Phase 1b, open-label study evaluating the safety, tolerability, pharmacokinetics, preliminary antitumor activity, and pharmacodynamics of OPN-6602 monotherapy and in combination with dexamethasone in subjects with relapsed and/or refractory MM.

Inclusion Criteria:

• Confirmed diagnosis of multiple myeloma (MM)
• Relapsed or refractory to 3 or more different prior lines of therapy for MM that included immunomodulatory agents, proteosome inhibitors, and anti-CD38 antibody and not a candidate for or intolerant to established therapy known to provide clinical benefit
• Adequate hematologic, renal, liver, cardiac function

Exclusion Criteria:

• Monoclonal gammopathy of undetermined significance (MGUS), smoldering myeloma, Waldenström's macroglobulinemia, or IgM myeloma
• Active plasma cell leukemia
• Polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin changes (POEMS syndrome)
• Prior Stevens Johnson syndrome
• Localized radiation therapy to disease site(s) within 2 weeks of the first dose
• Prior autologous peripheral stem cell transplant or prior autologous bone marrow transplantation within <90 days of the first dose of study drug
• Prior allogeneic stem cell transplantation or solid organ transplantation within 12 months of first dose of study drug; subjects receiving immunosuppressive medication for active graft vs host disease will be excluded.
• Prior chemotherapy, targeted anticancer or radiation therapy within 2 weeks prior to first dose of study drug
• Concomitant high-dose corticosteroids (except subjects on chronic steroids given for disorders other than myeloma)
• Known central nervous system involvement by multiple myeloma
• Active known second malignancy with exception of adequately treated basal cell carcinoma, squamous cell carcinoma of the skin, or in situ cervical cancer; adequately treated Stage 1 cancer from which the subject is currently in remission and has been in remission for ≥2 years; low-risk prostate cancer with a Gleason score <7 and a PSA level <10 ng/mL; any other cancer from which the subject has been disease-free for ≥3 years
• Ongoing systemic infection requiring parenteral treatment
• Poorly controlled Type 2 diabetes