A Study to Learn How Safe and How Well Linvoseltamab Works Compared to Standard Treatment in Adult Patients With Multiple Myeloma Who Are Not Eligible for Transplant

NCT ID: NCT06932562

Last Updated: 2026-01-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-23

Study Completion Date

2036-12-31

Brief Summary

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This study is researching an experimental drug called linvoseltamab. The study is focused on participants with newly diagnosed multiple myeloma (NDMM) who are ineligible for autologous stem cell transplantation (transplant-ineligible).

The main purpose of this study is to compare the effect and safety of linvoseltamab with the effect and safety of the standard treatment.

Detailed Description

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Conditions

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Multiple Myeloma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control arm DRd

Group Type ACTIVE_COMPARATOR

Daratumumab

Intervention Type DRUG

Administered per the protocol

Lenalidomide

Intervention Type DRUG

Administered per the protocol

Dexamethasone

Intervention Type DRUG

Administered per the protocol

Experimental Arm DRd+ linvolsetamab

Group Type EXPERIMENTAL

Linvoseltamab

Intervention Type DRUG

Administered per the protocol

Daratumumab

Intervention Type DRUG

Administered per the protocol

Lenalidomide

Intervention Type DRUG

Administered per the protocol

Dexamethasone

Intervention Type DRUG

Administered per the protocol

Interventions

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Linvoseltamab

Administered per the protocol

Intervention Type DRUG

Daratumumab

Administered per the protocol

Intervention Type DRUG

Lenalidomide

Administered per the protocol

Intervention Type DRUG

Dexamethasone

Administered per the protocol

Intervention Type DRUG

Other Intervention Names

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REGN5458

Eligibility Criteria

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Inclusion Criteria

1. Participants must have confirmed diagnosis of symptomatic MM per IMWG criteria.
2. Participants must not be considered a candidate for high-dose chemotherapy (HDT) and ASCT, as described in the protocol.
3. Participants must have measurable disease as defined in the protocol.
4. Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.
5. Participants must have clinical laboratory values within a prespecified range.

Exclusion Criteria

1. International Myeloma Working Group Frailty Index of 2 with the exception of participants who have a score of 2 based on age alone.
2. Participants who defer transplant due to personal preference.
3. Participants with non-secretory MM, active plasma cell leukemia, known light-chain (AL) amyloidosis in the presence of a concurrent diagnosis of myeloma, any other form of amyloidosis, Waldenström macroglobulinemia, or known POEMS syndrome.
4. Any prior therapy for monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), or MM, with the exception of:

* focal radiation and/or
* a short course of corticosteroids as defined in the protocol.
5. Participants who have received or are receiving any investigational agent or cell therapy with known or suspected activity against MM
6. Participants who have known central nervous system (CNS) or meningeal involvement with MM or known or suspected progressive multifocal leukoencephalopathy (PML), a history of a neurocognitive condition or CNS movement disorder, OR a history of seizure, transient ischemic attack (TIA), stroke or seizure within 12 months prior to study C1D1.
7. Participants who have uncontrolled intercurrent illness.
8. Known contraindications to the use of daratumumab or lenalidomide per local prescribing information.
9. History of allogeneic hematopoietic stem cell transplantation or solid organ transplant at any time.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

European Myeloma Network B.V.

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Roberto Mina

Role: PRINCIPAL_INVESTIGATOR

A.O.U. Città della Salute e della Scienza di Torino

Claudia Stege

Role: PRINCIPAL_INVESTIGATOR

Erasmus Medical Center

Locations

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Austin Hospital

Heidelberg, , Australia

Site Status RECRUITING

Nepean Cancer Centre

Kingswood, , Australia

Site Status RECRUITING

Sunshine Coast Health

Sunshine Coast, , Australia

Site Status RECRUITING

Ordensklinikum Linz

Linz, , Austria

Site Status RECRUITING

Fakultni Nemocnice Hradec Kralove

Hradec Králové, , Czechia

Site Status RECRUITING

University Hospital Olomouc

Olomouc, , Czechia

Site Status RECRUITING

Fakultni Nemocnice Ostrava

Ostrava, , Czechia

Site Status RECRUITING

Fakultni Nemocnice Plzen

Pilsen, , Czechia

Site Status RECRUITING

Aarhus Universitetshospital

Aarhus, , Denmark

Site Status RECRUITING

North Estonia Medical Centre Foundation

Tallinn, , Estonia

Site Status RECRUITING

Tartu University Hospital

Tartu, , Estonia

Site Status RECRUITING

Kuopio University Hospital

Kuopio, , Finland

Site Status RECRUITING

University Hospital of Würzburg

Würzburg, , Germany

Site Status RECRUITING

AOU Ospedali Riuniti di Ancona

Ancona, , Italy

Site Status RECRUITING

A.O.U. Careggi

Florence, , Italy

Site Status RECRUITING

IRCCS Ospedale Policlinico San Martino

Genova, , Italy

Site Status RECRUITING

Meldola-Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (I.R.S.T.)

Meldola, , Italy

Site Status RECRUITING

Azienda USL IRCCS Di Reggio Emilia

Reggio, , Italy

Site Status RECRUITING

Ospedale "Infermi" di Rimini

Rimini, , Italy

Site Status RECRUITING

I.R.C.C.S. Ospedale Casa Sollievo della Sofferenza

San Giovanni Rotondo, , Italy

Site Status RECRUITING

Erasmus MC

Rotterdam, , Netherlands

Site Status RECRUITING

Stavanger University Hospital

Stavanger, , Norway

Site Status RECRUITING

St. Olavs hospital HF

Trondheim, , Norway

Site Status RECRUITING

Vestfold Hospital Trust

Tønsberg, , Norway

Site Status RECRUITING

CHUC

Coimbra, , Portugal

Site Status RECRUITING

Hospital da Luz Lisboa

Lisbon, , Portugal

Site Status RECRUITING

Hospital Clinic De Barcelona - Myeloma and Amyloidosis Unit

Barcelona, , Spain

Site Status RECRUITING

Hospital Quirón Salud Madrid

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Marques De Valdecilla -Hematology and Hemotherapy Service

Santander, , Spain

Site Status RECRUITING

Hospital Universitario la Fe, Valencia

Valencia, , Spain

Site Status RECRUITING

Universitaetsspital Basel - Zentrum fur Hamato-Onkologie

Basel, , Switzerland

Site Status RECRUITING

Kantonsspital St. Gallen

Sankt Gallen, , Switzerland

Site Status RECRUITING

Ege University Medicine Faculty, Izmir

Izmir, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Australia Austria Czechia Denmark Estonia Finland Germany Italy Netherlands Norway Portugal Spain Switzerland Turkey (Türkiye)

Central Contacts

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Emelie Asselbergs

Role: CONTACT

+31 10 268 70 65

Silvia Villa

Role: CONTACT

Facility Contacts

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Hocking

Role: primary

Ponraj

Role: primary

Wallington-Gates

Role: primary

Strassl

Role: primary

Radocha

Role: primary

Minarik

Role: primary

Hajek

Role: primary

Jungova

Role: primary

Ølholm Vase

Role: primary

Loigom

Role: primary

Pärnat

Role: primary

Partanen

Role: primary

Waldschmidt

Role: primary

Offidani

Role: primary

Antonioli

Role: primary

Aquino

Role: primary

Cerchione

Role: primary

Gamberi

Role: primary

Rotondo

Role: primary

Carella

Role: primary

Stege

Role: primary

Haukås

Role: primary

Slørdahl

Role: primary

Moksnes

Role: primary

Roque

Role: primary

Pedrosa

Role: primary

Laura Rosiñol Dachs, MD

Role: primary

Martinez Chamorro

Role: primary

Enrique Ocio San Miguel, MD

Role: primary

de la Rubia

Role: primary

Heim

Role: primary

Lehmann

Role: primary

Comert

Role: primary

Other Identifiers

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2024-519827-16-00

Identifier Type: CTIS

Identifier Source: secondary_id

EMN39

Identifier Type: -

Identifier Source: org_study_id

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