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| ID | Type | Description | Link |
|---|---|---|---|
| 2024-511454-45-00 | EU Trial (CTIS) Number |
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The main purpose of this study is to learn about the safety of linvoseltamab and to find out what is the best dose of linvoseltamab to give to patients with multiple myeloma and to look for any signs that linvoseltamab can effectively treat cancer.
The study is looking at several other research questions, including:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Linvoseltamab - Phase 1 | Experimental | Phase 1 has two parts. Part 1, consists of linvoseltamab intravenous (IV) dose escalation and Part 2, consists of subcutaneous (SC) administration. |
|
| Linvoseltamab - Phase 2 - Cohort 1 | Experimental | Low Dose of linvoseltamab IV monotherapy. |
|
| Linvoseltamab - Phase 2 - Cohort 2 | Experimental | High Dose of linvoseltamab IV monotherapy. |
|
| Linvoseltamab - Phase 2 - Cohort 3 | Experimental | Anti-interleukin (IL)-6 receptor (R) prophylactic therapy followed by high dose of IV linvoseltamab monotherapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Linvoseltamab | Drug | Administered per the protocol |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dose-limiting toxicities (DLTs) from the first dose through the end of the DLT observation period | Phase 1 and Phase 2 for Japanese cohort only | Up to 28 days |
| Incidence and severity of treatment-emergent adverse events (TEAEs) | Phase 1 | Up to 5 years |
| Incidence and severity of adverse events of special interest (AESI) | Phase 1 | Up to 5 years |
| Assessment of the pharmacokinetics (PK) of linvoseltamab | Phase 1 part 2 | Up to 5 years |
| Concentrations of linvoseltamab in serum over time | Phase 2, for Japanese cohort only | Up to 5 years |
| Objective response rate (ORR) as determined by an Independent Review Committee (IRC) | Phase 2, cohorts 1 and 2 | Up to 5 years |
| Incidence and severity of cytokine release syndrome (CRS) with linvoseltamab | Phase 2, cohort 3 | Up to 5 years |
| ORR of IV linvoseltamab as assessed by investigator | Phase 2, cohort 3 | Up to 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Concentrations of linvoseltamab in the serum over time | Phase 1 part 1 and Phase 2 | Up to 5 years |
| Incidence over time of anti-drug antibodies (ADAs) to linvoseltamab | Phase 1 and Phase 2 |
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Key Inclusion Criteria:
Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
Confirmed diagnosis of active Multiple Myeloma (MM) by International Myeloma Working Group (IMWG) diagnostic criteria
Patients must have myeloma that is response-evaluable according to the 2016 IMWG response criteria as defined in the protocol.
Phase 1, Part 1 (Dose Escalation): Patients with MM who have exhausted all therapeutic options that are expected to provide meaningful clinical benefit, either through disease relapse, treatment refractory disease or intolerance of the therapy and including either:
a. Progression on or after at least 3 lines of therapy, or intolerance of therapy, including a proteasome inhibitor, an Immunomodulatory agent (IMiD), and an anti-CD38 antibody, OR b. Progression on or after an anti-CD38 antibody and have disease that is "double refractory" to a proteasome inhibitor and an IMiD, or intolerance of therapy. The anti-CD38 antibody may have been administered alone or in combination with another agent such as a proteasome inhibitor (PI). Refractory disease is defined as lack of response or relapse within 60 days of last treatment.
Phase 1, Part 2 (SC Administration): Patients with MM whose disease meets the following criteria:
a. Progression on or after at least 3 prior lines of therapy including a(n) PI, IMiD, and anti-CD38 antibody, OR b. Patients must be triple-refractory, defined as being refractory to prior treatment with at least 1 anti-CD38 antibody, a proteasome inhibitor, and an IMiD.
Phase 2 (Cohorts 1 and 2):
Patients with MM whose disease meets the following criteria:
a. Progression on or after at least 3 prior lines of therapy including a(n) PI, IMiD, and anti-CD38 antibody, OR b. Patients must be triple- refractory, defined as being refractory* to prior treatment with at least 1 PI, 1 IMiD, and an anti-CD38 antibody.
Patients with MM whose disease meets the following criteria:
Progression on or after at least 3 prior lines of therapy including a(n) PI, IMiD, and anti-CD38 antibody, OR
Patients must be triple- refractory, defined as being refractory* to prior treatment with at least 1 PI, 1 IMiD, and an anti-CD38 antibody.
AND, for ALL patients, if they have relapsed after a BCMA-directed CAR-T cellular therapy then:
• Treatment with a CAR-T must have been associated with a response of PR or better, and
• If CAR-T cellular therapy was the most recent prior therapy, excluding corticosteroids, then treatment must have been a minimum of 60 days prior to treatment with linvoseltamab.
Key Exclusion Criteria:
1. Diagnosis of plasma cell leukemia, primary systemic light-chain amyloidosis, (excluding myeloma-associated amyloidosis), Waldenström macroglobulinemia (lymphoplasmacytic lymphoma), or POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes) 2. Patients with known MM brain lesions or meningeal involvement 3. Cardiac ejection fraction <40% by echocardiogram or multi-gated acquisition scan (MUGA) 4. Prior treatment with BCMA-directed immunotherapies, including BCMA bispecific antibodies and BiTEs. Note: BCMA antibody-drug conjugates are not excluded and BCMA-directed CAR-T treatment is not excluded in Phase 2 Cohort 3.
5. History of allogeneic stem cell transplantation at any time, or autologous stem cell transplantation within 12 weeks of the start of study treatment
Note: Other protocol defined inclusion / exclusion criteria apply
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trial Administrator | Contact | 844-734-6643 | clinicaltrials@regeneron.com |
| Name | Affiliation | Role |
|---|---|---|
| Clinical Trial Management | Regeneron Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sylvester Comprehensive Cancer Center | Active, not recruiting | Miami | Florida | 33136 | United States | |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41387038 | Derived | Lee HC, Zonder JA, Dhodapkar MV, Jagannath S, Hoffman JE, Suvannasankha A, Shah MR, Lentzsch S, Baz R, Maly JJ, Namburi S, Pianko MJ, Ye JC, Wu KL, Silbermann R, Min CK, Vekemans MC, Munder M, Byun JM, Martinez-Lopez J, DeVeaux M, Roccia T, Chokshi D, Seraphin M, Knorr K, Boyapati A, Hazra A, Rodriguez Lorenc K, Kroog GS, Bumma N, Richter J. Linvoseltamab in Patients With Relapsed/Refractory Multiple Myeloma in the LINKER-MM1 Study: Longer Follow-Up and Subgroup Analyses. Clin Lymphoma Myeloma Leuk. 2026 Feb;26(2):e201-e212.e8. doi: 10.1016/j.clml.2025.11.004. Epub 2025 Nov 12. | |
| 38879802 |
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All IPD that underlie results in a publication.
When Regeneron has:
Qualified researchers may request access to study documents (including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan) that support the methods and findings reported in a manuscript. Individual de-identified participant data will be made available once the indication has been approved by a regulatory body, if there is participant consent and there is not a reasonable likelihood of participant re-identification.
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|
| Up to 5 years |
| Titer of anti-drug antibodies (ADAs) to linvoseltamab over time | Phase 1 and Phase 2 | Up to 5 years |
| Incidence of neutralizing antibodies (NAb) to linvoseltamab over time | Phase 1 and Phase 2 | Up to 5 years |
| Duration of response (DOR) as determined by an IRC, measured using the IMWG criteria | Phase 2, cohorts 1 and 2 | Up to 5 years |
| DOR as determined by an investigator, measured using the International Myeloma Working Group (IMWG) criteria | Phase 1 and Phase 2 | Up to 5 years |
| Progression-free survival (PFS) as determined by an IRC, measured using the IMWG criteria | Phase 2 | Up to 5 years |
| PFS as determined by an investigator, measured using the IMWG criteria | Phase 1 and Phase 2 | Up to 5 years |
| Rate of minimal residual disease (MRD) negative status, using the IMWG criteria | Phase 1 | Up to 5 years |
| Rate of MRD negative status | Phase 2 | Up to 5 years |
| Overall survival (OS) | Phase 1 and Phase 2 | Up to 5 years |
| ORR as measured as determined by blinded IRC, as measured using the IMWG criteria | Phase 1, part 1 dose level 7 (DL7) | Up to 5 years |
| ORR as determined by the investigator, measured using the IMWG criteria | Phase 1 and Phase 2 | Up to 5 years |
| Effects of linvoseltamab on health-related quality of life (HRQoL) and patient-reported symptoms and functioning per European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) | Phase 2 The EORTC-QLQ-C30 is a 30-item subject self-report questionnaire composed of both multi-item and single scales, including global health status/quality of life, functional Scales (physical, role, emotional, cognitive, and social), symptom scales (fatigue, nausea and vomiting, and pain), and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Participants rate items on a 4-point scale, with 1 as "not at all" and 4 as "very much." | Up to 5 years |
| Effects of linvoseltamab on HRQOL and patient-reported symptoms and functioning per Quality of Life Questionnaire-Multiple Myeloma module 20 [QLQ-MY20]) | Phase 2 The EORTC QLQ-MY20 is a self -administered instrument to assess QoL in persons with MM. This 20-item questionnaire measures the following domains: symptom scales, including disease symptoms (6 items) and symptoms related to side effects of treatment (10 items); function scale and future perspective (3 items); and body image (1 item). A high score represents a high level of symptoms or problems. | Up to 5 years |
| Effects of linvoseltamab on HRQOL and patient-reported symptoms and functioning per EuroQoL-5 Dimension-3 Level Scale [EQ-5D-3L]) | Phase 2 The EQ-5D-3L is a self-administered generic standardized health status measure, consisting of an EQ-5D descriptive system and an EQ visual analog scale. The EQ-5D-3L descriptive system assesses 5 dimensions of health: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension is rated on a 3-level scale: no problems, some problems, and extreme problems. The EQ visual analog scale component is a vertical visual analog scale used by patients to rate their health. | Up to 5 years |
| Change in patient-reported global health status/QoL per EORTC QLQ-C30 | Phase 2 | Baseline up to Up to 5 years |
| Time to definitive deterioration in patient-reported global health status/QoL per EORTC QLQ-C30 | Phase 2 | Up to 5 years |
| Effects of linvoseltamab on general health status per EQ-5D-3L | Phase 2 | Up to 5 years |
| Effects of linvoseltamab on patient-reported functions and symptoms per EORTC QLQ-C30 | Phase 2 | Up to 5 years |
| Effects of linvoseltamab on patient-reported functions and symptoms per QLQ-MY20 | Phase 2 | Up to 5 years |
| Incidence and severity of TEAEs with linvoseltamab | Phase 2 | Up to 5 years |
| Incidence and severity of AESIs with linvoseltamab | Phase 2 | Up to 5 years |
| Moffitt Cancer Center - McKinley Drive |
| Recruiting |
| Tampa |
| Florida |
| 33612 |
| United States |
| Emory University Hospital | Recruiting | Atlanta | Georgia | 30322 | United States |
| Indiana University_Michigan Street | Active, not recruiting | Indianapolis | Indiana | 46202 | United States |
| Norton Cancer Institute | Recruiting | Louisville | Kentucky | 40207 | United States |
| C. S. Mott_University of Michigan | Active, not recruiting | Ann Arbor | Michigan | 48109 | United States |
| Barbara Ann Karmanos Cancer Center | Active, not recruiting | Detroit | Michigan | 48201 | United States |
| Rutgers Cancer Institute of New Jersey | Active, not recruiting | New Brunswick | New Jersey | 08901 | United States |
| Icahn School of Medicine at Mount Sinai | Recruiting | New York | New York | 10029 | United States |
| Columbia University Medical Center | Active, not recruiting | New York | New York | 10032 | United States |
| Ohio State University James Cancer Hospital | Recruiting | Columbus | Ohio | 43210 | United States |
| Oregon Health and Science University (OHSU) Marquam Hill Campus | Recruiting | Portland | Oregon | 97239 | United States |
| University of Texas MD Anderson Clinic | Active, not recruiting | Houston | Texas | 77030 | United States |
| Swedish Cancer Institute | Recruiting | Seattle | Washington | 98104 | United States |
| ZNA Psychiatrisch Ziekenhuis Stuivenberg | Recruiting | Antwerp | 2060 | Belgium |
| Cliniques Universitaires Saint-Luc | Recruiting | Brussels | 1200 | Belgium |
| Universitatsklinikum Essen | Completed | Essen | North Rhine-Westphalia | 45147 | Germany |
| Universitaetsmedizin der Johannes Gutenberg Universitaet Mainz KoeR | Completed | Mainz | Rhineland-Palatinate | 55131 | Germany |
| Universitatsklinikum Wurzburg | Completed | Würzburg | 6 97080 | Germany |
| Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital | Completed | Nagoya | Aichi-ken | 466-8650 | Japan |
| Nagoya City University Hospital | Recruiting | Nagoya | Aichi-ken | 467-8602 | Japan |
| National Cancer Center Hospital East | Recruiting | Kashiwa-shi | Chiba | 277-8577 | Japan |
| Gunma University Hospital | Recruiting | Maebashi | Gunma | 371-8511 | Japan |
| Ibaraki Prefectural Central Hospital | Recruiting | Kasama-shi | Ibaraki | 309-1793 | Japan |
| University Hospital Kyoto Prefectural Univ of Medicine | Recruiting | Kyoto | Kyoto | 602-8566 | Japan |
| Saitama Medical University International Medical Center | Completed | Hidaka | Saitama | 350-1298 | Japan |
| Tokushima Prefectural Central Hospital | Recruiting | Tokushima | Tokushima | 770-8539 | Japan |
| Japanese Red Cross Medical Center | Completed | Shibuya-ku | Tokyo | 150-8935 | Japan |
| Keio University Hospital | Recruiting | Tokyo | 160-8582 | Japan |
| National Cancer Center Korea | Recruiting | Goyang | 10408 | South Korea |
| Seoul National University Cancer Hospital | Recruiting | Seoul | 03080 | South Korea |
| The Catholic University of Korea, Seoul St. Mary's Hospital | Recruiting | Seoul | 06591 | South Korea |
| Yonsei University College of Medicine, Severance Hospital | Recruiting | Seoul | 3722 | South Korea |
| Hospital de la Santa Creu i Sant Pau | Recruiting | Barcelona | Catalonia | 08041 | Spain |
| Clinica Universidad de Navarra | Recruiting | Pamplona | Navarre | 31008 | Spain |
| Universitary Hospital La Princesa | Recruiting | Madrid | Salamanca | 28006 | Spain |
| Hospital Universitario Ramon y Cajal | Recruiting | Madrid | 28034 | Spain |
| Hospital Universitario 12 de Octubre | Recruiting | Madrid | 28041 | Spain |
| Hospital Clinico Universitario de Salamanca | Recruiting | Salamanca | 37007 | Spain |
| Royal Marsden Hospital | Withdrawn | Sutton | Surrey | SM2 5PT | United Kingdom |
| Derived |
| Bumma N, Richter J, Jagannath S, Lee HC, Hoffman JE, Suvannasankha A, Zonder JA, Shah MR, Lentzsch S, Baz R, Maly JJ, Namburi S, Pianko MJ, Ye JC, Wu KL, Silbermann R, Min CK, Vekemans MC, Munder M, Byun JM, Martinez-Lopez J, Cassady K, DeVeaux M, Chokshi D, Boyapati A, Hazra A, Yancopoulos GD, Sirulnik LA, Rodriguez Lorenc K, Kroog GS, Houvras Y, Dhodapkar MV. Linvoseltamab for Treatment of Relapsed/Refractory Multiple Myeloma. J Clin Oncol. 2024 Aug 1;42(22):2702-2712. doi: 10.1200/JCO.24.01008. Epub 2024 Jun 16. |
| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D020141 | Hemostatic Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D008232 | Lymphoproliferative Disorders |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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