Safety, Efficacy, and Pharmacokinetics of Continuous Subcutaneous Lenalidomide in Multiple Myeloma (MM)
NCT06087653 · Status: RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 24
Last updated 2025-06-19
Summary
Primary Objective • Assess the safety and tolerability of low-dose lenalidomide administered by continuous subcutaneous (SC) infusion (STAR-LLD) in combination with dexamethasone and a proteasome inhibitor (PI).
Secondary Objectives
* • To establish the pharmacokinetic (PK) profile of STAR-LLD at a defined infusion rate targeting steady-state blood concentrations.
* • Evaluate changes in efficacy indicators including objective response rate (ORR), progression-free survival (PFS), and duration of response (DOR).
Exploratory Objective
* To assess the impact of STAR-LLD on patient reported symptoms and outcomes. Primary Endpoints
* The grade, frequency, and relationship of treatment-emergent adverse events (TEAEs) including adverse events of special interest (AESIs): (gastrointestinal \[GI\] toxicity, fatigue, hematologic toxicity, rash (non-infusion site).
* The observation of dose-limiting toxicities (DLTs) of STAR-LLD during Cycle 1. Secondary Endpoints
•• Blood concentrations of lenalidomide at on Day 1 and at steady state.
* Changes in biomarkers during treatment.
* Rate of complete response, very good partial response (VGPR), partial response (PR), stable disease (SD), and progressive disease.
* Determination of ORR, PFS, and DOR
Conditions
Interventions
- DRUG
-
Low-dose lenalidomide continuous SC infusion (STAR-LDD) in combination with bortezomib and dexamethasone
- DRUG
-
Lenalidomide 25 MG Oral Capsule
Oral lenalidomide for active control
Sponsors & Collaborators
-
Starton Therapeutics, Inc
lead INDUSTRY
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-10-02
- Primary Completion
- 2026-05-31
- Completion
- 2027-03-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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