Actively Recruiting

Phase 1
Age: 18Years +
All Genders
ID05927571

An Open-Label, Multicenter Phase Ib Trial Evaluating Safety and Activity of Cevostamab Plus Elranatamab in Relapsed or Refractory Multiple Myeloma

Led by Genentech, Inc. · Updated on 2026-06-03

120

Participants Needed

14

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and tolerability of combining two drugs, cevostamab and elranatamab, in people with relapsed or refractory multiple myeloma. This phase 1b trial aims to find the recommended dose regimen for further study. The study includes a safety lead-in stage and an expansion stage to assess these treatments in participants who have previously received treatment for this condition. Participants will receive cevostamab intravenously and elranatamab as a subcutaneous injection, starting with step-up dosing in a pre-phase to gradually increase doses. Depending on the study group, participants may receive the combination of cevostamab and elranatamab or elranatamab alone. Treatment continues until disease progression, unacceptable side effects, or for up to one year for cevostamab. During the study, participants will have regular assessments to monitor adverse events, drug levels in the blood, and responses to treatment based on standard myeloma criteria. Researchers will track how well participants respond, how long responses last, and overall survival for up to about 36 months. Safety and tolerability will be closely monitored throughout the study period.

CONDITIONS

Brief Title

A Study Evaluating the Safety, Pharmacokinetics, and Activity of the Combination of Cevostamab and Elranatamab in Participants With Relapsed or Refractory Multiple Myeloma (R/R MM)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • Diagnosed with relapsed or refractory multiple myeloma according to International Myeloma Working Group criteria
  • Female participants of childbearing potential must agree to abstain or use contraception
  • Male participants must agree to abstain or use a condom
  • Aged 18 years or older
Not Eligible

You will not qualify if you...

  • Prior treatment with cevostamab or another agent targeting fragment crystallizable receptor-like 5 (FcRH5)
  • Prior treatment with elranatamab
  • Prior allogeneic stem cell transplantation
  • Absolute plasma cell count exceeding 500 per milliliter or 5% of peripheral blood white cells
  • Diagnosis of Waldenström macroglobulinemia or POEMS syndrome
  • Known history of amyloidosis
  • History of autoimmune disease
  • History of confirmed progressive multifocal leukoencephalopathy
  • Peripheral motor polyneuropathy of prespecified grade
  • Known or suspected chronic cytomegalovirus or Epstein-Barr virus infection
  • History of hemophagocytic lymphohistiocytosis or macrophage activation syndrome
  • Acute or chronic hepatitis B or C infection
  • HIV seropositivity
  • History of central nervous system myeloma disease
  • Significant cardiovascular disease

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Run-in Period

Duration - Not specified

Participants receive step-up dosing of cevostamab (IV) and/or elranatamab (SC) in a pre-phase before starting assigned treatment doses.

Multiple visits during pre-phase dosing

Treatment

Duration - Until disease progression, unacceptable toxicity, or up to 1 year on treatment

Participants receive assigned doses of cevostamab intravenously and/or elranatamab subcutaneously until disease progression, unacceptable toxicity, or up to 1 year on treatment.

Regular visits for treatment administration and monitoring

Follow-up

Duration - Up to approximately 36 months

Participants are monitored for safety, response, and survival for up to approximately 36 months after treatment starts.

Periodic visits for assessments

Trial Site Locations

Total: 14 locations

1

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia, 2050

Actively Recruiting

2

Calvary Mater Newcastle

Waratah, New South Wales, Australia, 2298

Actively Recruiting

3

Royal Adelaide Hospital;Haematology Clinical Trials Unit

Adelaide, South Australia, Australia, 5000

Actively Recruiting

4

St. Vincent's Hospital Melbourne

Melbourne, Victoria, Australia, 3065

Actively Recruiting

5

The Alfred Hospital

Prahan, Victoria, Australia, 3181

Actively Recruiting

6

The Chaim Sheba Medical Center - PPDS

Ramat Gan, Central District, Israel, 5262100

Actively Recruiting

7

Rambam Health Care Campus

Haifa, Israel, 3109600

Actively Recruiting

8

Hadassah University Hospital - Ein Kerem

Jerusalem, Israel, 9112001

Actively Recruiting

9

Tel Aviv Sourasky Medical Center PPDS

Tel Aviv, Israel, 6423906

Actively Recruiting

10

The Catholic University of Korea - Seoul St. Mary's Hospital (Kangnam St. Mary's Hospital)

Seocho, South Korea, 06591

Actively Recruiting

11

Seoul National University Hospital

Seoul, South Korea, 03080

Actively Recruiting

12

Severance Hospital, Yonsei University Health System

Seoul, South Korea, 03722

Actively Recruiting

13

Asan Medical Center.

Seoul, South Korea, 05505

Actively Recruiting

14

Samsung Medical Center - PPDS

Seoul, South Korea, 06351

Actively Recruiting

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Research Team

G

GO43979 https://forpatients.roche.com/

F

Fastest response: use the inquiry form. No email attachments. https://www.gene.com/contact-us/submit-medical-inquiry

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

3

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