A Study Evaluating the Efficacy and Safety of Cevostamab in Prior B Cell Maturation Antigen (BCMA)-Exposed Participants With Relapsed/Refractory Multiple Myeloma

Last updated: May 13, 2025
Sponsor: Hoffmann-La Roche
Overall Status: Active - Not Recruiting

Phase

1/2

Condition

Leukemia

Multiple Myeloma

Red Blood Cell Disorders

Treatment

Tocilizumab

Cevostamab

Clinical Study ID

NCT05535244
CO43476
2021-006816-10
  • Ages > 18
  • All Genders

Study Summary

This study will evaluate the efficacy, safety, and pharmacokinetics of cevostamab in participants with relapsed or refractory multiple myeloma (R/R MM) via intravenous (IV) infusion.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Documented diagnosis of MM based on standard International Myeloma Working Group (IMWG) criteria

  • Evidence of progressive disease based on investigators determination of response byIMWG criteria on or after their last dosing regimen

  • Prior BCMA ADC or CAR-T Cohort: participants who have received a BCMA-targeted CAR-Tor ADC therapy and are triple-class relapsed or refractory

  • Prior BCMA Bispecific Cohort: participants who have received a BCMA-targetingT-cell-dependent bispecific (TDB) antibody and are triple-class relapsed orrefractory

  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1

  • Life expectancy is at least 12 weeks

  • Agreement to protocol-specified assessments, including bone marrow biopsy andaspirate samples as detailed in the protocol

  • Resolution of AEs from prior anti-cancer therapy to Grade =< 1

  • For female participants of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraception during the treatmentperiod and for at least 5 months after the final dose of cevostamab and for 3 monthsafter the last dose of tocilizumab was administered

  • For male participants: agreement to remain abstinent (refrain from heterosexualintercourse) or use a condom, and agree to refrain from donating sperm during thetreatment period and for at least 2 months after the final dose of tocilizumab (ifapplicable) to avoid exposing the embryo

Exclusion

Exclusion Criteria:

  • Inability to comply with protocol-mandated hospitalization

  • Pregnancy or breastfeeding, or intention of becoming pregnant during the study orwithin 5 months after the final dose of cevostamab or tocilizumab or within 3 monthsafter the last dose of tocilizumab (if applicable)

  • Prior treatment with cevostamab or another agent with the same target

  • Prior BCMA ADC or CAR-T Cohort: prior treatment with any T cell dependentbi-specific antibody (TDB) antibody including non BCMA targeting TDB

  • Prior use of any monoclonal antibody (mAb), radioimmunoconjugate, or ADC asanti-cancer therapy within 4 weeks before first study treatment, except for the useof non-myeloma therapy

  • Prior treatment with systemic immunotherapeutic agents

  • Prior treatment with CAR-T cell therapy within 12 weeks before first cevostamabinfusion

  • Known treatment-related, immune-mediated adverse events associated with priorcheckpoint inhibitors

  • Treatment with radiotherapy, any chemotherapeutic agent, or treatment with any otheranti-cancer agent within 4 weeks or 5 half-lives of the drug, whichever is shorter,prior to first study treatment

  • Autologous stem cell transplantation (SCT) within 100 days prior to first studytreatment

  • Prior allogeneic SCT

  • Circulating plasma cell count exceeding 500/ microliter (µL) or 5% of the peripheralblood white cells

  • Prior solid organ transplantation

  • History of autoimmune disease

  • History of confirmed progressive multifocal leukoencephalopathy

  • History of severe allergic or anaphylactic reactions to mAb therapy

  • Known history of amyloidosis

  • Lesions in proximity of vital organs that may develop suddendecompensation/deterioration in the setting of a tumor flare

  • History of other malignancy within 2 years prior to screening, except those withnegligible risk of metastasis or death, such as ductal carcinoma in situ notrequiring chemotherapy, appropriately treated carcinoma in situ of the cervix,non-melanoma skin carcinoma, low-grade, localized prostate cancer not requiringtreatment or appropriately treated Stage I uterine cancer

  • Current or past history of central nervous system (CNS) disease, such as stroke,epilepsy, CNS vasculitis, neurodegenerative disease, or CNS involvement by MM

  • Significant cardiovascular disease that may limit a potential participant's abilityto adequately respond to a cytokine release syndrome (CRS) event

  • Symptomatic active pulmonary disease or requiring supplemental oxygen

  • Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infectionat study enrollment, or any major episode of infection requiring treatment with IV (intravenous) antimicrobials where the last dose of IV antimicrobial was givenwithin 14 days prior to first study treatment

  • Active symptomatic COVID-19 infection at study enrollment or requiring treatmentwith IV antiviral where the last dose of IV antiviral treatment was given within 14days prior to first study treatment. Participants with active COVID-19 infectionmust have clinical recovery and two negative antigen tests at least 24 hours apartprior to first study treatment

  • Positive and quantifiable Epstein-Barr virus (EBV) polymerase chain reaction (PCR)or cytomegalovirus (CMV) PCR prior to first study treatment

  • Known or suspected chronic active EBV infection

  • Known history of Grade >=3 CRS or immune effector cell-associated neurotoxicitysyndrome (ICANS) with prior bispecific therapies

  • Known history of hemophagocytic lymphohistiocytosis (HLH) or macrophage activationsyndrome (MAS)

  • Recent major surgery within 4 weeks prior to first study treatment

  • Positive serologic or PCR test results for acute or chronic hepatitis B virus (HBV)infection

  • Acute or chronic hepatitis C virus (HCV) infection

  • Known history of human immunodeficiency virus (HIV) seropositivity

  • Administration of a live, attenuated vaccine within 4 weeks before first studytreatment or anticipation that such a live attenuated vaccine will be requiredduring the study

  • Treatment with systemic immunosuppressive medications, with the exception ofcorticosteroid treatment <= 10 mg/day prednisone or equivalent, within 2 weeks priorto first study treatment

  • History of illicit drug or alcohol abuse within 12 months prior to screening, in theinvestigator's judgment

  • Any medical condition or abnormality in clinical laboratory tests that, in theinvestigator's judgment, precludes the participant's safe participation in andcompletion of the study, or which could affect compliance with the protocol orinterpretation of results

Study Design

Total Participants: 90
Treatment Group(s): 2
Primary Treatment: Tocilizumab
Phase: 1/2
Study Start date:
October 17, 2022
Estimated Completion Date:
February 26, 2027

Connect with a study center

  • Calvary Mater Newcastle

    Waratah, New South Wales 2298
    Australia

    Site Not Available

  • Calvary Mater Newcastle; Hematology

    Waratah, New South Wales 2298
    Australia

    Site Not Available

  • St Vincent's Hospital Melbourne

    Fitzroy, Victoria 3065
    Australia

    Site Not Available

  • St Vincents Hospital

    Melbourne, Victoria 3065
    Australia

    Site Not Available

  • UZ Leuven Gasthuisberg

    Leuven, 3000
    Belgium

    Site Not Available

  • CHU NANTES - Hôtel Dieu

    Nantes, 44093
    France

    Site Not Available

  • CHU NANTES - Hôtel Dieu; Service d'Hematologie Clinique

    Nantes, 44093
    France

    Site Not Available

  • APHP - Hospital Saint Louis

    Paris, 75475
    France

    Site Not Available

  • CHU de Poitiers - La Miletrie

    Poitiers, 86021
    France

    Site Not Available

  • CHU de Poitiers - La Miletrie; Oncologie hematologique - Pole Regional de Cancerologie

    Poitiers, 86021
    France

    Site Not Available

  • CAMPUS BENJAMIN FRANKLIN CharitéCentrum 14 Med.Klinik f.Hämatologie u.Onkologie

    Berlin, 12200
    Germany

    Site Not Available

  • Universitätsklinikum Hamburg-Eppendorf Onkologisches Zentrum Medizinische Klinik II

    Hamburg, 20246
    Germany

    Site Not Available

  • Klinik der Uni zu Köln

    Köln, 50924
    Germany

    Site Not Available

  • Klinik der Uni zu Köln; Klinik für Innere Medizin

    Köln, 50924
    Germany

    Site Not Available

  • Universitätsklinikum Tübingen Medizinische UNI-Klinik und Poliklinik Abt. Innere Medizin II

    Tübingen, 72076
    Germany

    Site Not Available

  • Universitätsklinikum Würzburg

    Würzburg, 97080
    Germany

    Site Not Available

  • Universitätsklinikum Würzburg; Medizinische Klinik und Poliklinik II; Hämatologie / Onkologie

    Würzburg, 97080
    Germany

    Site Not Available

  • Hadassah Ein Karem Hospital

    Jerusalem, 9112001
    Israel

    Site Not Available

  • Hadassah Ein Karem Hospital; Haematology

    Jerusalem, 9112001
    Israel

    Site Not Available

  • Sheba Medical Center

    Ramat Gan, 5262100
    Israel

    Site Not Available

  • Sheba Medical Center; Tel Hashomer

    Ramat Gan, 5262100
    Israel

    Site Not Available

  • Sourasky Medical Centre

    Tel-Aviv, 6423906
    Israel

    Site Not Available

  • Policlinico S.Orsola-Malpighi

    Bologna, Emilia-Romagna 40138
    Italy

    Site Not Available

  • Policlinico S.Orsola-Malpighi;Istituto di Ematologia "Seragnoli"

    Bologna, Emilia-Romagna 40138
    Italy

    Site Not Available

  • ASST PAPA GIOVANNI XXIII; Ematologia

    Bergamo, Lombardia 24127
    Italy

    Site Not Available

  • Asst Papa Giovanni Xxiii

    Bergamo, Lombardia 24127
    Italy

    Site Not Available

  • Fond. IRCCS Istituto Nazionale Tumori

    Milano, Lombardia 20133
    Italy

    Site Not Available

  • Fond. IRCCS Istituto Nazionale Tumori; S. C. Ematologia

    Milano, Lombardia 20133
    Italy

    Site Not Available

  • A.O. Città della Salute e della Scienza D - Osp. S. Giov. Battista Molinette

    Torino, Piemonte 10126
    Italy

    Site Not Available

  • A.O. Città della Salute e della Scienza D - Osp. S. Giov. Battista Molinette; Ematologia I

    Torino, Piemonte 10126
    Italy

    Site Not Available

  • Clinica Universitaria de Navarra; Servicio de Hematologia

    Pamplona, Navarra 31008
    Spain

    Site Not Available

  • Hospital Clínic i Provincial

    Barcelona, 08036
    Spain

    Site Not Available

  • Hospital Clínic i Provincial; Servicio de Hematología y Oncología

    Barcelona, 08036
    Spain

    Site Not Available

  • Clinica Universidad de Navarra Madrid; Servicio de Hematología

    Madrid, 28027
    Spain

    Site Not Available

  • Hospital Univ. 12 de Octubre

    Madrid, 28041
    Spain

    Site Not Available

  • Hospital Univ. 12 de Octubre; Servicio de Hematologia

    Madrid, 28041
    Spain

    Site Not Available

  • Hospital Universitario la Fe; Servicio de Hematologia

    Valencia, 46026
    Spain

    Site Not Available

  • Mayo Clinic - Arizona

    Phoenix, Arizona 85054
    United States

    Site Not Available

  • University of Colorado

    Aurora, Colorado 80045-2517
    United States

    Site Not Available

  • Mayo Clinic-Jacksonville

    Jacksonville, Florida 32224
    United States

    Site Not Available

  • University of Maryland Greenebaum Cancer Center

    Baltimore, Maryland 21201
    United States

    Site Not Available

  • Dana Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Mayo Clinic - Rochester

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Icahn School of Medicine at Mount Sinai (ISMMS)

    New York, New York 10029
    United States

    Site Not Available

  • Icahn School of Medicine at Mount Sinai (ISMMS); The Derald H. Ruttenberg Treatment Center

    New York, New York 10029
    United States

    Site Not Available

  • Memorial Sloan Kettering Cancer Center

    New York, New York 10065
    United States

    Site Not Available

  • Tennessee Onc., PLLC - SCRI

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • Tennessee Oncology - Nashville

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • Methodist Hospital

    San Antonio, Texas 78229
    United States

    Site Not Available

  • Hunstman Cancer Institute

    Salt Lake City, Utah 84112
    United States

    Site Not Available

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