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A Study to Learn About the Effects of Cemsidomide in Combination With Elranatamab in Relapsed/Refractory Multiple Myeloma Subjects

RecruitingPhase 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

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
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

About the study

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.

What is being tested

Sponsor: C4 Therapeutics, Inc. · Participants: 60 · Started: Feb 6, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07280013

Locations in the U.S.

ArizonaBanner MD Anderson Cancer Center, Gilbert
CaliforniaUC Davis Comprehensive Cancer Center, Sacramento (Not yet recruiting)
UCLA Health, Jonsson Comprehensive Cancer Center, Santa Monica (Not yet recruiting)
FloridaUniversity of Florida, Gainesville (Not yet recruiting)
University of Miami, Miami (Not yet recruiting)
GeorgiaWinship Cancer Institute, Emory University, Atlanta
IllinoisLoyola University Medical Center, Maywood (Not yet recruiting)
IndianaIndiana University, Indianapolis (Not yet recruiting)
KentuckyNorton Cancer Institute St. Matthews, Louisville
MarylandUniversity of Maryland Greenbaum Comprehensive Cancer Center, Baltimore
MichiganSTART Midwest, Grand Rapids
NebraskaUniversity of Nebraska, Omaha (Not yet recruiting)
New HampshireDartmouth-Hitchcock Medical Center, Lebanon (Not yet recruiting)
New YorkPerlmutter Cancer Center at NYU Langone Hospital, Brooklyn
Memorial Sloan Kettering Cancer Center, New York
North CarolinaDuke Cancer Center, Durham
OhioOhio State University Comprehensive Cancer Center, Columbus (Not yet recruiting)
TexasBaylor University Medical Center, Dallas (Not yet recruiting)
Houston Methodist Hospital, Houston (Not yet recruiting)
UtahHuntsman Cancer Institute, University of Utah, Salt Lake City (Not yet recruiting)

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.