Isatuximab in Patients With Monoclonal Gammopathy of Renal Significance (NCT04614558) | Clinical Trial Compass
RecruitingPhase 2
Isatuximab in Patients With Monoclonal Gammopathy of Renal Significance
United States27 participantsStarted 2021-06-08
Plain-language summary
The purpose of this study is to see whether Isatuximab can help improve kidney function of participants with MGRS. Isatuximab is approved by the Food and Drug Administration (FDA) for the treatment of adult patients with multiple myeloma, but it is not approved by the FDA to treat MGRS. This means that the use of isatuximab in this study is considered 'investigational'.
Who can participate
Age range18 Years
SexALL
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Inclusion criteria
ā. Renal biopsy proven diagnosis of an MGRS disorder including the following:
ā. Proliferative glomerulonephritis with monoclonal immunoglobulin deposits (PGNMID)
ā. C3 glomerulopathy associated with monoclonal gammopathy
ā. Non-Amyloid Fibrillary Glomerulonephritis
ā. Light chain Proximal Tubulopathy
ā. Immunotactoid Glomerulopathy
ā. Measurable Proteinuria ā„1gram over 24 hours.
ā. Prior Therapy: Newly diagnosed as well as patients with previous therapy but persistent renal dysfunction and persistent proteinuria ā„1gram over 24 hours are eligible for enrollment. Patients who received a prior cluster of differentiation 38 (CD38) antibody therapy are not eligible for study. In patients who have received prior therapy a wash out period of 12 weeks for chemotherapy based therapies and 24 weeks for Rituximab based therapies is required between completion of prior therapy and cycle 1 Day1 of study therapy.
Exclusion criteria
ā. Participants who have had chemotherapy based therapy within 12 weeks or Rituximab based therapy within prior 24 weeks prior to starting the cycle 1 Day 1 of trial therapy
ā. Participants who are receiving any other investigational agents concurrently.
ā. History of severe allergic reactions or anaphylaxis attributed to compounds of similar chemical or biologic composition to Isatuximab.
ā. Diagnosis of Multiple Myeloma or High risk smoldering Multiple Myeloma or a B cell lymphoma meeting criteria for therapy.
ā. Renal Biopsy showing the coexistence of other significant diagnosis e.g. diabetic nephropathy.
ā. Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
ā. Pregnant and Lactating women are excluded from this study because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with Isatuximab.
ā. HIV-positive Participants are ineligible because of increased risk of lethal infections when treated with immunosuppressive therapy.