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Immunotherapy

Modakafusp Alfa for Multiple Myeloma (iinnovate-2 Trial)

Phase 1
Waitlist Available
Research Sponsored by Takeda
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
No prior allogeneic hematopoietic stem cell transplant or solid organ transplant
Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 at screening
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to approximately 5 years
Awards & highlights

iinnovate-2 Trial Summary

This trial is testing a new cancer drug to see what side effects it may cause and what the recommended dose of the drug should be.

Who is the study for?
Adults with Multiple Myeloma who've had a stem cell transplant within the past 12 months and are MRD positive post-transplant. They should have good organ function, an ECOG status of 0-2, and no progression after initial therapy. Excluded are those in other MM trials, treated with modakafusp alfa before, or with certain medical conditions like severe allergies to trial drugs or active hepatitis B/C or HIV.Check my eligibility
What is being tested?
The study is testing modakafusp alfa combined with other myeloma treatments (Carfilzomib, Lenalidomide etc.) to find the highest safe dose. Participants will receive increasing doses of modakafusp alfa through IV until they reach a dose that's effective without harmful side effects.See study design
What are the potential side effects?
Potential side effects include reactions related to infusion such as fever or chills, allergic responses to components in the drug mixtures used including skin rashes or breathing difficulties, and general symptoms like fatigue. Organ inflammation could also occur.

iinnovate-2 Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have not had a bone marrow or organ transplant.
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I am able to care for myself and perform daily activities.
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I have multiple myeloma as diagnosed by standard criteria.
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My cancer is still detectable after stem cell transplant.

iinnovate-2 Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to approximately 5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to approximately 5 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Number of Participants Reporting one or More Treatment Emergent Adverse Events (TEAEs)
Number of Participants With Dose-limiting Toxicities (DLTs)
Secondary outcome measures
Duration of Response (DOR)
Group 1: Duration of MRD Negativity Status at a Threshold of 10^-5 in Participants Achieving MRD Negativity
Group 1: Percentage of Participants with MRD Negativity Status at a Threshold of 10^-5
+12 more

iinnovate-2 Trial Design

6Treatment groups
Experimental Treatment
Group I: Group 3 (RRMM Triplets) Arm D: Modakafusp alfa + Daratumumab + PomalidomideExperimental Treatment3 Interventions
Modakafusp alfa, infusion IV, once on Day 1, Q4W in combination with Daratumumab injection subcutaneously on Days 1, 8, 15 and 22 of Cycles 1 and 2, further followed by on Days 1 and 15 of Cycles 3 to 6, thereafter on Day 1 on a 28-day (4-week) treatment cycle along with Pomalidomide capsules orally once daily on Days 1 to 21 in a 28-day (4-week) treatment cycle until disease progression, unacceptable toxicity, or until any other discontinuation criterion is met, whichever occurs first.
Group II: Group 3 (RRMM Triplets) Arm A: Modakafusp alfa + Pomalidomide + BortezomibExperimental Treatment3 Interventions
Modakafusp alfa, infusion IV, once on Day 1, Q4W in combination with Pomalidomide capsules orally once daily on Days 1 to 21 in a 28-day (4-week) treatment cycle along with Bortezomib injection subcutaneously on Days 8, 15 and 22 for the first 8 cycles and subsequently on Days 8 and 22 of a 28-day (4-week) treatment cycle until disease progression, unacceptable toxicity, or until any other discontinuation criterion is met, whichever occurs first.
Group III: Group 2 (RRMM Doublets) Arm 4: Modakafusp alfa + CarfilzomibExperimental Treatment2 Interventions
Modakafusp alfa, infusion IV, once on Day 1, Q4W in combination with Carfilzomib IV, on Day 1, 8 and 15 of a 28-day (4-week) treatment cycle until disease progression, unacceptable toxicity, or until any other discontinuation criterion is met, whichever occurs first. This arm is closed for enrollment after 3 participants were enrolled.
Group IV: Group 2 (RRMM Doublets) Arm 3: Modakafusp alfa + BortezomibExperimental Treatment2 Interventions
Modakafusp alfa, infusion IV, once on Day 1, Q4W in combination with Bortezomib injection subcutaneously on Days 8, 15, and 22 for the first 8 cycles and subsequently on Days 8 and 22 of a 28-day (4-week) treatment cycle until disease progression, unacceptable toxicity, or until any other discontinuation criterion is met, whichever occurs first.
Group V: Group 2 (RRMM Doublets) Arm 2: Modakafusp alfa + PomalidomideExperimental Treatment2 Interventions
Modakafusp alfa, infusion IV, once on Day 1, Q4W in combination with Pomalidomide capsules orally once daily on Days 1 to 21 in a 28-day (4-week) treatment cycle until disease progression, unacceptable toxicity, or until any other discontinuation criterion is met, whichever occurs first.
Group VI: Group 1 (MM Maintenance) Arm 1: Modakafusp alfa + LenalidomideExperimental Treatment2 Interventions
Modakafusp alfa, infusion intravenously (IV), once on Day 1, once every 4 weeks (Q4W), in combination with Lenalidomide capsules orally once daily continuously on Days 1 to 28, in a 28-day (4-week) treatment cycle until disease progression, unacceptable toxicity, or to a maximum of 2 years for MRD [-] negative participants, whichever occurs first. Participants who remain MRD positive with demonstrated clinical benefit after 2 years of maintenance therapy may continue treatment beyond 2 years with agreement of the sponsor/designee.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Carfilzomib
2017
Completed Phase 3
~1440
Bortezomib
2005
Completed Phase 2
~1140
Daratumumab
2014
Completed Phase 3
~1860
Pomalidomide
2011
Completed Phase 2
~1020
Lenalidomide
2005
Completed Phase 3
~1480

Find a Location

Who is running the clinical trial?

TakedaLead Sponsor
1,202 Previous Clinical Trials
4,178,142 Total Patients Enrolled
50 Trials studying Multiple Myeloma
18,113 Patients Enrolled for Multiple Myeloma
Study DirectorStudy DirectorTakeda
1,207 Previous Clinical Trials
489,560 Total Patients Enrolled
25 Trials studying Multiple Myeloma
7,410 Patients Enrolled for Multiple Myeloma

Media Library

Modakafusp alfa (Immunotherapy) Clinical Trial Eligibility Overview. Trial Name: NCT05556616 — Phase 1
Multiple Myeloma Research Study Groups: Group 1 (MM Maintenance) Arm 1: Modakafusp alfa + Lenalidomide, Group 2 (RRMM Doublets) Arm 2: Modakafusp alfa + Pomalidomide, Group 2 (RRMM Doublets) Arm 3: Modakafusp alfa + Bortezomib, Group 2 (RRMM Doublets) Arm 4: Modakafusp alfa + Carfilzomib, Group 3 (RRMM Triplets) Arm A: Modakafusp alfa + Pomalidomide + Bortezomib, Group 3 (RRMM Triplets) Arm D: Modakafusp alfa + Daratumumab + Pomalidomide
Multiple Myeloma Clinical Trial 2023: Modakafusp alfa Highlights & Side Effects. Trial Name: NCT05556616 — Phase 1
Modakafusp alfa (Immunotherapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05556616 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any long-term risks associated with the combination of Modakafusp alfa and Carfilzomib within Group 2 (RRMM Doublets) Arm 4?

"Given the preliminary stage of clinical trials, our team at Power has evaluated Group 2 (RRMM Doublets) Arm 4: Modakafusp alfa + Carfilzomib to be relatively safe and given it a score of 1."

Answered by AI

Is this clinical experiment taking place in multiple locations within the state?

"The clinical trial is presently underway at 21 locations, with Iowa City, Toronto and New york being the largest cities in which it can be accessed. To reduce travel stressors for participants, it may be best to select a location close by if one wishes to enroll."

Answered by AI

What is the enrollment capacity for this clinical trial?

"This medical research requires 144 eligible participants across multiple sites, including The University of Iowa Hospitals & Clinics in Iowa City and UHN's Princess Margaret Cancer Centre - Myeloma Clinic in Toronto."

Answered by AI

Are there any available positions in this research endeavor for participants?

"Confirmed, this clinical trial is actively enrolling patients and has been since October 27th 2022 as per the information on clinicaltrials.gov. It was last edited two weeks ago on November 10th of the same year."

Answered by AI
~52 spots leftby Jul 2025