A Study Evaluating the Safety, Pharmacokinetics, and Activity of the Combination of Cevostamab and Elranatamab in Participants With Relapsed or Refractory Multiple Myeloma (R/R MM)
Cevostamab: Cevostamab solution for infusion will be administered as IV as specified in each treatment arm.
Elranatamab: Elranatamab solution for injection will be administered SC as specified in each treatment arm.
Tocilizumab: Tocilizumab will be used as rescue medication for participants who experience a cytokine release syndrome (CRS) event.
Study summary
The purpose of the study is to evaluate safety and tolerability of the combination of cevostamab plus elranatamab and also determine the recommended Phase II regimen (RP2R) for the study treatment. The study consists of a safety lead-in stage, and an expansion stage.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
* Diagnosis of R/R MM per IMWG criteria
* For female participants of childbearing potential: agreement to remain abstinent or use contraception
* For male participants: agreement to remain abstinent or use a condom
Exclusion Criteria:
* Prior treatment with cevostamab or another agent targeting fragment crystallizable receptor-like 5 (FcRH5)
* Prior treatment with elranatamab
* Prior allogeneic stem cell transplantation (SCT)
* Absolute plasma cell count exceeding 500 per milliliter (mL) or 5% of the peripheral blood white cells
* Diagnosis of Waldenström macroglobulinemia or polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, skin changes (POEMS) syndrome
* Participants with known history of amyloidosis
* History of autoimmune disease
* History of confirmed progressive multifocal leukoencephalopathy
* Peripheral motor polyneuropathy of prespecified grade
* Known or suspected chronic cytomegalovirus (CMV) and/or Epstein-Barr virus (EBV) infection
* Known history of hemophagocytic lymphohistiocytosis (HLH) or macrophage activation syndrome (MAS)
* Acute or chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection
* Human immunodeficiency virus (HIV) seropositivity
* History of central nervous system (CNS) myeloma disease
* Significant cardiovascular disease
Primary outcome measure(s)
Number of Participants With Adverse Events (AEs) — From signing of informed consent up to end of study (EOS) (approximately 36 months) Adverse events will be reported according to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0). The severity of CRS, immune effector cell-associated neurotoxicity syndrome (ICANS) and hemophagocytic lymphohistiocytosis (HLH) will be graded based on the American Society for Transplantation and Cellular Therapy (ASTCT) Grading Scales.
Recommended Phase II Regimen (RP2R) — Up to approximately 36 months
Trial sites (14)
Facility
City
Region
Status
Royal Prince Alfred Hospital
Camperdown
New South Wales
Recruiting
Calvary Mater Newcastle
Waratah
New South Wales
Recruiting
Royal Adelaide Hospital;Haematology Clinical Trials Unit
Adelaide
South Australia
Recruiting
St. Vincent's Hospital Melbourne
Melbourne
Victoria
Recruiting
The Alfred Hospital
Prahan
Victoria
Recruiting
The Chaim Sheba Medical Center - PPDS
Ramat Gan
Central District
Recruiting
Rambam Health Care Campus
Haifa
Israel
Recruiting
Hadassah University Hospital - Ein Kerem
Jerusalem
Israel
Recruiting
Tel Aviv Sourasky Medical Center PPDS
Tel Aviv
Israel
Recruiting
The Catholic University of Korea - Seoul St. Mary's Hospital (Kangnam St. Mary's Hospital)
Seocho
South Korea
Recruiting
Seoul National University Hospital
Seoul
South Korea
Recruiting
Severance Hospital, Yonsei University Health System
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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