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A Study to Evaluate the Efficacy of Cemsidomide + Dexamethasone in Participants With Relapsed/Refractory Multiple Myeloma

RecruitingPhase 2

A Phase 2, Open-Label, Single-Arm, Multicenter Study to Evaluate the Efficacy of Cemsidomide + Dexamethasone in Subjects With Relapsed/Refractory Multiple Myeloma

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

1. Be willing and able to provide signed informed consent for the study.
2. Age ≥ 18 years at the time of signed consent.
3. Subjects must have a documented diagnosis of MM and measurable disease at enrollment.
4. Received at least 3 prior anti-myeloma regimens (for a minimum of 2 or more consecutive cycles) that must have included an immunomodulatory drug (i.e., IKZF 1/3 degrader), a proteasome inhibitor, an anti-CD38 antibody, and a T-cell engager (TCE) or chimeric antigen receptor T-cell (CAR-T) therapy, unless not available per local standard of care.
5. Subjects need to have adequate organ function.
6. Toxicities from prior anticancer therapies must have resolved to baseline severity or CTCAE ≤ Grade 1.
7. Female subjects may not be pregnant or intend to become pregnant, may not breastfeed or intend to breastfeed, or donate ova during their participation in this study until 30 days after the last dose of study treatment.
8. Male subjects must agree to use a condom when having intercourse with a person of childbearing potential during the Treatment Period and for at least 30 days after the last dose of study treatment.
9. Male subjects must refrain from donating sperm during the Treatment Period and for 30 days after discontinuation.
10. Subjects must refrain from donating blood during study treatment and for 30 days after discontinuation.

Exclusion Criteria:

1. Presence of myeloma in the central nervous system (CNS).
2. Subjects with any of the following:

   * Systemic light chain amyloidosis
   * Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal gammopathy, and Skin changes (POEMS) Syndrome
   * Myelodysplastic syndrome (MDS).
3. Previously treated with cemsidomide.
4. Clinically significant impaired cardiac function or cardiac disease.
5. Thromboembolic event within 3 months prior to enrollment.
6. Known malignancy other than study indication that has progressed or required treatment within the past 3 years.
7. Uncontrolled active bacterial, fungal, or viral infection.
8. Inability or difficulty swallowing tablets.

NOTE: Other inclusion/exclusion criteria may apply, per protocol.

About the study

This is a Phase 2, open-label, single-arm, multicenter study to assess the antimyeloma activity and further characterize the safety, tolerability, PK, and PD of cemsidomide in combination with dexamethasone in participants with relapsed/refractory multiple myeloma (r/r MM).

What is being tested

Sponsor: C4 Therapeutics, Inc. · Participants: 100 · Started: Feb 18, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07284758

Locations in the U.S.

AlabamaClearview Cancer Institute, Huntsville
ArizonaMayo Clinic - Arizona, Phoenix
HonorHealth, Scottsdale
CaliforniaBerenson Cancer Center, West Hollywood
FloridaMayo Clinic - Florida, Jacksonville
GeorgiaWinship Cancer Institute, Emory University, Atlanta
IndianaIndiana University Health, Indianapolis
IowaUniversity of Iowa, Iowa City
MichiganKarmanos Cancer Institute, Detroit
START Midwest, Grand Rapids
MinnesotaMayo Clinic - Minnesota, Rochester
MissouriWashington University/Siteman Cancer Center, St Louis
NebraskaUniversity of Nebraska Medical Center, Omaha
New YorkMemorial Sloan Kettering Cancer Center, New York
The Tisch Cancer Institute/Mount Sinai, New York
North CarolinaUNC Hospitals Adult Oncology Clinics, Chapel Hill
TennesseeTennessee Oncology, Nashville
TexasSTART San Antonio, San Antonio
WisconsinUniversity of Wisconsin - Carbone Cancer Center, Madison
MCW-Clinical Cancer Center at Froedtert Hospital Campus, Milwaukee

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.