BCMA/CD3 BsAb in the Treatment of High-risk Smoldering Multiple Myeloma

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-78
SponsorInstitute of Hematology & Blood Diseases Hospital, China

About this trial

The purpose of this study is to evaluate the safety and efficacy of CM-336, which is a BCMA/CD3 BiTE, in the treatment of high risk smoldering multiple myeloma.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Know and voluntarily sign an informed consent form (ICF).

Age ≥18 years.

Serum M protein ≥3 g /dL and/or BMPCs≥10%(but not more than 60%)

No anemia: hemoglobin ≥10 g /dL

Disqualifiers

Diagnosis of symptomatic multiple myeloma: refer to the Chinese Guidelines for Diagnosis and Treatment of multiple myeloma (revised in 2022);

Along with other tumors that must be treated.

Previously received immunotherapy against BCMA targets.

The researchers judged that BCMA/CD 3 dual antibody therapy is not suitable, such as severe cardiopulmonary disease and other conditions that are not suitable for BCMA/CD 3 dual antibody therapy.

Trial design

Design model

Single group

Treatments tested in this trial

  • CM336

    Drug

    Patients received subcutaneous CM-336 80 mg once weekly in 28-d cycles after two step-up priming doses of 3 mg and 20 mg given on day 1 and day 4 of cycle 1 and cycle2. Then patients will be given 160mg every 2 weeks from cycle 3 to cycle 6. The dosing interval is adjusted according to the evaluation of efficacy every 6 cycles from cycle 7 to cycle 24.

Treatment groups

20 Participants
are divided into 1 treatment group
Group A: CM-336( BCMA/CD3 bispecific antibody)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

minimal residual disease netativity(MRD negativity)

The proportion of abnormal plasma cells occupying nuclear cells in the samples

Time frame
baseline, 28 days per cycle, cycle 6 day 28, cycle 12 day 28, cycle 18 day 28, cycle 24 day 28, 1 year and 2 year after end of treatment.

Secondary outcomes

1

time to response

Time from randomization to first documentation of hematologic response

Time frame
up to 2 years
2

Hematologic response rate

Overall hematologic (CR + VGPR + PR) response rate based on central laboratory results based on 2016 IMWG response criteria.

Time frame
up to 2 years
3

Adverse events and serious adverse events

Adverse events (AEs), serious adverse events (SAEs), and assessments of clinical laboratory values

Time frame
up to 2 years
4

progression free survival(PFS)

progression free survival defined as time from randomization to date of hematologic progression or documented disease progression (PD). Patients without documentation of death at the time of analysis were censored at the date last known to be alive

Time frame
up to 2 years after end of therapy

Other outcomes

Sponsors and contacts

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