Clinical trial • Phase I/II • Oncology

ELRANATAMAB for Relapsed/refractory multiple myeloma

Phase I/II trial of ELRANATAMAB for Relapsed/refractory multiple myeloma. open-label, none/not specified-controlled. 38 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Relapsed/refractory multiple myeloma
Trial Stage
Phase I/II
Drug Modality
Monoclonal antibody|Small molecule

Key dates

Initial CTIS Submission Date
30-06-2025
First CTIS Authorization Date
21-10-2025

Trial design

open-label, none/not specified-controlled Phase I/II trial across 9 sites in Germany, Greece, Spain and others.

Open Label
Yes
Comparator
None/Not specified
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
38

Eligibility

Recruits 38 Vulnerable population not selected (isVulnerablePopulationSelected: false)..

Vulnerable Population
Vulnerable population not selected (isVulnerablePopulationSelected: false).

Inclusion criteria

  • {"criterion_text":"- Signed Written Informed Consent\n- Participant with a history of RRMM who received 2 to 4 prior lines of anti-myeloma therapy.\n- Participants must have measurable disease as determined by local laboratory.\n- Participant consents to hospitalization requirements.\n- Participant consents to serial BMAs and/or BMBs during screening, study treatment, and at EOT.\n- Participant has an ECOG PS of 0 to 1"}

Exclusion criteria

  • {"criterion_text":"- Participant with known current or history of CNS involvement of MM\n- Participant cannot tolerate oral medications and/or has gastrointestinal disease (within 3 months of screening) or any gastrointestinal surgery that may significantly alter the absorption of oral study treatment\n- Ongoing Grade ≥ 2 peripheral sensory or motor neuropathy.\n- History of GBS or GBS variants, or history of any Grade ≥ 3 peripheral motor polyneuropathy.\n- HIV positive patients.\n- Participant has known chronic, active HBV/HCV infection\n- Participant has a prior history of malignancies other than MM, except if the participant has been free of the disease for ≥ 3 years.\n- Participant has a history or presence of clinically relevant CNS pathology such as epilepsy, seizure, paresis, aphasia, stroke, subarachnoid hemorrhage or CNS bleed, severe brain injuries, dementia, Parkinson’s disease, cerebellar disease, organic brain syndrome, or psychosis"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The main endpoints include the type, frequency, seriousness, and severity of all aAEs.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Establish the RP2D and dosing schedule of mezigdomide in combination with elranatamab.","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- The secondary endpoints relate to the effectiveness of the treatment. Specific metrics to be examined include the percentage of participants who respond to treatment (overall response rate; ORR), the percentage of participants who have a very good partial response or better","definition_or_measurement_approach":""}
  • {"endpoint_text":"- The percentage of participants who have a very good partial response or better (VGPRR) or complete response or better (CRR) as well as additional measures of response including the time to response (TTR; how long it takes for the treatment to start working), duration of response (DOR; how long the response lasts), progression free survival (PFS; how long it takes for the disease to get worse), and overall survival (OS; how long participants stay alive after receiving the treatment","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Number of participants who do not have detectable disease in the body with a sensitive laboratory test. This is called minimum residual disease negativity rate.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- The secondary goal is to see how well mezigdomide works in combination with elranatamab and to see if there is any small amount of detectable disease (minimum residual disease; MRD) after study treatment among participants who achieve a complete response or better (CR; a type of overall response for myeloma after treatment).","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
38
Recruitment Window Months
78
Consent Approach
Signed Written Informed Consent required (principal inclusion criterion: "Signed Written Informed Consent"). Subject information and informed consent form documents are provided (multiple L1/L2 SIS and ICF documents listed for member states). No assent or minor consent procedures are specified in the provided record.

Geography

Total Number Of Sites
9
Total Number Of Participants
24

Germany

Earliest CTIS Part Ii Submission Date
25-09-2025
Latest Decision Or Authorization Date
19-02-2026
Processing Time Days
147
Number Of Sites
3
Number Of Participants
7

Sites

Site Name
Technische Universitaet Dresden
Department Name
Hematology and Oncology
Contact Person Name
Raphael Teipel
Site Name
University Medical Center Hamburg-Eppendorf
Department Name
II. Medizinische Klinik und Poliklinik
Contact Person Name
Katja Weisel
Contact Person Email
k.weisel@uke.de
Site Name
Universitaetsklinikum Heidelberg AöR
Department Name
II. Medizinische Klinik und Poliklinik
Contact Person Name
Marc-Steffen Raab

Greece

Earliest CTIS Part Ii Submission Date
07-08-2025
Latest Decision Or Authorization Date
24-02-2026
Processing Time Days
201
Number Of Sites
2
Number Of Participants
6

Sites

Site Name
Alexandra Hospital
Department Name
Plasma Cell Dyscrasias Unit Department of Clinical Therapeutics
Contact Person Name
Meletios Athanasios Dimopoulos
Contact Person Email
mdimop@med.uoa.gr
Site Name
Evaggelismos Hospital
Department Name
Hematology and Lymhoma/Bone Marrow Transplantation Unit
Contact Person Name
Sosana Delimpasi
Contact Person Email
sodeli@yahoo.gr

Spain

Earliest CTIS Part Ii Submission Date
16-09-2025
Latest Decision Or Authorization Date
20-02-2026
Processing Time Days
157
Number Of Sites
2
Number Of Participants
5

Sites

Site Name
Hospital Universitario Marques De Valdecilla
Department Name
Hematologia
Contact Person Name
Enrique Ocio
Contact Person Email
ocioem@unican.es
Site Name
Hospital Universitario De Salamanca
Department Name
Hematologia
Contact Person Name
Maria Victoria Mateos
Contact Person Email
mvmateos@usual.es

Norway

Earliest CTIS Part Ii Submission Date
24-09-2025
Latest Decision Or Authorization Date
18-02-2026
Processing Time Days
147
Number Of Sites
2
Number Of Participants
6

Sites

Site Name
St. Olavs Hospital HF
Department Name
Department of Hematology
Contact Person Name
Tobias Slørdahl
Contact Person Email
tobias.s.slordahl@ntnu.no
Site Name
Oslo University Hospital HF
Department Name
Oslo Myeloma Center
Contact Person Name
Fredrik Schjesvold
Contact Person Email
fredrikschjesvold@gmail.com

Sponsor

Primary sponsor

Full Name
Celgene Corp.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Medidata Solutions Inc.
Responsibilities
Data Management Platform
Name
Iqvia Inc.
Responsibilities
Site payments and other operational duties (sponsorDuties codes listed)
Name
QPS LLC
Responsibilities
Mezigdomide PK samples

Third parties

  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Data Management Platform","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Germany","full_name":"Azenta Germany GmbH","duties_or_roles":"sample storage","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"Cerba Research","duties_or_roles":"Clinical chemistry, clinical heamatology, clinical microbiology, histopatology","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Adaptive Biotechnologies Corp.","duties_or_roles":"flow-cytometry-based analysis of BM for MRD","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Iqvia Inc.","duties_or_roles":"Codes: 1,10,11,12,6,8,9; explicit role listed: site payments","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"QPS LLC","duties_or_roles":"Mezigdomide PK samples","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
ELRANATAMAB
Active Substance
ELRANATAMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENIOUS INFUSION
Route
INTRAVENIOUS INFUSION
Authorisation Status
prodAuthStatus 1
Investigational Product Name
CC-92480 (Mezigdomide)
Active Substance
MEZIGDOMIDE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
prodAuthStatus 1
Investigational Product Name
DEXAMETHASONE
Active Substance
DEXAMETHASONE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
prodAuthStatus 2
Combination Treatment
Yes

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