Phase 1
N=4
MAGNETISMM-2: Study of Elranatamab (PF-06863135) in Japanese Participants With Multiple Myeloma
Relapsed or Refractory Multiple Myeloma
Bottom Line
View on ClinicalTrials.gov: NCT04798586 ↗Enrolled (actual)
4
Serious AEs
75.0%
Results posted
Sep 2024
Primary outcome: Primary: Number of Participants With Dose Limiting Toxicities (DLTs) — 0 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Elranatamab (PF-06863135) (Drug)
- Age
- Adult, Older Adult · 20+ yrs
- Sex
- All
- Sponsor
- Pfizer
- Primary completion
- May 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Dose Limiting Toxicities (DLTs) |
— | — |
| SECONDARY Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (SAEs), Treatment Emergent Treatment Related AEs and Treatment Emergent Treatment Related SAEs |
4; 3; 4; 3 | — |
| SECONDARY Number of Participants With Grade 3 or 4, Grade 5 TEAEs and Treatment Related TEAEs Based on Common Terminology Criteria for Adverse Events (CTCAE) Version 5 Except for CRS and ICANS Graded According to ASTCT Grading Criteria 2019 |
2; 2; 4; 0 | — |
| SECONDARY Number of Participants With Shift From Grade Less Than or Equal to (<=) 2 at Baseline to Grade 3 or 4 Post -Baseline in Hematology Parameters by NCI CTCAE v 5.0 |
2; 4; 3; 0; 3 | — |
| SECONDARY Number of Participants With Shift From Grade Less Than or Equal to (<=) 2 at Baseline to Grade 3 or 4 Post -Baseline in Chemistry Parameters by NCI CTCAE v 5.0 |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Maximum Observed Serum Concentration (Cmax) of Elranatamab |
4.382; 8.846 | — |
| SECONDARY Time to Maximum Concentration (Tmax) of Elranatamab |
7.00; 2.98 | — |
| SECONDARY Area Under the Concentration-time Profile From Time Zero to the Time Tau (AUCtau) of Elranatamab |
21.16; NA | — |
| SECONDARY Pre-dose Trough Serum Concentrations After Multiple Doses of Elranatamab |
NA; 4.267; 8.326; 12.32; 13.40; 16.26 | — |
| SECONDARY Number of Participants With Anti-drug Antibodies (ADA) of Elranatamab |
2 | — |
| SECONDARY Titers of ADA |
NA; NA | — |
| SECONDARY Number of Participants With Neutralizing Antibodies (NAb) |
— | — |
| SECONDARY Objective Response Rate (ORR): Percentage of Participants With Objective Response |
50.0 | — |
| SECONDARY Time to Response (TTR) |
1.396 | — |
| SECONDARY Duration of Response (DOR) |
12.70 | — |
| SECONDARY Progression Free Survival (PFS) |
NA | — |
| SECONDARY Overall Survival (OS) |
NA | — |
| SECONDARY Minimal Residual Disease (MRD) Negativity Rate |
25.0; 25.0 | — |
Summary
The purpose of this study is to confirm the safety and tolerability of elranatamab (PF-06863135) in Japanese participants with relapsed or refractory MM.
Eligibility Criteria
Inclusion Criteria
- Diagnosis of multiple myeloma (IMWG criteria)
- Measurable disease, as defined by at least 1 of the following
- Serum myeloma (M) protein ≥0.5 g/dL (5 g/L)
- Urine M protein ≥200 mg/24 h
- Serum free light chain (FLC) >100 mg/L (10 mg/dL) with abnormal kappa:lambda ratio
- Participants must have progressed on or been intolerant of at least 3 prior therapies including proteasome inhibitor, IMID drug and anti-CD38 antibody, either in combination or as a single agent
- ECOG PS 0, 1 or 2. PS 3 is permitted if PS is due solely to bone pain
- Adequate bone marrow, hematological, kidney and liver function
- Resolved acute effects of any prior therapy to baseline severity or CTCAE Grade 1
- Not pregnant and willing to use contraception
Exclusion Criteria
- POEMS syndrome
- Any other active malignancy within 3 years prior to enrollment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ
- History of active autoimmune disorders
- Any form of primary immunodeficiency
- History of severe immune-mediated adverse event with prior immunomodulatory treatment
- Stem cell transplant within 12 weeks prior to enrollment
- Active graft versus host disease other than Grade 1 skin involvement, or that requiring immunosuppressive treatment
- Requirement for systemic immune suppressive medication
- Active, uncontrolled bacterial, fungal, or viral infection, including HBV, HCV, known HIV or AIDS related illness and SARS-CoV2
- Previous administration with an investigational drug within 4 weeks or 5 half-lives preceding the first dose of study intervention used in this study (whichever is longer)
- Known or suspected hypersensitivity to component of elranatamab (PF-06863135), murine and bovine products
- Live attenuated vaccine within 4 weeks
Data sourced from ClinicalTrials.gov (NCT04798586). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.