Pfizer tests new drug cocktail for Hard-to-Treat myeloma
NCT ID NCT05090566
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested elranatamab, a bispecific antibody that helps the immune system attack cancer cells, in combination with other drugs for people with multiple myeloma that had stopped responding to at least three prior treatments. The trial aimed to find the safest dose and see if the combinations could shrink tumors. However, the study was terminated early after enrolling 46 participants, so the full results are not available.
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 bispecific antibody) combined with either nirogacestat or lenalidomide plus dexamethasone
- What this could lead to
- If successful, this could point toward a new combination treatment for multiple myeloma that has stopped responding to standard therapies.
- What could go wrong
- The trial was terminated early with only 46 participants, so results are limited. It is still early-stage research, and the combinations may not prove safe or effective in larger studies.
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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46 people
The number who actually took part.
- Started
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Oct 2021
- Finished
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Mar 2026
- 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
-
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: * Relapsed/refractory multiple myeloma with at least 3 prior lines of therapy * Refractory to at least one IMiD, one proteasome inhibitor, and one anti-CD38 antibody * Measurable disease defined by at least one of the following: 1. Serum M-protein \>/= 0.5 g/dL by SPEP 2. Urinary M-protein excretion \>/= 200 mg/24 hours by UPEP 3. Serum immunoglobulin FLC \>/= 10 mg/dL (\>/= 100 mg/L) AND abnormal serum immunoglobulin kappa to lambda FLC ratio * ECOG performance status 0 -1 * Resolved acute effects of any prior therapy to baseline severity or CTCAE Grade \</= 1 Exclusion Criteria: * Active plasma cell leukemia * Amyloidosis * Stem cell transplant with 12 weeks prior to enrollment, or active GVHD * POEMS syndrome * Any active uncontrolled bacterial, fungal, or viral infection * Impaired cardiovascular function or clinically significant cardiovascular diseases within 6 months prior to enrollment * Previous administration with an investigational drug within 30 days or 5 half-lives preceding the first dose of study treatment (whichever is longer) * Sub-Study A Only: Previous treatment with BCMA bispecific antibody * Sub-Study B Only: Previous treatment with BCMA directed therapy
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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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Arthur J.E. Child Comprehensive Cancer Centre
Calgary, Alberta, T2N 5G2, Canada
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Banner Gateway Medical Center
Gilbert, Arizona, 85234, United States
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Banner Gateway Medical Pavilion
Gilbert, Arizona, 85234, United States
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Banner Health d.b.a. Banner MD Anderson Cancer Center
Phoenix, Arizona, 85012, United States
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Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234, United States
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Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
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Beverly Hills Cancer Center
Beverly Hills, California, 90211, United States
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Cedars Sinai Medical Center
Los Angeles, California, 90048, United States
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Cedars Sinai Medical Center Oncology IDS Pharmacy Attn:Suwicha Limvorasak ,PharmaD
Los Angeles, California, 90048, United States
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Cedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute (SOCCI)
Los Angeles, California, 90048, United States
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Cedars-Sinai Tarzana
Tarzana, California, 91356, United States
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Clinical Research Advisors
Encino, California, 91316, United States
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Clinical Research Advisors
Los Angeles, California, 90020, United States
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Clinical Research Advisors
Los Angeles, California, 90048, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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OIDS, The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, 21231, United States
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Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9, Canada
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Sylvester Comprehensive Cancer Center
Miami, Florida, 33136, United States
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Sylvester Comprehensive Cancer Center - The Lennar Foundation Medical Center
Coral Gables, Florida, 33146, United States
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Sylvester Comprehensive Cancer Center- Deerfield Beach
Deerfield Beach, Florida, 33442, United States
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The Johns Hopkins University School of Medicine
Baltimore, Maryland, 21205, United States
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The Ottawa Hospital - General Campus
Ottawa, Ontario, K1H 8L6, Canada
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The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins (Also Imaging Facility)
Baltimore, Maryland, 21231, United States
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UHealth Tower
Miami, Florida, 33136, United States
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University of Miami
Coral Gables, Florida, 33146, 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