Can a new drug combo outsmart resistant myeloma?
NCT ID NCT07742215
First seen Aug 03, 2026 · Last updated Aug 04, 2026 · Updated 1 time
Summary
This phase III trial is investigating whether adding an experimental drug called BCD-248 to daratumumab can improve outcomes for people with multiple myeloma that has returned or become resistant to treatment. The study will compare this new combination against the current standard of daratumumab, pomalidomide, and dexamethasone. Participants are adults with confirmed multiple myeloma who have had one to three prior lines of therapy. The main goals are to see if the new combo increases the chance of achieving a deep remission and extends the time before the disease progresses.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BCD-248 combined with daratumumab
- What this could lead to
- If successful, this combination could offer a new, more effective treatment option for people with multiple myeloma that has returned or stopped responding to prior therapies.
- What could go wrong
- This is an early-stage comparison, and the new combination may not prove better than the existing regimen. Side effects are possible, and results may not apply to all patients.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 390 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Jun 2026
- Expected to finish
-
Oct 2032
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Signed informed consent form. * Age ≥18 years. * Documented diagnosis of multiple myeloma according to the IMWG criteria. * Measurable disease at screening. * At least 1, but not more than 3 prior lines of antimyeloma therapy, including lenalidomide and a proteasome inhibitor. * Documented progression according to the IMWG criteria during or after the last line of therapy. * ECOG score 0-2. * Resolution of symptoms of toxicity on the prior line of therapy. Exclusion Criteria: * Prior therapy with anti-BCMA or anti-CD3 drugs, pomalidomide. * Refractory to anti-CD38 monoclonal antibodies according to the IMWG criteria. * Use of any investigational products or medical devices within 28 days prior to randomization or planned use of investigational products or medical devices during participation in this study. * Hematopoietic stem cell transplantation - prior to randomization or planned during the study * Plasmapheresis within 14 days prior to randomization. * Administration of a live attenuated vaccine within 28 days prior to randomization. * A history of myelodysplastic syndrome or other malignancies other than multiple myeloma within 5 years prior to screening. * Life-threatening acute complications of the underlying disease. * Concomitant diseases and/or conditions that significantly increase the risk of AEs during the study: 1. Stable angina pectoris, functional class III-IV. 2. Unstable angina pectoris and/or myocardial infarction within 6 months prior to randomization. 3. Congestive heart failure, NYHA class III-IV. 4. Clinically significant (according to the Investigator) cardiac arrhythmia and conduction disorders that do not respond to the maximum possible antiarrhythmic therapy (therapy must be stable for 4 weeks before the planned start of the study therapy). 5. Moderate to severe asthma, uncontrolled asthma, asthma with forced expiratory volume in 1 second \<50% of predicted normal. 6. Chronic obstructive pulmonary disease with forced expiratory volume in 1 second \<50% of predicted normal. 7. A history of angioneurotic edema, severe respiratory failure. 8. Active autoimmune diseases. Patients with type 1 diabetes mellitus and hypothyroidism, requiring only hormone replacement therapy, as well as with skin diseases (vitiligo, alopecia, psoriasis, etc.), which do not require systemic therapy, are allowed to participate. 9. Thromboembolic (deep vein thrombosis, pulmonary embolism) or cerebrovascular (stroke, transient ischemic attack) events within 6 months prior to randomization. 10. Any infection within 14 days prior to randomization that requires systemic etiological therapy or may, in the Investigator's opinion, increase the risk of infectious complications. 11. Any other concomitant disease or condition, which, in the Investigator's opinion, significantly increases the risk of AEs in the study. * Subjects with amyloidosis, POEMS syndrome, plasma cell leukemia * CNS involvement or clinical signs of meningeal involvement of multiple myeloma. * HIV infection, active HBV infection, hepatitis C. * Hypersensitivity, allergy, or intolerance to monoclonal antibodies or any component of BCD-248, daratumumab, pomalidomide, or dexamethasone. * Major surgery within less than 14 days prior to the expected start of the study therapy, incomplete recovery from surgery, or planned surgery during participation in the study. * Pregnancy or breastfeeding, as well as intention to become pregnant or father a child during the study period and within 180 days after receiving the last dose of the IP.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Myeloma multiple are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
16 sites in 2 countries. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
BHI of the Omsk region "Clinical Oncological Dispensary"
RECRUITINGOmsk, Russia
-
Branch Office of Hadassah Medical Ltd.
RECRUITINGMoscow, Russia
-
FSBEI HE "Saratov State Medical University named after V.I. Razumovsky" of the Ministry of Health of Russia
RECRUITINGSaratov, Russia
-
FSBEI of Higher Education "Samara State Medical University" of the Ministry of Health of the Russian Federation
RECRUITINGSamara, Russia
-
FSBI "National Medical Research Center named after V.A. Almazov" of the Ministry of Health of the Russian Federation
RECRUITINGSaint Petersburg, Russia
-
FSBI "Russian Research Institute of Hematology and Transfusiology" of the Federal Medical and Biological Agency
RECRUITINGSaint Petersburg, Russia
-
Private healthcare institution "Clinical hospital "RZD-Medicine" of the city of Smolensk"
RECRUITINGSmolensk, Russia
-
Regional Government-Owned Publicly Funded Healthcare Institution "Regional Clinical Hospital"
RECRUITINGKrasnoyarsk, Russia
-
SAHI "Republican Clinical Oncology Dispensary of the Ministry of Health of the Republic of Tatarstan named after Professor M.Z. Sigal"
RECRUITINGKazan', Russia
-
SBHI "Chelyabinsk regional clinical hospital"
RECRUITINGChelyabinsk, Russia
-
SBHI "Leningrad Regional Clinical Hospital"
RECRUITINGSaint Petersburg, Russia
-
SBHI "Regional oncological dispensary"
RECRUITINGIrkutsk, Russia
-
SBHI "Republican Clinical Hospital named G.G. Kuvatov"
RECRUITINGUfa, Russia
-
SI "Republican Scientific and Practical Center for Radiation Medicine and Human Ecology"
RECRUITINGHomyel, Belarus
-
St. Petersburg State Healthcare Institution "City Hospital No. 15"
RECRUITINGSaint Petersburg, 190000, Russia
-
State Budgetary Healthcare Institution "Oncological Dispensary No.2" of the Ministry of Health of the Krasnodar Region
RECRUITINGSochi, Russia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Real-world data on multiple myeloma immunotherapies could reshape monitoring and improve survival
- Could an ALS drug clear the fog of chemo brain?
- Immune cell 'Fitness' may predict success of advanced myeloma therapies in older patients
- Gene clues may unlock new treatments for bone marrow cancer
- New study monitors infection risks in blood cancer patients on bispecific antibodies
- New drug cocktail aims to tackle myeloma that resists CAR-T therapy