MagnetisMM-3: Study Of Elranatamab (PF-06863135) Monotherapy in Participants With Multiple Myeloma Who Are Refractory to at Least One PI, One IMiD and One Anti-CD38 mAb
Sponsor: Pfizer
ClinicalTrials ID:NCT04649359
The MagnetisMM-3 trial evaluates Elranatamab, a BCMA-CD3 bispecific antibody, in relapsed/refractory multiple myeloma patients. Eligible participants must have measurable disease, be refractory to at least one IMiD, PI, and anti-CD38 mAb, and have an ECOG status ≤2. The study includes two cohorts based on prior BCMA-directed therapy exposure. Participants must not be pregnant and agree to use contraception.
Patient Parameters
| Parameter | Options |
|---|
Program Overview
The purpose of the study is to evaluate whether single-agent Elranatamab (PF-06863135) can provide clinical benefit in participants with relapsed/refractory multiple myeloma. Elranatamab is a bispecific antibody: binding of Elranatamab to CD3-expressing T-cells and BCMA-expressing multiple myeloma cells causes targeted T-cell-mediated cytotoxicity.
Eligibility Criteria
Inclusion Criteria
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Diagnosis of multiple myeloma (IMWG criteria, Rajkumar et al, 2014)
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Measurable disease, as defined by at least 1 of the following:
- Serum M-protein >0.5 g/dL by SPEP
- Urinary M-protein excretion >200 mg/24 hours by UPEP
- Serum immunoglobulin FLC≥10 mg/dL (≥100 mg/L) AND abnormal serum immunoglobulin kappa to lambda FLC ratio
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Refractory to at least one IMiD
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Refractory to at least one PI
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Refractory to at least one anti-CD38 antibody
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Relapsed/refractory to last anti-myeloma regimen
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Cohort A: has not received prior BCMA-directed therapy
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Cohort B: has received prior BCMA-directed therapy (ADC or CAR T cells)
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ECOG performance status ≤2
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Resolved acute effects of any prior therapy to baseline severity or CTCAE Grade ≤1
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Not pregnant and willing to use contraception
Exclusion Criteria
- Smoldering multiple myeloma
- Active Plasma cell leukemia
- Amyloidosis
- POEMS syndrome
- Stem cell transplant within 12 weeks prior to enrollment
- Active HBV, HCV, SARS-CoV2, HIV, or any active, uncontrolled bacterial, fungal, or viral infection
- Any other active malignancy within 3 years prior to enrollment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ.
- Previous administration with an investigational drug within 30 days or 5 half-lives preceding the first dose of study intervention used in this study (whichever is longer)
Locations
| FACILITY | ZIP | CITY | STATE |
|---|---|---|---|
| Beverly Hills Cancer Center | 90211 | Beverly Hills | California |
| The Regents of the University of California | 92697 | Irvine | California |
| Ronald Reagan UCLA Medical Center Drug information Center | 90095 | Los Angeles | California |
| The Regents of the University of California | 90095 | Los Angeles | California |
| UCLA Hematology/Oncology Clinic | 90095 | Los Angeles | California |
| UCLA Ronald Reagan Medical Center | 90095 | Los Angeles | California |
| UC Irvine Health - Chao Family Comprehensive Cancer Center | 92868 | Orange | California |
| Baptist Hospital of Miami | 33176 | Miami | Florida |
| Winship Cancer Institute @ Emory University Hospital Midtown | 30308 | Atlanta | Georgia |
| Emory University Hospital | 30322 | Atlanta | Georgia |
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