Relapsed/Refractory Multiple MyelomaPhase 2FLAMMINGONCT06668792
An Open-Label Clinical Study of the Efficacy and Safety of BCD-248 in Patients With Relapsed/Refractory Multiple Myeloma
A Phase 2 study testing BCD-248 in people with Relapsed/Refractory Multiple Myeloma, run by Biocad at 20 sites in Russia.
Trial summary
The aim of the study is to assess the efficacy and safety of BCD-248 as a therapy for relapsing and/or refractory multiple myeloma. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Relapsed/Refractory Multiple Myeloma
- What is being tested?
- BCD-248
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 100 participants
- Where
- 20 sitesRussia
- Study dates
- 26 Dec 2024to Jul 2028
- Phase
- Phase 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
- Signed informed consent form.
- Age ≥18 years.
- Documented diagnosis of multiple myeloma according to the IMWG criteria.
- Measurable disease at screening.
- Subjects who received at least 2 lines of therapy for multiple myeloma, including a proteasome inhibitor, an immunomodulatory drug, anti-CD38 therapy.
- Documented progression according to the IMWG criteria during or after the last line of therapy.
- Evidence of at least a partial response according to the IMWG criteria to at least 1 previous line of therapy.
- ECOG score 0-2.
Who cannot join
- Subjects who were previously treated with anti-BCMA or anti-CD3 drugs.
- Use of any investigational medicinal products or medical devices within 30 days or 5 half-lives (whichever is longer) prior to the expected start of the study therapy or planned use of investigational medicinal products or medical devices during participation in this study, except for the use described in this Protocol.
- Autologous hematopoietic stem cell transplantation within 12 weeks prior to the expected start of the study therapy or a history of allogenic stem cell transplantation, regardless of when it was performed.
- Planned hematopoietic stem cell transplantation before disease progression during this study.
- A history of other malignancies within 5 years before screening, excluding squamous and basal cell skin cancers, carcinoma in situ of the cervix or breast, or other malignancies, which, in the opinion of the Investigator, have been adequately treated and have a minimal risk of recurrence within 5 years.
- Concomitant diseases and/or conditions that significantly increase the risk of AEs during the study:
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- Stable angina pectoris, functional class III-IV.
- Unstable angina and/or myocardial infarction within less than 6 months before the expected start of the study therapy.
- Chronic heart failure, NYHA class III-IV;
- Clinically significant (in the Investigator's opinion) cardiac arrhythmia and conduction disorders that do not respond to the maximum possible antiarrhythmic therapy (therapy should be stable for 4 weeks before the expected start of the study therapy);
- Moderate to severe asthma, grade III-IV chronic obstructive pulmonary disease, a history of angioedema, severe respiratory failure;
- Active autoimmune diseases (subjects with type 1 diabetes mellitus and hypothyroidism requiring only hormone replacement therapy, as well as with skin diseases (vitiligo, alopecia, or psoriasis) that do not require systemic therapy are eligible);
- Any infection within 14 days prior to the expected start of the study therapy, requiring systemic etiotropic therapy or which, in the opinion of the Investigator, may increase the risk of infectious complications;
- Any other concomitant disease or condition, which, in the Investigator's opinion, significantly increases the risk of AEs in the study.
- Subjects with amyloidosis.
- Clinical signs of meningeal involvement of multiple myeloma.
- HIV infection, active HBV infection, hepatitis C.
- Major surgery within less than 14 days prior to the expected start of the study therapy, incomplete recovery from surgery, or planned surgery during participation in the study.
- Pregnancy or breastfeeding, as well as intention to become pregnant or father a child during the study period and within 180 days after receiving the last dose of the IP.
Trial locations and contacts
20 sites in 1 country. Contact the study team or a site near you to ask about taking part.
20 sites in 1 country
Russia20 sites, 20 recruiting
- Not yet recruiting
SBHI of the Kaliningrad region "Central City Clinical Hospital"
Kaliningrad
Alina Chuprakova
- Not yet recruiting
SAHI "Republican Clinical Oncology Dispensary of the Ministry of Health of the Republic of Tatarstan named after Professor M.Z. Sigala"
Kazan'
Gulnara Husainova
- Not yet recruiting
FSBI of science "Kirov research Institute of Hematology and blood transfusion of the Federal medical and biological Agency"
Kirov
Svetlana Samarina
- Recruiting
Regional Government-Owned Publicly Funded Healthcare Institution "Regional Clinical Hospital"
Krasnoyarsk
Elena Martynova
- Recruiting
Branch of the limited liability company "Hadassah Medical LTD"
Moscow
Igor Utiashev
- Recruiting
City Clinical Hospital №52 of the Department of Health of the City of Moscow
Moscow
Elena Misiurina
- Not yet recruiting
FSBI "National Medical Research Center of Oncology named after N. N. Blokhin" of the Ministry of Health of the Russian Federation
Moscow
Gaiane Tumian
- Recruiting
JSC "Medsi Group of Companies"
Moscow
Anastasia Mochalova
- Not yet recruiting
SBI of health care of the city of Moscow city clinical hospital named after S. P. Botkin of the Department of health of the City of Moscow
Moscow
Vadim Doronin
- Not yet recruiting
State budgetary healthcare Institution of the Moscow Region "Moscow Regional Research Clinical Institute named after M. F. Vladimirsky"
Moscow
Tatiana Mitina
- Not yet recruiting
Federal State Budgetary Institution "National Medical Research Center for Radiology" of the Ministry of Health of the Russian Federation
Obninsk
Natalia Falaleeva
- Not yet recruiting
SBHI of the Republic of Karelia "Republican Hospital named after V.A. Baranov"
Petrozavodsk
Aleksandr Miasnikov
- Recruiting
FSBI "Almazov National Medical Research Centre" of the Ministry of Health of the Russian Federation
Saint Petersburg
Yurii Osipov
- Not yet recruiting
FSBEI of Higher Education "Samara State Medical University" of the Ministry of Health of the Russian Federation
Samara
Igor Davidkin
- Recruiting
FSBEI HE "Saratov State Medical University named after V.I. Razumovsky" of the Ministry of Health of Russia
Saratov
Tatiana Shelekhova
- Not yet recruiting
Private healthcare institution "Clinical hospital "RZD-Medicine" of the city of Smolensk"
Smolensk
Mariia Novikova
- Not yet recruiting
State Budgetary Healthcare Institution "Oncological Dispensary No.2" of the Ministry of Health of the Krasnodar Region
Sochi
Dmitrii Kirtbaia
- Recruiting
Public institution "Komi Republican cancer clinic"
Syktyvkar
Andrei Proidakov
- Not yet recruiting
FSBEI of Higher Education "Bashkir State Medical University" of the Ministry of Health of the Russian Federation
Ufa
Bulat Bakirov
- Not yet recruiting
State budgetary healthcare institution of the Sverdlovsk region "Sverdlovsk regional clinical hospital №1"
Yekaterinburg
Tatiana Konstantinova
About this study
Official title: An Open-Label Clinical Study of the Efficacy and Safety of BCD-248 in Subjects With Relapsed/Refractory Multiple Myeloma
The aim of the study is to assess the efficacy and safety of BCD-248 as a therapy for relapsing and/or refractory multiple myeloma.
- Conditions
- Relapsed/Refractory Multiple Myeloma
- Being tested
- BCD-248
- Medical subject headings
- Multiple Myeloma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BCD-248Drug
subcutaneously
| Study group | Role | What they receive |
|---|---|---|
| BCD-248 | Experimental | Not described Receives: Drug: BCD-248 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall response rate according to IMWG (International Myeloma Working Group) criteria
Measured: Up to 24 weeks
Secondary outcomes (15)
Progression-free survival (PFS)
Measured: Up to 104 weeks
Complete response (CR) rate according to IMWG criteria
Measured: Up to 3.7 years
MRD (minimal residual disease)-negativity rate
Measured: Up to 3.7 years
Duration of response
Measured: Up to 3.7 years
Time to progression
Measured: Up to 3.7 years
Time to response
Measured: Up to 3.7 years
Overall survival
Measured: Up to 3.7 years
Incidence and characteristics of adverse events
Measured: Up to 3.7 years
Cmax after the first administration
Measured: up to Day 6
Cmin after the first administration
Measured: up to Day 6
AUC0-t after the first administration
Measured: up to Day 6
Ctrough
Measured: up to 6 months
Soluble BCMA concentration in the blood
Measured: Up to 6 months
Proportion of subjects with BAbs
Measured: Up to 3 years
Proportion of subjects with NAbs
Measured: Up to 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Oct 2024
- Study start26 Dec 2024
- Primary completionFeb 2026 (estimated)
- Study completionJul 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Relapsed/Refractory Multiple MyelomaStudies of the same condition, open and under way.
- More trials run by BiocadThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Biocad
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06668792
- Sponsor's protocol ID
- BCD-248-2
- Acronym
- FLAMMINGO
- Status last verified
- Feb 2025
- First submitted
- 30 Oct 2024
- Last updated
- 4 Feb 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 4 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label Clinical Study of the Efficacy and Safety of BCD-248 in Subjects With Relapsed/Refractory Multiple Myeloma
- ClinicalTrials.gov ID
- NCT06668792
- Acronym / sponsor ID
- FLAMMINGO / BCD-248-2
- Conditions
- Relapsed/Refractory Multiple Myeloma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- BiocadIndustry (pharma, biotech, devices)
- Study start
- 26 Dec 2024 (actual)
- Primary completion
- Feb 2026 (estimated)
- Study completion
- Jul 2028 (estimated)
- First posted
- 31 Oct 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of the study is to assess the efficacy and safety of BCD-248 as a therapy for relapsing and/or refractory multiple myeloma.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| BCD-248 | Experimental | Drug: BCD-248 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Signed informed consent form.
- Age ≥18 years.
- Documented diagnosis of multiple myeloma according to the IMWG criteria.
- Measurable disease at screening.
- Subjects who received at least 2 lines of therapy for multiple myeloma, including a proteasome inhibitor, an immunomodulatory drug, anti-CD38 therapy.
Key exclusion criteria (19 listed)
- Subjects who were previously treated with anti-BCMA or anti-CD3 drugs.
- Use of any investigational medicinal products or medical devices within 30 days or 5 half-lives (whichever is longer) prior to the expected start of the study therapy or planned use of investigational medicinal products or medical devices during participation in this study, except for the use described in this Protocol.
- Autologous hematopoietic stem cell transplantation within 12 weeks prior to the expected start of the study therapy or a history of allogenic stem cell transplantation, regardless of when it was performed.
- Planned hematopoietic stem cell transplantation before disease progression during this study.
- A history of other malignancies within 5 years before screening, excluding squamous and basal cell skin cancers, carcinoma in situ of the cervix or breast, or other malignancies, which, in the opinion of the Investigator, have been adequately treated and have a minimal risk of recurrence within 5 years.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BCD-248subcutaneously | Drug | BCD-248 |
Primary outcome
Overall response rate according to IMWG (International Myeloma Working Group) criteria
Time frame: Up to 24 weeks
15 secondary outcomes
Progression-free survival (PFS)
Time frame: Up to 104 weeks
Complete response (CR) rate according to IMWG criteria
Time frame: Up to 3.7 years
MRD (minimal residual disease)-negativity rate
Time frame: Up to 3.7 years
Duration of response
Time frame: Up to 3.7 years
Time to progression
Time frame: Up to 3.7 years
Time to response
Time frame: Up to 3.7 years
Overall survival
Time frame: Up to 3.7 years
Incidence and characteristics of adverse events
Time frame: Up to 3.7 years
Cmax after the first administration
Time frame: up to Day 6
Cmin after the first administration
Time frame: up to Day 6
AUC0-t after the first administration
Time frame: up to Day 6
Ctrough
Time frame: up to 6 months
Soluble BCMA concentration in the blood
Time frame: Up to 6 months
Proportion of subjects with BAbs
Time frame: Up to 3 years
Proportion of subjects with NAbs
Time frame: Up to 3 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Feb 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
20 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing BCD-248 in people with Relapsed/Refractory Multiple Myeloma, run by Biocad at 20 sites in Russia.
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 8 inclusion and 19 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: looking for participants now, as of the sponsor's last update on 4 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 20 sites in Russia. 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 phase mean?
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?
Contact Daria Liaptseva (+79816982050, liaptseva@biocad.ru), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall response rate according to IMWG (International Myeloma Working Group) criteria (time frame: Up to 24 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 4 Feb 2025.