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NCT Number: NCT05955508

A Proof-of-Concept Trial to Study the Safety and Activity of Linvoseltamab in Adult Participants With Smoldering Multiple Myeloma at High Risk of Developing Multiple Myeloma

This study is researching an investigational drug called linvoseltamab ("study drug") in participants at high risk of developing Multiple Myeloma (MM), a group commonly labeled as High-Risk Smoldering Multiple Myeloma (HR-SMM).

The aim of the study is to understand the safety and tolerability (how the body reacts to linvoseltamab) as well as the effectiveness (how well linvoseltamab eliminates plasma cells and prevents the development of MM) of the study drug. There are 2 parts to the study.

* In Part 1, linvoseltamab will be given to a small number of participants to study the early side effects (safety) of the study drug and make sure the treatment is acceptable. * In Part 2, linvoseltamab will be given to more participants to further assess the side effects of the study drug and to evaluate the ability of linvoseltamab to treat HR-SMM and prevent progression to MM.

The study is looking at several other research questions, including:

* How many participants treated with linvoseltamab (study drug) have improvement of their HR-SMM? * 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 linvoseltamab less effective or could lead to side effects)

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Hospital Clinico Universitario Santiago de Compostela, Santiago de Compostela, A Coruna, Spain

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • High-risk SMM diagnosis within 5 years of study enrollment, as described in the protocol
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤1
  • Adequate hematologic and hepatic function, as described in the protocol
  • Estimated glomerular filtration rate ≥30 mL/min/1.73 m^2

Key Exclusion Criteria:

  • Evidence of myeloma defining events *SLiM CRAB, as described in the protocol

*SLiM (greater than or equal to Sixty percent clonal plasma cells in the bone marrow, involved/uninvolved free Light chain ratio of ≥100 with the involved free light chain (FLC) being ≥100 mg/L, MRI with >1 focal lesion) CRAB (hyperCalcemia, Renal insufficiency, Anemia, or lytic Bone lesions)

  • Diagnosis of systemic light chain amyloidosis, Waldenström macroglobulinemia (lymphoplasmacytic lymphoma), soft tissue plasmacytoma, or symptomatic multiple myeloma
  • Clinically significant cardiac or vascular disease within 3 months of study enrollment, as described in the protocol
  • Any infection requiring hospitalization or treatment with intravenous anti-infectives within 28 days of first dose of study drug
  • Uncontrolled Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV), or Hepatitis C Virus (HCV) infection; or other uncontrolled infection or unexplained signs of infection, as described in the protocol
  • History of severe allergic reaction attributed to compounds with a similar chemical or biologic composition as the study drug or excipient

NOTE: Other protocol defined inclusion/exclusion criteria apply

Treatment and study plan

Linvoseltamab

Drug

Administered per the protocol

Other names: REGN5458, Lynozyfic™

Primary outcomes

  1. Frequency of Adverse Events of Special Interest (AESI) during the safety run-in observation period

    Time frame: Up to 35 days

    AESI include grade 2 or higher Cytokine Release Syndrome (CRS) and Immune effector Cell-Associated Neurotoxicity Syndrome (ICANS)

  2. Frequency of Treatment-Emergent Adverse Events (TEAEs) during the safety run-in observation period

    Time frame: Up to 35 days

  3. Severity of TEAEs during the safety run-in observation period

    Time frame: Up to 35 days

  4. Complete Response (CR) as determined by the investigator

    Time frame: Up to 7 years

  5. Minimal Residual Disease (MRD) negativity

    Time frame: At 12 months

  6. MRD negativity

    Time frame: At 24 months

Secondary outcomes

  1. Frequency of TEAEs during expansion part

    Time frame: Up to 7 years

    As assessed by the NCI-CTCAE grading system version 5 (for all grades)

  2. Severity of TEAEs during expansion part

    Time frame: Up to 7 years

    As assessed by the NCI-CTCAE grading system version 5 (for all grades)

  3. Frequency of Serious Adverse Events (SAEs)

    Time frame: Up to 7 years

  4. Severity of SAEs

    Time frame: Up to 7 years

  5. Frequency of laboratory abnormalities

    Time frame: Up to 7 years

  6. Severity of laboratory abnormalities

    Time frame: Up to 7 years

  7. Overall response of Partial Response (PR) or better

    Time frame: Up to 7 years

  8. Duration Of Response (DOR)

    Time frame: Up to 7 years

  9. Biochemical Progression-Free-Survival (PFS)

    Time frame: Up to 7 years

  10. MRD negativity among participants that achieve Very Good Partial Response (VGPR) or better

    Time frame: Up to 3 years after end of treatment

  11. Sustained MRD negativity

    Time frame: Up to 3 years after end of treatment

  12. Time from treatment initiation to date of any myeloma-defining event

    Time frame: Up to 7 years

  13. Time from start of treatment to date of progression to MM or death

    Time frame: Up to 7 years

  14. Time to initiation of first-line treatment for MM

    Time frame: Up to 7 years

  15. Overall Survival (OS)

    Time frame: Up to 7 years

  16. Concentration of linvoseltamab in serum

    Time frame: Up to 2 years

  17. Incidence of Anti-Drug Antibodies (ADAs) to linvoseltamab

    Time frame: Up to 2 years

  18. Magnitude of ADAs to linvoseltamab

    Time frame: Up to 2 years

Sponsors and collaborators

Lead sponsor

Regeneron Pharmaceuticals

Industry

Registry information

Official study title

Phase 2 Study of Linvoseltamab in Patients With Smoldering Multiple Myeloma at High Risk of Progression to Multiple Myeloma

Important dates

Study start
2024
Primary completion
2033
Study completion
2033
First posted
Jul 21, 2023
Registry last updated
Apr 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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