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Trial Title: A Study Evaluating the Safety, Pharmacokinetics, and Activity of the Combination of Cevostamab and Elranatamab in Participants With Relapsed or Refractory Multiple Myeloma (R/R MM)

NCT ID: NCT05927571

Condition: Relapsed or Refractory Multiple Myeloma

Conditions: Official terms:
Multiple Myeloma
Neoplasms, Plasma Cell

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Cevostamab
Description: Cevostamab solution for infusion will be administered as IV as specified in each treatment arm.
Arm group label: Dose Expansion Cohort
Arm group label: Safety Lead-In Cohort

Intervention type: Drug
Intervention name: Elranatamab
Description: Elranatamab solution for injection will be administered SC as specified in each treatment arm.
Arm group label: Dose Expansion Cohort
Arm group label: Safety Lead-In Cohort

Intervention type: Drug
Intervention name: Tocilizumab
Description: Tocilizumab will be used as rescue medication for participants who experience a cytokine release syndrome (CRS) event.
Arm group label: Dose Expansion Cohort
Arm group label: Safety Lead-In Cohort

Summary: The purpose of the study is to evaluate safety and tolerability of the combination of cevostamab plus elranatamab and also determine the recommended Phase II dose (RP2D) for the study treatment. The study consists of a safety lead-in stage, and an expansion stage.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 - Diagnosis of R/R MM per IMWG criteria - For female participants of childbearing potential: agreement to remain abstinent or use contraception - For male participants: agreement to remain abstinent or use a condom Exclusion Criteria: - Prior treatment with cevostamab or another agent targeting fragment crystallizable receptor-like 5 (FcRH5) - Prior treatment with elranatamab - Prior allogeneic stem cell transplantation (SCT) - Absolute plasma cell count exceeding 500 per milliliter (mL) or 5% of the peripheral blood white cells - Diagnosis of Waldenström macroglobulinemia or polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, skin changes (POEMS) syndrome - Participants with known history of amyloidosis - History of autoimmune disease - History of confirmed progressive multifocal leukoencephalopathy - Peripheral motor polyneuropathy of prespecified grade - Known or suspected chronic cytomegalovirus (CMV) and/or Epstein-Barr virus (EBV) infection - Known history of hemophagocytic lymphohistiocytosis (HLH) or macrophage activation syndrome (MAS) - Acute or chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection - Human immunodeficiency virus (HIV) seropositivity - History of central nervous system (CNS) myeloma disease - Significant cardiovascular disease

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: The Alfred Hospital

Address:
City: Prahan
Zip: 3181
Country: Australia

Status: Recruiting

Facility:
Name: Rambam Health Care Campus

Address:
City: Haifa
Zip: 3109600
Country: Israel

Status: Recruiting

Facility:
Name: Sheba Medical Center - PPDS

Address:
City: Ramat Gan
Zip: 5266202
Country: Israel

Status: Recruiting

Facility:
Name: Tel Aviv Sourasky Medical Center PPDS

Address:
City: Tel Aviv-Yafo
Zip: 6423906
Country: Israel

Status: Recruiting

Facility:
Name: The Catholic University of Korea - Seoul St. Mary's Hospital (Kangnam St. Mary's Hospital)

Address:
City: Seocho
Zip: 06591
Country: Korea, Republic of

Status: Recruiting

Facility:
Name: Seoul National University Hospital

Address:
City: Seoul
Zip: 03080
Country: Korea, Republic of

Status: Recruiting

Facility:
Name: Samsung Medical Center - PPDS

Address:
City: Seoul
Zip: 06351
Country: Korea, Republic of

Status: Recruiting

Start date: August 10, 2023

Completion date: July 31, 2026

Lead sponsor:
Agency: Genentech, Inc.
Agency class: Industry

Source: Genentech, Inc.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05927571

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