diagnosed Multiple Myeloma
The purpose of this study is to compare the pharmacokinetic (PK) similarity, safety, tolerability, immunogenicity, and efficacy of HLX15-SC versus US-DARZALEX FASPRO® following single and multiple subcutaneous (SC) injections in newly diagnosed MM patients ineligible for transplant.
Participants who meet all inclusion criteria and none of the exclusion criteria will receive either the HLX15-SC-Rd regimen or the D-Rd regimen for 4 cycles (one cycle = 4 weeks). After 4 cycles of treatment, based on clinical benefit and participant preference, participants may continue to receive the locally marketed daratumumab subcutaneous formulation (Dara-SC) in combination with Rd according to clinical practice, up to 32 weeks or until loss of clinical benefit, death, unacceptable toxicity, withdrawal of informed consent, or any other protocol-specified reason, whichever occurs first. After 32 weeks of dosing, participants will continue to receive appropriate standard of care according to local guidelines (including marketed Dara-SC).
- Conditions
- Multiple Myeloma (MM)
- Being tested
- HLX15-SC-Rd, US-DARZALEX FASPRO®-Rd
- Keywords
- Transplant ineligible Patients with Newly Diagnosed Multiple Myeloma
- Medical subject headings
- Multiple Myeloma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HLX15-SC-RdDrug
Subjects will receive 1800 mg HLX15-SC via SC administration for up to 16 weeks: weekly during Week 1-8 (Cycle 1-2; 1 cycle = 4 weeks) and every two weeks during Week 9-16 (Cycle 3-4).
US-DARZALEX FASPRO®-RdDrug
Subjects will receive 1800 mg US-DARZALEX FASPRO® via SC administration for up to 16 weeks: weekly during Week 1-8 (Cycle 1-2; 1 cycle = 4 weeks) and every two weeks during Week 9-16 (Cycle 3-4).
| Study group | Role | What they receive |
|---|---|---|
| HLX15-SC-Rd | Experimental | HLX15-SC-Rd Receives: Drug: HLX15-SC-Rd |
| US-DARZALEX FASPRO®-Rd | Active comparator | US-DARZALEX FASPRO®-Rd Receives: Drug: US-DARZALEX FASPRO®-Rd |
What is being measured
The primary outcome is the main question the study is designed to answer.
pharmacokinetic (PK) similarity
Area under the serum concentration-time curve from time 0 to day 7 (AUC0-7d) after the 1st dose.
Measured: 7 days
pharmacokinetic (PK) similarity
The maximum (peak) serum drug concentration (Cmax) after the 1st dose.
Measured: 7 days
pharmacokinetic (PK) similarity
Area under the serum concentration-time curve within a dosing interval at steady-state (AUCss) after the 12th dose
Measured: 16 weeks
pharmacokinetic (PK) similarity
The maximum (peak) serum drug concentration at steady-state (Cmax,ss) after the 12th dose
Measured: 16 weeks
Secondary outcomes (18)
PK characteristics
trough concentration (Ctrough)
Measured: 16 weeks
PK characteristics
trough concentration at steady state (Ctrough,ss).
Measured: 16 weeks
Safety: Adverse events (AEs), serious adverse events (SAEs), and adverse events of special interest (AESIs)
Adverse events (AEs), serious adverse events (SAEs), and adverse events of special interest (AESIs) terms and frequency of occurrence judged by investigators
Measured: 16 weeks
Safety: Vital Signs
Vital Signs: including blood pressure (systolic and diastolic; mmHg) , pulse rate (beats/min) measured by hematomanometer
Measured: 16 weeks
Safety: Vital Signs
including body temperature (°C) measured by clinical thermometer
Measured: 16 weeks
Safety: Physical examinations
Physical examinations: includes general condition; head and neck; mucous membranes; chest; abdomen; spine; extremities; musculoskeletal system; neurological system; lymphatic system; and skin checked by investigators
Measured: 16 weeks
Safety: Laboratory tests
Laboratory tests: include hematology, blood chemistry, and urinalysis measured by the department of medical laboratory in site
Measured: 16 weeks
Safety: Electrocardiography
Electrocardiography: 12-lead ECG will be performed by qualified personnel using an ECG machine, includes heart rate(beats per minute )
Measured: 16 weeks
Safety: Electrocardiography
Electrocardiography: 12-lead ECG will be performed by qualified personnel using an ECG machine, includes PR interval(msec).
Measured: 16 weeks
Safety: Electrocardiography
Electrocardiography: 12-lead ECG will be performed by qualified personnel using an ECG machine, includes QRS duration (msec).
Measured: 16 weeks
Safety: Electrocardiography
Electrocardiography: 12-lead ECG will be performed by qualified personnel using an ECG machine, includes QTc interval (msec).
Measured: 16 weeks
Immunogenicity:
Incidence of anti-drug antibodies (ADA) and neutralizing antibodies (NAb) against the study products (HLX15-SC and US-DARZALEX FASPRO®) and hyaluronidase.
Measured: 16 weeks
Efficacy:ORR
Investigator-assessed overall response rate (ORR): is defined as the percentage of all patients achieving a PR or better after the randomization date.
Measured: 16 weeks
Efficacy: partial response (PR) rate
Partial response (PR) rate is defined as the percentage of all patients achieving a PR at any time point after the randomization date
Measured: 16 weeks
Efficacy: very good partial response (VGPR) rate
Very good partial response (VGPR) rate is defined as the percentage of all patients achieving a VGPR at any time point after the randomization date.
Measured: 16 weeks
Efficacy: complete response (CR) rate
Complete response (CR) rate is defined as the percentage of all patients achieving a CR at any time point after the randomization date.
Measured: 16 weeks
Efficacy: stringent complete response (sCR) rate
Stringent complete response (sCR) rate is defined as the percentage of all patients achieving an sCR at any time point after the randomization date.
Measured: 16 weeks
Efficacy: time to response
Time to Response (TTR) is defined as the time from randomization to the first documented response of PR or better. TTR will be analyzed only for patients who achieve a response of PR or better.
Measured: 16 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Mar 2026
- Study start25 May 2026
- Primary completion25 May 2027 (estimated)
- Study completion22 Feb 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple Myeloma (MM)Studies of the same condition, open and under way.
- More trials run by Shanghai Henlius BiotechThe 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 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 258 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Shanghai Henlius Biotech
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07477587
- Sponsor's protocol ID
- HLX15-SC-NDMM-001
- Status last verified
- Sep 2026
- First submitted
- 27 Feb 2026
- Last updated
- 24 Sep 2026
- Results posted
- 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 24 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Parallel-controlled Phase I Study to Compare the Pharmacokinetic Characteristics, Safety, Tolerability, and Immunogenicity of HLX15-SC With DARZALEX FASPRO® in Combination With Lenalidomide and Dexamethasone (Rd) in Transplant-ineligible Patients With Newly Diagnosed Multiple Myeloma
- ClinicalTrials.gov ID
- NCT07477587
- Acronym / sponsor ID
- HLX15-SC-NDMM-001
- Conditions
- Multiple Myeloma (MM)
- Keywords
- Transplant ineligible Patients with Newly Diagnosed Multiple Myeloma
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 258 participants (estimated)
- Lead sponsor
- Shanghai Henlius BiotechIndustry (pharma, biotech, devices)
- Study start
- 25 May 2026 (actual)
- Primary completion
- 25 May 2027 (estimated)
- Study completion
- 22 Feb 2028 (estimated)
- First posted
- 17 Mar 2026 (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 purpose of this study is to compare the pharmacokinetic (PK) similarity, safety, tolerability, immunogenicity, and efficacy of HLX15-SC versus US-DARZALEX FASPRO® following single and multiple subcutaneous (SC) injections in newly diagnosed MM patients ineligible for transplant.
Participants who meet all inclusion criteria and none of the exclusion criteria will receive either the HLX15-SC-Rd regimen or the D-Rd regimen for 4 cycles (one cycle = 4 weeks). After 4 cycles of treatment, based on clinical benefit and participant preference, participants may continue to receive the locally marketed daratumumab subcutaneous formulation (Dara-SC) in combination with Rd according to clinical practice, up to 32 weeks or until loss of clinical benefit, death, unacceptable toxicity, withdrawal of informed consent, or any other protocol-specified reason, whichever occurs first. After 32 weeks of dosing, participants will continue to receive appropriate standard of care according to local guidelines (including marketed Dara-SC).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| HLX15-SC-Rd | Experimental | Drug: HLX15-SC-RdHLX15-SC-Rd |
| US-DARZALEX FASPRO®-Rd | Active comparator | Drug: US-DARZALEX FASPRO®-RdUS-DARZALEX FASPRO®-Rd |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (24 listed)
- Age ≥ 18 years at the time of signing the informed consent form (ICF).
- Body mass index (BMI): 18.5 kg/m2 ≤ BMI < 28 kg/m2.
- Subjects must participate voluntarily, understand the study, and sign the ICF.
- Patients must have a documented diagnosis of multiple myeloma (MM) according to the International Myeloma Working Group (IMWG) criteria, with measurable lesion .
- Serum albumin ≥ 35 g/L.
Key exclusion criteria (28 listed)
- Patient has a diagnosis of primary amyloidosis, monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), Waldenström's disease, or other conditions in which IgM M-protein is present in the absence of a clonal plasma cell infiltration with lytic bone lesions.
- Patient has plasma cell leukemia (according to IMWG criterion: ≥ 5% of plasma cells in the peripheral blood and/or an absolute plasma cell count of ≥ 2 x 109/L) or POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes).
- Patient has prior or current systemic therapy or ASCT for MM, with the exception of an emergency use of a short course (equivalent of dexamethasone 40 mg/day for a maximum 4 days) of corticosteroids before randomization.
- Patient has peripheral neuropathy or neuropathic pain Grade 2 or higher, as defined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 6.
- Patient has a history of malignancy (other than MM) within 3 years before the date of randomization (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix, or malignancy that in the opinion of the investigator is considered cured with minimal risk of recurrence within 3 years).
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 |
|---|---|---|
| HLX15-SC-RdSubjects will receive 1800 mg HLX15-SC via SC administration for up to 16 weeks: weekly during Week 1-8 (Cycle 1-2; 1 cycle = 4 weeks) and every two weeks during Week 9-16 (Cycle 3-4). | Drug | HLX15-SC-Rd |
| US-DARZALEX FASPRO®-RdSubjects will receive 1800 mg US-DARZALEX FASPRO® via SC administration for up to 16 weeks: weekly during Week 1-8 (Cycle 1-2; 1 cycle = 4 weeks) and every two weeks during Week 9-16 (Cycle 3-4). | Drug | US-DARZALEX FASPRO®-Rd |
Primary outcome
pharmacokinetic (PK) similarity
Time frame: 7 days
Area under the serum concentration-time curve from time 0 to day 7 (AUC0-7d) after the 1st dose.
pharmacokinetic (PK) similarity
Time frame: 7 days
The maximum (peak) serum drug concentration (Cmax) after the 1st dose.
pharmacokinetic (PK) similarity
Time frame: 16 weeks
Area under the serum concentration-time curve within a dosing interval at steady-state (AUCss) after the 12th dose
pharmacokinetic (PK) similarity
Time frame: 16 weeks
The maximum (peak) serum drug concentration at steady-state (Cmax,ss) after the 12th dose
18 secondary outcomes
PK characteristics
Time frame: 16 weeks
PK characteristics
Time frame: 16 weeks
Safety: Adverse events (AEs), serious adverse events (SAEs), and adverse events of special interest (AESIs)
Time frame: 16 weeks
Safety: Vital Signs
Time frame: 16 weeks
Safety: Vital Signs
Time frame: 16 weeks
Safety: Physical examinations
Time frame: 16 weeks
Safety: Laboratory tests
Time frame: 16 weeks
Safety: Electrocardiography
Time frame: 16 weeks
Safety: Electrocardiography
Time frame: 16 weeks
Safety: Electrocardiography
Time frame: 16 weeks
Safety: Electrocardiography
Time frame: 16 weeks
Immunogenicity:
Time frame: 16 weeks
Efficacy:ORR
Time frame: 16 weeks
Efficacy: partial response (PR) rate
Time frame: 16 weeks
Efficacy: very good partial response (VGPR) rate
Time frame: 16 weeks
Efficacy: complete response (CR) rate
Time frame: 16 weeks
Efficacy: stringent complete response (sCR) rate
Time frame: 16 weeks
Efficacy: time to response
Time frame: 16 weeks
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 24 Sep 2026.
- 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.
84 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing HLX15-SC-Rd and US-DARZALEX FASPRO®-Rd in people with Multiple Myeloma (MM), run by Shanghai Henlius Biotech at 84 sites in 5 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 24 inclusion and 28 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: looking for participants now, as of the sponsor's last update on 24 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 84 sites in China, United States, Serbia, Georgia, Australia. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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?
Contact Yinping Zhong (+86-13983654553, Yinping_Zhong@henlius.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
pharmacokinetic (PK) similarity (time frame: 7 days). The study lists 4 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 24 Sep 2026.