Table 3 Selected ongoing clinical trials with BsAbs (alone and in combination) in RRMM.

From: Bispecific antibodies in the treatment of multiple myeloma

Trial

BsAb/BiTE

Patient group

No. of patients

Treatment

Primary endpoint

Status

Identifier

MajesTEC-9 (Phase 3)

Teclistamab

1–3 prior lines, including ≥2 consecutive cycles of anti-CD38MoAb and ≥consecutive cycles of Lenalidomide.

Previous exposure to anti BCMA agents excluded

590

Teclistamab vs

Pomalidomide-Bortezomib-Dexamethasone or

Carfilzomib-Dexa

PFS

Recruiting

NCT05572515

MajesTEC-3 (Phase 3)

Teclistamab

1–3 prior lines, including a PI and Len; participants who have received only 1 line of prior line of antimyeloma therapy must be Len refractory.

Prior exposure to BCMA therapies excluded

587

Teclistamab-Daratumumab vs

Dara-Bort-Dex or Dara-Pom-Dex

PFS

Not active

NCT05083169

MonumenTAL-6 (Phase 3)

Talquetamab

Teclistamab

1–4 prior lines, including anti-CD38MoAb and Lenalidomide

795

Talquetamab -Pomalidomide vs

Talquetamab-Teclistamab vs

Investigator choice of either

Elotuzumab-Pomalidomide-Dexamethasone OR Pomalidomide-Bortezomib-Dexamethasone

PFS

ORR

Recruiting

NCT06208150

MagnetisMM-4 (Phase 2)

Elranatamab

At least 3 prior lines of therapy. Refractory to atleast 1 IMiD, one PI and one CD38 Mo-Ab

92

Elranatamab - Nirogacestat vs

Elranatamab-Lenalidomide- Dexamethasone

DLT,

ORR

Recruiting

NCT05090566

MagnetisMM-5

(Phase 3)

Elranatamab

Prior anti-multiple myeloma therapy including treatment with Len and PI.

Prior exposure to BCMA and prior exposure to CD38 MoAb within last 6 months are exclusions

762

Elranatamab vs

Elranatamab- Daratumumab vs

Dara-Pomalidomide-Dexamethasone

PFS

Recruiting

NCT05020236

LINKER MM-3 (Phase 3)

Linvoseltamab

 At least 1 and no more than 4 prior lines, including Len and a PI and demonstrated disease progression on or after the last therapy. Participants who have received only 1 line of prior line of antimyeloma therapy must be Len refractory.

Previous exposure to Elotuzumab or Pomalidomide are exclusions

300

Linvoseltamab vs

Elotuzumab-Pomalidomide-Dexamethasone

PFS

Recruiting

NCT05730036

MagnetisMM-20 (Phase 1b)

Elranatamab

1–3 lines for part 1.

At least 3 lines for part 2,

prior exposure to BCMA therapies excluded

14

Elranatamab with Carfilzomib-Dexamethasone and Maplirpacept

DLT

Recruiting

NCT05675449

NCT05137054 (Phase 1)

Linvoseltamab

At least 3 lines of therapy, rest cohort specific

317

Linvoseltamab – Daratumumab-Dexamethasone vs

Linvoseltamab-Carfilzomib-Dexamethasone vs

Linvoseltamab – Lenalidomide-Dexamethasone vs

Linvoseltamab-Bortezomib-Dexamethasone

DLT, TAE, SAE

Recruiting

NCT05137054

NCT04108195

(Phase 1b)

Teclistamab

Talquetamab

At least 3 lines of therapy

289

Teclistamab + Daratumumab vs

Talquetamab + Daratumumab,

then ±Pomalidomide

DLT

Active, not recruiting

NCT04108195

  1. PFS progression-free survival, DLT dose limiting toxicity, ORR overall response rate, TAE treatment-related adverse events, SAE severe adverse events.