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NCT06627751PHASE2RECRUITING

Mezigdomide, Carfilzomib, and Dexamethasone for the Treatment of Relapsed or Refractory Multiple Myeloma in Patients With Extramedullary Disease

Phase II Clinical Trial of Mezigdomide/Carfilzomib/Dexamethasone (MeziKD) in Patients With Relapsed or Refractory Multiple Myeloma (MM) With Extramedullary Disease (EMD)

Sponsor: Roswell Park Cancer Institute

No open prediction endpoints

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Key Facts

Study type
INTERVENTIONAL
Conditions
Extramedullary Disease in Multiple Myeloma, Recurrent Multiple Myeloma, Refractory Multiple Myeloma
Interventions
Mezigdomide, Carfilzomib, Dexamethasone, Echocardiography
Enrollment
28 participants
Primary completion
May 2027
Study completion
May 2030
First posted
Oct 2024
Last updated
Jan 2026

Primary Endpoints (CT.gov)

Overall Response Rate

Time frame: At the end of cycle 6 (each cycle is 28 days).

Clinical benefit rate

Time frame: At the end of cycle 6 (each cycle is 28 days)

Secondary Endpoints

Incidence of Adverse Events (AEs)

Duration of response

Progression Free survival

Eligibility Criteria

Inclusion Criteria: * Age ≥ 18 years of age * Have an Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2 * RRMM patients with one or more prior lines of therapy with at least one ES or PS lesion that is accessible to a biopsy. Accessibility will be assessed by the MM tumor board * Measurable disease meeting at least one of the following: * Serum M-protein ≥1 g/dL * Urine M-protein ≥200 mg/24 h * Serum FLC assay: involved FLC level ≥10 mg/dL provided serum FLC ratio is abnormal * Up to 10 patients without measurable disease can be enrolled but screening imaging and/or bone marrow biopsy have to confirm RRMM. Follow-up response assessment will be performed with imaging using RECIST 1.1 and Deauville Criteria and bone marrow biopsies * Absolute neutrophil count: ≥ 1 x 10\^9/L * Platelets: ≥ 75 x 10\^9/L * Total bilirubin: ≤ 1.5 x upper limit of normal (ULN) * Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase \[SGOT\])/alanine aminotransfe

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✦ Analyst Commentary

Expert commentary on why this trial matters and what to watch for.

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Source

Open on ClinicalTrials.gov