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Clinical Trials in the UK / NCT06980480
Recruiting Phase 3

A Study of Gammagard Liquid (Immune Globulin Infusion, 10%) to Prevent Infections in Adults With Multiple Myeloma

NCT06980480 · tracked via the Priya Life Science UK tracker
Sponsor
Takeda
Phase
Phase 3
Started
2026-01-14
Last updated
2026-09-09

Condition(s) studied

Multiple MyelomaSecondary Immunodeficiency

Investigational drug(s) / intervention(s)

IGI, 10%

IGI, 10%: IGI, 10% IV infusion.

Study summary

Multiple myeloma is a cancer of the plasma cells in the bone marrow.

The main aim of this study is to learn how well the Immune Globulin Infusion (human), 10 percentage (%) (IGI, 10%) can help prevent infections in participants with multiple myeloma receiving B-cell maturation antigen (BCMA) x cluster of differentiation 3 (CD3) directed bispecific antibody therapy.

Participants will be randomly assigned to one of two groups:

1. Primary infection prevention group: They will receive IGI, 10% for 12 months.
2. Secondary infection prevention group: They will only receive IGI, 10% if they develop a serious infection during the 12 months study period.

During the study, participants will visit their study clinic 15 times (for 4-week dosing interval) or 19 times (for 3-week dosing interval) and their total participation duration will be up to 14 months (including screening period approximately 8 weeks).

Eligibility

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Inclusion Criteria: 1. The participants must have a documented diagnosis of Multiple Myeloma (MM) according to the guidelines by the International Myeloma Working Group (IMWG) before enrollment. 2. Participant who recently started teclistamab monotherapy within the first 8 weeks of their planned treatment schedule and are planned to receive teclistamab for the next 12 months. 3. The participant has provided informed consent (that is, in writing, documented via a signed and dated Informed Consent Form \[ICF\]) and any required privacy authorization before the initiation of any study procedures. 4. The participant is at least 18 years of age at the time of signing the ICF. 5. If a person of childbearing potential engages in sexual relations that carry risk of pregnancy, they agree to the following for the period from screening until 30 days after the last dose of study drug: 1. To use a highly effective contraceptive method. 2. To avoid donating ova. Exclusion Criteria: 1. The participant has not achieved at least a minimal response to teclistamab during the screening period after signing the ICF and within 8 weeks of the first step-up dose of teclistamab. 2. The participant has a current serious infection or greater than (\>) 1 serious infection in the past 3 months before screening. 3. The participant has a documented polyclonal IgG level less than (\<) 150 milligrams per deciliter (mg/dL) at the most recent assessment before teclistamab initiation (within 4 weeks) as assessed by the investigator according to the site's standard practice. 4. The participant is currently receiving immunoglobulin products or has received immunoglobulin products within 16 weeks before screening. 5. The participant has received a hyperimmune or specialty high-titer immunoglobulin product (example, cytomegalovirus immune globulin, varicella-zoster immune globulin, hepatitis B immune globulin) within 30 days before screening. 6. The participant has received live viral vaccines within 30 days before screening. 7. The participant has an Eastern Cooperative Oncology Group performance status score of \>2. 8. The participant has an active viral or bacterial infection or symptoms/signs of such an infection requiring treatment with anti-infectives within 1 week before enrollment. 9. The participant has received other B Cell Maturation Antigen (BCMA)\*Cluster of Differentiation (CD3)-directed Bispecific Antibody therapy (BsAb), BCMA-targeted chimeric antigen receptor T-cell (CAR T-cell), or BCMA-targeted antibody drug conjugate (ADC) therapy within 1 year prior to screening. 10. The participant is scheduled to undergo plasmapheresis during the course of study or has undergone plasmapheresis in the last 16 weeks before screening. 11. The participant may be excluded from the study if, in the opinion of the investigator, the participant is at high risk for symptomatic hyperviscosity syndrome. 12. The participant has major surgery scheduled during the study, or the participant has not fully recovered from a recent major surgery (as judged by the investigator) during screening (participants with planned surgical procedures to be conducted under local anesthesia may participate). 13. The participant has an active secondary (non-MM) malignancy or other medical condition with life-expectancy of less than (\<) 2 years. 14. The participant has a known history of hypersensitivity or persistent reactions (urticaria, breathing difficulty, severe hypotension, or anaphylaxis) after Intravenous Immunoglobulin (IVIG) and/or immune serum globulin infusions. 15. The participant has a known history or current diagnosis of thromboembolic episodes such as deep vein thrombosis, pulmonary embolism, myocardial infarction, ischemic stroke, transient ischemic attack, peripheral artery disease within 6 months before screening. 16. The participant has moderate to severe renal dysfunction based on an estimated glomerular filtration rate less than (\<) 30 milliliters per minute per 1.73 square meters (mL/min/1.73 m\^2), as defined by kidney disease: Improving Global Outcomes Clinical Practice Guideline for the Management of Glomerular Diseases, 2021 at the time of screening. 17. The participant has a known history of or is positive at screening for one or more of the following: hepatitis B surface antigen, Polymerase Chain Reaction (PCR) for hepatitis C virus, PCR for Human Immunodeficiency Virus (HIV) Type 1 and Type 2. Cured participants with a history of hepatitis C infection who have a negative PCR test at screening are eligible. 18. The participant has a documented diagnosis of a form of primary immunodeficiency (PID) involving a defect in antibody formation and requiring IgG replacement, as defined according to the International Union of Immunological Societies Committee. 19. The participant has a persistent serum aspartate aminotransferase and alanine aminotransferase \>3.0 times the upper limit of normal (ULN) at screening (may be repeated once to determine if it is persistent). 20. The participant has an immunoglobulin A (IgA) deficiency (\<0.07 grams per liter \[g/L\]) with antibodies to IgA and a history of hypersensitivity reaction to IVIG. 21. Participant with a known systemic hypersensitivity to any of the excipients of IGI, 10% in accordance with the investigator's brochure/package insert/Summary of Product Characteristics. 22. Known substance abuse including opiates, psychostimulant agents, or other illicit drugs with the exception of cannabinoids within 12 months of screening. 23. The participant has anemia that would preclude phlebotomy for laboratory studies, according to standard practice at the site, at the discretion of the investigator (may be repeated once to determine if it has resolved). 24. The participant has a medical condition, laboratory finding, or physical examination finding that precludes participation or with clinical evidence of any significant acute or chronic disease that, in the opinion of the investigator, may interfere with the successful completion of the study or place the participant at undue medical risk. 25. The participant is receiving immunosuppressive treatment (other than for MM or corticosteroids) at screening or plans to receive immunosuppressive treatment after study enrollment. 26. The participant is not willing and able to comply with the protocol requirements. 27. The participant has participated or is scheduled to participate in another clinical study involving an investigational product (IP) or investigational device within 30 days before screening and during the course of the study. 28. The participant is a family member or employee of the investigator or the investigator's site staff. 29. The participant is pregnant or has a positive pregnancy test or is lactating at the time of screening or enrollment.

Primary outcome measure(s)

Trial sites (56)

FacilityCityRegionStatus
Infirmary Health - Diagnostic & Medical Clinic (DMC) Mobile Alabama Recruiting
Chao Family Comprehensive Cancer Center UCI Orange California Recruiting
University of Kansas Westwood Kansas Recruiting
University of Maryland | Greenebaum Cancer Center Baltimore Maryland Recruiting
Henry Ford Health System Detroit Michigan Recruiting
Washington University School of Medicine St Louis Missouri Recruiting
New York Oncology Hematology Albany New York Recruiting
St George Private Hospital Kogarah New South Wales Recruiting
Townsville Hospital Douglas Queensland Recruiting
Western Health - Sunshine Hospital St Albans Victoria Recruiting
Fiona Stanley Hospital Murdoch Western Australia Recruiting
St Vincents Hospital Melbourne Melbourne Australia Recruiting
A O Krankenhaus der Elisabethinen Linz Austria Recruiting
Universitaetsklinikum St. Poelten Sankt Pölten Austria Recruiting
Krankenhaus der Barmherzigen Schwestern Wien Vienna Austria Recruiting
Sao Jose do Rio Preto Regional Faculty of Medicine FoundationSao Jose do Rio Preto Regional Faculty of Medicine Foundation Porto Alegre Brazil Recruiting
Instituto Oncoclínicas de Ensino Rio de Janeiro Brazil Recruiting
Instituto D'Or de Pesquisa e Ensino Salvador Brazil Recruiting
Instituto D'Or de Pesquisa e Ensino - Sao Paulo São Paulo Brazil Recruiting
Cancer Care Manitoba Winnipeg Manitoba Recruiting
Centre Hospitalier de l'Universite de Montreal Montreal Quebec Recruiting
Fakultni Nemocnice Ostrava (FNO) - Neurologicke klinika Ostrava Czechia Recruiting
Aalborg Hospital Aalborg Denmark Recruiting
Aarhus Universitetshospital Aarhus Denmark Recruiting
Copenhagen University Hospital Copenhagen Denmark Recruiting
Odense Universitetshospital Odense Denmark Recruiting
Alexandra General Hospital of Athens Athens Greece Recruiting
University General Hospital of Ioannina Ioannina Greece Recruiting
Somogy Megyei Kaposi Mor Oktato Korhaz Kaposvár Hungary Recruiting
Markusovszky Egyetemi Oktatokorhaz Szombathely Hungary Recruiting
Azienda Ospedaliero Universitaria Policlinico G. Rodolico San Marco Catania Italy Recruiting
Fondazione IRCCS Policlinico San Matteo di Pavia Pavia Italy Recruiting
Azienda Sanitaria Locale di Pescara Ospedale Civile Dello Spirito Santo Pescara Italy Recruiting
Azienda Ospedaliera Universitaria Policlinico Umberto I - Università di Roma La Sapienza Roma Italy Recruiting
Azienda Ospedaliero-Universitaria delle Marche; SOD Clinica Medica Torrette Italy Recruiting
Amsterdam University Medical Center (Amsterdam UMC) Amsterdam Netherlands Recruiting
St. Antonius Ziekenhuis Nieuwegein Netherlands Recruiting
St.Olavs Hospital Trondheim Norway Recruiting
Uniwersyteckie Centrum Kliniczne - Ul. Smoluchowskiego 17 Gdansk Poland Recruiting
Aidport sp. z o.o. Skorzewo Poland Recruiting

+ 16 more sites — see the full list on the official registry below.

More Takeda trials in the UK

Other trials for the same condition

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 NCT06980480 on ClinicalTrials.gov ↗ ← All trials in the UK