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NCT07095452PHASE2, PHASE3Recruiting

A Study to Assess A Change in Disease Activity and Adverse Events of Intravenous Etentamig and Daratumumab (Etentamig+D) Compared to Daratumumab, Lenalidomide, and Dexamethasone (DRd) in Adult Participants With Newly Diagnosed Multiple Myeloma Not Eligible for Transplant

AbbVie

Start Date

1/8/2026

Completion Date

1/1/2042

Summary

Multiple myeloma (MM) is a cancer of the blood's plasma cells. The cancer is typically found in the bones and bone marrow (the spongy tissue inside of the bones) and can cause bone pain, fractures, infections, weaker bones, and kidney failure. This is a study to determine the adverse events, change in disease activity, and pharmacokinetics of Etentamig in adult participants with MM. Etentamig is an investigational drug being developed for the treatment of MM. This study is broken into 2 phases; phase 2 with 3 study arms and phase 3 with 2 study arms. Participants in phase 2 will receive 1 of 3 doses of etentamig in combination with daratumumab. Participants in phase 3 will receive etentamig at RP3D in combination with daratumumab, or daratumumab, lenalidomide, and dexamethasone (DRd). Around 660 adult participants with MM will be enrolled at approximately 155 sites worldwide Participants in phase 2 will receive 1 of 3 doses of etentamig as intravenous (IV) infusions, combination with subcutaneous (SC) injections of daratumumab. Participants in phase 3 will receive RP3D doses of etentamig as IV infusions, combination with SC injections of daratumumab, or SC injections of daratumumab, capsules of lenalidomide, and tablet/ IV injections of dexamethasone (DRd). The study duration is approximately 16 years. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and questionnaires.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Participants must have confirmed new diagnosis of multiple myeloma (NDMM) according to the International Myeloma Working Group (IMWG) diagnostic criteria, and per investigator's judgement, participant is not suitable to receive high-dose chemotherapy and stem cell transplantation due to factors likely to have a negative impact on tolerability of high dose chemotherapy and autologous stem cell transplants (ASCT). * IMWG Myeloma Frailty Index Score of \>= 1 * All participants must have measurable disease per central laboratory with at least 1 of the following assessed within 28 days prior to enrollment: * Serum M-protein \>= 0.5 g/dL (\>= 5 g/L). * Urine M-protein \>= 200 mg/24 hours. * Serum free light chain (FLC) \>= 100 mg/L (\>= 10 mg/dL) (involved light chain) and an abnormal serum kappa lambda ratio only for participants without measurable serum or urine M-protein. Exclusion Criteria: * Prior or current systemic therapy or stem cell transplant (SCT) for multiple myeloma or any plasma cell dyscrasia other than short course of corticosteroids * Participant treated with any investigational treatment within 30 days or 5 half-lives of the treatment (whichever is longer) prior to the first dose of study treatment or is currently enrolled in another clinical study * Participant who has known active central nervous system involvement of MM. * Participant who has history of clinically significant renal, neurologic, psychiatric, endocrine, metabolic, immunologic, pulmonary, or hepatic disease within the last 6 months that, in the investigator's opinion, would adversely affect the participant's participation in the study.

Interventions

DRUG

Etentamig

DRUG

Lenalidomide

DRUG

Daratumumab

DRUG

Dexamethasone

DRUG

Dexamethasone

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Conditions

Multiple Myeloma

Locations

Mayo Clinic Hospital Scottsdale /ID# 278349

Scottsdale, Arizona 85259

United States

Cedars-Sinai Medical Center /ID# 278238

Los Angeles, California 90048

United States

Colorado Blood Cancer Institute /ID# 279080

Denver, Colorado 80218

United States

Winship Cancer Institute of Emory University /ID# 277667

Atlanta, Georgia 30322

United States

Fort Wayne Medical Oncology And Hematology /ID# 278141

Fort Wayne, Indiana 46804

United States

Minnesota Oncology - Minneapolis Clinic /ID# 278720

Minneapolis, Minnesota 55404

United States

Mayo Clinic Hospital Rochester /ID# 277886

Rochester, Minnesota 55905

United States

Icahn School of Medicine at Mount Sinai /ID# 277844

New York, New York 10029

United States

Memorial Sloan Kettering Cancer Center - New York - York Avenue /ID# 277946

New York, New York 10065

United States

Weill Cornell Medicine Myeloma Center /ID# 278216

New York, New York 10065

United States

University of North Carolina at Chapel Hill /ID# 277708

Chapel Hill, North Carolina 27514

United States

Willamette Valley Cancer Institute and Research Center /ID# 278721

Eugene, Oregon 97401

United States

SCRI Oncology Partners /ID# 278353

Nashville, Tennessee 37203

United States

Texas Oncology - The Woodlands /ID# 278726

The Woodlands, Texas 77380

United States

Texas Oncology - Northeast Texas /ID# 278725

Tyler, Texas 75702

United States

Virginia Cancer Specialists - Fairfax /ID# 278716

Fairfax, Virginia 22031

United States

Blue Ridge Cancer Care - Roanoke /ID# 278722

Roanoke, Virginia 24014

United States

Centre Hospitalier Annecy Genevois /ID# 278406

Epagny Metz Tessy, Auvergne-Rhône-Alpes 74370

France

Centre Hospitalier De Dunkerque-Hospital Alexandra Lepeve /ID# 278399

Dunkirk, Hauts-de-France 59385

France

Chu De Lille - Hopital Claude Huriez /ID# 278413

Lille, Hauts-de-France 59037

France

CHU de Montpellier - Hopital Saint Eloi /ID# 278415

Montpellier, Herault 34295

France

CHRU Tours - Hopital Bretonneau /ID# 279274

Tours, Indre-et-Loire 37044

France

CH Bretagne Atlantique /ID# 278422

Vannes, Morbihan 56000

France

Centre Hospitalier Universitaire de Bordeaux /ID# 278419

Pessac, New Aquitaine 33604

France

Centre Hospitalier Universitaire de Poitiers /ID# 278398

Poitiers, New Aquitaine 86021

France

IUCT Oncopole /ID# 278403

Toulouse, Occitanie 31059

France

Centre Hospitalier Universitaire de Nantes, Hotel Dieu -HME /ID# 278402

Nantes, Pays de la Loire Region 44000

France

Centre Hospitalier Universitaire de Saint Etienne - Hopital Nord /ID# 278421

St-Priest-en-Jarez, Pays de la Loire Region 42270

France

HCL - Hopital Lyon Sud /ID# 282145

Pierre-Bénite, Rhone 69495

France

Hopital Saint-Louis /ID# 278429

Paris, 75010

France

Hopital Saint Antoine /ID# 278428

Paris, 75012

France

Hopital Universitaire Necker Enfants Malades /ID# 278426

Paris, Île-de-France Region 75015

France

Nagoya City University Hospital /ID# 278188

Nagoya, Aichi-ken 467-8602

Japan

Matsuyama Red Cross Hospital /ID# 278660

Matsuyama, Ehime 790-8524

Japan

Kurume University Hospital /ID# 278209

Kurume-shi, Fukuoka 830-0011

Japan

Tokai University Hospital /ID# 278157

Isehara, Kanagawa 259-1193

Japan

University Hospital Kyoto Prefectural University of Medicine /ID# 278156

Kyoto, Kyoto 602-8566

Japan

Complejo Hospitalario Universitario de Santiago /ID# 278531

Santiago de Compostela, A Coruna 15706

Spain

Institut Catala d'Oncologia (ICO) - Badalona /ID# 278522

Badalona, Barcelona 08916

Spain

Hospital Universitario Marques de Valdecilla /ID# 278535

Santander, Cantabria 39008

Spain

Hospital Universitario de Gran Canaria Doctor Negrín /ID# 278527

Las Palmas de Gran Canaria, Las Palmas 35010

Spain

Clinica Universidad de Navarra - Pamplona /ID# 278583

Pamplona, Navarre 31008

Spain

Hospital Clinic de Barcelona /ID# 278532

Barcelona, 08036

Spain

Complejo Asistencial Universitario de Leon - Hospital de Leon /ID# 278534

León, 24071

Spain

Hospital General Universitario Gregorio Maranon /ID# 278551

Madrid, 28007

Spain

Hospital Universitario Ramon y Cajal /ID# 278533

Madrid, 28034

Spain

Hospital Universitario 12 de Octubre /ID# 278520

Madrid, 28041

Spain

Hospital Universitario de Salamanca /ID# 278530

Salamanca, 37007

Spain

Hospital Universitari i Politecnic La Fe /ID# 278525

Valencia, 46026

Spain