New shot aims to wipe out myeloma in patients out of options
NCT ID NCT06282978
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial is testing a drug called elranatamab in 50 people with multiple myeloma that has relapsed or stopped responding after at least one prior treatment. Participants have already tried three main drug classes. The goal is to see if elranatamab can reduce the cancer to undetectable levels in the bone marrow. The drug is given as a weekly shot, and if it works well, the dosing may be reduced to every other week.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Elranatamab (a targeted antibody drug given as a shot under the skin)
- What this could lead to
- If successful, this could offer a new treatment option for patients with multiple myeloma that has stopped responding to other therapies, potentially achieving very deep remissions.
- What could go wrong
- This is an early-phase (Phase 2) study with only 50 participants, so results may not apply to all patients. The drug can cause serious side effects like cytokine release syndrome, nerve toxicity, and infections.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2023
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male or female, 18 years or older (at the time consent is obtained). * Patient who, in the investigator's opinion, is able to comply with the protocol requirements. * Prior diagnosis of MM as defined according to IMWG criteria. * Patient has given voluntary written informed consent before performance of any study-related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to their future medical care. * Relapse multiple myeloma patients that have received at least 1 or 2 prior lines of therapy including at least to one proteasome inhibitor (bortezomib, carfilzomib or ixazomib), one immunomodulatory drug (lenalidomide is mandatory and patients can be also have been exposed to pomalidomide) and at least one anti-CD38 monoclonal antibody (daratumumab or isatuximab). * Patients must be refractory to the last line of therapy, defined as progression while receiving treatment or in the first 60 days after the last dose of treatment. * Patient must have a measurable secretory disease defined as either serum monoclonal protein of ≥ 0,5 g/dl or urine monoclonal (light chain) protein ≥ 200 mg/24 h. For patients in whom disease is only measurable by serum FLC, the involved FLC should be ≥ 10mg/dL (100 mg/L), with an abnormal serum FLC ratio. Exclusion Criteria: * Subject has a diagnosis of primary amyloidosis, monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), POEMS syndrome (defined by the presence of peripheral neuropathy, organomegaly, endocrinopathy, monoclonal plasma-cells proliferative disorder, and skin changes) or plasma cell leukemia. * Prior anti-BCMA treatment. * Subject has peripheral neuropathy or neuropathic pain grade 2 or higher, as defined by the National Cancer Institute Terminology Criteria for Adverse Events (NCI CTCAE) Version 5. * History of Guillain-Barré syndrome (GBS) or GBS variants, or history of any Grade ≥3 peripheral motor polyneuropathy. * Stem cell transplant within 12 weeks prior to enrolment.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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C.H. de Toledo (Virgen de la Salud)
Toledo, 45005, Spain
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CHU de Gran Canaria Doctor Negrín
Las Palmas de Gran Canaria, Las Palmas, 35010, Spain
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Complejo Asistencial Universitario de León
León, Spain
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H. Clínic i Provincial de Barcelona
Barcelona, 08036, Spain
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Hospital Clínico Universitario Salamanca
Salamanca, 37007, Spain
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Hospital Clínico Universitario Virgen de la Arrixaca
El Palmar, Murcia, 30120, Spain
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Hospital Clínico Universitario de Santiago ~ CHUS
Santiago de Compostela, A Coruña, 15706, Spain
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Hospital Son Llàtzer
Palma de Mallorca, Balearic Islands, 07198, Spain
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Hospital Universitario Lucus Augusti
Lugo, Spain
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Hospital Universitario Marqués de Valdecilla
Santander, Cantabria, 39008, Spain
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Hospital Universitario de Jerez de la Frontera
Jerez de la Frontera, Cádiz, 11407, Spain
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Hospital de Cabueñes
Gijón, 33394, Spain
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Institut Catala d'Oncologia (ICO) Badalona - Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
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Other studies related to the condition(s) this trial covers.
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- Can a new triple therapy outsmart resistant myeloma?
- Can a new immune cell therapy outsmart resistant blood cancers?
- Can a Triple-Drug cocktail tame resistant myeloma?
- Can a single gene therapy turn the body into a Cancer-Fighting factory?