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Phase 1 N=4 Treatment

MAGNETISMM-2: Study of Elranatamab (PF-06863135) in Japanese Participants With Multiple Myeloma

Relapsed or Refractory Multiple Myeloma

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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