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NCT07477587PHASE1Recruiting

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

Shanghai Henlius Biotech

Start Date

5/27/2026

Completion Date

2/22/2028

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. 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).

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: 1. Age ≥ 18 years at the time of signing the informed consent form (ICF). 2. Body mass index (BMI): 18.5 kg/m2 ≤ BMI \< 28 kg/m2. 3. Subjects must participate voluntarily, understand the study, and sign the ICF. 4. Patients must have a documented diagnosis of multiple myeloma (MM) according to the International Myeloma Working Group (IMWG) criteria, with measurable lesion . 5. Serum albumin ≥ 35 g/L. 6. Newly diagnosed, untreated, and considered ineligible for high-dose chemotherapy with autologous stem cell transplantation (ASCT) by the investigator. 7. The patient's ECOG performance status must be 0 or 1 . 8. Patient must have clinical laboratory values meeting the following criteria during the screening period: 1. 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). 2. Absolute neutrophil count (ANC) ≥ 1.0 × 109/L (use of granulocyte-colony stimulating factor \[G-CSF\] is allowed). 3. Alanine aminotransferase (ALT) ≤ 2.5 × upper limit of normal (ULN). 4. 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). 5. Measured creatinine clearance ≥ 40 mL/min . 6. Corrected serum calcium \< 14 mg/dL (\< 3.5 mmol/L); or free ionized calcium \< 6.5 mg/dL (\< 1.6 mmol/L) . 7. 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). 9. 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. 1. 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. 2. 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. 10. 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 Exclusion Criteria: 1. 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. 2. 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). 3. 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. 4. 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. 5. 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). 6. Patient has clinical signs of meningeal involvement of MM. 7. 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. 8. Patient is known to be seropositive for history of human immunodeficiency virus (HIV) or known to have treponema pallidum antibodies (Anti-TP). 9. Patient is known to have active hepatitis B or C. 1. 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. 2. 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. 10. 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. 11. Patient has clinically significant cardiac disease, including: 1. 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 ). 2. Cardiac arrhythmia (NCI-CTCAE Version 6 Grade ≥ 2) or clinically significant ECG abnormalities. 3. Screening 12-lead ECG showing a baseline QT interval as corrected by Fridericia's formula (QTcF) (See Appendix 6) \> 470 ms. 12. 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. 13. 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). 14. 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.). 15. Patient had radiation therapy within 14 days of randomization. 16. Patient had plasmapheresis within 28 days of randomization. 17. Patient had a history of blood donation or total blood loss of 200 mL or more within 3 months before randomization. 18. 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. 19. 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. 20. 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

Interventions

DRUG

HLX15-SC-Rd

DRUG

US-DARZALEX FASPRO®-Rd

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Conditions

Multiple Myeloma (MM)

Locations

Highlands Oncology Group, PA

Springdale, Arkansas 72762

United States

Cancer Specialists of North Florida

Jacksonville, Florida 32256

United States

D&H National Research Center

Margate, Florida 33063

United States

Ocala Oncology Center

Ocala, Florida 34474

United States

Florida Clinical Trials Group

Plantation, Florida 33322

United States

Florida Clinical Trials Group

Tamarac, Florida 33321

United States

Pontchartrain Cancer Center

Covington, Louisiana 70433

United States

Oncology Consultants (P1 Trials -Exigent Network)

Houston, Texas 77030

United States

American Oncology Network Vista Oncology Division / Physician partner associate

Olympia, Washington 98506

United States

Perth Blood Institute

Perth, 6005

Australia

The First Affiliated Hospital of Bengbu Medical University

Bengbu, Anhui 233000

China

Anhui Provincial Cancer Hospital

Hefei, Anhui 230031

China

The Second Affiliated Hospital of Anhui Medical University

Hefei, Anhui 230601

China

Beijing Chao-Yang Hospital Capital Medical University

Beijing, Beijing Municipality 100027

China

Peking University First Hospital

Beijing, Beijing Municipality 100035

China

Peking University Third Hospital

Beijing, Beijing Municipality 100191

China

The First Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality 400016

China

The First Affiliated Hospital of Fujian Medical University

Fuzhou, Fujian 350004

China

The First Affiliated Hospital of Xiamen University

Xiamen, Fujian 361001

China

Guangzhou First People's Hospital

Guangzhou, Guangdong 510013

China

Guangdong General Hospital

Guangzhou, Guangdong 510080

China

Zhujiang Hospital of Southern Medical University

Guangzhou, Guangdong 510220

China

Meizhou People's Hospital

Meizhou, Guangdong 514031

China

Shenzhen People's Hospital

Shenzhen, Guangdong 518020

China

Peking University Shenzhen Hospital

Shenzhen, Guangdong 518036

China

Liuzhou Worker's Hospital

Liuzhou, Guangxi 545007

China

Guangxi Medical University Cancer Hospital

Nanning, Guangxi 530213

China

The Affiliated Hospital of Guizhou Medical University

Guiyang, Guizhou 550004

China

Affiliated Hospital of Hebei University

Baoding, Hebei 071030

China

Cangzhou People's Hospital

Cangzhou, Hebei 061000

China

Hebei medical university third hospital

Shijiazhuang, Hebei 050052

China

The Second Hospital of Hebei Medical Universit

Shijiazhuang, Hebei 050071

China

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang 150069

China

The First Affiliated Hospital of Henan University of Science & Techinology

Luoyang, Henan 471003

China

Xinxiang Central Hospital

Xinxiang, Henan 453000

China

Henan Cancer Hospital

Zhengzhou, Henan 450003

China

Henan Provincial People's Hospital

Zhengzhou, Henan 450003

China

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan 450052

China

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei 430014

China

Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science & Technology

Wuhan, Hubei 430030

China

Renmin Hospital of Wuhan University

Wuhan, Hubei 430061

China

Zhongnan Hospital of Wuhan University

Wuhan, Hubei 430071

China

The Second Xiangya Hospital of Central South University

Changsha, Hunan 410011

China

The First Affiliated Hospital Of University South China

Hengyang, Hunan 421001

China

The Affiliated Hospital of Inner Mongolia Medical University

Hohhot, Inner Mongolia 010030

China

The First Affiliated Hospital of Nanchang University

Nanchang, Jangxi 330008

China

The second affiliated hospital of Nanchang University

Nanchang, Jangxi 330008

China

Zhongda Hospital Southeast University

Nanjing, Jiangsu 210009

China

Sir Run Run Hospital of Nanjing Medical University

Nanjing, Jiangsu 211166

China

Nuclear Industry General Hospital (The Second Affiliated Hospital of Soochow University)

Suzhou, Jiangsu 215004

China

Affiliated Hospital of Jiangnan University

Wuxi, Jiangsu 214000

China

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, Jiangsu 221006

China

First Affiliated Hospital of Gannan Medical University

Ganzhou, Jiangxi 341000

China

Jiangxi Cancer Hospital

Nanchang, Jiangxi 330029

China

Affiliated Zhongshan Hospital of Dalian University

Dalian, Liaoning 116001

China

The First Hospital of China Medical University

Shenyang, Liaoning 110001

China

Shengjing Hospital of China Medical University

Shenyang, Liaoning 110004

China

Liaoning Cancer Hospital & Institute

Shenyang, Liaoning 110041

China

Shandong Provincial Hospital

Jinan, Shandong 250022

China

Jining No.1 People's Hospital

Jining, Shandong 272000

China

The Affiliated Hospital of Qingdao University

Qingdao, Shandong 266001

China

Weifang People's Hospital

Weifang, Shandong 261041

China

Zhongshan Hospital, Fudan University

Shanghai, Shanghai Municipality 200032

China

The Second Hospital of Shanxi Medical University

Taiyuan, Shanxi 030001

China

Shanxi Cancer Hospital

Taiyuan, Shanxi 030013

China

Sichuan Cancer Hospital

Chengdu, Sichuan 610041

China

Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital

Chengdu, Sichuan 610073

China

Tianjin Medical University Cancer Institute & Hospital

Tianjin, Tianjin Municipality 300060

China

Tianjin People's Hospital

Tianjin, Tianjin Municipality 300131

China

Tianjin Cancer Hospital Airport Hospital

Tianjin, Tianjin Municipality 300308

China

Hangzhou First People's Hospital

Hangzhou, Zhejiang 310006

China

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang 310015

China

Sir Run Run Shaw Hospital Zhejiang University School of Medicine(The Grand Canal Campus)

Hangzhou, Zhejiang 310016

China

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang 310020

China

The First Affiliated Hospital of Ningbo University

Ningbo, Zhejiang 315010

China

The Second Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang 325000

China

JSC K. Eristavi National Center of Experimental and Clinical Surgery

Tbilisi, 0159

Georgia

LLC Caucasus Medical Centre

Tbilisi, 0160

Georgia

Clinical Hospital Centre Zemun

Belgrade, 11080

Serbia

University Clinical Center Kragujevac

Kragujevac, 34000

Serbia

University Clinical Center Nis

Niš, 8000

Serbia