Linvoseltamab for Multiple Myeloma

BD
MD
Overseen ByMadhav Dhodapkar, MBBS
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial studies a new treatment, linvoseltamab, for individuals with multiple myeloma, a type of blood cancer that has returned or stopped responding to other treatments. Linvoseltamab helps the immune system target and kill cancer cells by connecting to specific proteins on these cells and immune cells. The trial seeks to determine the best dosing schedule to maintain effectiveness while reducing side effects. It suits those with multiple myeloma that hasn't responded to at least three different types of therapy and who can tolerate frequent clinic visits. As a Phase 1, Phase 2 trial, this research focuses on understanding how linvoseltamab works in people and measuring its effectiveness in an initial, smaller group, offering participants the chance to contribute to groundbreaking cancer treatment advancements.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss your specific medications with the trial team to get a clear answer.

Is there any evidence suggesting that linvoseltamab is likely to be safe for humans?

Research has shown that linvoseltamab, a treatment for relapsed or hard-to-treat multiple myeloma, is generally safe. Studies have found that patients using linvoseltamab experienced strong and lasting improvements, indicating the treatment's effectiveness over a significant period. These studies also report that the treatment is usually well-tolerated, with manageable side effects.

Linvoseltamab has been tested in patients whose multiple myeloma did not improve with previous treatments. The results were encouraging, with a 100% response rate in some high-risk patients, meaning every patient in that group benefited from the treatment. Importantly, the safety of linvoseltamab remained consistent across different studies, suggesting it is reliably safe for those considering joining a trial.12345

Why do researchers think this study treatment might be promising for multiple myeloma?

Linvoseltamab is unique because it targets a protein called BCMA on the surface of multiple myeloma cells, which is different from standard treatments like chemotherapy and immunomodulatory drugs. This targeted approach allows linvoseltamab to directly attack cancer cells while sparing more healthy cells, potentially leading to fewer side effects. Additionally, linvoseltamab offers flexible dosing schedules, ranging from weekly to every 12 weeks, which could make treatment more convenient for patients compared to the more frequent dosing required by some current therapies. Researchers are excited about linvoseltamab because it represents a novel way to tackle multiple myeloma and could offer new hope for patients who haven't responded to other treatments.

What evidence suggests that this trial's treatments could be effective for multiple myeloma?

Research has shown that linvoseltamab is effective for people with relapsed or hard-to-treat multiple myeloma. One study found that 71% of patients responded to the treatment, with half achieving a complete response, meaning no signs of cancer were detected. Linvoseltamab targets specific proteins on cancer and immune cells, aiding the immune system in attacking the cancer. This trial will evaluate different dosing schedules of linvoseltamab, including step-up dosing and various cohort schedules, to assess its effectiveness and safety. This treatment is considered a highly effective option for those who have tried other therapies without success. Evidence suggests that linvoseltamab could be a promising choice for managing multiple myeloma when other treatments have not worked.15678

Who Is on the Research Team?

MD

Madhav Dhodapkar, MBBS

Principal Investigator

Fred Hutch/University of Washington Cancer Consortium

Are You a Good Fit for This Trial?

This trial is for patients with multiple myeloma that has relapsed, is refractory, or resistant to three classes of treatments. Participants should have measurable disease and be eligible for bone marrow procedures. Specific criteria about prior therapies and health status apply.

Inclusion Criteria

Hemoglobin >= 8.0 g/dL
Total bilirubin <= 1.5 x upper limit of normal (ULN)
Transaminase (alanine aminotransferase [ALT], aspartate aminotransferase [AST]) <= 2.5 x ULN
See 12 more

Exclusion Criteria

Known allergy or hypersensitivity to components of linvoseltamab (REGN5458)
Women of childbearing potential (WOCBP) with a positive serum beta-human chorionic gonadotropin (beta-hCG) pregnancy test are ineligible for this study
Participants who are receiving other investigational agents
See 11 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Step-up Dosing

Patients receive linvoseltamab IV over 30-240 minutes once a week for 14 weeks, then every 2 weeks thereafter, with evaluations for disease response starting at week 3 and continuing every 4 weeks.

14 weeks
Weekly visits for 14 weeks, then bi-weekly

Dose De-escalation

Patients achieving VGPR or better after 14 weeks are assigned to one of three dose de-escalation cohorts, receiving linvoseltamab every 4, 8, or 12 weeks.

Variable (based on cohort)
Visits every 4, 8, or 12 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment completion.

3 months

What Are the Treatments Tested in This Trial?

Interventions

  • Linvoseltamab
Trial Overview The trial tests if reducing the dose of Linvoseltamab, a bispecific antibody targeting cancer cells and T cells, can maintain effectiveness while minimizing side effects in patients with difficult-to-treat multiple myeloma.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Group I: Step-up dosing (linvoseltamab)Experimental Treatment6 Interventions
Group II: Cohort 3 (Q12W linvoseltamab)Experimental Treatment6 Interventions
Group III: Cohort 2 (Q8W linvoseltamab)Experimental Treatment6 Interventions
Group IV: Cohort 1 (Q4W linvoseltamab)Experimental Treatment6 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Fred Hutchinson Cancer Center

Lead Sponsor

Trials
583
Recruited
1,341,000+

Regeneron Pharmaceuticals

Industry Sponsor

Trials
690
Recruited
948,000+
Founded
1988
Headquarters
Tarrytown, USA
Known For
Precision medicine
Top Products
Dupixent, EYLEA, Libtayo, Praluent
Leonard Schleifer profile image

Leonard Schleifer

Regeneron Pharmaceuticals

Chief Executive Officer since 1988

MD and PhD in Medicine

George Yancopoulos profile image

George Yancopoulos

Regeneron Pharmaceuticals

Chief Medical Officer since 1997

MD from Harvard Medical School

Citations

Comparative Effectiveness of Linvoseltamab Versus Current ...High objective response rates (ORR) to linvoseltamab 200 mg in the LINKER-MM1 trial (NCT03761108) were demonstrated across high-risk subgroups, ...
Linvoseltamab for Treatment of Relapsed/Refractory ...At a median follow-up of 14.3 months, the ORR was 71%, with 50% achieving ≥complete response (CR). In 104 patients treated with 50 mg at a ...
Linvoseltamab Adds Highly Effective Option in Later-Line ...“This approval provides a highly effective, off-the-shelf agent for the treatment of [patients with] relapsed/refractory multiple myeloma,” Lee ...
4.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/38879802/
Linvoseltamab for Treatment of Relapsed/Refractory ...At a median follow-up of 14.3 months, the ORR was 71%, with 50% achieving ≥complete response (CR). In 104 patients treated with 50 mg at a ...
Indirect Comparison of Linvoseltamab Versus Teclistamab ...The analysis showed that linvoseltamab may offer improved efficacy over teclistamab for patients with TCE RRMM. These comparative data can help ...
Linvoseltamab in Patients with Relapsed/Refractory Multiple ...Linvoseltamab induced deep and durable responses with an acceptable safety profile in patients with relapsed/refractory multiple myeloma (RRMM) ...
Linvoseltamab Yields Favorable Safety Profile and ...Linvoseltamab-gcpt showed a 100% overall response rate in high-risk smoldering multiple myeloma patients, with significant MRD negativity rates.
Deep Responses and Favorable Safety with ...The key takeaway regarding the safety is that, overall, the safety profile was manageable and consistent with the safety profile of ...
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