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Isatuximab-Irfc /ML

Phase 2

Newly Diagnosed Multiple Myeloma | Small molecule | Oncology |Sanofi|Last Updated: Apr 10, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment198
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04891809Isatuximab in Combination With Rd Compared to Rd in Elderly Patients (Aged ≥70 Years) With NDMMPHASE2 ACTIVE NOT_RECRUITING 198Oct 20, 2021Dec 1, 2028Apr 10, 202514 Austria, Greece +1
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Study Endpoints
Primary Endpoints
Proportion of patients with MRD (minimal residual disease) negativity (defined by NGF [next generation flow] at 10^-5) after end of induction treatment in the two arms.
After 8 months of induction treatment (8 cycles, each cyle is 28 days)

To demonstrate the benefit of isatuximab in combination with lenalidomide and low-dose dexamethasone followed by isatuximab and lenalidomide maintenance therapy in changing the proportion of patients with MRD negativity as compared to lenalidomide and low-dose dexamethasone followed by lenalidomide maintenance treatment in patients with newly diagnosed multiple myeloma (NDMM).

Secondary Endpoints
Percentage of patients with response to study treatment
After 32 months (8 months of induction treatment and a maximum of 24 months of maintenance treatment)
Progression-free Survival
After 44 months (8 months of induction treatment and a maximum of 24 months of maintenance treatment and a minimum of 12 months of follow-up)
Overall Survival
After 44 months (8 months of induction treatment and a maximum of 24 months of maintenance treatment and a minimum of 12 months of follow-up)
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
IRd followed by IREXPERIMENTALInduction: 8 cycles isatuximab+lenalidomide+dexamethasone; Maintenance: up to 24 cylces isatuximab+lenalidomide
Rd followed by ROTHERInduction: 8 cycles lenalidomide+dexamethasone; Maintenance: up to 24 cylces lenalidomide
Interventions
NameTypeDescription
Isatuximab-Irfc 20 MG/ML [Sarclisa]DRUGInduction: 10mg/kg on day 1,8,15,22 in cycle 1, subsequently on day 1, 15; every 28 days (q28 days) Maintenance: 10mg/kg, day1, q28 days until progression or intolerance but for a maximum of 24 cycles from start of maintenance
LenalidomideDRUGInduction: 25mg\*, day 1-21, every 28 days (q28 days); Maintenance: 5-10mg, day 1-21, q28 days (according to individual tolerance) until progression or intolerance but for a maximum of 24 cycles from start of maintenance \*) for patients with moderate renal impairment (30≤ GFR (MDRD formula) \< 50 mL/min) starting dose is 10 mg
Dexamethasone OralDRUGInduction: Patients aged \<75 years: 40mg, once weekly; Patients aged ≥75 years: 20mg, once weekly
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Eligibility Criteria
Age Range70 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites14

Inclusion Criteria: * Age ≥ 70 years * Able to provide written informed consent in accordance with federal, local, and institutional guidelines * Patients must have newly diagnosed, symptomatic multiple myeloma with evidence of measurable disease (assessed within 21 days prior to randomization) ...

Countries:AustriaGreeceSerbia
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04891809primaryCompletionDate: changed
LOWMay 24, 2026NCT04891809studyFirstPostDate: changed