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
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 186 (estimated) |
| Sponsor | Regeneron Pharmaceuticals Industry-sponsored |
| Drugs / interventions | CAR-T, prednisone, linvoseltamab |
| Locations | 9 sites (Sydney, New South Wales and 8 other locations) |
| Status | Recruiting |
| Started | December 11, 2024 |
| Main results expected | November 11, 2033 |
| Study ends | November 1, 2035 |
| Registry record updated | August 5, 2026 |
| Trial ID | NCT06669247 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
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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
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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
- Study coordinator: Clinical Trials Administrator
- Email: clinicaltrials@regeneron.com
- Phone: 844-734-6643
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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CT0596 CAR-T in relapsed/refractory multiple myeloma: a phased dose-find and efficacy study
This study tests CT0596 CAR-T cells in adults with relapsed/refractory multiple myeloma who have already had multiple prior treatments.
-
Linvoseltamab with pre-dose Tocilizumab to reduce CRS in adults with relapsed/refractory multiple myeloma
This study tests whether giving tocilizumab before the first dose of linvoseltamab can lower the risk of cytokine release syndrome in adults with relapsed/refractory multiple myeloma who have had at least four prior therapies.
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RO7851624 in relapsed/refractory multiple myeloma (RRMM)
This early-phase study tests RO7851624 in people with RRMM who have exhausted standard treatments.
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KMA-targeted CAR T-cells for relapsed/refractory kappa-restricted multiple myeloma
This study tests escalating doses of a patient’s own PMCC-COE-KMA CAR T-cells to see if they are safe and effective for relapsed/refractory kappa-restricted multiple myeloma expressing KMA.
-
IL-15–armored CAR-T for relapsed or refractory multiple myeloma and plasma cell leukemia
This trial will test IL-15–armored CAR-T cell therapy to see if it helps adults with relapsed or refractory multiple myeloma or plasma cell leukemia, including those with persistent or returning MRD.
-
IMV102 treatment for relapsed or refractory multiple myeloma
This trial will try a single infusion of IMV102 in adults with relapsed or refractory multiple myeloma who have had at least three prior therapies to see if it is safe and helps control the cancer.
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.