About this trial
The purpose of this study is to evaluate how well IBI3003 works when compared with the investigator's choice regimen (DPd or PVd or SVd)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years.
Documented initial diagnosis of multiple myeloma according to IMWG diagnostic criteria.
Serum M-protein ≥ 5 g/L(For IgA and IgD subtypes, it is recommended to use quantitative immunoglobulin measurements instead of M protein)
Urine M-protein ≥200 mg/24h
Disqualifiers
Previous treatment with any BCMA-targeted therapy and any GPRC5D-targeted therapy. Patients who have received either BCMA-targeted or GPRC5D-targeted therapy are allowed to participate in the study.
Known active CNS involvement or exhibits clinical signs of meningeal involvement of multiple myeloma.
Spinal cord compression that leads to limited self-care ability occurs within six months prior to informed consent or is expected to occur in the near future.
Have history of primary immunodeficiency.
Trial design
Parallel
Treatments tested in this trial
Pomalidomide Capsules
Drug1. The DPd treatment regimen, one cycle every 28 days: Pomalidomide 4mg/d orally, on days 1-21; 2. The PVd treatment regimen, one cycle every 21 days: Pomalidomide 4 mg/d orally, on days 1-14 of each treatment cycle;
Bortezomib for Injection
DrugThe PVd treatment regimen, with one cycle every 21 days: Bortezomib on days 1, 4, 8, and 11 of cycles 1-8, and on days 1 and 8 from cycle 9 onwards.
Daratumumab Injection (Subcutaneous Injection)
DrugThe DPd treatment regimen, one cycle every 28 days: on days 1, 8, 15, and 22 of cycles 1 and 2; on days 1 and 15 from cycles 3-6; and on day 1 from cycle 7 onwards.
IBI3003
DrugAccording to body weight
Selinexor Tablets
DrugThe SVd treatment regimen, with one cycle every 35 days: Bortezomib on days 1, 8,15,22 and 29 ,100 mg/d orally.
Treatment groups
Trial outcomes
Primary outcomes
PFS assessed by independent review committee
PFS is defined as the duration from the date of randomization to either PD or death, whichever comes first. Disease progression will be determined according to the IMWG response criteria
Secondary outcomes
PFS assessed by investigator
PFS is defined as the duration from the date of randomization to either PD or death, whichever comes first. Disease progression will be determined according to the IMWG response criteria
Negativity rate of minimal residual disease (MRD)
Defined as the proportion of participants achieving MRD-negative status
Sustained MRD negativity rate
Defined as the proportion of participants achieving MRD-negative status and maintaining it for at least 1 year
6-month MRD negativity rate.
The proportion of participants achieving a response of CR or better and MRD-negative status at 6 months post-randomization
Sponsors and contacts
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