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Recruiting Phase 3

A Study to Learn About the Study Medicine Elranatamab Alone and With Daratumumab in People With Multiple Myeloma Who Have Received Other Treatments

NCT05020236 · tracked via the Priya Life Science Italy tracker
Sponsor
Phase
Phase 3
Started
2021-10-04
Last updated
2026-08-24

Condition(s) studied

Multiple Myeloma

Investigational drug(s) / intervention(s)

Elranatamab →Daratumumab →Pomalidomide →Dexamethasone →

Elranatamab: subcutaneous

Daratumumab: Daratumumab / hyaluronidase, subcutaneous

Pomalidomide: oral

Dexamethasone: oral

Study summary

The purpose of this clinical trial is to (1) learn whether the BCMA-CD3 bispecific antibody elranatamab can provide more benefit to people with multiple myeloma compared to a combination therapy including daratumumab, pomalidomide, and dexamethasone, and (2) learn about the safety and activity of elranatamab in combination with the anti-CD38 monoclonal antibody daratumumab. People with multiple myeloma who have received previous treatment including lenalidomide will be enrolled in the study.

Part 1 of the study will assess the safety and activity of different doses of elranatamab in combination with daratumumab.

People participating in Part 2 of the study will be randomly assigned to receive either elranatamab alone, elranatamab plus daratumumab, or daratumumab, pomalidomide, and dexamethasone. Part 2 will evaluate the safety and activity of (1) elranatamab alone compared to daratumumab, pomalidomide, and dexamethasone, and (2) elranatamab plus daratumumab.

Part 3 will assess the effect of increased measures to protect against infection in people treated with either elranatamab alone or together with daratumumab.

All people participating in the study will receive study treatment until their disease progresses, they experience unacceptable side effects, or they choose to no longer participate in the study.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Prior diagnosis of multiple myeloma as defined by IMWG criteria (Rajkumar et al, 2014). * Measurable disease based on IMWG criteria as defined by at least 1 of the following: * Serum M-protein ≥0.5 g/dL. * Urinary M-protein excretion ≥200 mg/24 hours. * Serum immunoglobulin FLC ≥10 mg/dL (≥100 mg/L) AND abnormal serum immunoglobulin kappa to lambda FLC ratio (\<0.26 or \>1.65). * Prior anti-multiple myeloma therapy including treatment with lenalidomide. * ECOG performance status ≤2. * Resolved acute effects of any prior therapy to baseline severity or CTCAE Grade ≤1. * Not pregnant and willing to use contraception. Exclusion Criteria: * Smoldering multiple myeloma. * Plasma cell leukemia. * Amyloidosis. * POEMS Syndrome. * Stem cell transplant within 12 weeks prior to enrolment, or active graft versus host disease. * Active HBV, HCV, SARS-CoV2, HIV, or any active, uncontrolled bacterial, fungal, or viral infection. * Any other active malignancy within 3 years prior to enrolment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ. * Previous treatment with a BCMA-directed therapy. * Live attenuated vaccine within 4 weeks of the first dose of study intervention. * Administration with an investigational product (e.g. drug or vaccine) concurrent with study intervention or within 30 days preceding the first dose of study intervention used in this study.

Primary outcome measure(s)

  • Part 1 Safety Lead-In: Incidence of dose limiting toxicities — First 42 days after first elranatamab dose
  • Part 2 Randomized: Progression free survival per International Myeloma Working Group criteria — From date of randomization to date of progressive disease, discontinuation from the study, death, or censoring, whichever occurs first, assessed up to 51 months
  • Part 3: Frequency of treatment-emergent adverse events — First 84 days after first elranatamab dose

Trial sites (237)

FacilityCityRegionStatus
Clovis Community Medical Center Clovis California Active Not Recruiting
Community Cancer Institute Clovis California Active Not Recruiting
University of California San Francisco Fresno California Active Not Recruiting
Community Regional Medical Center Fresno California Active Not Recruiting
UCHealth Poudre Valley Hospital Fort Collins Colorado Active Not Recruiting
UCHealth Harmony Fort Collins Colorado Active Not Recruiting
UCHealth Greeley Hospital Greeley Colorado Active Not Recruiting
UCHealth - Medical Center of the Rockies Loveland Colorado Active Not Recruiting
Sylvester Comprehensive Cancer Center - Aventura Aventura Florida Recruiting
Sylvester Comprehensive Cancer Center- The Lennar Foundation Medical Center Coral Gables Florida Recruiting
Sylvester Comprehensive Cancer Center - Coral Springs Coral Springs Florida Recruiting
University of Miami Hospital and Clinics - Deerfield Beach Deerfield Beach Florida Recruiting
Sylvester Comprehensive Cancer Center - Hollywood Hollywood Florida Recruiting
Sylvester Comprehensive Cancer Center Miami Florida Recruiting
University of Miami Hospital and Clinics Miami Florida Recruiting
Sylvester Comprehensive Cancer Center - Kendall Miami Florida Recruiting
Sylvester Comprehensive Cancer Center - Plantation Plantation Florida Recruiting
East Jefferson General Hospital Metairie Louisiana Active Not Recruiting
MSK Basking Ridge Basking Ridge New Jersey Recruiting
MSK Monmouth Middletown New Jersey Recruiting
MSK Bergen Montvale New Jersey Recruiting
MSK Commack Commack New York Recruiting
MSK Westchester Harrison New York Recruiting
Memorial Sloan Kettering Cancer Center - David H. Koch Center for Cancer Care (74th Street). New York New York Recruiting
Memorial Sloan Kettering Cancer Center - Main Campus New York New York Recruiting
MSK Nassau Uniondale New York Recruiting
Alexander Fleming S.A (Instituto Medico Especializado Alexander Fleming) Ciudad Autonoma de Buenos Aires Buenos Aires Terminated
FUNDALEU - Fundacion para combatir la Leucemia Ciudad Autonoma de Buenos Aires Buenos Aires Recruiting
FUNDALEU -Fundación para combatir la leucemia Ciudad Autónoma de Buenos Aires Buenos Aires Recruiting
FUNDALEU Ciudad Autónoma de Buenos Aires Buenos Aires Recruiting
Hospital Italiano de La Plata La Plata Buenos Aires Active Not Recruiting
Hospital Universitario Austral Presidente Derqui Buenos Aires Active Not Recruiting
Sanatorio de La Mujer Rosario Santa Fe Province Active Not Recruiting
Pindara Private Hospital Benowa Queensland Recruiting
QScan Radiology Clinics Clayfield Queensland Recruiting
Gallipoli Medical Research Foundation Greenslopes Queensland Active Not Recruiting
Greenslopes Private Hospital Greenslopes Queensland Active Not Recruiting
Princess Alexandra Hospital Woolloongabba Queensland Recruiting
Epworth Freemasons East Melbourne Victoria Recruiting
St Vincent's Hospital (Melbourne) Fitzroy Victoria Recruiting

+ 197 more sites — see the full list on the official registry below.

Official registry record

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.

View NCT05020236 on ClinicalTrials.gov ↗ ← All trials in Italy