Recruiting
Phase 3

Linvoseltamab vs. Daratumumab

Sponsor:

Regeneron Pharmaceuticals

Code:

NCT07393282

Conditions

High Risk Smoldering Multiple Myeloma (HR-SMM)

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Linvoseltamab

Daratumumab

Study Details

Brief summary:

This study is researching an experimental drug called linvoseltamab (also called "study drug") compared to another drug called daratumumab, in participants with Smoldering Multiple Myeloma (SMM), who are at a High Risk (HR) of developing active multiple myeloma.

The aim of this study is to find out whether linvoseltamab is better than daratumumab in delaying the development of MM.

The study is looking at several other research questions, including:

  • What side effects may happen from taking the study drug
  • How much study drug is in the blood at different times
  • Whether the body makes antibodies against the study drug (which could make the drug less effective or could lead to side effects)

Conditions

High Risk Smoldering Multiple Myeloma (HR-SMM)

Study ID

NCT07393282

Start date

May 21, 2026

Status verified date

Aug, 2026

Completion date

Jul 27, 2033

Anticipated

Primary completion date

Jul 27, 2033

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

1. Eastern Cooperative Oncology Group performance status score ≤1
2. SMM diagnosis per IMWG criteria as defined in the protocol
3. Meets HR-SMM criteria by 1 of the risk models as defined in the protocol

Key Exclusion Criteria:

1. Evidence of myeloma-defining events attributable to the underlying plasma cell dyscrasia, as defined in the protocol
2. Diagnosis of systemic light chain amyloidosis, Waldenström macroglobulinemia (lymphoplasmacytic lymphoma), plasma cell leukemia, or soft tissue plasmacytoma
3. History of neurodegenerative condition, progressive multifocal leukoencephalopathy, or Central Nervous System (CNS) movement disorder
4. History of a seizure within the 12 months of randomization
5. Prior exposure to any approved or investigational treatments directed against a clonal plasma cell disorder (including but not limited to conventional chemotherapies, radiotherapy, immunomodulatory drugs, proteasome inhibitors, anti-CD38 antibodies). Ongoing treatment with other monoclonal antibodies (eg, infliximab, rituximab) or other treatments likely to interfere with study procedures or results, as described in the protocol.

NOTE: Other protocol defined inclusion/exclusion criteria apply

Study Design

Enrollment

270 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Linvoseltamab

active comparator: Daratumumab

Interventions

Linvoseltamab

Administered per the protocol

Daratumumab

Administered per the protocol

Primary outcome measure

  • Clinical Progression Free Survival (PFS) per International Myeloma Working Group (IMWG) criteria [ Time Frame: Up to 5 years ]
  • Biochemical PFS per IMWG criteria [ Time Frame: Up to 5 years ]

Central Contacts and Locations

Central contacts

Clinical Trials Administrator

844-734-6643clinicaltrials@regeneron.com

Locations

Emory University - Winship Cancer Institute

Recruiting

Atlanta, Georgia, United States, 30322

Dana Farber / Harvard Cancer Center

Recruiting

Boston, Massachusetts, United States, 02215

Barbara Ann Karmanos Cancer Institute - Detroit

Recruiting

Detroit, Michigan, United States, 48201

More Information

Sponsor

Regeneron Pharmaceuticals

Last update posted

Aug 18, 2026

Last verified

Aug, 2026

Keywords

  • Linvoseltamab
  • Multiple Myeloma (MM)
  • B Cell Maturation Antigen (BCMA)
  • Bispecific antibody
  • Smoldering Multiple Myeloma (SMM)
  • Smoldering Myeloma
  • HR-SMM
  • Linozyfic
  • Darzalex

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Regeneron Pharmaceuticals on 2026-08-18.