The safety and efficacy of this agent(s), or use in this setting, has not been established or is subject to confirmation. For an agent(s) whose safety and efficacy has not been established or confirmed, future regulatory approval or commercial availability is not guaranteed.

Clinical Trial Details

Geo Regions

Category

Hematological Malignancies

Elranatamab

AN OPEN-LABEL, 3-ARM, MULTICENTER, RANDOMIZED PHASE 3 STUDY TO EVALUATE THE EFFICACY AND SAFETY OF ELRANATAMAB (PF-06863135) MONOTHERAPY AND ELRANATAMAB + DARATUMUMAB VERSUS DARATUMUMAB + POMALIDOMIDE + DEXAMETHASONE IN PARTICIPANTS WITH RELAPSED/REFRACTORY MULTIPLE MYELOMA WHO HAVE RECEIVED AT LEAST 1 PRIOR LINE OF THERAPY INCLUDING LENALIDOMIDE AND A PROTEASOME INHIBITOR
Phase 3
NCT05020236

Active enrolling

Globe
Locations

United States, Argentina, Australia, Austria, Belgium, Brazil, Canada, China, Czechia, Finland, France, Germany, Greece, Italy, Japan, Korea, Republic of, Mexico, Netherlands, New Zealand, Norway, Poland, Spain, Sweden, Taiwan, Turkey, United Kingdom

Study design

Participant Group/Arm

EXPERIMENTAL: Part 1 Safety Lead-In Dose Escalation: Elranatamab + Daratumumab

Intervention/Treatment

DRUG: Elranatamab

subcutaneous

DRUG: Daratumumab

Daratumumab / hyaluronidase, subcutaneous
Participant Group/Arm

EXPERIMENTAL: Part 2 Randomized Arm A: Elranatamab

Intervention/Treatment

DRUG: Elranatamab

subcutaneous
Participant Group/Arm

EXPERIMENTAL: Part 2 Randomized Arm B: Elranatamab + Daratumumab

Intervention/Treatment

DRUG: Elranatamab

subcutaneous

DRUG: Daratumumab

Daratumumab / hyaluronidase, subcutaneous
Participant Group/Arm

ACTIVE_COMPARATOR: Part 2 Randomized Arm C: Daratumumab + Pomalidomide + Dexamethasone

Intervention/Treatment

DRUG: Daratumumab

Daratumumab / hyaluronidase, subcutaneous

DRUG: Pomalidomide

oral

DRUG: Dexamethasone

oral
Study design table for Clinical Trial

Key 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.
  • Key dates

    Study start date
    • October 2021
    Estimated primary completion date
    • May 2027

    Key endpoints

    Primary Outcome Measures
    Outcome Measure

    Part 1 Safety Lead-In: Incidence of dose limiting toxicities

    Measure Description

    Time Frame

    First 42 days after first elranatamab dose

    Outcome Measure

    Part 2 Randomized: Progression free survival per International Myeloma Working Group criteria

    Measure Description

    Time Frame

    From date of randomization to date of progressive disease, discontinuation from the study, death, or censoring, whichever occurs first, assessed up to 51 months

    Primary Outcome Measures table for Clinical Trial
    Secondary Outcome Measures:
    Outcome Measure

    Part 1 Safety Lead-In: Progression free survival per International Myeloma Working Group criteria

    Measure Description

    Time Frame

    From date of randomization to date of progressive disease, discontinuation from study, death, or censoring, whichever occurs first, assessed up to 51 months

    Outcome Measure

    Overall survival

    Measure Description

    Time Frame

    From date of randomization to date of discontinuation from study, death, or censoring, whichever occurs first, assessed up to 51 months

    Outcome Measure

    Objective response rate per International Myeloma Working Group criteria

    Measure Description

    Time Frame

    From date of randomization to date of progressive disease, discontinuation from study, death, or start of new anticancer therapy, whichever occurs first, assessed up to 51 months

    Outcome Measure

    Duration of response per International Myeloma Working Group criteria

    Measure Description

    Time Frame

    From date of confirmed objective response to date of progressive disease, discontinuation from study, death, or censoring, whichever occurs first, assessed up to 51 months

    Outcome Measure

    Time to response per International Myeloma Working Group criteria

    Measure Description

    Time Frame

    From date of randomization to date of confirmed objective response, assessed up to 51 months

    Outcome Measure

    Complete response rate per International Myeloma Working Group criteria

    Measure Description

    Time Frame

    From date of randomization to date of progressive disease, discontinuation from study, death, or start of new anticancer therapy, whichever occurs first, assessed up to 51 months

    Outcome Measure

    Duration of complete response per International Myeloma Working Group criteria

    Measure Description

    Time Frame

    From date of confirmed complete response to date of progressive disease, discontinuation from study, death, or censoring, whichever occurs first, assessed up to 51 months

    Outcome Measure

    Minimal residual disease negativity rate per International Myeloma Working Group criteria

    Measure Description

    Time Frame

    From date of randomization to date of progressive disease, discontinuation from study, death, or start of new anticancer therapy, whichever occurs first, assessed up to 51 months

    Outcome Measure

    Sustained minimal residual disease negativity rate per International Myeloma Working Group criteria

    Measure Description

    Time Frame

    From date of randomization to date of progressive disease, discontinuation from study, death, or start of new anticancer therapy, whichever occurs first, assessed up to 51 months

    Outcome Measure

    Progression free survival on next-line treatment per International Myeloma Working Group criteria

    Measure Description

    Time Frame

    From date of randomization to date of second objective disease progression, discontinuation from the study, death, or censoring, whichever occurs first, assessed up to 51 months

    Outcome Measure

    Frequency of treatment-emergent adverse events

    Measure Description

    Time Frame

    From date of first dose of study intervention through minimum of 90 days after last study intervention administration. Reporting of non-serious AEs ends at start of new anti-cancer therapy.

    Outcome Measure

    Frequency of abnormal laboratory results

    Measure Description

    Time Frame

    From date of first dose of study intervention through minimum of 90 days after last study intervention administration. Reporting of non-serious AEs ends at start of new anti-cancer therapy.

    Outcome Measure

    Rate of Grade ≥2 cytokine release syndrome

    Measure Description

    Time Frame

    First 28 days after first elranatamab dose

    Outcome Measure

    Elranatamab pharmacokinetics by pre- and post-dose concentrations

    Measure Description

    Time Frame

    From date of first dose through up to 14 days after date of last dose of elranatamab

    Outcome Measure

    Elranatamab immunogenicity by anti-drug antibodies against elranatamab

    Measure Description

    Time Frame

    From date of first dose through up to 14 days after date of last dose of elranatamab

    Outcome Measure

    Daratumumab pharmacokinetics by pre-dose concentrations

    Measure Description

    Time Frame

    From date of first dose through up to 14 days after date of last dose of daratumumab

    Outcome Measure

    Health-related quality of life by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30

    Measure Description

    Time Frame

    From date of informed consent through up to 35 days after date of last dose of study intervention

    Outcome Measure

    Health-related quality of life by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Myeloma 20

    Measure Description

    Time Frame

    From date of informed consent through up to 35 days after date of last dose of study intervention

    Secondary Outcome Measures table for Clinical Trial

    Number of participants

    761

    Collaborators and investigators

    Sponsor: Pfizer

    Collaborator: None

    This information is current as of June 7th 2024.
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    More Information Close NCT# stands for National Clinical Trial number. This is a unique identification code given to each clinical trial registered on ClinicalTrials.gov. The format is "NCT" followed by an 8-digit number (for example, NCT00000419). Also called the ClinicalTrials.gov identifier. NCT05020236