Multinational Clinical Study Comparing Isatuximab, Pomalidomide, and Dexamethasone to Pomalidomide and Dexamethasone in Refractory or Relapsed and Refractory Multiple Myeloma Patients

The duration of the study for the patients will include a period for screening of up to 21
days (or up to 28 days for women who can become pregnant). Patients will continue study
treatment until disease progression, unacceptable adverse reaction, patients' wish or other
reason of discontinuation.

During follow-up, patients who discontinue the study treatment due to progression of the
disease will be followed every 3 months (12 weeks) for survival (or until cut- off date), and
patients who discontinue the study treatment prior to documentation of disease progression
will be followed-up every 4 weeks until disease progression, and then every 3 months (12
weeks) for survival (or until cut-off date).

Inclusion criteria :

- Age superior or equal to 18 years or country's legal age of majority if the legal age
is superior to 18 years old.

- Patients must have a documented diagnosis of multiple myeloma with evidence of
measurable disease i.e. serum M protein superior or equal to 0.5 g per dL measured
using serum protein immunoelectrophoresis and or urine M protein superior or equal to
200 mg per 24 hours measured using urine protein immunoelectrophoresis.

- Patients must have received at least 2 prior lines of anti-myeloma therapy, which must
include at least 2 consecutive cycles of lenalidomide and a proteasome inhibitor
(bortezomib, carfilzomib or ixazomib) given alone or in combination.

- Patients must have failed treatment with lenalidomide and a proteasome inhibitor
(bortezomib, carfilzomib, or ixazomib) alone or in combination.

- Patients must have progressed on or within 60 days after end of previous therapy
before to study entry, i.e., refractory to the last line of treatment.

Exclusion criteria:

- Primary refractory multiple myeloma defined as patients who have never achieved at
least a minimal response (MR) with any treatment during the disease course.

- Free Light Chain measurable disease only.

- Prior therapy with pomalidomide.

- Any anti-myeloma drug treatment within 14 days before randomization, including
dexamethasone.

- Eastern Cooperative Oncology Group performance status superior to 2.

- Platelets inferior to 75 000 cells per µL if inferior to 50% of bone marrow (BM)
nucleated cells are plasma cells, and inferior to 30 000 cells per µL if superior or
equal to 50% of BM nucleated cells are plasma cells. Platelet transfusion is not
allowed within three days before the screening visit.

- Absolute neutrophils count inferior to 1000 per μL (1 x 10E9/L). The use of G-CSF is
not allowed to reach this level.

- Creatinine clearance inferior to 30 mL per min (MDRD Formula).

- Total bilirubin superior to 2 x ULN (Upper Limit of Normal).

- Corrected serum calcium superior to 14 mg per dL (superior to 3.5 mmol per L).

- Aspartate aminotransferase (AST) and/or Alanine Aminotransferase (ALT) superior to 3 x
ULN.

- Hypersensitivity to IMiDs (thalidomide or lenalidomide) defined as any
hypersensitivity reaction leading to stop IMiDs within the 2 first cycles or toxicity,
which does meet intolerance definition.

- Hypersensitivity to dexamethasone, sucrose histidine (as base and hydrochloride salt),
and polysorbate 80 or any of the components of study therapy that are not amenable to
premedication with steroids, or H2 blockers that would prohibit further treatment with
these agents.

- Significant cardiac dysfunction; myocardial infarction within 12 months; unstable,
poorly controlled angina pectoris.

- Pregnant or breastfeeding woman or female who intends to become pregnant during the
participation in the study.

- Male participants who disagree to practice true abstinence or disagree to use a condom
during sexual contact with a pregnant female or a female of childbearing potential
while participating in the study, during dose interruptions and at least 3 months
following study treatment discontinuation, even if he has undergone a successful
vasectomy.

- All patients who disagree to refrain from donating blood while on study treatment and
for 4 weeks after discontinuation from this study treatment.

The above information is not intended to contain all considerations relevant to a patient's
potential participation in a clinical trial.