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RecruitingInterventionalPhase 1

A Phase 1B, Open-label, Multicenter Study to Evaluate the Safety and Preliminary Efficacy of Cemsidomide in Combination With Elranatamab in Relapsed/Refractory Multiple Myeloma Subjects

NCT ID: NCT07280013Sponsor: C4 Therapeutics, Inc.Last updated: 2026-04-17

Summary

The main purpose of the study is to understand the safety and tolerability of cemsidomide when given along with elranatamab in subjects with relapsed or refractory multiple myeloma. The first part of the study will evaluate different dose levels of cemsidomide in combination with elranatamab in a limited number of subjects. Approximately 3 different dose levels of cemsidomide in combination with elranatamab may be explored. Once a dose level is determined safe, additional subjects may be enrolled through expansion of the dose level. This expansion will provide further exploration of the safety and evaluation of preliminary antimyeloma activity. Cemsidomide will be taken orally each cycle for 14 days on/14 days off (1 cycle=28 days). Elranatamab will be administered by subcutaneous injection twice a month. Dexamethasone will be administered weekly until a confirmed response but no longer than 4 cycles.

Arms & interventions

  • DrugCemsidomide

    IKZF1/3 degrader

  • BiologicalElranatamab

    • BCMA-CD3 bispecific antibody

Outcome measures

Primary

  • Safety and tolerability of cemsidomide in combination with elranatamab

    Dose limiting toxicity rate

    Time frame: Cycle 1 approximately 28 days

  • Safety and tolerability of cemsidomide in combination with elranatamab

    Frequency and severity of AEs

    Time frame: Baseline through 30 days after discontinuation of study treatment

Secondary

  • Assess antimyeloma activity

    Time frame: Approximately 2 years

  • Evaluate the PK of cemsidomide and elranatamab

    Time frame: Approximately 4 months

  • Evaluate the PK of cemsidomide and elranatamab

    Time frame: Approximately 2 years

  • Assess the immunogenicity of elranatamab

    Time frame: Approximately 2 years

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Diagnosis of multiple myeloma as defined by IMWG criteria * Measurable disease based on IMWG criteria * Received 2-4 prior lines of therapy (escalation part) and 1-3 prior lines of therapy (expansion part) for multiple myeloma, consisting of at least 1 immunomodulatory drug (i.e., IKZF 1/3 degrader) * ECOG performance status 0-2 Exclusion Criteria: * Active plasma cell leukemia, Smoldering multiple myeloma, POEMS Syndrome, systemic light chain amyloidosis, MDS * Stem cell transplant within 12 weeks prior to enrollment or active graft vs host disease * Participants with any active, uncontrolled bacterial, fungal, or viral infection * Prior treatment with a BCMA-directed TCE or BCMA-directed CAR-T therapy * Administration with an investigational product within 30 days preceding the first dose of study intervention * Inability or difficulty swallowing tablets, malabsorption syndrome, or any disease or medical condition significantly affecting gastrointestinal function

Study locations (16)

Banner MD Anderson Cancer Center

Gilbert, Arizona, 85234

Not Yet Recruiting

UCLA Health, Jonsson Comprehensive Cancer Center

Santa Monica, California, 90404

Not Yet Recruiting

Tampa General Hospital

Tampa, Florida, 33606

Not Yet Recruiting

Winship Cancer Institute, Emory University

Atlanta, Georgia, 30322

Recruiting

Loyola University Medical Center

Maywood, Illinois, 60153

Not Yet Recruiting

Indiana University

Indianapolis, Indiana, 46202

Not Yet Recruiting

Norton Cancer Institute St. Matthews

Louisville, Kentucky, 40207

Not Yet Recruiting

University of Maryland Greenbaum Comprehensive Cancer Center

Baltimore, Maryland, 21201

Not Yet Recruiting

START Midwest

Grand Rapids, Michigan, 49546

Recruiting

University of Nebraska

Omaha, Nebraska, 68105

Not Yet Recruiting

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, 03756

Not Yet Recruiting

Perlmutter Cancer Center at NYU Langone Hospital

Brooklyn, New York, 11203

Not Yet Recruiting

Memorial Sloan Kettering Cancer Center

New York, New York, 10021

Not Yet Recruiting

Duke Cancer Center

Durham, North Carolina, 27710

Not Yet Recruiting

MD Anderson Cancer Center

Houston, Texas, 77030

Not Yet Recruiting

Huntsman Cancer Institute, University of Utah

Salt Lake City, Utah, 84112

Not Yet Recruiting