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NCT Number: NCT07728188

A Study to Evaluate Adverse Events and Change in Disease Activity With Injected Etentamig Plus Oral Pomalidomide Versus Standard Therapies in Adults With Relapsed or Refractory Multiple Myeloma

Multiple myeloma (MM) is a plasma cell malignancy characterized by the proliferation of clonal plasma cells in the bone marrow. The disease primarily localizes to the bones and bone marrow, with resultant cytopenias, bone pain, fractures, infections, hypercalcemia, and renal failure. This study aims to evaluate the safety and change in disease activity of etentamig in combination with pomalidomide compared with standard available therapies in participants with relapsed or refractory multiple myeloma who have received 1-3 prior lines of treatment, including lenalidomide.

Etentamig is an investigational drug being developed for the treatment of relapsed or refractory multiple myeloma. This is a randomized, open-label study. The study will include a safety run-in portion and a randomized portion. The safety run-in participants will receive etentamig in combination with pomalidomide. The randomized portion of the study participants will receive either etentamig with pomalidomide or Standard Available Therapies (SATs). Approximately 520 participants will be enrolled in the study at approximately 200 sites worldwide.

Prior to initiation of the randomized portion of the study, the safety run-in will be conducted in which participants will receive etentamig injections plus oral pomalidomide. Following review of the safety run-in data and per protocol-defined criteria, the study will advance to the randomized portion where participants will be randomized to receive either etentamig injections plus oral pomalidomide or investigator's choice of SAT: SC daratumumab, oral pomalidomide, and oral/ IV dexamethasone (DPd); SC daratumumab, IV carfilzomib, and oral/IV dexamethasone (DKd); or SC teclistamab monotherapy. The total study duration is approximately 75 months

There may be higher treatment burden for participants in this trial compared to their standard of care due to study procedures. Participants will attend regular visits during the study at a hospital or clinic. The effects of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

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Key information

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Diagnosis of relapsed or refractory (RR) multiple myeloma (MM).
  • Prior treatment with at least one and no more than three prior lines of therapy, including lenalidomide.
  • Adequate organ function and performance status

Exclusion criteria

  • Prior B-cell maturation antigen (BCMA) directed T-cell engager therapy (bispecific or trispecific)
  • Known central nervous system involvement of MM
  • Known history of other active malignancies within the past 3 years (with specific exceptions)
  • Clinically significant conditions (renal, neurologic, psychiatric, endocrine, metabolic, immunologic, cardiovascular, pulmonary, or hepatic disease within the last 6 months)

Treatment and study plan

Etentamig

Drug

Injection

Pomalidomide

Drug

Oral

Daratumumab

Drug

Injection

Dexamethasone

Drug

Oral or Injection

Carfilzomib

Drug

Injection

Teclistamab

Drug

Injection

Primary outcomes

  1. Safety Run-In: Number of Participants With Adverse Events (AE)s

    Time frame: Up to Approximately 75 Months

    AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

  2. Randomized Portion: Complete Response (CR) or Better Rate Per Independent Review Committee (IRC) Assessment

    Time frame: Up to Approximately 75 Months

    CR or better is defined as proportion of participants with best overall response (BOR) of CR or stringent CR (sCR) as assessed per International Myeloma Working Group (IMWG) 2016 criteria. CR is defined as negative immunofixation on the serum and urine, disappearance of any soft tissue plasmacytomas, and less than 5% plasma cells in bone marrow aspirates. The treatment effect will be summarized as the difference in the CR or better rates between etentamig in combination with pomalidomide and standard available therapies (SAT).

  3. Randomized Portion: Progression-Free Survival (PFS) Per Independent Review Committee (IRC) Assessment

    Time frame: Up to Approximately 75 Months

    PFS is defined as duration from the date of randomization to the date of disease progression assessed according to the IMWG (2016) response criteria, per IRC assessment or death due to any cause, whichever occurs first.

Secondary outcomes

  1. Safety Run-In: Best Overall Response (BOR) of Per Investigator Assessment

    Time frame: Up to Approximately 75 Months

    BOR is defined as the best response achieved across all response assessments, partial response (PR) + very good partial response (VGPR) + complete response (CR) + stringent complete response (sCR), from randomization until disease progression per investigator assessment, using IMWG (2016) response criteria.

  2. Safety Run-In: Maximum Observed Concentration (Cmax) of Etentamig

    Time frame: Up to Approximately 12 Months

    Cmax of Etentamig.

  3. Safety Run-In: Time to Cmax (Tmax) of Etentamig

    Time frame: Up to Approximately 12 Months

    Cmax of Etentamig.

  4. Safety Run-In: Area under the Serum Concentration-Time Curve (AUC) of Etentamig

    Time frame: Up to Approximately 12 Months

    Cmax of Etentamig.

  5. Safety Run-In: Immunogenicity of Etentamig

    Time frame: Up to Approximately 75 Months

    Immunogenicity of etentamig is defined as the summary of antidrug antibody (ADA) status, ADA titers, and neutralizing antibody (NAb)s, if NAb samples are analyzed.

  6. Randomized Portion: Minimal Residual Disease Negative Complete Response (MRDnegCR) Per IRC Assessment

    Time frame: Up to Approximately 75 Months

    MRDnegCR is defined as achievement of CR or better by IMWG (2016) response criteria per IRC assessment and MRD negative status as assessed by next-generation sequencing (NGS) at threshold defined in the protocol.

  7. Randomized Portion: Overall Survival (OS)

    Time frame: Up to Approximately 75 Months

    Overall Survival (OS) is defined as the duration from the date of randomization to the date of death from any cause.

  8. Randomized Portion: Sustained Minimal Residual Disease (MRD) Negativity

    Time frame: Up to Approximately 75 Months

    Sustained MRD negativity assessed in participants with relapsed/refractory multiple myeloma (RRMM).

  9. Randomized Portion: Best Minimal Residual Disease Negative Complete Response (MRD Negative CR) Per IRC Assessment

    Time frame: Up to Approximately 75 Months

    Best MRD negative CR per IRC assessment in participants with relapsed/refractory multiple myeloma (RRMM).

  10. Randomized Portion: BOR Per IRC Assessment

    Time frame: Up to Approximately 75 Months

    BOR is defined as the best response achieved across all response assessments, PR + VGPR + CR +sCR from randomization until disease progression per IRC assessment, using IMWG (2016) response criteria.

  11. Randomized Portion: VGPR or Better Rate Per IRC Assessment

    Time frame: Up to Approximately 75 Months

    VGPR or better rate per IRC assessment, defined as percentage of participants achieving VGPR, CR, or sCR using IMWG (2016) response criteria.

  12. Randomized Portion: Time to Response (TTR) Per IRC Assessment

    Time frame: Up to Approximately 75 Months

    TTR is defined as the time from randomization to first documented response (PR or better) per IRC assessment using IMWG (2016) response criteria.

  13. Randomized Portion: Duration of Response (DOR) Per IRC Assessment

    Time frame: Up to Approximately 75 Months

    DOR is defined as the time from first documented response (PR or better) to disease progression or death, whichever occurs first, per IRC assessment using IMWG (2016) response criteria.

  14. Randomized Portion: Second Progression-Free Survival (PFS2)

    Time frame: Up to Approximately 75 Months

    PFS2 is defined as time from randomization to second disease progression or death from any cause, whichever occurs first.

  15. Change From Baseline in EORTC QLQ-C30 Global Health Status/Quality of Life (QoL) Score

    Time frame: Up to Approximately 75 Months

    Change from baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) Global Health Status/Quality of Life score. Patient-reported outcome (PRO) assessment.

  16. Randomized Portion: Event-Free Survival (EFS) Per IRC Assessment

    Time frame: Up to Approximately 75 Months

    EFS per IRC assessment in participants with relapsed/refractory multiple myeloma (RRMM).

  17. Randomized Portion: Time to Next Treatment (TTNT)

    Time frame: Up to Approximately 75 Months

    TTNT is defined as time from randomization to initiation of next anti-myeloma therapy.

  18. Randomized Portion: Time to Symptomatic Disease Progression

    Time frame: Up to Approximately 75 Months

    Time to symptomatic disease progression in participants with relapsed/refractory multiple myeloma (RRMM).

  19. Randomized Portion: Change From Baseline in Disease Symptoms as Measured by the Disease Symptoms Domain of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Myeloma Module (EORTC QLQ-MY20)

    Time frame: Up to Approximately 75 Months

    Change from baseline in disease symptoms as measured by the disease symptoms domain of the EORTC QLQ-MY20 .

  20. Randomized Portion: Change From Baseline in Physical Functioning as Measured by the Physical Functioning Domain of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)

    Time frame: Up to Approximately 75 Months

    Change from baseline at 6 months in physical functioning as measured by the physical functioning domain of the EORTC QLQ-C30.

  21. Randomized Portion: Overall Bother Due to Treatment Side Effects as Assessed by the Functional Assessment of Cancer Therapy - General Population, Item 5 (FACT-G GP5)

    Time frame: Up to Approximately 75 Months

    Overall bother due to treatment side effects as assessed by the Functional Assessment of Cancer Therapy - General Population, Item 5 FACT-G GP5. Patient-reported outcome (PRO) assessment.

Study contacts

Contact information is provided by the study sponsor or research team.

ABBVIE CALL CENTER

CONTACT

[email protected]

844-663-3742

Sponsors and collaborators

Lead sponsor

AbbVie

Industry

Registry information

Official study title

A Phase 3, Multicenter, Randomized, Open Label Study to Evaluate the Safety and Efficacy of Etentamig in Combination With Pomalidomide Compared With Standard Available Therapies in Subjects With Relapsed or Refractory Multiple Myeloma (2L+ RRMM)

Important dates

Study start
2026
Primary completion
2033
Study completion
2033
First posted
Jul 27, 2026
Registry last updated
Jul 27, 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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