Elranatamab +/- Dexamethasone for Multiple Myeloma

(MagnetisMM-9 Trial)

Not currently recruiting at 67 trial locations
PC
Overseen ByPfizer CT.gov Call Center, Please reference C1071009
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial
Approved in 2 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new treatment called elranatamab for individuals with multiple myeloma, a type of blood cancer that has recurred or hasn't responded to other treatments. The goal is to determine if starting with low doses and then increasing them is safe, and to identify the optimal dose and schedule for the medication. Participants will receive injections of elranatamab at the clinic, with visits potentially becoming less frequent over time. This trial may suit patients whose multiple myeloma did not respond to at least one previous treatment and who are experiencing a return of the disease. As a Phase 2 trial, this research focuses on measuring the treatment's effectiveness in an initial, smaller group of people, offering early access to potentially effective therapy.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that elranatamab is generally safe and well-tolerated in people with multiple myeloma. Studies have found no new safety issues with its use. Some patients report side effects, but these are usually manageable. For example, one study found elranatamab safe when used alone or with other drugs, indicating that the treatment is manageable for most patients. Individual experiences can vary, so discussing any concerns with a healthcare provider is important.12345

Why are researchers excited about this study treatment for multiple myeloma?

Researchers are excited about Elranatamab for multiple myeloma because it uses a cutting-edge approach that targets BCMA, a protein found on the surface of myeloma cells. This is different from many current treatments, like proteasome inhibitors and immunomodulatory drugs, which have been the standard of care. Elranatamab is a bispecific antibody, meaning it can bind to two different targets at once, engaging both the cancer cell and the immune system to promote a stronger attack on the myeloma cells. This innovative mechanism has the potential to improve outcomes by offering a more direct and potentially more effective way to tackle the disease.

What evidence suggests that elranatamab might be an effective treatment for multiple myeloma?

Research has shown that elranatamab offers promising results for treating relapsed or refractory multiple myeloma, a type of blood cancer. In earlier studies, patients experienced strong and lasting improvements, with their cancer significantly reduced or even disappearing. Compared to other treatments used in everyday medical practice, elranatamab led to better outcomes. Notably, about 26% of patients achieved a complete response, showing no signs of cancer in their blood or urine after treatment. These findings suggest that elranatamab could be an effective option for this challenging condition. Participants in this trial will receive elranatamab, with some arms exploring different dosing strategies.16789

Who Is on the Research Team?

PC

Pfizer CT.gov Call Center

Principal Investigator

Pfizer

Are You a Good Fit for This Trial?

This trial is for adults with multiple myeloma that has returned or didn't respond to treatment. They must have measurable disease, not be pregnant, and agree to use contraception. Excluded are those with certain other cancers or conditions like active infections, recent stem cell transplant, previous anti-BCMA therapy, or known hypersensitivity to the study drugs.

Inclusion Criteria

Any side effects from my previous treatments have mostly gone away.
My last treatment for myeloma did not work.
Not pregnant and willing to use contraception
See 4 more

Exclusion Criteria

I have been diagnosed with amyloidosis.
I do not have any active infections like HBV, HCV, HIV, or uncontrolled bacterial, fungal, or viral infections.
I have been diagnosed with POEMS syndrome.
See 10 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive elranatamab as an injection under the skin at the study clinic. Initial step-up doses followed by weekly doses.

25 cycles (approximately 2 years)
Weekly visits initially, decreasing over time

Follow-up

Participants are monitored for safety and effectiveness after treatment

90 days post last dose

Long-term follow-up

Participants are monitored for long-term outcomes and survival

Up to 790 days

What Are the Treatments Tested in This Trial?

Interventions

  • Dexamethasone
  • Elranatamab
Trial Overview The trial tests Elranatamab alone or combined with Dexamethasone in patients with relapsed/refractory multiple myeloma. It starts with low doses that increase over time (step-up dosing) and looks at safety and effectiveness of different doses and dose intervals over a minimum two-year participation.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Group I: Part 2CExperimental Treatment1 Intervention
Group II: Part 2BExperimental Treatment1 Intervention
Group III: Part 2AExperimental Treatment1 Intervention
Group IV: Part 1Experimental Treatment1 Intervention

Elranatamab is already approved in United States, European Union for the following indications:

🇺🇸
Approved in United States as Elrexfio for:
🇪🇺
Approved in European Union as Elrexfio for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Pfizer

Lead Sponsor

Trials
4,712
Recruited
50,980,000+
Known For
Vaccine Innovations
Top Products
Viagra, Zoloft, Lipitor, Prevnar 13

Albert Bourla

Pfizer

Chief Executive Officer since 2019

PhD in Biotechnology of Reproduction, Aristotle University of Thessaloniki

Patrizia Cavazzoni profile image

Patrizia Cavazzoni

Pfizer

Chief Medical Officer

MD from McGill University

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40826257/
Population Exposure-Response Efficacy Analysis of ...Results from the MagnetisMM-3 study indicated deep and durable responses in patients with relapsed or refractory multiple myeloma (RRMM).
2.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40491859/
An Updated Indirect Comparison of Elranatamab Versus a ...Patients treated with elranatamab exhibited significantly better clinical outcomes compared with treatments currently used in real-world clinical practice.
3.elrexfio.comelrexfio.com/results
ELREXFIO® (elranatamab-bcmm) Results | Safety InfoIn Group A, results with ELREXFIO showed: 26% of people had a CR or better: Multiple myeloma could not be detected in the blood or urine after treatment. 26% of ...
Comparison of outcomes with elranatamab and real world ...This study aimed to characterise outcomes for real world TCE RRMM patients and to estimate the treatment effect of elranatamab compared to ...
A US subgroup analysis from MagnetisMM-3.Background: The ongoing phase 2 MagnetisMM-3 (NCT04649359) study demonstrated the efficacy and safety of ELRA in patients (pts) with RRMM ...
Long‐term survival and safety of elranatamab in patients with ...Elranatamab monotherapy continues to improve survival outcomes without new safety signals. ... multiple myeloma: phase 2 MagnetisMM‐3 trial results. Nat Med. 2023 ...
7.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40713551/
Comparison of outcomes with elranatamab and real world ...This study provides recent real world evidence of poor outcomes in TCE RRMM in the UK. PFS was longer among patients who received ...
MagnetisMM-6 Data Suggest Safety, Manageability of ...Results from part 1 dose level G of the MagnetisMM-6 trial found elranatamab, daratumumab, and lenalidomide to be safe and manageable in NDMM.
Elranatamab in relapsed or refractory multiple myelomaThe results of this study are consistent with results reported from the phase 1 MagnetisMM-1 study in which a response rate of 64% and a median ...
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