RecruitingPhase 1Phase 2NCT05828511

A Window of Opportunity Trial to Learn if Linvoseltamab is Safe and Well Tolerated, and How Well it Works in Adult Participants With Recently Diagnosed Multiple Myeloma Who Have Not Already Received Treatment

Phase 1/2 Study of Linvoseltamab (Anti-BCMA X Anti-CD3 Bispecific Antibody) in Previously Untreated Patients With Symptomatic Multiple Myeloma


Sponsor

Regeneron Pharmaceuticals

Enrollment

149 participants

Start Date

Dec 19, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This study is researching an experimental drug called linvoseltamab (called "study drug"). The study is focused on participants with newly diagnosed multiple myeloma (NDMM) who are eligible for high dose chemotherapy with autologous stem cell transplantation (transplant-eligible) or ineligible for autologous stem cell transplantation (transplant-ineligible). The aim of this clinical trial is to study the safety, tolerability (how the body reacts to the drug), and effectiveness (tumor shrinkage) of linvoseltamab in study participants with NDMM as a first step in determining if the study drug has a role in the treatment of NDMM. This study consists of 2 phases: * In Phase 1 Parts A and B, the study drug will be given to participants to study the side effects of the study drug and to establish the regimen (initial doses and full dose) of the study drug to be given to participants in Phase 2. * In Phase 1 Part C, the study drug will be given to participants to study the side effects when using different initial doses of the study drug. * In Phase 2, the study drug will be given to more participants to continue to assess the side effects of the study drug and to evaluate the activity of the study drug to shrink the tumor (multiple myeloma) in participants with NDMM. The study is looking at several research questions, including: * What side effects may happen from taking linvoseltamab? * What the right dosing regimen is for linvoseltamab? * How many participants treated with linvoseltamab have improvement of their disease and for how long? * The effects of linvoseltamab study treatment before and after transplant * How much linvoseltamab is in the blood at different times? * Whether the body makes antibodies against linvoseltamab (which could make the drug less effective or could lead to side effects).


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This trial is testing whether a new drug called linvoseltamab — a bispecific antibody that helps the immune system attack myeloma cells — is safe and effective when given to newly diagnosed multiple myeloma patients before standard induction chemotherapy begins (a "window of opportunity" trial). **You may be eligible if...** - You have been newly diagnosed with multiple myeloma and have not yet started treatment - You are younger than 70 years old and eligible for a stem cell transplant - Your disease is measurable (assessable by standard blood or urine tests) - Your overall health and organ function (heart, kidneys, liver, lungs) meets requirements - Your ECOG performance status is 0, 1, or 2 **You may NOT be eligible if...** - You have started any prior treatment for myeloma (other than a short course of steroids or emergency radiation) - Your myeloma is rapidly worsening and requires immediate chemotherapy - Your myeloma has spread to the nervous system - You have a history of seizures within the past 12 months or significant neurological conditions - You have a non-secretory or rare variant of myeloma (e.g., plasma cell leukemia, POEMS syndrome) Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGLinvoseltamab

Linvoseltamab will be administered by intravenous (IV) infusion


Locations(32)

University of California Los Angeles (UCLA)

Los Angeles, California, United States

UC Irvine Health

Orange, California, United States

Colorado Blood Cancer Institute/SCRI

Denver, Colorado, United States

Norton Cancer Institute

Louisville, Kentucky, United States

Karmanos Cancer Institute

Detroit, Michigan, United States

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Perlmutter Cancer Center at NYU Langone Hospital - Long Island

Mineola, New York, United States

Perlmutter Cancer Center

New York, New York, United States

Columbia University _ New York Presbyterian

New York, New York, United States

Stony Brook University Hospital

Stony Brook, New York, United States

Levine Cancer Institute

Charlotte, North Carolina, United States

Duke University Health System (DUHS)

Durham, North Carolina, United States

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Centre Hospitalier Universitaire (CHU) de Poitiers

Poitiers, New Aquitaine, France

CHU De Lille

Lille, France

Centre Hospitalier Universitaire (CHU) Montpellier

Montpellier, France

Hopital Saint Louis

Paris, France

University Hospitals Pitie Salpetriere - Charles Foix

Paris, France

Hopital Prive d'Antony

Antony, Île-de-France Region, France

Hopital Necker

Paris, Île-de-France Region, France

Gustave Roussy

Villejuif, Île-de-France Region, France

Hospital Germans Trias i Pujol

Badalona, Barcelona, Spain

Hospital Universitario Quiron Salud Madrid

Pozuelo de Alarcón, Madrid, Spain

Clinica Universidad de Navarra

Pamplona, Navarre, Spain

Hospital Universitario Central de Asturias

Oviedo, Principality of Asturias, Spain

Hospital General Universitario Doctor Balmis Alicante

Alicante, Valencia, Spain

Hospital Clinic de Barcelona

Barcelona, Spain

Institut Catala dOncologia (ICO Hospitalet)

Barcelona, Spain

Universitary Hospital La Princesa

Madrid, Spain

Clinica Universidad de Navarra - Madrid

Madrid, Spain

Hospital Universitario de Salamanca

Salamanca, Spain

Hospital Universitari i Politecnic La Fe

Valencia, Spain

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NCT05828511


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