Phase 1/2 Study of Linvoseltamab in Adult Patients With Relapsed or Refractory Multiple Myeloma

Last updated: February 10, 2026
Sponsor: Regeneron Pharmaceuticals
Overall Status: Active - Recruiting

Phase

1/2

Condition

Platelet Disorders

Red Blood Cell Disorders

Leukemia

Treatment

Linvoseltamab

Clinical Study ID

NCT03761108
R5458-ONC-1826
2024-511454-45-00
2018-003188-78
  • Ages > 18
  • All Genders

Study Summary

The main purpose of this study is to learn about the safety of linvoseltamab and to find out what is the best dose of linvoseltamab to give to patients with multiple myeloma and to look for any signs that linvoseltamab can effectively treat cancer.

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

  • Side effects that may be experienced by people receiving linvoseltamab

  • How linvoseltamab works in the body

  • How much linvoseltamab is present in the blood

  • How linvoseltamab may work to treat cancer

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1

  2. Confirmed diagnosis of active Multiple Myeloma (MM) by International Myeloma WorkingGroup (IMWG) diagnostic criteria

  3. Patients must have myeloma that is response-evaluable according to the 2016 IMWGresponse criteria as defined in the protocol.

  • Phase 1, Part 1 (Dose Escalation): Patients with MM who have exhausted alltherapeutic options that are expected to provide meaningful clinical benefit,either through disease relapse, treatment refractory disease or intolerance ofthe therapy and including either:a. Progression on or after at least 3 lines of therapy, or intolerance oftherapy, including a proteasome inhibitor, an Immunomodulatory agent (IMiD),and an anti-CD38 antibody, OR b. Progression on or after an anti-CD38 antibodyand have disease that is "double refractory" to a proteasome inhibitor and anIMiD, or intolerance of therapy. The anti-CD38 antibody may have beenadministered alone or in combination with another agent such as a proteasomeinhibitor (PI). Refractory disease is defined as lack of response or relapsewithin 60 days of last treatment.

  • Phase 1, Part 2 (SC Administration): Patients with MM whose disease meets thefollowing criteria:a. Progression on or after at least 3 prior lines of therapy including a(n) PI,IMiD, and anti-CD38 antibody, OR b. Patients must be triple-refractory, definedas being refractory to prior treatment with at least 1 anti-CD38 antibody, aproteasome inhibitor, and an IMiD.

  • Phase 2 (Cohorts 1 and 2): Patients with MM whose disease meets the following criteria: a. Progression on or after at least 3 prior lines of therapy including a(n) PI,IMiD, and anti-CD38 antibody, OR b. Patients must be triple- refractory, defined asbeing refractory* to prior treatment with at least 1 PI, 1 IMiD, and an anti-CD38antibody.

  • Phase 2 (Cohort 3): Patients with MM whose disease meets the following criteria:

  1. Progression on or after at least 3 prior lines of therapy including a(n) PI,IMiD, and anti-CD38 antibody, OR

  2. Patients must be triple- refractory, defined as being refractory* to priortreatment with at least 1 PI, 1 IMiD, and an anti-CD38 antibody.

  • Refractory disease is defined as progression during treatment or within 60days after completion of therapy, or <25% response to therapy. AND, for ALL patients, if they have relapsed after a BCMA-directed CAR-T cellulartherapy then:

• Treatment with a CAR-T must have been associated with a response of PR or better,and

• If CAR-T cellular therapy was the most recent prior therapy, excludingcorticosteroids, then treatment must have been a minimum of 60 days prior totreatment with linvoseltamab.

Exclusion

Key Exclusion Criteria:

  1. Diagnosis of plasma cell leukemia, primary systemic light-chain amyloidosis, (excluding myeloma-associated amyloidosis), Waldenström macroglobulinemia (lymphoplasmacytic lymphoma), or POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes) 2. Patients with known MM brain lesions or meningeal involvement 3. Cardiac ejection fraction <40% by echocardiogram or multi-gated acquisition scan (MUGA) 4. Prior treatment with BCMA-directed immunotherapies, including BCMA bispecific antibodies and BiTEs. Note: BCMA antibody-drug conjugates are not excluded and BCMA-directed CAR-T treatment is not excluded in Phase 2 Cohort 3.

  2. History of allogeneic stem cell transplantation at any time, or autologous stem cell transplantation within 12 weeks of the start of study treatment

Note 1: Other protocol defined inclusion / exclusion criteria apply Note 2: US sites are active but currently not enrolling

Study Design

Total Participants: 387
Treatment Group(s): 1
Primary Treatment: Linvoseltamab
Phase: 1/2
Study Start date:
January 23, 2019
Estimated Completion Date:
June 16, 2033

Connect with a study center

  • ZNA Psychiatrisch Ziekenhuis Stuivenberg

    Antwerp, 2060
    Belgium

    Site Not Available

  • Ziekenhuis Netwerk Antwerpen (ZNA)- Stuivenberg

    Antwerp, 2060
    Belgium

    Active - Recruiting

  • ZNA Psychiatrisch Ziekenhuis Stuivenberg

    Antwerp 2803138, 2060
    Belgium

    Active - Recruiting

  • Cliniques Universitaires Saint-Luc

    Brussels, 1200
    Belgium

    Site Not Available

  • Cliniques Universitaires Saint-Luc

    Brussels 2800866, 1200
    Belgium

    Active - Recruiting

  • Cliniques Universitaires Saint-Luc

    Bruxelles, 1200
    Belgium

    Site Not Available

  • Universitatsklinikum Essen

    Essen, North Rhine-Westphalia 45147
    Germany

    Site Not Available

  • Universitatsklinikum Essen

    Essen 2928810, North Rhine-Westphalia 2861876 45147
    Germany

    Completed

  • Universitaetsmedizin der Johannes Gutenberg Universitaet Mainz KoeR

    Mainz, Rheinland-Pfalz 55131
    Germany

    Site Not Available

  • Universitaetsmedizin der Johannes Gutenberg Universitaet Mainz KoeR

    Mainz 2874225, Rhineland-Palatinate 2847618 55131
    Germany

    Completed

  • Universitaetsklinikum Essen

    Essen, 45147
    Germany

    Completed

  • University Medicine Mainz

    Mainz, 55131
    Germany

    Completed

  • Universitatsklinikum Wurzburg

    Würzburg, 6 97080
    Germany

    Site Not Available

  • Universitatsklinikum Wurzburg

    Würzburg 2805615, 6 97080
    Germany

    Completed

  • Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital

    Nagoya, Aichi 466-8550
    Japan

    Active - Recruiting

  • Nagoya City University Hospital

    Nagoya, Aichi 467-8602
    Japan

    Site Not Available

  • Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital

    Nagoya 1856057, Aichi-ken 1865694 466-8650
    Japan

    Active - Recruiting

  • Nagoya City University Hospital

    Nagoya 1856057, Aichi-ken 1865694 467-8602
    Japan

    Active - Recruiting

  • National Cancer Center Hospital East

    Kashiwa-shi, Chiba 2113014 277-8577
    Japan

    Active - Recruiting

  • Gunma University Hospital

    Maebashi, Gunma 371-8511
    Japan

    Site Not Available

  • Gunma University Hospital. 3-39-15 Showa-machi

    Maebashi, Gunma 371-8511
    Japan

    Active - Recruiting

  • Gunma University Hospital

    Maebashi 1857843, Gunma 1863501 371-8511
    Japan

    Active - Recruiting

  • Ibaraki Prefectural Central Hospital

    Kasama-shi, Ibaraki 2112669 309-1793
    Japan

    Active - Recruiting

  • University Hospital Kyoto Prefectural Univ of Medicine

    Kyoto City, Kyoto 602-8566
    Japan

    Site Not Available

  • University Hospital Kyoto Prefectural Univ of Medicine

    Kyoto 1857910, Kyoto 1857907 602-8566
    Japan

    Active - Recruiting

  • Saitama Medical University International Medical Center

    Hidaka, Saitama 350-1298
    Japan

    Site Not Available

  • Saitama Medical University International Medical Center. 1397-1 Oaza Yamane, Hidaka

    Hidaka, Saitama 350-1298
    Japan

    Active - Recruiting

  • Saitama Medical University International Medical Center

    Hidaka 6822161, Saitama 1853226 350-1298
    Japan

    Completed

  • Tokushima Prefectural Central Hospital

    Tokushima-shi, Tokushima 770-8539
    Japan

    Site Not Available

  • Tokushima Prefectural Central Hospital

    Tokushima 1850158, Tokushima 1850157 770-8539
    Japan

    Active - Recruiting

  • Japanese Red Cross Medical Center. 4-1-22 Hiroo

    Shibuya-ku, Tokyo 150-8935
    Japan

    Active - Recruiting

  • Keio University Hospital

    Shinjuku-ku, Tokyo 160-8582
    Japan

    Site Not Available

  • Japanese Red Cross Medical Center

    Shibuya-ku, Tokyo 1850144 150-8935
    Japan

    Completed

  • Ibaraki Prefectural Central Hospital. 6528 Koibuchi, Kasama

    Kasama, 309-1793
    Japan

    Site Not Available

  • University Hospital Kyoto Prefectural University of Medicine. 465 Kajii-cho, Kawaramachi-Hirokoji,Kamigyo-ku

    Kyoto, 602-8566
    Japan

    Site Not Available

  • Tokushima Prefectural Central Hospital. 1-10-3 Kuramoto-cho

    Tokushima, 770-8539
    Japan

    Site Not Available

  • Keio University Hospital

    Tokyo, 160-8582
    Japan

    Site Not Available

  • Keio University Hospital

    Tokyo 1850147, 160-8582
    Japan

    Active - Recruiting

  • Center for Hematologic Malignancy

    Goyang, Gyeonggi-do 10408
    Korea, Republic of

    Site Not Available

  • National Cancer Center

    Goyang-si, Gyeonggi-do 10408
    Korea, Republic of

    Site Not Available

  • Soul National University Hospital

    Jongno-gu, Seoul 03080
    Korea, Republic of

    Site Not Available

  • Seoul St.Mary's Hospital, The Catholic University of Korea

    Seocho-gu, Seoul 06591
    Korea, Republic of

    Site Not Available

  • Severance Hospital, Yonsei University Health System

    Seodaemun-gu, Seoul 03722
    Korea, Republic of

    Site Not Available

  • Seoul National University Cancer Hospital

    Seoul, 03080
    Korea, Republic of

    Active - Recruiting

  • Seoul St.Mary's Hospital, The Catholic University of Korea Seocho-gu

    Seoul, 137-701
    Korea, Republic of

    Active - Recruiting

  • Severance Hospital, Yonsei University Health System Seodaemun-gu

    Seoul, 03722
    Korea, Republic of

    Active - Recruiting

  • Soul National University Hospital Jongno-gu

    Seoul, 03080
    Korea, Republic of

    Active - Recruiting

  • The Catholic University of Korea, Seoul St. Mary's Hospital

    Seoul, 06591
    Korea, Republic of

    Site Not Available

  • Yonsei University College of Medicine, Severance Hospital

    Seoul, 3722
    Korea, Republic of

    Active - Recruiting

  • Center for Hematologic Malignancy

    Goyang-si 1842485, Gyeonggi-do 1841610 10408
    South Korea

    Active - Recruiting

  • Seoul National University Cancer Hospital

    Seoul 1835848, 03080
    South Korea

    Active - Recruiting

  • The Catholic University of Korea, Seoul St. Mary's Hospital

    Seoul 1835848, 06591
    South Korea

    Active - Recruiting

  • Yonsei University College of Medicine, Severance Hospital

    Seoul 1835848, 3722
    South Korea

    Active - Recruiting

  • Hospital de la Santa Creu i Sant Pau

    Barcelona, Catalonia 08041
    Spain

    Site Not Available

  • Hospital de la Santa Creu i Sant Pau

    Barcelona 3128760, Catalonia 3336901 08041
    Spain

    Active - Recruiting

  • Clinica Universidad de Navarra

    Pamplona, Navarra 31008
    Spain

    Site Not Available

  • Clinica universidad de Navarra unidad centrak de ensayos clinicos 7a 2a fase

    Pamplona, Navarre 31008
    Spain

    Active - Recruiting

  • Clinica Universidad de Navarra

    Pamplona 3114472, Navarre 3115609 31008
    Spain

    Active - Recruiting

  • Universitary Hospital La Princesa

    Madrid, Salamanca 28006
    Spain

    Site Not Available

  • Universitary Hospital La Princesa

    Madrid 3117735, Salamanca 28006
    Spain

    Active - Recruiting

  • Hospital Universitario Sant Pau, Carrer de Sant Antoni Maria Claret, 167

    Barcelona, 08025
    Spain

    Active - Recruiting

  • Hospital 12 de Octubre Avda de Cordoba, s/n

    Madrid, 28041
    Spain

    Active - Recruiting

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Active - Recruiting

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034
    Spain

    Active - Recruiting

  • Hospital Universitario Ramon y Cajal M-607, km 9.100

    Madrid, 28034
    Spain

    Active - Recruiting

  • Universitary Hospital La Princesa Calle de Diego de Leon 62

    Madrid, 28006
    Spain

    Active - Recruiting

  • Hospital Universitario 12 de Octubre

    Madrid 3117735, 28041
    Spain

    Active - Recruiting

  • Hospital Universitario Ramon y Cajal

    Madrid 3117735, 28034
    Spain

    Active - Recruiting

  • Hospital Clinico Universitario de Salamanca

    Salamanca, 37007
    Spain

    Site Not Available

  • Hospital Universitario de Salamanca Paseo de San Vicente 58-182

    Salamanca, 37007
    Spain

    Active - Recruiting

  • Hospital Clinico Universitario de Salamanca

    Salamanca 3111108, 37007
    Spain

    Active - Recruiting

  • Royal Marsden Hospital

    Sutton, Surrey SM2 5PT
    United Kingdom

    Site Not Available

  • Royal Marsden Hospital

    Sutton 2636503, Surrey SM2 5PT
    United Kingdom

    Site Not Available

  • The Royal Marsden Hospital Downs Road Surrey

    London, SM2 5PT
    United Kingdom

    Site Not Available

  • Sylvester Comprehensive Cancer Center

    Miami, Florida 33136
    United States

    Site Not Available

  • University of Miami Hospital/Sylvester Comprehensive

    Miami, Florida 33136
    United States

    Site Not Available

  • Moffitt Cancer Center

    Tampa, Florida 33612
    United States

    Site Not Available

  • Moffitt Cancer Center - McKinley Drive

    Tampa, Florida 33612
    United States

    Site Not Available

  • Sylvester Comprehensive Cancer Center

    Miami 4164138, Florida 4155751 33136
    United States

    Site Not Available

  • Moffitt Cancer Center - McKinley Drive

    Tampa 4174757, Florida 4155751 33612
    United States

    Active - Recruiting

  • Emory University Hospital

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • Winship Cancer Institute of Emory University

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • Emory University Hospital

    Atlanta 4180439, Georgia 4197000 30322
    United States

    Active - Recruiting

  • Indiana University Melvin and Bren Simon Comprehensive Cancer Center

    Indianapolis, Indiana 46202
    United States

    Site Not Available

  • Indiana University_Michigan Street

    Indianapolis, Indiana 46202
    United States

    Site Not Available

  • Indiana University_Michigan Street

    Indianapolis 4259418, Indiana 4921868 46202
    United States

    Site Not Available

  • Norton Cancer Institute

    Louisville, Kentucky 40207
    United States

    Site Not Available

  • Norton Cancer Institute

    Louisville 4299276, Kentucky 6254925 40207
    United States

    Active - Recruiting

  • C. S. Mott_University of Michigan

    Ann Arbor, Michigan 48109-5718
    United States

    Site Not Available

  • University of Michigan Health System

    Ann Arbor, Michigan 48109
    United States

    Site Not Available

  • Barbara Ann Karmanos Cancer Center

    Detroit, Michigan 48201
    United States

    Site Not Available

  • Barbara Ann Karmanos Cancer Institute

    Detroit, Michigan 48201
    United States

    Site Not Available

  • C. S. Mott_University of Michigan

    Ann Arbor 4984247, Michigan 5001836 48109
    United States

    Site Not Available

  • Barbara Ann Karmanos Cancer Center

    Detroit 4990729, Michigan 5001836 48201
    United States

    Site Not Available

  • Rutgers Cancer Institute of New Jersey

    New Brunswick, New Jersey 08903
    United States

    Site Not Available

  • Rutgers Cancer Institute of New Jersey

    New Brunswick 5101717, New Jersey 5101760 08901
    United States

    Site Not Available

  • Columbia University Medical Center

    New York, New York 10032-3729
    United States

    Active - Recruiting

  • Columbia University Medical Center, Herbert Irving Pavilion

    New York, New York 10032-3729
    United States

    Site Not Available

  • Icahn School of Medicine at Mount Sinai

    New York, New York 10029
    United States

    Site Not Available

  • The Icahn School of Medicine at Mount Sinai

    New York, New York 10029
    United States

    Site Not Available

  • Columbia University Medical Center

    New York 5128581, New York 5128638 10032
    United States

    Site Not Available

  • Icahn School of Medicine at Mount Sinai

    New York 5128581, New York 5128638 10029
    United States

    Active - Recruiting

  • Ohio State University James Cancer Hospital

    Columbus, Ohio 43210
    United States

    Site Not Available

  • The Ohio State University, James Cancer Hospital

    Columbus, Ohio 43210
    United States

    Site Not Available

  • Ohio State University James Cancer Hospital

    Columbus 4509177, Ohio 5165418 43210
    United States

    Active - Recruiting

  • Oregon Health Science University OHSU

    Portland, Oregon 97239
    United States

    Site Not Available

  • Oregon Health and Science University (OHSU) Marquam Hill Campus

    Portland, Oregon 97239
    United States

    Site Not Available

  • Oregon Health and Science University (OHSU) Marquam Hill Campus

    Portland 5746545, Oregon 5744337 97239
    United States

    Active - Recruiting

  • University of Texas MD Anderson Clinic

    Houston, Texas 77030
    United States

    Site Not Available

  • University of Texas MD Anderson Clinic

    Houston 4699066, Texas 4736286 77030
    United States

    Site Not Available

  • Swedish Cancer Institute

    Seattle, Washington 98104
    United States

    Site Not Available

  • Swedish Cancer Institute

    Seattle 5809844, Washington 5815135 98104
    United States

    Active - Recruiting

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