Clinical trial Recruiting at 9 sites Phase1; Phase2 Interventional Ages 18 and up

Testing REGN7945 with linvoseltamab for relapsed multiple myeloma

Official title: A First-in-Human (FIH) Phase 1/2 Study to Assess Safety, Tolerability, and Preliminary Anti-Tumor Activity of REGN7945, an Anti-CD38 x Anti-CD28 Costimulatory Bispecific Monoclonal Antibody, in Combination With Linvoseltamab, an Anti-BCMA x Anti-CD3 Bispecific Monoclonal Antibody, in Participants With Relapsed/Refractory Multiple Myeloma

Run by Regeneron Pharmaceuticals · NCT06669247 · Data updated 2026-11-12

This study is testing a new drug called REGN7945 combined with linvoseltamab to see if it helps adults with relapsed multiple myeloma better than linvoseltamab alone.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment186 (estimated)
SponsorRegeneron Pharmaceuticals
Industry-sponsored
Drugs / interventionsCAR-T, prednisone, linvoseltamab
Locations9 sites (Sydney, New South Wales and 8 other locations)
StatusRecruiting
StartedDecember 11, 2024
Main results expectedNovember 11, 2033
Study endsNovember 1, 2035
Registry record updatedAugust 5, 2026
Trial IDNCT06669247 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with relapsed or refractory multiple myeloma who have undergone at least three lines of prior therapy.

Probably not a fit

Patients with plasma cell leukemia, primary systemic light-chain amyloidosis, Waldenström macroglobulinemia, or POEMS syndrome may not benefit from this study.

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

What this trial studies

This study evaluates the safety and anti-tumor activity of an experimental drug REGN7945 in combination with linvoseltamab in adults with relapsed or refractory multiple myeloma. It aims to determine how well this combination works compared to linvoseltamab alone, focusing on side effects, effectiveness, and duration of benefit. This is the first time REGN7945 will be tested in humans, while linvoseltamab has been previously studied on its own. Participants will be monitored for improvements in their condition and overall tolerability of the treatment.

Why it matters

Potential benefit: If successful, this treatment could provide a new effective option for patients with relapsed or refractory multiple myeloma.

How similar studies have gone: While linvoseltamab has been previously studied, the combination with REGN7945 is a novel approach that has not been tested before.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

1. Eastern Cooperative Oncology Group (ECOG) performance status ≤1 as described in the protocol
2. Received at least 3 lines of therapy including exposure to at least 1 anti-CD38 antibody, 1 immunomodulatory imide drug (IMiD), and 1 proteasome inhibitor (PI) and have demonstrated disease progression on or after the last therapy, as defined in the protocol. Prior treatment with other BCMA directed immunotherapies, including BCMA CAR-T cells and BCMA antibody-drug conjugates (Phase 1 and 2), and with BCMA x CD3 bispecific antibodies (Phase 1 only), is allowed
3. Participants must have the measurable disease for response assessment as described in the protocol
4. Adequate hematologic, hepatic, and renal function as described in the protocol

Key Exclusion Criteria:

1. Diagnosis of plasma cell leukemia, primary systemic light-chain amyloidosis (including myeloma associated amyloidosis), Waldenström macroglobulinemia (lymphoplasmacytic lymphoma), or POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes)
2. Treatment with any systemic anti-cancer therapy within 5 half-lives or within 28 days before first administration of study drug, whichever is shorter
3. History of allogeneic stem cell transplantation within 6 months, or autologous stem cell transplantation within 12 weeks of the start of study treatment
4. Treatment with systemic corticosteroid treatment with more than 10 mg per day of prednisone or steroid equivalent within 72 hours of start of study drug
5. Participants who have known central nervous system (CNS) involvement with MM or known or suspected progressive multifocal leukoencephalopathy (PML), history of a neurocognitive condition or CNS disorder, or history of seizure within 12 months prior to study enrollment
6. Live or live attenuated vaccination within 28 days before first study drug administration with a vector that has replicative potential
7. Has received a COVID-19 vaccination within 1 week of planned start of study medication as described in the protocol
8. Myelodysplastic syndrome or another malignancy in the past 3 years, except for nonmelanoma skin cancer, in situ carcinoma, thyroid cancer, or low-risk early stage prostate adenocarcinoma, as described in the protocol
9. Significant cardiovascular disease as described in the protocol
10. Uncontrolled infection with HIV, Hep B or Hep C infection, or other uncontrolled infection, such as CMV, as described in the protocol
11. Known hypersensitivity to both allopurinol and rasburicase

Note: Other protocol-defined Inclusion/ Exclusion Criteria apply

Where it's running

  • Royal Prince Alfred Hospital
    Sydney, New South Wales, Australia
    Recruiting
  • Illawarra Cancer Care Centre
    Wollongong, New South Wales, Australia
    Recruiting
  • Pindara Private Hospital
    Benowa, Queensland, Australia
    Recruiting
  • Royal Adelaide Hospital
    Adelaide, South Australia, Australia
    Recruiting
  • Alfred Hospital
    Melbourne, Victoria, Australia
    Recruiting
  • St Vincents Hospital Melbourne
    Melbourne, Victoria, Australia
    Recruiting
Show 3 more locations
  • University College London Hospitals
    London, United Kingdom
    Recruiting
  • St Thomas Hospital
    London, United Kingdom
    Recruiting
  • The Christie NHS Foundation Trust
    Manchester, United Kingdom
    Recruiting

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.