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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 893 (estimated) |
| Sponsor | Pfizer Industry-sponsored |
| Drugs / interventions | elranatamab, daratumumab |
| Locations | 237 sites (Clovis, California and 236 other locations) |
| Status | Recruiting |
| Started | October 4, 2021 |
| Main results expected | February 26, 2026 |
| Study ends | May 31, 2027 |
| Registry record updated | August 24, 2026 |
| Trial ID | NCT05020236 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
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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
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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
- Study coordinator: Pfizer CT.gov Call Center
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
- Phone: 1-800-718-1021
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Evaluating new treatment combinations for newly diagnosed multiple myeloma patients not eligible for transplant
This study is testing different combinations of medications for people with newly diagnosed multiple myeloma who can't have a transplant to see which one works best and is safest.
-
Tec Dara for newly diagnosed multiple myeloma with light chain amyloidosis
This study tests whether tec listamab plus daratumumab can help newly diagnosed multiple myeloma with AL amyloidosis and whether the combination is safe.
-
Elranatamab given as outpatient in relapsed or refractory multiple myeloma
This study tests a bispecific antibody called elranatamab, given in an outpatient setting to adults with relapsed or refractory multiple myeloma who have had prior therapies.
-
Maintaining myeloma with less frequent daratumumab plus lenalidomide
This phase 2 study tests a reduced-dosing schedule of daratumumab with lenalidomide to maintain remission in adults with multiple myeloma after stem cell transplant.
-
Elranatamab plus cyclophosphamide for relapsed/refractory multiple myeloma with high-risk features
This will test whether adding cyclophosphamide to elranatamab helps people with relapsed or refractory multiple myeloma who have risk factors that might make elranatamab alone less effective.
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GR1803 injection versus daratumumab plus pomalidomide and dexamethasone for relapsed or refractory multiple myeloma
This trial tests whether GR1803 injection works better than daratumumab combined with pomalidomide and dexamethasone for adults with relapsed or refractory multiple myeloma who have had one to three prior treatments.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.