New drug shows promise in multiple myeloma battle
NCT ID NCT07477587
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests if a new drug, HLX15-SC, works as well as the approved drug DARZALEX FASPRO® for people with newly diagnosed multiple myeloma who cannot have a stem cell transplant. About 258 adults will receive either the new drug or the approved one, along with standard medications, for up to 32 weeks. The goal is to compare how the drugs move through the body, their safety, and their effectiveness.
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 258 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 2028
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. Age ≥ 18 years at the time of signing the informed consent form (ICF). 2. Body mass index (BMI): 18.5 kg/m2 ≤ BMI \< 28 kg/m2. 3. Subjects must participate voluntarily, understand the study, and sign the ICF. 4. Patients must have a documented diagnosis of multiple myeloma (MM) according to the International Myeloma Working Group (IMWG) criteria, with measurable lesion . 5. Serum albumin ≥ 35 g/L. 6. Newly diagnosed, untreated, and considered ineligible for high-dose chemotherapy with autologous stem cell transplantation (ASCT) by the investigator. 7. The patient's ECOG performance status must be 0 or 1 . 8. Patient must have clinical laboratory values meeting the following criteria during the screening period: 1. Hemoglobin ≥ 7.5 g/dL (≥ 5 mmol/L; red blood cell \[RBC\] transfusion or use of recombinant human erythropoietin at least 1 week prior to randomization is allowed). 2. Absolute neutrophil count (ANC) ≥ 1.0 × 109/L (use of granulocyte-colony stimulating factor \[G-CSF\] is allowed). 3. Alanine aminotransferase (ALT) ≤ 2.5 × upper limit of normal (ULN). 4. Without the following evidence of impaired liver function, including mild impairment (total bilirubin ≤ ULN and AST \> ULN or ULN \< total bilirubin ≤ 1.5 x ULN), moderate impairment (1.5 x ULN \< total bilirubin ≤ 3 x ULN), and severe impairment (total bilirubin \> 3 x ULN). 5. Measured creatinine clearance ≥ 40 mL/min . 6. Corrected serum calcium \< 14 mg/dL (\< 3.5 mmol/L); or free ionized calcium \< 6.5 mg/dL (\< 1.6 mmol/L) . 7. Platelet count ≥ 70 × 109/L for patients with plasma cells \< 50% of bone marrow nucleated cells; platelet count \> 50 × 109/L for all other patients (transfusion within 3 days prior to randomization to achieve the minimum platelet count is not permitted). 9. Contraceptive criteria: Contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. 1. Female patients: a female patient is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies: Not a woman of childbearing potential (WOCBP) or WOCBP: must commit to either abstain continuously from heterosexual sexual intercourse or to use 2 methods of reliable birth control simultaneously from signed ICF to at least 140 days following the last dose of study products. This includes one highly effective contraceptive method with a failure rate of \< 1% per year (tubal ligation, intrauterine device, hormonal \[birth control pills, injections, hormonal patches, vaginal rings or implants\] or partner's vasectomy) and one additional effective contraceptive method (male latex or synthetic condom, diaphragm, or cervical cap). Reliable contraception is indicated even where there has been a history of infertility, unless due to hysterectomy or bilateral oophorectomy. The subjects also need to agree not to donate or cryopreservation eggs (ova, oocytes) from signed ICF to at least 140 days following the last dose of study products. 2. Male patients: male patients are eligible to participate if they agree to the following during the intervention period and for at least 140 days following the last dose of study products: Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) and agree to remain abstinent. or Agree to use a male condom and female partner to use an additional highly effective contraceptive method with a failure rate of \<1% per year as when having sexual intercourse with a woman of childbearing potential who is not currently pregnant. Agree not to donate or cryopreservation sperm. 10. A WOCBP must have a negative serum pregnancy test at screening within 72 h prior to randomization. The investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a woman with an early undetected pregnancy Exclusion Criteria: 1. Patient has a diagnosis of primary amyloidosis, monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), Waldenström's disease, or other conditions in which IgM M-protein is present in the absence of a clonal plasma cell infiltration with lytic bone lesions. 2. Patient has plasma cell leukemia (according to IMWG criterion: ≥ 5% of plasma cells in the peripheral blood and/or an absolute plasma cell count of ≥ 2 x 109/L) or POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes). 3. Patient has prior or current systemic therapy or ASCT for MM, with the exception of an emergency use of a short course (equivalent of dexamethasone 40 mg/day for a maximum 4 days) of corticosteroids before randomization. 4. Patient has peripheral neuropathy or neuropathic pain Grade 2 or higher, as defined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 6. 5. Patient has a history of malignancy (other than MM) within 3 years before the date of randomization (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix, or malignancy that in the opinion of the investigator is considered cured with minimal risk of recurrence within 3 years). 6. Patient has clinical signs of meningeal involvement of MM. 7. Patient has known chronic obstructive pulmonary disease (COPD) (defined as a forced expiratory volume in 1 second \[FEV1\] \< 50% of predicted normal), persistent asthma, or a history of asthma within the last 2 years. Patient with known or suspected COPD or asthma must have a FEV1 test during screening. 8. Patient is known to be seropositive for history of human immunodeficiency virus (HIV) or known to have treponema pallidum antibodies (Anti-TP). 9. Patient is known to have active hepatitis B or C. 1. Patient is seropositive for hepatitis B (defined by a positive test for hepatitis B surface antigen \[HBsAg\]). Patients with resolved infection (that is, patients who are HBsAg negative but positive for antibodies to hepatitis B core antigen \[Anti-HBc\] and/or antibodies to hepatitis B surface antigen \[Anti-HBs\]) must be screened using real-time polymerase chain reaction (PCR) measurement of hepatitis B virus (HBV) deoxyribonucleic acid (DNA) levels. Those who are PCR positive will be excluded. EXCEPTION: Patients with serologic findings suggestive of HBV vaccination (Anti-HBs positivity as the only serologic marker) AND a known history of prior HBV vaccination, do not need to be tested for HBV DNA by PCR. 2. Patient is seropositive for hepatitis C must be screened using PCR measurement of hepatitis C virus (HCV) ribonucleic acid (RNA) levels. Those who are PCR positive will be excluded. 10. Patient has any concurrent medical or psychiatric condition or disease (e.g., active systemic infection, uncontrolled diabetes, acute diffuse infiltrative pulmonary disease) that is likely to interfere with the study procedures or results, or that in the opinion of the investigator, would constitute a hazard for participating in this study. 11. Patient has clinically significant cardiac disease, including: 1. Myocardial infarction within 1 year before randomization, or an unstable or uncontrolled disease/condition related to or affecting cardiac function (e.g., unstable angina, congestive heart failure, New York Heart Association \[NYHA\] Class III-IV ). 2. Cardiac arrhythmia (NCI-CTCAE Version 6 Grade ≥ 2) or clinically significant ECG abnormalities. 3. Screening 12-lead ECG showing a baseline QT interval as corrected by Fridericia's formula (QTcF) (See Appendix 6) \> 470 ms. 12. Patient has known allergies, hypersensitivity, or intolerance to lenalidomide, corticosteroids, monoclonal antibodies or human proteins, or their excipients or known sensitivity to mammalian-derived products. 13. Patient has history of drug abuse or substance abuse one year prior to randomization. Patient is known or suspected of not being able to comply with the study protocol (e.g., because of alcoholism, drug dependency, or psychological disorder). 14. Patient is a woman who is pregnant, or breast-feeding, or planning to become pregnant or donate eggs (ova, oocytes) while enrolled in this study or within 140 days after the last dose of study products. Or patient is a man who plans to father a child and/or donate sperm while enrolled in this study or within 140 days after the last dose of study products. Patient does not agree to abstain completely from sexual intercourse, or plan to use a contraceptive method that is not acceptable to the investigator (unacceptable methods of contraception include: i. periodic abstinence \[such as calendar method, ovulation method, basal body temperature method, post-ovulation safety period method, etc.\], withdrawal, etc.; ii. medical contraceptive measures such as oral contraceptives, contraceptive injections, contraceptive patches, subcutaneous implantation, intrauterine hormone contraceptive devices, local contraceptives such as spermicides, etc.). 15. Patient had radiation therapy within 14 days of randomization. 16. Patient had plasmapheresis within 28 days of randomization. 17. Patient had a history of blood donation or total blood loss of 200 mL or more within 3 months before randomization. 18. Patient had major surgery within 28 days before randomization or has not fully recovered from surgery, or has surgery planned during the time the patient is expected to participate in the study or within 28 days after the last dose of study treatment. Kyphoplasty is not considered major surgery. 19. Patient in clinical trials of any other drug or device within 3 months (or 5 half-lives of the corresponding investigational product if the half-life of the drug is long \[5 half-lives \> 3 months\]) before randomization. 20. Patient has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the patient (e.g., compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
81 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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Affiliated Hospital of Hebei University
RECRUITINGBaoding, Hebei, 071030, China
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Affiliated Hospital of Jiangnan University
RECRUITINGWuxi, Jiangsu, 214000, China
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Affiliated Zhongshan Hospital of Dalian University
RECRUITINGDalian, Liaoning, 116001, China
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American Oncology Network Vista Oncology Division / Physician partner associate
RECRUITINGOlympia, Washington, 98506, United States
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Anhui Provincial Cancer Hospital
RECRUITINGHefei, Anhui, 230031, China
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Beijing Chao-Yang Hospital Capital Medical University
RECRUITINGBeijing, Beijing Municipality, 100027, China
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Cancer Specialists of North Florida
RECRUITINGJacksonville, Florida, 32256, United States
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Cangzhou People's Hospital
RECRUITINGCangzhou, Hebei, 061000, China
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Clinical Hospital Centre Zemun
NOT_YET_RECRUITINGBelgrade, 11080, Serbia
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D&H National Research Center
RECRUITINGMargate, Florida, 33063, United States
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First Affiliated Hospital of Gannan Medical University
RECRUITINGGanzhou, Jiangxi, 341000, China
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Florida Clinical Trials Group
RECRUITINGPlantation, Florida, 33322, United States
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Florida Clinical Trials Group
RECRUITINGTamarac, Florida, 33321, United States
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Guangdong General Hospital
RECRUITINGGuangzhou, Guangdong, 510080, China
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Guangxi Medical University Cancer Hospital
RECRUITINGNanning, Guangxi, 530213, China
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Guangzhou First People's Hospital
RECRUITINGGuangzhou, Guangdong, 510013, China
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Hangzhou First People's Hospital
RECRUITINGHangzhou, Zhejiang, 310006, China
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Harbin Medical University Cancer Hospital
RECRUITINGHarbin, Heilongjiang, 150069, China
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Hebei medical university third hospital
RECRUITINGShijiazhuang, Hebei, 050052, China
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Henan Cancer Hospital
RECRUITINGZhengzhou, Henan, 450003, China
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Henan Provincial People's Hospital
RECRUITINGZhengzhou, Henan, 450003, China
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Highlands Oncology Group, PA
RECRUITINGSpringdale, Arkansas, 72762, United States
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JSC K. Eristavi National Center of Experimental and Clinical Surgery
NOT_YET_RECRUITINGTbilisi, 0159, Georgia
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Jiangxi Cancer Hospital
RECRUITINGNanchang, Jiangxi, 330029, China
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Jining No.1 People's Hospital
RECRUITINGJining, Shandong, 272000, China
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LLC Caucasus Medical Centre
NOT_YET_RECRUITINGTbilisi, 0160, Georgia
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Liaoning Cancer Hospital & Institute
RECRUITINGShenyang, Liaoning, 110041, China
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Liuzhou Worker's Hospital
RECRUITINGLiuzhou, Guangxi, 545007, China
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Meizhou People's Hospital
RECRUITINGMeizhou, Guangdong, 514031, China
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Nuclear Industry General Hospital (The Second Affiliated Hospital of Soochow University)
RECRUITINGSuzhou, Jiangsu, 215004, China
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Ocala Oncology Center
RECRUITINGOcala, Florida, 34474, United States
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Oncology Consultants (P1 Trials -Exigent Network)
RECRUITINGHouston, Texas, 77030, United States
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Peking University First Hospital
RECRUITINGBeijing, Beijing Municipality, 100035, China
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Peking University Shenzhen Hospital
RECRUITINGShenzhen, Guangdong, 518036, China
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Peking University Third Hospital
RECRUITINGBeijing, Beijing Municipality, 100191, China
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Perth Blood Institute
RECRUITINGPerth, 6005, Australia
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Pontchartrain Cancer Center
RECRUITINGCovington, Louisiana, 70433, United States
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Renmin Hospital of Wuhan University
RECRUITINGWuhan, Hubei, 430061, China
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Shandong Provincial Hospital
RECRUITINGJinan, Shandong, 250022, China
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Shanxi Cancer Hospital
RECRUITINGTaiyuan, Shanxi, 030013, China
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Shengjing Hospital of China Medical University
RECRUITINGShenyang, Liaoning, 110004, China
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Shenzhen People's Hospital
RECRUITINGShenzhen, Guangdong, 518020, China
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Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital
RECRUITINGChengdu, Sichuan, 610073, China
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Sichuan Cancer Hospital
RECRUITINGChengdu, Sichuan, 610041, China
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Sir Run Run Hospital of Nanjing Medical University
RECRUITINGNanjing, Jiangsu, 211166, China
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Sir Run Run Shaw Hospital Zhejiang University School of Medicine(The Grand Canal Campus)
RECRUITINGHangzhou, Zhejiang, 310016, China
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The Affiliated Hospital of Guizhou Medical University
RECRUITINGGuiyang, Guizhou, 550004, China
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The Affiliated Hospital of Inner Mongolia Medical University
RECRUITINGHohhot, Inner Mongolia, 010030, China
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The Affiliated Hospital of Qingdao University
RECRUITINGQingdao, Shandong, 266001, China
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The Affiliated Hospital of Xuzhou Medical University
RECRUITINGXuzhou, Jiangsu, 221006, China
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The First Affiliated Hospital Of University South China
RECRUITINGHengyang, Hunan, 421001, China
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The First Affiliated Hospital of Bengbu Medical University
RECRUITINGBengbu, Anhui, 233000, China
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The First Affiliated Hospital of Chongqing Medical University
RECRUITINGChongqing, Chongqing Municipality, 400016, China
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The First Affiliated Hospital of Fujian Medical University
RECRUITINGFuzhou, Fujian, 350004, China
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The First Affiliated Hospital of Henan University of Science & Techinology
RECRUITINGLuoyang, Henan, 471003, China
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The First Affiliated Hospital of Nanchang University
RECRUITINGNanchang, Jangxi, 330008, China
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The First Affiliated Hospital of Ningbo University
RECRUITINGNingbo, Zhejiang, 315010, China
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The First Affiliated Hospital of Xiamen University
RECRUITINGXiamen, Fujian, 361001, China
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The First Affiliated Hospital of Zhengzhou University
RECRUITINGZhengzhou, Henan, 450052, China
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The First Affiliated Hospital, Zhejiang University School of Medicine
RECRUITINGHangzhou, Zhejiang, 310020, China
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The First Hospital of China Medical University
RECRUITINGShenyang, Liaoning, 110001, China
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The Second Affiliated Hospital of Anhui Medical University
RECRUITINGHefei, Anhui, 230601, China
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The Second Affiliated Hospital of Wenzhou Medical University
RECRUITINGWenzhou, Zhejiang, 325000, China
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The Second Hospital of Hebei Medical Universit
RECRUITINGShijiazhuang, Hebei, 050071, China
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The Second Hospital of Shanxi Medical University
RECRUITINGTaiyuan, Shanxi, 030001, China
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The Second Xiangya Hospital of Central South University
RECRUITINGChangsha, Hunan, 410011, China
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The second affiliated hospital of Nanchang University
RECRUITINGNanchang, Jangxi, 330008, China
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Tianjin Cancer Hospital Airport Hospital
RECRUITINGTianjin, Tianjin Municipality, 300308, China
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Tianjin Medical University Cancer Institute & Hospital
RECRUITINGTianjin, Tianjin Municipality, 300060, China
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Tianjin People's Hospital
RECRUITINGTianjin, Tianjin Municipality, 300131, China
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Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science & Technology
RECRUITINGWuhan, Hubei, 430030, China
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Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
RECRUITINGWuhan, Hubei, 430014, China
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University Clinical Center Kragujevac
NOT_YET_RECRUITINGKragujevac, 34000, Serbia
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University Clinical Center Nis
NOT_YET_RECRUITINGNiš, 8000, Serbia
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Weifang People's Hospital
RECRUITINGWeifang, Shandong, 261041, China
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Xinxiang Central Hospital
RECRUITINGXinxiang, Henan, 453000, China
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Zhejiang Provincial People's Hospital
RECRUITINGHangzhou, Zhejiang, 310015, China
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Zhongda Hospital Southeast University
RECRUITINGNanjing, Jiangsu, 210009, China
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Zhongnan Hospital of Wuhan University
RECRUITINGWuhan, Hubei, 430071, China
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Zhongshan Hospital, Fudan University
RECRUITINGShanghai, Shanghai Municipality, 200032, China
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Zhujiang Hospital of Southern Medical University
RECRUITINGGuangzhou, Guangdong, 510220, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Triple-Drug combo aims to deepen myeloma response before transplant
- Cell therapy targets a marker on myeloma cells
- Oral drug combo targets myeloma that escaped the bone marrow
- Can a Four-Drug combo tame Ultra-High-Risk myeloma?
- MRI scans may reveal hidden clues to myeloma relapse risk
- Can a dual immunotherapy erase hidden myeloma cells?