Clinical trial Recruiting at 80 sites Phase 3 Interventional Ages 18 and up

Elranatamab alone or with daratumumab for people with multiple myeloma after prior treatment

Official title: AN OPEN-LABEL, 3-ARM, MULTICENTER, RANDOMIZED PHASE 3 STUDY TO EVALUATE THE EFFICACY AND SAFETY OF ELRANATAMAB (PF-06863135) MONOTHERAPY AND ELRANATAMAB + DARATUMUMAB VERSUS DARATUMUMAB + POMALIDOMIDE + DEXAMETHASONE IN PARTICIPANTS WITH RELAPSED/REFRACTORY MULTIPLE MYELOMA WHO HAVE RECEIVED AT LEAST 1 PRIOR LINE OF THERAPY INCLUDING LENALIDOMIDE AND A PROTEASOME INHIBITOR

Run by Pfizer · NCT05020236 · Data updated 2026-11-12

This trial will test whether the BCMA-targeting drug elranatamab alone or together with daratumumab helps people with multiple myeloma who have already been treated with lenalidomide, compared with daratumumab plus pomalidomide and dexamethasone.

More Multiple Myeloma trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment893 (estimated)
SponsorPfizer
Industry-sponsored
Drugs / interventionselranatamab, daratumumab
Locations237 sites (Clovis, California and 236 other locations)
StatusRecruiting
StartedOctober 4, 2021
Main results expectedFebruary 26, 2026
Study endsMay 31, 2027
Registry record updatedAugust 24, 2026
Trial IDNCT05020236 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

People with measurable multiple myeloma who have received prior anti-myeloma therapy including lenalidomide, have ECOG performance status 0–2, and meet baseline safety requirements are the intended participants.

Probably not a fit

Patients with smoldering myeloma, plasma cell leukemia, amyloidosis, POEMS syndrome, recent stem cell transplant or active graft-versus-host disease, active uncontrolled infections (including HBV, HCV, HIV, SARS-CoV-2), or other active malignancies are excluded and unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a multi-part Phase 3 trial testing the BCMA-CD3 bispecific antibody elranatamab as a single agent and in combination with the anti-CD38 antibody daratumumab in people with previously treated multiple myeloma. Part 1 explores safety and activity of different elranatamab doses when given with daratumumab. In Part 2 participants are randomized to elranatamab alone, elranatamab plus daratumumab, or daratumumab with pomalidomide and dexamethasone to compare safety and anti-myeloma activity. Later parts will expand evaluation of efficacy and longer-term outcomes in larger patient groups.

Why it matters

Potential benefit: If successful, the regimen could provide a new effective treatment option for people with previously treated multiple myeloma and potentially improve response rates or delay disease progression.

How similar studies have gone: Earlier-phase trials of elranatamab and other BCMA-targeting bispecific antibodies have shown promising response rates in relapsed/refractory multiple myeloma, and daratumumab-containing combinations are an established treatment backbone.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Prior diagnosis of multiple myeloma as defined by IMWG criteria (Rajkumar et al, 2014).
* Measurable disease based on IMWG criteria as defined by at least 1 of the following:

  * Serum M-protein ≥0.5 g/dL.
  * Urinary M-protein excretion ≥200 mg/24 hours.
  * Serum immunoglobulin FLC ≥10 mg/dL (≥100 mg/L) AND abnormal serum immunoglobulin kappa to lambda FLC ratio (\<0.26 or \>1.65).
* Prior anti-multiple myeloma therapy including treatment with lenalidomide.
* ECOG performance status ≤2.
* Resolved acute effects of any prior therapy to baseline severity or CTCAE Grade ≤1.
* Not pregnant and willing to use contraception.

Exclusion Criteria:

* Smoldering multiple myeloma.
* Plasma cell leukemia.
* Amyloidosis.
* POEMS Syndrome.
* Stem cell transplant within 12 weeks prior to enrolment, or active graft versus host disease.
* Active HBV, HCV, SARS-CoV2, HIV, or any active, uncontrolled bacterial, fungal, or viral infection.
* Any other active malignancy within 3 years prior to enrolment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ.
* Previous treatment with a BCMA-directed therapy.
* Live attenuated vaccine within 4 weeks of the first dose of study intervention.
* Administration with an investigational product (e.g. drug or vaccine) concurrent with study intervention or within 30 days preceding the first dose of study intervention used in this study.

Where it's running

  • Sylvester Comprehensive Cancer Center - Aventura
    Aventura, Florida, United States
    Recruiting
  • Sylvester Comprehensive Cancer Center- The Lennar Foundation Medical Center
    Coral Gables, Florida, United States
    Recruiting
  • Sylvester Comprehensive Cancer Center - Coral Springs
    Coral Springs, Florida, United States
    Recruiting
  • University of Miami Hospital and Clinics - Deerfield Beach
    Deerfield Beach, Florida, United States
    Recruiting
  • Sylvester Comprehensive Cancer Center - Hollywood
    Hollywood, Florida, United States
    Recruiting
  • Sylvester Comprehensive Cancer Center
    Miami, Florida, United States
    Recruiting
Show 44 more locations
  • University of Miami Hospital and Clinics
    Miami, Florida, United States
    Recruiting
  • Sylvester Comprehensive Cancer Center - Kendall
    Miami, Florida, United States
    Recruiting
  • Sylvester Comprehensive Cancer Center - Plantation
    Plantation, Florida, United States
    Recruiting
  • MSK Basking Ridge
    Basking Ridge, New Jersey, United States
    Recruiting
  • MSK Monmouth
    Middletown, New Jersey, United States
    Recruiting
  • MSK Bergen
    Montvale, New Jersey, United States
    Recruiting
  • MSK Commack
    Commack, New York, United States
    Recruiting
  • MSK Westchester
    Harrison, New York, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center - David H. Koch Center for Cancer Care (74th Street).
    New York, New York, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center - Main Campus
    New York, New York, United States
    Recruiting
  • MSK Nassau
    Uniondale, New York, United States
    Recruiting
  • FUNDALEU - Fundacion para combatir la Leucemia
    Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina
    Recruiting
  • FUNDALEU -Fundación para combatir la leucemia
    Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
    Recruiting
  • Fundaleu
    Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
    Recruiting
  • Pindara Private Hospital
    Benowa, Queensland, Australia
    Recruiting
  • QScan Radiology Clinics
    Clayfield, Queensland, Australia
    Recruiting
  • Princess Alexandra Hospital
    Woolloongabba, Queensland, Australia
    Recruiting
  • Epworth Freemasons
    East Melbourne, Victoria, Australia
    Recruiting
  • St Vincent's Hospital (Melbourne)
    Fitzroy, Victoria, Australia
    Recruiting
  • Barwon Health
    Geelong, Victoria, Australia
    Recruiting
  • The Alfred Hospital
    Melbourne, Victoria, Australia
    Recruiting
  • Epworth Healthcare
    Richmond, Victoria, Australia
    Recruiting
  • Slade Pharmacy
    Richmond, Victoria, Australia
    Recruiting
  • Uniklinikum Salzburg
    Salzburg, Austria
    Recruiting
  • Arthur J.E. Child Comprehensive Cancer Centre
    Calgary, Alberta, Canada
    Recruiting
  • QEII Health Sciences Centre - Victoria General Site
    Halifax, Nova Scotia, Canada
    Recruiting
  • Jewish General Hospital
    Montreal, Quebec, Canada
    Recruiting
  • Saskatoon Cancer Center
    Saskatoon, Saskatchewan, Canada
    Recruiting
  • Peking University Third Hospital
    Beijing, Beijing Municipality, China
    Recruiting
  • Fujian Medical University Union Hospital
    Fuzhou, Fujian, China
    Recruiting
  • Guangdong Provincial People's Hospital
    Guangzhou, Guangdong, China
    Recruiting
  • Nanfang Hospital of Southern Medical University
    Guangzhou, Guangdong, China
    Recruiting
  • Sun Yat-sen University Cancer Center
    Guangzhou, Guangdong, China
    Recruiting
  • Shenzhen Second People's Hospital
    Shenzhen, Guangdong, China
    Recruiting
  • Henan Cancer Hospital
    Zhengzhou, Henan, China
    Recruiting
  • Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, Hubei, China
    Recruiting
  • Nanjing Drum Tower Hospital , The Affiliated Hospital of Nanjing University Medical School
    Nanjing, Jiangsu, China
    Recruiting
  • The First Hospital of Jilin University
    Changchun, Jilin, China
    Recruiting
  • Jinan Central Hospital
    Jinan, Shandong, China
    Recruiting
  • Institute of hematology&blood disease hospital
    Tianjin, Tianjin Municipality, China
    Recruiting
  • The First Affiliated Hospital, Zhejiang University
    Hangzhou, Zhejiang, China
    Recruiting
  • The First Affiliated Hospital of Wenzhou Medical University
    Wenzhou, Zhejiang, China
    Recruiting
  • Chongqing University Cancer Hospital
    Chongqing, China
    Recruiting
  • Fakultní nemocnice Brno Bohunice
    Brno, Brno-m?sto, Czechia
    Recruiting

+187 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.