New antibody takes on Hard-to-Treat myeloma
NCT ID NCT06381141
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This early-stage trial is testing a drug called CLN-619 in 30 people with multiple myeloma that has come back or stopped responding to treatment. CLN-619 is an antibody designed to help the immune system attack cancer cells. The main goals are to check safety and see if the drug shrinks tumors.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- CLN-619 (an antibody that targets MICA/MICB proteins on cancer cells)
- What this could lead to
- If it works, this could point toward a new treatment option for multiple myeloma that has stopped responding to other therapies.
- What could go wrong
- This is a very early (Phase 1b) and small (30 people) study focused mainly on safety. It may not show enough benefit or could have side effects that limit its use.
Why investors are watching
Cullinan Therapeutics is testing its drug CLN-619 in patients with multiple myeloma that has returned or stopped responding to other treatments. This early-stage trial will show whether the drug is safe and can control the disease, which matters because CLN-619 is a new type of antibody that targets stress signals on cancer cells. For a small company, this readout is a key test of whether the drug has a future in a competitive cancer market.
If it works: If the trial shows CLN-619 is safe and controls the disease in these hard-to-treat patients, Cullinan could advance the drug to later-stage studies. That result would validate the drug's mechanism and strengthen the company's pipeline.
If it fails: Early-stage trials often fail, and CLN-619 may not show enough benefit or may cause safety problems. A negative or unclear result could set the program back and hurt the company's prospects, since it has few other late-stage assets.
AI-written from the trial record. Speculative, and not investment advice.
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 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- 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.
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: 1. Aged ≥ 18 years at the time of signing the ICF. 2. Willing and able to give written informed consent and adhere to protocol requirements. 3. Patient has a history of multiple myeloma with relapsed and refractory disease as defined by the protocol. 4. Patients must have measurable disease (as determined by the local laboratory) as defined by the protocol. 5. Performance status of 0 to 2 based on the Eastern Cooperative Oncology Group (ECOG) performance scale. 6. Estimated life expectancy of 12 weeks or longer. 7. Prior palliative radiotherapy must have been completed at least 14 days prior to dosing on Cycle 1 Day 1. 8. Toxicities related to prior study therapy should have resolved to Grade 1 or less according to criteria of NCI CTCAE v5.0, except for alopecia. Patients with chronic but stable Grade 2 toxicities may be allowed to enroll after an agreement between the Investigator and Sponsor. 9. Have adequate liver and kidney function and hematological parameters within a normal range as defined by the protocol. Exclusion Criteria: 1. Patient has symptomatic central nervous system involvement of MM. 2. Patient has nonsecretory MM, plasma cell leukemia, Waldenstrom's macroglobulinemia, POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes), or amyloidosis. 3. Patient had a prior autologous stem cell transplant ≤ 3 months prior to first dose of study drug on Cycle 1 Day 1. 4. Patient had a prior allogeneic stem cell transplant with either standard or reduced intensity conditioning ≤ 6 months prior first dose of study drug on Cycle 1 Day 1 or is on systemic immunosuppression for graft-versus-host disease. 5. Patients with concomitant second malignancies (Except adequately treated non-melanomatous skin cancers, ductal carcinoma in situ, superficial bladder cancer, prostate cancer, Grade 1 stage 1A/1B endometrioid endometrial cancer or cervical cancer in situ) are excluded unless in complete remission three years prior to study entry, and no additional therapy is required or anticipated to be required during study participation. 6. Patients with any active autoimmune disease or a history of known or suspected autoimmune disease, or history of a syndrome that requires systemic corticosteroids treatment or immunosuppressive medications, except for patients with vitiligo, resolved childhood asthma/atopy or autoimmune thyroid disorders on stable thyroid hormone supplementation. 7. A serious uncontrolled medical disorder that would impair the ability of the patient to receive protocol therapy or whose control may be jeopardized by the complications of this therapy. 8. Treatment with systemic antiviral, antibacterial or antifungal agents for acute infection within ≤ 7 days of first dose of study drug on Cycle 1 Day 1. 9. Patient has active peripheral neuropathy or neuropathic pain Grade 2 or higher, as defined by the NCI-CTCAE v5.0. 10. Diagnosed with HIV, Hepatitis B, or Hepatitis C infection. 11. Treatment with non-oncology vaccines for the control of infectious diseases (i.e., HPV vaccine) within 28 days of first dose of study drug on Cycle 1 Day 1. 12. Active SARS-CoV-2 infection based on positive SARS-CoV-2 test within 4 weeks prior to enrollment or patients with suspected active infection based on clinical features or pending results. 13. Has received immunosuppressive medications including but not limited to CellCept, methotrexate, infliximab, anakinra, tocilizumab, cyclosporine, or corticosteroids (≥ 10 mg/day of prednisone or equivalent), within 28 days of first dose of study drug on Cycle 1 Day 1. 14. Patient has history of drug-related anaphylactic reactions to any components of CLN-619. History of Grade 4 anaphylactic reaction to any monoclonal antibody therapy. 15. Certain treatment with investigational agents and other anti-neoplastic therapy as defined by the protocol 16. Female of child-bearing potential (FOCBP) who is pregnant or breast-feeding, plans to become pregnant within 120 days of last study drug administration or declines to use an acceptable method to prevent pregnancy during study treatment and for 120 days after the last dose of study drug administration. 17. Male patients who plans to father a child or donate sperm within 120 days or 5 half-lives of CLN-619, whichever comes later, of last study drug administration, or who has a partner who is a FOCBP, and declines to use an acceptable method to prevent pregnancy during study treatment and for 120 days or 5 half-lives of CLN-619, whichever comes later, after the last dose of study drug administration.
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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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Levine Cancer Institute
Charlotte, North Carolina, 28204, United States
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Levine Cancer Institute
Winston-Salem, North Carolina, 27157, United States
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Mayo Clinic
Phoenix, Arizona, 85054, United States
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Mayo Clinic
Jacksonville, Florida, 32224, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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Memorial Sloan Kettering (MSK)
New York, New York, 10065, United States
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Mt. Sinai
New York, New York, 10029, United States
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University of Texas Southwestern Medical Center
Dallas, Texas, 75390, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Bispecific antibody combo aims to deepen myeloma responses
- Can a stronger drug cocktail give older myeloma patients a better start?
- Cheap blood count ratios eyed as window into Myeloma's inflammatory grip
- Can a t-cell engager rescue myeloma that outsmarted CAR-T?
- Can myeloma treatment work without steroids?
- Double-Drug attack on Hard-to-Treat lymphomas