About this trial
The purpose of the study is to evaluate the effect of Elranatamab therapy after cilta-cel measuring how long a patient with high risk relapsed myeloma lives without the myeloma getting worse(progressing), also known as progression-free survival (PFS). Patients with clinical high-risk myeloma, defined as having history of myeloma that has grown outside of the bones or having high risk mutations in the myeloma cells, benefit less from cilta-cel compared to myeloma patients without these characteristics.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Understand and voluntarily sign an informed consent form.
Have received commercial cilta-cel within 3-6 months for relapsed refractory myeloma and have high risk cytogenetics by IMW (del17p, or t(4;14) or t(14;16) or history of EMD, and must not have evidence of progressive disease by IMWG criteria(Appendix B) following CAR-T cell therapy.
Have received >2 prior treatment regimens including an immunomodulatory drug, a proteasome inhibitor and a CD38 monoclonal antibody.
Able to adhere to the study visit schedule and other protocol requirements.
Disqualifiers
Ongoing active infection defined as an infection that is worsening despite therapy and causing symptoms or requiring intravenous antibiotic treatment.
Ongoing CRS or ICANS of any grade.
Active plasma cell leukemia.
Patients with CNS involvement, including meningeal involvement.
Trial design
Single group
Treatments tested in this trial
Elranatamab
DrugMaintenance therapy
Treatment groups
Trial outcomes
Primary outcomes
Progression Free Surival (PFS)
Progression-free survival (PFS) is measured from the date of initiation of Elranatamab (i.e., on-treatment date) to either the date of death from any cause or the date of disease progression, whichever comes first.
Secondary outcomes
Complete Response
Proportion of participants with a complete response at the end of treatment.
MRD Negative
Proportion of participants with MRD negativity at the end of treatment.
Sponsors and contacts
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H. Lee Moffitt Cancer Center and Research Institute
Lead sponsor
Pfizer
Collaborator