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Multiple MyelomaPhase 1/2NCT03933735

A Study of TNB-383B in Participants With Relapsed or Refractory Multiple Myeloma

A Phase 1/2 study testing TNB-383B in people with Multiple Myeloma, run by AbbVie at 14 sites in 2 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This is a phase 1, open-label study evaluating the safety, clinical pharmacology and clinical activity of TNB-383B, a BCMA x CD3 T-cell engaging bispecific antibody, in participants with relapsed or refractory MM who have received at least 3 prior lines of therapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Multiple Myeloma
What is being tested?
TNB-383B
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
220 participants
Where
14 sitesin 2 countries
Study dates
24 Jun 2019to May 2026
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Has received three or more prior lines of therapy with exposure to a proteasome inhibitor (PI), an immunomodulatory imide (IMiD) and an anti-CD38 monoclonal antibody.
  • Must have adequate bone marrow function as defined in the protocol.
  • Must have an estimated glomerular filtration rate >= 30 mL/min as estimated by the Modification of Diet in Renal Disease formula.
  • Must have total bilirubin <= 1.5 × upper limit of normal ([ULN]; except if the subject has a known diagnosis of Gilbert's syndrome, in which case bilirubin must be < 3 x ULN).
  • Serum calcium (corrected for albumin) at or below the ULN range.
  • Has Measurable Disease, defined as at least 1 of the following:
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  • Serum M-protein >= 0.5 g/dL (>= 5 g/L).
  • Urine M-protein >= 200 mg / 24h.
  • Serum free light chain (FLC) assay: Involved FLC level >= 10 mg/dl (>=100 mg/L) and an abnormal serum FLC ratio (< 0.26 or > 1.65).
  • Has confirmed evidence of relapse/progression from the immediately prior MM therapy, or participant is relapsed/refractory to the immediately prior MM therapy.
  • Consents to a fresh pretreatment bone marrow tumor biopsy or has adequate archival bone marrow tumor tissue that was collected within 6 months prior to screening and without intervening treatment.

Who cannot join

  • Has been diagnosed or treated for another malignancy within 3 years of enrollment, with the exception of basal cell or squamous cell carcinoma of the skin, in situ malignancy, low-risk prostate carcinoma after curative therapy, or complete resection/curative therapy of an advanced malignancy.
  • History of central nervous system involvement by their myeloma.
  • History of Grade >= 3 peripheral neuropathy.
  • History of plasma cell leukemia, polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin changes (POEMS) syndrome, or amyloidosis.
  • Has received another investigational drug within 21 days of enrollment.
  • Has ever received BCMA-targeted therapy.
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  • Has received a autologous stem cell transplant within 12 weeks or an allogeneic stem cell transplant within 1 year of the first dose of study drug treatment.
  • Has any medical or psychiatric condition which in the opinion of the investigator or study Medical Monitor places the participant at an unacceptably high risk for toxicities, could interfere with successful or safe delivery of therapy, or could interfere with evaluation of the investigational product or interpretation of participant safety or study results.
  • Has received any therapy to treat cancer or undergone a major surgical procedure within 21 days, or within 5 half-lives of an anticancer drug, prior to the first dose of study treatment, whichever is shorter.
  • Has known active infection Grade >= 2 requiring anti-infective treatment.
  • Has a history of major cardiac abnormalities.
  • Has unresolved adverse events as defined in the protocol.

Trial locations and contacts

14 sites in 2 countries.

14 sites in 2 countries

United States10 sites
  • University of North Carolina /ID# 238685

    Chapel Hill, North Carolina, 27514

  • Atrium Health Levine Cancer Institute /ID# 238786

    Charlotte, North Carolina, 28204

  • Wisconsin Medical Center /ID# 238684

    Milwaukee, Wisconsin, 53226

  • Tulane University School of Medicine /ID# 242322

    New Orleans, Louisiana, 70112

  • Mt Sinai /ID# 242317

    New York, New York, 10029-6542

  • Memorial Sloan Kettering Cancer Center-Koch Center /ID# 244831

    New York, New York, 10065-6007

  • Mayo Clinic - Rochester /ID# 238683

    Rochester, Minnesota, 55905-0001

  • University of California San Francisco (UCSF) - Parnassus Heights /ID# 238680

    San Francisco, California, 94143

  • Washington University-School of Medicine /ID# 238681

    St Louis, Missouri, 63110

  • Atrium Health Wake Forest Baptist Medical Center /ID# 238787

    Winston-Salem, North Carolina, 27157

Other trials in United States

Germany4 sites
  • Universitaetsklinikum Koeln /ID# 239676

    Cologne, North Rhine-Westphalia, 50937

  • Universitaetsklinikum Carl Gustav Carus Dresden /ID# 239638

    Dresden, Saxony, 01307

  • Universitaetsklinikum Hamburg-Eppendorf /ID# 239636

    Hamburg, 20246

  • Duplicate_Universitaetsklinikum Muenster /ID# 239637

    Münster, North Rhine-Westphalia, 48149

Other trials in Germany

About this study

Official title: A Multicenter, Phase 1, Open-label, Dose-escalation and Expansion Study of TNB-383B, a Bispecific Antibody Targeting BCMA in Subjects With Relapsed or Refractory Multiple Myeloma

This is a phase 1, open-label study evaluating the safety, clinical pharmacology and clinical activity of TNB-383B, a BCMA x CD3 T-cell engaging bispecific antibody, in participants with relapsed or refractory MM who have received at least 3 prior lines of therapy. The study consists of 4 portions, a monotherapy dose escalation (Arm A) and a monotherapy dose expansion (Arm B), Monotherapy once every 4 weeks (Q4W) dosing (Arm E), Monotherapy once every 3 weeks (Q3W) dosing (Arm F). Arm A will evaluate the safety, tolerability, pharmacokinetic (PK) and pharmacodynamic (PD) profiles of escalating doses of single-agent TNB-383B, administered Q3W, in approximately 73 participants. Once the maximum tolerated dose (MTD) or recommended phase 2 dose, (RP2D) is identified in Arm A, Arm B will be initiated to further characterize the safety, tolerability, PK and PD profiles of the MTD/RP2D 2 dose expansion arms of 48 participants each. Dose A will be evaluated as a monotherapy Q4W, in Arm E to further characterize the safety, tolerability, PK and PD profiles of the MTD/RP2D 2 dose expansion arms of 20 participants. Dose C will be evaluated as a monotherapy, in Arm F to further characterize the safety, tolerability, PK and PD profiles of the MTD/RP2D 2 dose expansion arms of 25 participants.

Being tested
TNB-383B
Keywords
Multiple Myeloma, TNB-383B
Medical subject headings
Multiple Myeloma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TNB-383BDrug

    Intravenous (IV) Injection

Study groups in NCT03933735
Study groupRoleWhat they receive
Arm A: Dose EscalationExperimentalUp to 15 cohorts of participants receiving sequentially ascending doses of TNB-383B are planned until maximum tolerated dose is reached or recommended phase 2 dose is identified.
Receives: Drug: TNB-383B
Arm B: Dose Expansion Dose AExperimentalAn expansion cohort will be enrolled at the recommended phase 2 Dose A.
Receives: Drug: TNB-383B
Arm B: Dose Expansion Dose BExperimentalAn expansion cohort will be enrolled at the recommended phase 2 Dose B.
Receives: Drug: TNB-383B
Arm E: Monotherapy Once Every 4 Weeks (Q4W)ExperimentalAn expansion cohort will be enrolled at the recommended phase 2 Dose A.
Receives: Drug: TNB-383B
Arm F: Monotherapy Dose CExperimentalAn expansion cohort will be enrolled at the recommended phase 2 Dose C.
Receives: Drug: TNB-383B

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants with Dose-limiting toxicities (DLT)

    A DLT is defined as a Treatment-emergent adverse event that is not unequivocally due to the participant's underlying malignancy or other extraneous cause.

    Measured: Day 21

  2. Number of Participants with Adverse Events (AEs) and/or Serious Adverse Events (SAEs)

    An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above.

    Measured: Up to 3 Years

  3. Maximum Observed Plasma Concentration of TNB-383B (Cmax)

    Cmax of TNB-383B.

    Measured: Week 12

  4. Time to Cmax of TNB-383B (Tmax)

    Time to maximum plasma concentration (Tmax) of TNB-383B.

    Measured: Week 12

  5. Area Under the Concentration Versus Time Curve from Time Zero to the Last Measurable Concentration (AUClast)

    Area under the concentration versus time curve from time zero to the last measurable concentration of TNB-383B.

    Measured: Week 12

  6. Clearance (CL) of TNB-383B

    Clearance is defined the volume of plasma cleared of the drug per unit time.

    Measured: Week 12

  7. Terminal Phase Elimination Rate Constant (Beta) of TNB-383B

    Apparent terminal phase elimination rate constant of TNB-383B.

    Measured: Week 12

  8. Terminal Half-Life (t1/2) of TNB-383B

    Terminal half-life (t1/2) of TNB-383B.

    Measured: Week 12

  9. Number of Participants with of Anti-drug Antibody (ADA)

    The number of participants with anti-TNB-383B antibodies.

    Measured: Up to Month 48

Secondary outcomes (6)
  1. Objective Response Rate (ORR)

    ORR is defined as confirmed Stringent complete response (sCR) + Complete response (CR) + very good partial response + partial response [PR]).

    Measured: Up to Month 48

  2. Percentage of Participants with Overall Survival (OS)

    OS is defined as time from the first dose of TNB-383B to the date of death, from any cause.

    Measured: Up to 48 Months

  3. Percentage of Participants with Progression-Free Survival (PFS)

    Progression-free survival time is defined as the time from the first dose of TNB-383B to progression or death, whichever occurs first.

    Measured: Up to 48 Months

  4. Time-to-Progression (TTP)

    TTP is defined as the time from the first dose of TNB-383B to the date of the first documented disease progression.

    Measured: Up to 48 Months

  5. Time-to-Response (TTR)

    TTR is defined as the time from the first dose of TNB-383B to the date of the first assessment having documented the response.

    Measured: Up to 48 Months

  6. Duration of Objective Response (DOR)

    DOR is defined as the time from the initial objective response to disease progression or death, whichever occurs first.

    Measured: Up to 48 Months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 May 2019
  2. Study start24 Jun 2019
  3. Primary completionMay 2026 (estimated)
  4. Study completionMay 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
220 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03933735
Sponsor's protocol ID
TNB383B.0001
Other IDs
2023-506993-11, 2023
Status last verified
Feb 2026
First submitted
26 Apr 2019
Last updated
6 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • D'Souza A, Shah N, Rodriguez C, Voorhees PM, Weisel K, Bueno OF, Pothacamury RK, Freise KJ, Yue S, Ross JA, Polepally AR, Talati C, Lee S, Jin Z, Buelow B, Vij R, Kumar S. A Phase I First-in-Human Study of ABBV-383, a B-Cell Maturation Antigen x CD3 Bispecific T-Cell Redirecting Antibody, in Patients With Relapsed/Refractory Multiple Myeloma. J Clin Oncol. 2022 Nov 1;40(31):3576-3586. doi: 10.1200/JCO.22.01504. Epub 2022 Aug 27.

    PubMed 36029527

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing TNB-383B in people with Multiple Myeloma, run by AbbVie at 14 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 6 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States, Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants with Dose-limiting toxicities (DLT) (time frame: Day 21). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03933735, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Feb 2026.

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