About this trial
This study is researching an experimental drug called linvoseltamab (also called "study drug") compared to another drug called daratumumab, in participants with Smoldering Multiple Myeloma (SMM), who are at a High Risk (HR) of developing active multiple myeloma.
The aim of this study is to find out whether linvoseltamab is better than daratumumab in delaying the development of MM.
The study is looking at several other research questions, including:
* What side effects may happen from taking the study drug * How much study drug is in the blood at different times * Whether the body makes antibodies against the study drug (which could make the drug less effective or could lead to side effects)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Eastern Cooperative Oncology Group performance status score ≤1
SMM diagnosis per IMWG criteria as defined in the protocol
Meets HR-SMM criteria by 1 of the risk models as defined in the protocol
Disqualifiers
Evidence of myeloma-defining events attributable to the underlying plasma cell dyscrasia, as defined in the protocol
Diagnosis of systemic light chain amyloidosis, Waldenström macroglobulinemia (lymphoplasmacytic lymphoma), plasma cell leukemia, or soft tissue plasmacytoma
History of neurodegenerative condition, progressive multifocal leukoencephalopathy, or Central Nervous System (CNS) movement disorder
History of a seizure within the 12 months of randomization
Trial design
Parallel
Treatments tested in this trial
Linvoseltamab
DrugAdministered per the protocol
Daratumumab
DrugAdministered per the protocol
Treatment groups
Trial outcomes
Primary outcomes
Clinical Progression Free Survival (PFS) per International Myeloma Working Group (IMWG) criteria
Biochemical PFS per IMWG criteria
Secondary outcomes
Achievement of Minimal Residual Disease (MRD) Complete Response (CR) at 10^-5 per IMWG criteria
Time to death
Overall Response Rate (ORR) of Partial Response or better (≥PR) per IMWG criteria
Best Overall Response (BOR) per IMWG criteria
Sponsors and contacts
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