New drug combo for blood cancer tested in early trial
NCT ID NCT05590377
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-phase study tested a new drug called modakafusp alfa combined with daratumumab in 15 people with multiple myeloma that had returned or not responded to prior treatments. The main goals were to check safety and find the best dose. The trial was terminated early, so 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
- modakafusp alfa and daratumumab
- What this could lead to
- If it works, this combination could offer a new treatment option for people with multiple myeloma that has come back or stopped responding to other therapies.
- What could go wrong
- This was a very early, small trial (only 15 participants) that was terminated, so results are limited. The combination may cause side effects and may not work for everyone.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
-
15 people
The number who actually took part.
- Started
-
Jan 2023
- Finished
-
May 2024
- 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: 1. Documented multiple myeloma (MM) diagnosis per IMWG criteria. 2. Measurable disease, defined as at least 1 of the following: 1. Serum M protein ≥0.5 grams per deciliter \[g/dL\] (≥5 g/L) on serum protein electrophoresis (SPEP). 2. Urine M protein ≥200 mg/24 hours on urine protein electrophoresis (UPEP). 3. Serum free light chain (FLC) assay with involved FLC level ≥10 mg/dL (≥100 mg/L) provided serum FLC ratio is abnormal. 3. For participants in the Phase 1 Dose Escalation only: Must have received at least 3 prior lines of therapy, including at least 1 proteosome inhibitor (PI), 1 immunomodulatory imide drug (IMiD), and 1 anti-CD38 monoclonal antibody (mAb) drug; or who are triple refractory to a PI, an IMiD, and an anti-CD38 mAb drug, regardless of the number of prior line(s) or therapy. 4. For participants in Phase 2a Dose Finding only: 1. Received 1 to 3 prior line(s) of antimyeloma therapy. 2. Must be refractory to prior lenalidomide treatment. 3. Participants must be sensitive (nonrefractory) or naïve to prior anti-CD38 mAb treatment. 4. Documented progressive disease on or after the last regimen. 5. Participants must have PR or better to at least 1 line of prior therapy. 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 at screening. Exclusion Criteria: 1. Prior exposure to modakafusp alfa. 2. Participant has polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome, solitary plasmacytoma, amyloidosis, Waldenström macroglobulinemia, plasma cell leukemia, or lymphoplasmacytic lymphoma. 3. Participant has not recovered from adverse reactions to prior myeloma treatment or procedures (chemotherapy, immunotherapy, radiation therapy) to NCI CTCAE, Version 5 Grade ≤1 or baseline, except for alopecia. 4. Previous allogeneic stem cell transplant at any time or autologous stem cell transplant (ASCT) within 12 weeks of planned start of dosing. 5. Seropositive for hepatitis B, or known history of seropositivity for hepatitis C or of seropositivity for human immunodeficiency virus (HIV). 6. Participant has congestive heart failure (New York Heart Association Grade ≥II), cardiac myopathy, active ischemia, or any other uncontrolled cardiac condition such as angina pectoris, clinically significant arrhythmia requiring therapy including anticoagulants, or clinically significant uncontrolled hypertension. 7. Participant has QT interval corrected by the Fridericia method \>480 milliseconds \[msec\] (Grade ≥2). 8. Participant has a chronic condition that will require the chronic use of systemic corticosteroids \>10 milligrams per day (mg/d) of prednisone or equivalent on top of any required corticosteroids for multiple myeloma (MM).
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Multiple myeloma 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.
Contacts and locations
Locations
-
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234, United States
-
CHRU Lille
Lille, Hauts-de-France, 59037, France
-
Cedars-Sinai Medical Center
Los Angeles, California, 77598, United States
-
Centre Hospitalier Universitaire De Sherbrooke (CHUS) - Centre de Recherche Clinique Etienne-Le Bel (CRCELB) Hopital Fleurimont
Sherbrooke, Quebec, J1H 5N4, Canada
-
Chonnam National University Hwasun Hospital
Hwasun, Jeollanam-do, 58128, South Korea
-
Concord Repatriation General Hospital
Concord, New South Wales, 2139, Australia
-
Floating Hospital for Children at Tufts Medical Center
Boston, Massachusetts, 02111, United States
-
Fort Wayne Medical Oncology and Hematology, Inc
Fort Wayne, Indiana, 46060, United States
-
Fundacion Instituto de Estudios Ciencias de la Salud de Castilla y Leon-Investigacion Biomedica de Salamanca (IBSAL)
Salamanca, 37007, Spain
-
HCA Midwest Health (Midwest Ventures Group HCA MidAmerica Division)
Overland Park, Kansas, 66211, United States
-
Hospital Universitario Vall d'Hebron
Barcelona, 08035, Spain
-
Institut Paoli-Calmettes
Marseille, Provence-Alpes-Côte d'Azur Region, 13273, France
-
Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
Tianjin, Tianjin Municipality, 300020, China
-
New York Cancer and Blood Specialists
Bay Shore, New York, 11706, United States
-
Samsung Medical Center
Seoul, 06351, South Korea
-
Stony Brook University Hospital
Stony Brook, New York, 11794, United States
-
Summit Medical Group PA
Florham Park, New Jersey, 07932, United States
-
Sun Yat-Sen University Cancer Center
Guangzhou, Guangdong, 510060, China
-
The Alfred Hospital
Melbourne, Victoria, 3004, Australia
-
The Catholic University of Korea, Seoul St. Marys Hospital
Seoul, 06591, South Korea
-
Tranquil Clinical Research
Webster, Texas, 78041, United States
-
Tulane University Health Sciences Center
New Orleans, Louisiana, 70112, United States
-
University of Cincinnati - Vontz Center for Molecular Studies
Cincinnati, Ohio, 45267, United States
-
University of Nebraska Medical Center
Omaha, Nebraska, 68198, United States
-
Washington University School of Medicine
St Louis, Missouri, 63130, United States
-
Wuhan Union Hospital
Wuhan, Hubei, 430022, China
-
Zhejiang University School of Medicine - The First Affiliated Hospital (Zhejiang Provincial First Hospital)
Hangzhou, Zhejiang, 310003, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 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
- Banking blood and bone marrow to decode plasma cell disorders
- Which scan sees hidden myeloma better: PET or MRI?