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

MAGNETISMM-6: AN OPEN-LABEL, 2-ARM, MULTICENTER, RANDOMIZED PHASE 3 STUDY TO EVALUATE THE EFFICACY AND SAFETY OF ELRANATAMAB (PF-06863135) + DARATUMUMAB + LENALIDOMIDE OR ELRANATAMAB + LENALIDOMIDE VERSUS DARATUMUMAB + LENALIDOMIDE + DEXAMETHASONE IN TRANSPLANT-INELIGIBLE PARTICIPANTS WITH NEWLY DIAGNOSED MULTIPLE MYELOMA
Phase 3
NCT05623020

Active enrolling

Globe
Locations

Australia, Canada, Czechia, France, Germany, Greece, Israel, Italy, Japan, Korea, Republic of, Netherlands, Poland, Spain, Taiwan

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Study design

Participant Group/Arm

EXPERIMENTAL: Part 1, Dose Level 1: Elranatamab + Daratumumab + Lenalidomide

Intervention/Treatment

DRUG: Elranatamab

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

DRUG: Daratumumab

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

DRUG: Lenalidomide

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

Participant Group/Arm

EXPERIMENTAL: Part 1, Multiple Dose Levels, Elranatamab + Daratumumab + Lenalidomide

Intervention/Treatment

DRUG: Elranatamab

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

DRUG: Daratumumab

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

DRUG: Lenalidomide

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

Participant Group/Arm

EXPERIMENTAL: Part 2 Randomized Arm A: Elranatamab + Daratumumab + Lenalidomide

Intervention/Treatment

DRUG: Elranatamab

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

DRUG: Daratumumab

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

DRUG: Lenalidomide

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

Participant Group/Arm

ACTIVE_COMPARATOR: Part 2 Randomized Arm B: Daratumumab + Lenalidomide + Dexamethasone

Intervention/Treatment

DRUG: Daratumumab

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

DRUG: Lenalidomide

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

DRUG: Dexamethasone

Randomized

Participant Group/Arm

EXPERIMENTAL: Part 1: Elranatamab + Lenalidomide

Intervention/Treatment

DRUG: Elranatamab

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

DRUG: Lenalidomide

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

Participant Group/Arm

EXPERIMENTAL: Part 2: Randomized Arm A: Elranatamab + Lenalidomide

Intervention/Treatment

DRUG: Elranatamab

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

DRUG: Lenalidomide

Part 1 Dose Level 1 is not randomized. All other cohorts are randomized.

Study design table for Clinical Trial

Key eligibility criteria

Inclusion criteria
  • Diagnosis of multiple myeloma (MM) 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; * Involved FLC ≥10 mg/dL (≥100 mg/L) AND abnormal serum immunoglobulin kappa to lambda FLC ratio (\<0.26 or \>1.65).
  • Part 1: Participants with relapsed/refractory multiple myeloma (RRMM) who have received 1-2 prior lines of therapy including at least one immunomodulatory drug and one proteasome inhibitor: or participants with newly-diagnosed multiple myeloma (NDMM) that are transplant-ineligible as defined by age ≥65 years or transplant-ineligible as defined by age \<65 years with comorbidities impacting the possibility of transplant.
  • Part 2: participants with newly-diagnosed multiple myeloma that are transplant-ineligible as defined by age ≥65 years or transplant-ineligible as defined by age \<65 years with comorbidities impacting the possibility of transplant
  • ECOG performance status ≤2.
  • Not pregnant and willing to use contraception
  • For participants with RRMM: Resolved acute effects of any prior therapy to baseline severity or CTCAE Grade ≤1.
Exclusion criteria
  • Smoldering Multiple Myeloma.
  • Monoclonal gammopathy of undetermined significance.
  • Waldenströms Macroglobulinemia
  • Plasma cell leukemia.
  • Active, uncontrolled bacterial, fungal, or viral infection, including (but not limited to) COVID-19/SARS-CoV-2, HBV, HCV, and known HIV or AIDS-related illness.
  • Any other active malignancy within 3 years prior to enrollment, except for adequately treated basal cell or squamous cell skin cancer, carcinoma in situ, or Stage 0/1 with minimal risk of recurrence per investigator.
  • For participants with RRMM: Previous treatment with a BCMA-directed therapy or anti-CD38-directed therapy within 6 months preceding the first dose of study intervention in this study. Stem cell transplant ≤3 months prior to first dose of study intervention or active GVHD.
  • For participants with NDMM: Previous systemic treatment for MM except for a short course of corticosteroids (ie, up to 4 days of 40 mg dexamethasone or equivalent before the first dose of study intervention).
  • Live attenuated vaccine administered within 4 weeks of the first dose of study intervention.
  • Administration of investigational product (eg, drug or vaccine) concurrent with study intervention or within 30 days (or as determined by the local requirement) preceding the first dose of study intervention used in this study.

Key dates

Study start date
  • November 2022
Estimated primary completion date
  • November 2031

Key endpoints

Primary Outcome Measures
Outcome Measure

Part 1 Dose Limiting Toxicity

Measure Description

Time Frame

From the first dose of elranatamab/first full dose in combination with EDR until 28 days (+/- visit window) from the first administration of elranatamab with daratumumab and lenalidomide

Outcome Measure

Part 2: Progression free survival by blinded independent central review

Measure Description

Time Frame

From randomization up to 79 months.

Outcome Measure

Part 2: Minimal Residual Disease negativity rate

Measure Description

Time Frame

At 12 months after randomization

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

Overall Survival

Measure Description

Time Frame

From date of randomization up to 79 months

Outcome Measure

Overall minimal residual disease negativity rate

Measure Description

Time Frame

From date of randomization up to 79 months

Outcome Measure

Sustained MRD negativity rate (Part 2)

Measure Description

Time Frame

From date of randomization up to 79 months

Outcome Measure

Duration of minimal residual disease negativity (Part 2)

Measure Description

Time Frame

From date of minimal residual disease negative status up to 79 months

Outcome Measure

PFS by investigator

Measure Description

Time Frame

From date of randomization up to 79 months

Outcome Measure

PFS2 by investigator (Part 2)

Measure Description

Time Frame

From the date of randomization up to 79 months

Outcome Measure

Objective Response Rate

Measure Description

Time Frame

From the date of randomization up to 79 months

Outcome Measure

Complete Response Rate

Measure Description

Time Frame

From the date of randomization up to 79 months

Outcome Measure

Time to Response

Measure Description

Time Frame

From the date of randomization to date of confirmed objective response up to 79 months

Outcome Measure

Duration of Response

Measure Description

Time Frame

From the date of confirmed objective response up to 79 months

Outcome Measure

Duration of Complete Response

Measure Description

Time Frame

From the date of confirmed complete response up to 79 months

Outcome Measure

Frequency of treatment-emergent adverse events

Measure Description

Time Frame

From the date of first dose of study intervention up to 79 months

Outcome Measure

Frequency of abnormal laboratory results

Measure Description

Time Frame

From the date of first dose of study intervention up to 79 months

Outcome Measure

Pharmacokinetics of elranatamab when used in the elranatamab + daratumumab + lenalidomide or elranatamab + lenalidomide combinations

Measure Description

Predose and post dose concentrations of elranatamab

Time Frame

From date of first dose of study intervention up to 79 months

Outcome Measure

Incidence of Anti-Drug Antibody and Neutralizing Antibody against elranatamab

Measure Description

Immunogenicity of elranatamab

Time Frame

From date of first dose of study intervention up to 79 months

Outcome Measure

Pharmacokinetics of daratumumab and lenalidomide when used in the elranatamab+daratumumab+lenalidomide or elranatamab+lenalidomide combinations (Part 1)

Measure Description

Predose concentrations of daratumumab and lenalidomide

Time Frame

From date of first dose of study intervention up to 79 months

Outcome Measure

Health-related quality of life by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (Part 2)

Measure Description

Higher scores on the functional scales represent higher levels of functioning. Higher scores on the global health status/quality of life scale represent higher health status/quality of life. Higher scores on the symptom scales/items represent a greater presence of symptoms.

Time Frame

From date the informed consent is signed up to 79 months

Outcome Measure

Health-related quality of life by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire -Myeloma 20 (Part 2)

Measure Description

Higher scores on the functioning subscales (body image, future perspective) represent higher levels of functioning, whereas higher scores on the symptom subscales (disease symptoms, side effects) represent a greater presence of symptoms

Time Frame

From date the informed consent is signed up to 79 months

Secondary Outcome Measures table for Clinical Trial

Number of participants

966

Collaborators and investigators

Sponsor: Pfizer

Collaborator: None

This information is current as of September 19th 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. NCT05623020