Off-the-Shelf CAR t cells take on Hard-to-Treat myeloma
NCT ID NCT04093596
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase study tested a new type of CAR T cell therapy, called ALLO-715, made from donor cells (not the patient's own). It was given to 73 adults with multiple myeloma that had come back or stopped responding to at least three prior treatments. The goal was to check safety and see if adding another drug, nirogacestat, could help the CAR T cells work better. Because this is a disease-control approach and not a cure, patients may still need ongoing management.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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73 people
The number who actually took part.
- Started
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Sep 2019
- Finished
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Jan 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Documented diagnosis of relapsed/refractory multiple myeloma (MM) with measurable disease (serum, urine, or free light chain \[FLC\]) per International Myeloma Working Group (IMWG) criteria * At least 3 prior lines of MM therapy, including a proteasome inhibitor, immunomodulatory agent, and anti-CD38 antibody (unless contraindicated), and refractory to the last treatment line. * Eastern Cooperative Oncology Group (ECOG) 0 or 1 * Absence of donor (product)-specific anti-HLA antibodies * Adequate hematologic, renal, hepatic, pulmonary, and cardiac function Exclusion Criteria: * Current or history of Central Nervous System (CNS) involvement of myeloma or plasma cell leukemia * Clinically significant CNS disorder * Current or history of thyroid disorder * Autologous stem cell transplant within the last 6 weeks, or any allogeneic stem cell transplant * Prior treatment with anti-BCMA therapy, any gene therapy, any genetically modified cell therapy, or adoptive T cell therapy * History of HIV infection or acute or chronic active hepatitis B or C infection * Patients unwilling to participate in an extended safety monitoring period Additional Exclusion Criteria for Nirogacestat plus ALLO-715 Cohorts * Inability to swallow tablets * Subject has known malabsorption syndrome or preexisting gastrointestinal conditions that may impair absorption of nirogacestat * Use of strong/moderate CYP3A4 inhibitors, and strong CYP3A4 inducers within 14 days before starting nirogacestat. * Use of concomitant medications that are known to prolong the QT/QTcF interval
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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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Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234, United States
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City of Hope
Duarte, California, 91010, United States
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Cleveland Clinic Taussig Cancer Center
Cleveland, Ohio, 44195, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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Sarah Cannon/Colorado Blood Cancer Institute
Denver, Colorado, 80218, United States
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St. David's South Austin Medical Center
Austin, Texas, 78704, United States
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Stanford Cancer Institute
Palo Alto, California, 94305, United States
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Texas Transplant Institute
San Antonio, Texas, 78229, United States
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Vanderbilt-Ingram Cancer Center
Nashville, Tennessee, 37203, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Engineered immune cells take aim at Hard-to-Treat myeloma
- Can engineered immune cells outsmart Treatment-Resistant myeloma?
- Can a lower dose of a myeloma drug keep the disease in check with fewer side effects?
- A pre-treatment pill may supercharge cancer-fighting immune cells