Multiple Myeloma Clinical Trial
MagnetisMM-5: Study of Elranatamab (PF-06863135) Monotherapy and Elranatamab + Daratumumab Versus Daratumumab + Pomalidomide + Dexamethasone in Participants With Relapsed/Refractory Multiple Myeloma
Summary
The purpose of this study is to evaluate whether the BCMA-CD3 bispecific antibody elranatamab, alone and/or in combination with the anti-CD38 monoclonal antibody, daratumumab, can provide more benefit to people with multiple myeloma compared to a combination therapy including daratumumab, pomalidomide, and dexamethasone. People with multiple myeloma who have received previous treatment including lenalidomide and a proteasome inhibitor 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 compare the safety and activity of (1) elranatamab alone compared to daratumumab, pomalidomide, and dexamethasone, and (2) elranatamab plus daratumumab compared to daratumumab, pomalidomide, and dexamethasone. Participants in both parts of 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 Criteria
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 and a proteasome inhibitor.
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.
Anti-CD38-directed therapy within 6 months preceding the first dose of treatment in this study.
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.
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There are 200 Locations for this study
New Orleans Louisiana, 70112, United States
New Orleans Louisiana, 70112, United States
Ciudad Autonoma de Buenos Aires Buenos Aires, 1426, Argentina
Ciudad Autonoma de Buenos Aires Buenos Aires, C1114, Argentina
Ciudad Autónoma de Buenos Aires Buenos Aires, C1114, Argentina
Ciudad Autónoma de Buenos Aires Buenos Aires, C1114, Argentina
Derqui, Pilar Buenos Aires, B1629, Argentina
La Plata Buenos Aires, B1900, Argentina
Rosario Santa FE, S2000, Argentina
Benowa Queensland, 4217, Australia
Greenslopes Queensland, 4120, Australia
Greenslopes Queensland, 4120, Australia
Woolloongabba Queensland, 4102, Australia
East Melbourne Victoria, 3002, Australia
Fitzroy Victoria, 3065, Australia
Geelong Victoria, 3220, Australia
Melbourne Victoria, 3004, Australia
Richmond Victoria, 3121, Australia
Richmond Victoria, 3121, Australia
Krems Niederösterreich, 3500, Austria
Vienna Wien, 1090, Austria
Vienna Wien, 1090, Austria
Vienna Wien, 1160, Austria
Innsbruck , 6020, Austria
Salzburg , 5020, Austria
Wien , 1090, Austria
Yvoir Namur, 5530, Belgium
Salvador, Bahia, 41253, Brazil
Porto Alegre RIO Grande DO SUL, 90110, Brazil
Porto Alegre RIO Grande DO SUL, 90880, Brazil
São Paulo SP, 04122, Brazil
Sao Paulo SÃO Paulo, 01321, Brazil
Rio de Janeiro , 22775, Brazil
Rio de janeiro , 22793, Brazil
Rio de Janeiro , 22793, Brazil
São Paulo , 01232, Brazil
São Paulo , 04024, Brazil
São Paulo , 04024, Brazil
São Paulo , 04122, Brazil
São Paulo , 04537, Brazil
São Paulo , 04543, Brazil
São Paulo , 04544, Brazil
São Paulo , 05652, Brazil
Calgary Alberta, T2N 4, Canada
Edmonton Alberta, T6G 1, Canada
Halifax Nova Scotia, B3H 2, Canada
Halifax Nova Scotia, B3H 2, Canada
Hamilton Ontario, L8V5C, Canada
Toronto Ontario, M5G 2, Canada
Montreal Quebec, H3T 1, Canada
Montréal Quebec, H1T2M, Canada
Saskatoon Saskatchewan, S7N4H, Canada
Beijing Beijing, 10019, China
Beijing Beijing, 10073, China
Fuzhou Fujian, 35000, China
Guangzhou Guangdong, 51008, China
Guangzhou Guangdong, 51051, China
Guangzhou Guangdong, 51055, China
Shenzhen Guangdong, 51803, China
Shijiazhuang Hebei, 05000, China
Harbin Heilongjiang, 15008, China
Zhengzhou Henan, 45000, China
Wuhan Hubei, 43003, China
Nanjing Jiangsu, 21000, China
Xuzhou Jiangsu, 22100, China
Nanchang Jiangxi, 33000, China
Changchun Jilin, 13000, China
Changchun Jilin, 13002, China
Jinan Shandong, 25001, China
Jinan Shandong, 25002, China
Jinan Shandong, 25010, China
Tianjin Tianjin, 30002, China
Tianjin Tianjin, 30005, China
Hangzhou Zhejiang, 31000, China
Wenzhou Zhejiang, 32500, China
Beijing , 10007, China
Chongqing , 40003, China
Jinan , 25010, China
Brno Brno-m?sto, 625 0, Czechia
Plzen - Lochotin Plzeňský KRAJ, 304 6, Czechia
Praha Praha 2, 120 0, Czechia
Hradec Kralove , 500 0, Czechia
Olomouc , 779 0, Czechia
Ostrava-Poruba , 708 5, Czechia
Praha 2 , 12808, Czechia
Tampere Pirkanmaa, 33520, Finland
Oulu Pohjois-pohjanmaa, 90220, Finland
Kuopio Pohjois-savo, 70210, Finland
Turku Varsinais-suomi, 20520, Finland
Helsinki , 00029, Finland
Tampere , 33520, Finland
Lille Nord, 59000, France
Nantes Cedex 1 , 44093, France
Nantes , 44093, France
Paris Cedex 12 , 75571, France
Paris , 75015, France
Pierre Benite Cedex , 69495, France
Poitiers Cedex , 86021, France
Würzburg Bayern, 97080, Germany
Köln Nordrhein-westfalen, 50937, Germany
Aachen , 52074, Germany
Berlin , 12200, Germany
Braunschweig , 38114, Germany
Chemnitz , 09116, Germany
München , 81675, Germany
Athens Attikí, 106 7, Greece
Athens Attikí, 106 7, Greece
Athens Attikí, 115 2, Greece
Thessaloniki Kentrikí Makedonía, 546 3, Greece
Ioannina , , Greece
Genova Liguria, 16132, Italy
Milano Lombardia, 20122, Italy
Milano Milan, 20153, Italy
Catania Sicilia, 95123, Italy
Bologna , 40138, Italy
Roma , 00161, Italy
Roma , 00168, Italy
Nagoya Aichi, 467-8, Japan
Toyohashi Aichi, 441-8, Japan
Yoshida-gun Fukui, 910-1, Japan
Shibukawa Gunma, 377-0, Japan
Yahaba-cho, Shiwa-gun Iwate, 028-3, Japan
Sendai Miyagi, 980-8, Japan
Hamamatsu Shizuoka, 431-3, Japan
Sunto-gun Shizuoka, 411-8, Japan
Shibuya-ku Tokyo, 150-8, Japan
Akita , 010-8, Japan
Fukuoka , 811-1, Japan
Fukuoka , 812-8, Japan
Kagoshima , 890-8, Japan
Kumamoto , 860-0, Japan
Nagasaki , 852-8, Japan
Okayama , 701-1, Japan
Osaka , 545-8, Japan
Tokushima , 770-8, Japan
Yamagata , 990-9, Japan
Seongnam-si Gyeonggi-do, 13620, Korea, Republic of
Hwasun-gun Jeonranamdo, 58128, Korea, Republic of
Busan Pusan-kwangyǒkshi, 49241, Korea, Republic of
Seoul Seoul-teukbyeolsi [seoul], 03080, Korea, Republic of
Seoul Seoul-teukbyeolsi [seoul], 06351, Korea, Republic of
Seoul Seoul-teukbyeolsi [seoul], 06591, Korea, Republic of
Daegu Taegu-kwangyǒkshi, 41944, Korea, Republic of
Daegu , 41944, Korea, Republic of
Incheon , 21565, Korea, Republic of
Seoul , 05505, Korea, Republic of
Colonia Valle De Las Palmas, Huixquilucan México, 52787, Mexico
Oaxaca , 68020, Mexico
Veracruz , 91851, Mexico
Rotterdam Zuid-holland, 3015 , Netherlands
Maastricht , 6229 , Netherlands
Auckland , 0620, New Zealand
Auckland , 0622, New Zealand
Auckland , 2025, New Zealand
Auckland , 2025, New Zealand
Hamilton , 3204, New Zealand
Roslyn , 4414, New Zealand
Wellington , 6021, New Zealand
Bergen Hordaland, 5021, Norway
Stavanger Rogaland, 4011, Norway
Oslo , 0450, Norway
Trondheim , 7030, Norway
Bydgoszcz , 85-16, Poland
Bydgoszcz , 85-16, Poland
Gdansk , 80-21, Poland
Katowice , 40-51, Poland
Poznan , 60-56, Poland
Skorzewo , 60-18, Poland
Warszawa , 02-09, Poland
Wroclaw , 50-36, Poland
Santiago de Compostela A Coruna, 15706, Spain
L'Hospitalet Del Llobregat Barcelona [barcelona], 08908, Spain
Terrassa Barcelona, 08221, Spain
Santander Cantabria, 39008, Spain
Madrid Madrid, Comunidad DE, 28027, Spain
Pamplona Navarra, 31008, Spain
Toledo Other, 45007, Spain
Barcelona , 08035, Spain
Barcelona , 08036, Spain
Cordoba , 14004, Spain
Girona , 17007, Spain
Madrid , 28006, Spain
Madrid , 28050, Spain
Salamanca , 37007, Spain
Sevilla , 41013, Spain
Valencia , 46026, Spain
Helsingborg Skåne LÄN [se-12], 251 8, Sweden
Lund Skåne LÄN [se-12], 22185, Sweden
Borås , 501 8, Sweden
Falun , 791 8, Sweden
Göteborg , 41345, Sweden
Luleå , 971 8, Sweden
Örebro Örebro LÄN [se-18], 701 8, Sweden
Linköping Östergötlands LÄN [se-05], 581 8, Sweden
Kaohsiung , 83301, Taiwan
Taichung , 40447, Taiwan
Tainan , 704, Taiwan
Taipei , 10002, Taiwan
Taipei , 11217, Taiwan
İstanbul / Şişli İ̇stanbul, 34381, Turkey
Istanbul İ̇stanbul, 34093, Turkey
İstanbul İ̇stanbul, 34214, Turkey
Istanbul İ̇stanbul, 34303, Turkey
İzmir İ̇zmir, 35100, Turkey
İzmir İ̇zmir, 35340, Turkey
Adana , 01240, Turkey
Ankara , 06100, Turkey
Ankara , 06200, Turkey
Antalya , 07070, Turkey
Aydin , 09100, Turkey
Gaziantep , 27310, Turkey
Kayseri , 38030, Turkey
Kocaeli , 41400, Turkey
Malatya , 44280, Turkey
Bournemouth Dorset, BH7 7, United Kingdom
Oxford Oxfordshire, OX3 7, United Kingdom
Headington Oxford, OX3 7, United Kingdom
Cardiff South Glamorgan, CF14 , United Kingdom
Bristol , BS2 8, United Kingdom
Manchester , M20 4, United Kingdom
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