New antibody drug shows promise for Hard-to-Treat blood cancer
NCT ID NCT03933735
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new drug called TNB-383B in about 220 adults with multiple myeloma that has come back or not responded to at least three prior treatments. The drug works by helping the immune system attack cancer cells. The main goals are to find the safest dose and check for side effects.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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220 people
The number who actually took part.
- Started
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Jun 2019
- Expected to finish
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May 2026
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: * Has received three or more prior lines of therapy with exposure to a proteasome inhibitor (PI), an immunomodulatory imide (IMiD) and an anti-CD38 monoclonal antibody. * Must have adequate bone marrow function as defined in the protocol. * Must have an estimated glomerular filtration rate \>= 30 mL/min as estimated by the Modification of Diet in Renal Disease formula. * Must have total bilirubin \<= 1.5 × upper limit of normal (\[ULN\]; except if the subject has a known diagnosis of Gilbert's syndrome, in which case bilirubin must be \< 3 x ULN). * Serum calcium (corrected for albumin) at or below the ULN range. * Has Measurable Disease, defined as at least 1 of the following: * Serum M-protein \>= 0.5 g/dL (\>= 5 g/L). * Urine M-protein \>= 200 mg / 24h. * Serum free light chain (FLC) assay: Involved FLC level \>= 10 mg/dl (\>=100 mg/L) and an abnormal serum FLC ratio (\< 0.26 or \> 1.65). * Has confirmed evidence of relapse/progression from the immediately prior MM therapy, or participant is relapsed/refractory to the immediately prior MM therapy. * Consents to a fresh pretreatment bone marrow tumor biopsy or has adequate archival bone marrow tumor tissue that was collected within 6 months prior to screening and without intervening treatment. Exclusion Criteria: * Has been diagnosed or treated for another malignancy within 3 years of enrollment, with the exception of basal cell or squamous cell carcinoma of the skin, in situ malignancy, low-risk prostate carcinoma after curative therapy, or complete resection/curative therapy of an advanced malignancy. * History of central nervous system involvement by their myeloma. * History of Grade \>= 3 peripheral neuropathy. * History of plasma cell leukemia, polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin changes (POEMS) syndrome, or amyloidosis. * Has received another investigational drug within 21 days of enrollment. * Has ever received BCMA-targeted therapy. * Has received a autologous stem cell transplant within 12 weeks or an allogeneic stem cell transplant within 1 year of the first dose of study drug treatment. * Has any medical or psychiatric condition which in the opinion of the investigator or study Medical Monitor places the participant at an unacceptably high risk for toxicities, could interfere with successful or safe delivery of therapy, or could interfere with evaluation of the investigational product or interpretation of participant safety or study results. * Has received any therapy to treat cancer or undergone a major surgical procedure within 21 days, or within 5 half-lives of an anticancer drug, prior to the first dose of study treatment, whichever is shorter. * Has known active infection Grade \>= 2 requiring anti-infective treatment. * Has a history of major cardiac abnormalities. * Has unresolved adverse events as defined in the protocol.
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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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Atrium Health Levine Cancer Institute /ID# 238786
Charlotte, North Carolina, 28204, United States
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Atrium Health Wake Forest Baptist Medical Center /ID# 238787
Winston-Salem, North Carolina, 27157, United States
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Duplicate_Universitaetsklinikum Muenster /ID# 239637
Münster, North Rhine-Westphalia, 48149, Germany
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Mayo Clinic - Rochester /ID# 238683
Rochester, Minnesota, 55905-0001, United States
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Memorial Sloan Kettering Cancer Center-Koch Center /ID# 244831
New York, New York, 10065-6007, United States
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Mt Sinai /ID# 242317
New York, New York, 10029-6542, United States
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Tulane University School of Medicine /ID# 242322
New Orleans, Louisiana, 70112, United States
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Universitaetsklinikum Carl Gustav Carus Dresden /ID# 239638
Dresden, Saxony, 01307, Germany
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Universitaetsklinikum Hamburg-Eppendorf /ID# 239636
Hamburg, 20246, Germany
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Universitaetsklinikum Koeln /ID# 239676
Cologne, North Rhine-Westphalia, 50937, Germany
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University of California San Francisco (UCSF) - Parnassus Heights /ID# 238680
San Francisco, California, 94143, United States
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University of North Carolina /ID# 238685
Chapel Hill, North Carolina, 27514, United States
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Washington University-School of Medicine /ID# 238681
St Louis, Missouri, 63110, United States
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Wisconsin Medical Center /ID# 238684
Milwaukee, Wisconsin, 53226, 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