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

A PHASE 3, OPEN-LABEL STUDY OF ELRANATAMAB MONOTHERAPY VERSUS ELOTUZUMAB, POMALIDOMIDE, DEXAMETHASONE (EPd) OR POMALIDOMIDE, BORTEZOMIB, DEXAMETHASONE (PVd) OR CARFILZOMIB, DEXAMETHASONE (Kd) IN PARTICIPANTS WITH RELAPSED/REFRACTORY MULTIPLE MYELOMA WHO RECEIVED PRIOR ANTI-CD38 DIRECTED THERAPY
Phase 3
NCT06152575

Active enrolling

Globe
Locations

United States, Argentina, Belgium, Brazil, Canada, Czechia, Denmark, Finland, France, Germany, Greece, Italy, Japan, Norway, Spain, Sweden, United Kingdom

Study design

Participant Group/Arm

EXPERIMENTAL: Elranatamab

Participants will receive elranatamab monotherapy

Intervention/Treatment

DRUG: Elranatamab

Elranatamab will be administered subcutaneously
Participant Group/Arm

ACTIVE_COMPARATOR: Investigator's Choice

Participants will receive either Elotuzumab, Pomalidomide and Dexamethasone (EPd), or Pomalidomide, Bortezomib and Dexamethasone (PVd), or Carfilzomib and Dexamethasone (Kd)

Intervention/Treatment

DRUG: Elotuzumab

Elotuzumab will be administered intravenously

DRUG: Pomalidomide

Pomalidomide will be administered orally

DRUG: Dexamethasone

Dexamethasone will be administered orally

DRUG: Bortezomib

Bortezomib will be administered subcutaneously or intravenously

DRUG: Carfilzomib

Carfilzomib will be administered intravenously
Study design table for Clinical Trial

Key eligibility criteria

Inclusion criteria
  • Prior diagnosis of multiple myeloma as defined by International Myeloma Working Group (IMWG) criteria and previously received 1 to 4 prior lines of therapy including prior anti-cluster of differentiation 38 (CD38) antibody and prior lenalidomide.
  • Documented evidence of progressive disease or failure to achieve a response to last line of therapy per IMWG criteria.
  • Measurable disease defined as at least 1 of the following: (a) Serum M-protein ≥0.5 g/dL; (b) Urinary M-protein excretion ≥200 mg/24 hours; (c) Serum involved immunoglobulin FLC ≥10 mg/dL AND abnormal serum immunoglobulin kappa to lambda FLC ratio (\<0.26 or \>1.65).
  • Have clinical laboratory values within the specified range.
  • ECOG (Eastern Cooperative Oncology Group) performance status ≤2.
  • Not pregnant or breastfeeding and willing to use contraception.
Exclusion criteria
  • Smoldering multiple myeloma.
  • Plasma cell leukemia.
  • Amyloidosis.
  • Polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy and skin abnormalities (POEMS) syndrome.
  • Known central nervous system (CNS) involvement or clinical signs of myelomatous meningeal involvement.
  • Stem cell transplant within 12 weeks prior to enrolment, or active graft versus host disease.
  • Any active, uncontrolled bacterial, fungal, or viral infection.
  • Any other active malignancy within 3 years prior to enrolment (exceptions include, adequately treated basal cell or squamous cell skin cancer, carcinoma in situ)
  • Previous treatment with a B cell maturation antigen (BCMA)-directed therapy or CD3-redirecting therapy.
  • Unable to receive investigator's choice therapy.
  • Live attenuated vaccine within 4 weeks of the first dose of study intervention.
  • Administration with an investigational product (e.g. drug or vaccine) within 30 days preceding the first dose of study intervention used in this study.

Key dates

Study start date
  • February 2024
Estimated primary completion date
  • March 2028

Key endpoints

Primary Outcome Measures
Outcome Measure

Progression free survival per International Myeloma Working Group criteria

Measure Description

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

Time Frame

Up to approximately 5 years

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

Overall survival

Measure Description

From date of randomization to date of discontinuation from study, death, or censoring, whichever occurs first

Time Frame

Up to approximately 5 years

Outcome Measure

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

Measure Description

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

Time Frame

Up to approximately 5 years

Outcome Measure

Objective response rate per International Myeloma Working Group criteria

Measure Description

From date of randomization to date of progressive disease, discontinuation from study, death, or start of new anticancer therapy

Time Frame

Up to approximately 5 years

Outcome Measure

Duration of response per International Myeloma Working Group criteria

Measure Description

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

Time Frame

Up to approximately 5 years

Outcome Measure

Very good partial response or better response rate per International Myeloma Working Group criteria

Measure Description

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

Time Frame

Up to approximately 5 years

Outcome Measure

Complete response rate per International Myeloma Working Group criteria

Measure Description

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

Time Frame

Up to approximately 5 years

Outcome Measure

Duration of complete response per International Myeloma Working Group criteria

Measure Description

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

Time Frame

Up to approximately 5 years

Outcome Measure

Time to response per International Myeloma Working Group criteria

Measure Description

From date of randomization to date of confirmed objective response

Time Frame

Up to approximately 5 years

Outcome Measure

Minimal residual disease negativity rate per International Myeloma Working Group criteria

Measure Description

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

Time Frame

Up to approximately 5 years

Outcome Measure

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

Measure Description

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

Time Frame

Up to approximately 5 years

Outcome Measure

Duration of minimal residual disease negativity rate per International Myeloma Working Group criteria

Measure Description

From date of minimal residual disease negativity to date of relapse, death, or censoring, whichever occurs first

Time Frame

Up to approximately 5 years

Outcome Measure

Frequency of treatment-emergent adverse events

Measure Description

Time Frame

From date of first dose of study intervention up to 90 days after last study intervention administration

Outcome Measure

Frequency of abnormal laboratory results

Measure Description

Time Frame

From date of first dose of study intervention up to 90 days after last study intervention administration

Outcome Measure

Free elranatamab serum trough concentration [Ctrough]

Measure Description

Time Frame

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

Outcome Measure

Elranatamab immunogenicity by anti-drug antibodies against elranatamab

Measure Description

Time Frame

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

Outcome Measure

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

Measure Description

Change from baseline scores

Time Frame

From date of informed consent up to approximately 35 days after last administration 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

Change from baseline scores

Time Frame

From date of informed consent up to approximately 35 days after last administration of study intervention

Secondary Outcome Measures table for Clinical Trial

Number of participants

492

Collaborators and investigators

Sponsor: Pfizer

Collaborator: None

This information is current as of August 16th 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. NCT06152575