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Multiple MyelomaPhase 3NCT06932562

A Study to Learn How Safe and How Well Linvoseltamab Works Compared to Standard Treatment in Adult Patients With Multiple Myeloma Who Are Not Eligible for Transplant

A Phase 3 study testing Linvoseltamab, Daratumumab and Lenalidomide in people with Multiple Myeloma, run by European Myeloma Network B.V. at 59 sites in 18 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study is researching an experimental drug called linvoseltamab. The study is focused on participants with newly diagnosed multiple myeloma (NDMM) who are ineligible for autologous stem cell transplantation (transplant-ineligible). 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?
Linvoseltamab, Daratumumab and Lenalidomide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,000 participants
Where
59 sitesin 18 countries
Study dates
23 Dec 2025to Dec 2036
Phase
Phase 3
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

  • Participants must have confirmed diagnosis of symptomatic MM per IMWG criteria.
  • Participants must not be considered a candidate for high-dose chemotherapy (HDT) and ASCT, as described in the protocol.
  • Participants must have measurable disease as defined in the protocol.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.
  • Participants must have clinical laboratory values within a prespecified range.

Who cannot join

  • International Myeloma Working Group Frailty Index of 2 with the exception of participants who have a score of 2 based on age alone.
  • Participants who defer transplant due to personal preference.
  • Participants with non-secretory MM, active plasma cell leukemia, known light-chain (AL) amyloidosis in the presence of a concurrent diagnosis of myeloma, any other form of amyloidosis, Waldenström macroglobulinemia, or known POEMS syndrome.
  • Any prior therapy for monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), or MM, with the exception of:
  • focal radiation and/or
  • a short course of corticosteroids as defined in the protocol.
Show all 12Show fewer
  • Participants who have received or are receiving any investigational agent or cell therapy with known or suspected activity against MM
  • Participants who have known central nervous system (CNS) or meningeal involvement with MM or known or suspected progressive multifocal leukoencephalopathy (PML), a history of a neurocognitive condition or CNS movement disorder, OR a history of seizure, transient ischemic attack (TIA), stroke or seizure within 12 months prior to study C1D1.
  • Participants who have uncontrolled intercurrent illness.
  • Known contraindications to the use of daratumumab or lenalidomide per local prescribing information.
  • History of allogeneic hematopoietic stem cell transplantation or solid organ transplant at any time.
  • NOTE Other protocol defined inclusion/exclusion criteria apply.

Trial locations and contacts

59 sites in 18 countries. Contact the study team or a site near you to ask about taking part.

59 sites in 18 countries

Italy11 sites, 11 recruiting
  • AOU Ospedali Riuniti di Ancona

    Ancona

    Offidani

    Recruiting
  • Azienda Ospedaliera Santa Croce e Carle - Ematologia

    Cuneo

    Celeghini

    Recruiting
  • A.O.U. Careggi

    Florence

    Antonioli

    Recruiting
  • IRCCS Ospedale Policlinico San Martino

    Genova

    Aquino

    Recruiting
  • Ospedale di Legnano, ASST Ovest Milanese

    Legnano

    Rezzonico

    Recruiting
  • Meldola-Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (I.R.S.T.)

    Meldola

    Cerchione

    Recruiting
  • ASST Grande Ospedale Metropolitano Niguarda

    Milan

    Cafro

    Recruiting
  • Ospedale Maggiore Policlinico, Fondazione IRCCS Ca' Granda - Oncologia

    Milan

    Bolli

    Recruiting
  • Azienda USL IRCCS Di Reggio Emilia

    Reggio

    Gamberi

    Recruiting
  • Ospedale "Infermi" di Rimini

    Rimini

    Rotondo

    Recruiting
  • I.R.C.C.S. Ospedale Casa Sollievo della Sofferenza

    San Giovanni Rotondo

    Carella

    Recruiting

Other trials in Italy

Australia8 sites, 8 recruiting
  • Flinders Medical Centre

    Adelaide

    Sobieraj-Teague

    Recruiting
  • Box Hill Hospital

    Box Hill

    Motorna

    Recruiting
  • Canberra Hospital

    Canberra

    Joshi

    Recruiting
  • Barwon Health, University Hospital Geelong

    Geelong

    Campbell

    Recruiting
  • Austin Hospital

    Heidelberg

    Hocking

    Recruiting
  • Nepean Cancer Centre

    Kingswood

    Ponraj

    Recruiting
  • Northern Hospital

    Melbourne

    Cooke

    Recruiting
  • Sunshine Coast Health

    Sunshine Coast

    Wallington-Gates

    Recruiting

Other trials in Australia

Spain5 sites, 5 recruiting
  • Institut Catala D'oncologia (Badalona)

    Badalona

    Ibarra

    Recruiting
  • Hospital Clinic De Barcelona - Myeloma and Amyloidosis Unit

    Barcelona

    Laura Rosiñol Dachs, MD

    Recruiting
  • Hospital Quirón Salud Madrid

    Madrid

    Martinez Chamorro

    Recruiting
  • Hospital Universitario Marques De Valdecilla -Hematology and Hemotherapy Service

    Santander

    Enrique Ocio San Miguel, MD

    Recruiting
  • Hospital Universitario la Fe, Valencia

    Valencia

    de la Rubia

    Recruiting

Other trials in Spain

Czechia4 sites, 4 recruiting
  • Fakultni Nemocnice Hradec Kralove

    Hradec Králové

    Radocha

    Recruiting
  • University Hospital Olomouc

    Olomouc

    Minarik

    Recruiting
  • Fakultni Nemocnice Ostrava

    Ostrava

    Hajek

    Recruiting
  • Fakultni Nemocnice Plzen

    Pilsen

    Jungova

    Recruiting

Other trials in Czechia

Greece4 sites, 4 recruiting
  • University Hospital of Alexandroupolis

    Alexandroupoli

    Spanoudakis

    Recruiting
  • Alexandra General Hospital -Department of Clinical Therapeutics N.K. Univ. of Athens

    Athens

    Evangelos Terpos

    Recruiting
  • Evaggelismos Hospital

    Athens

    Delimpasi

    Recruiting
  • Theagenion Cancer Hospital

    Thessaloniki

    Katodritou

    Recruiting

Other trials in Greece

Turkey (Türkiye)4 sites, 4 recruiting
  • Ankara University Faculty of Medicine, Department of Hematology

    Ankara

    Cengiz Seval

    Recruiting
  • Liv Hospital Ankara

    Ankara

    Beksac

    Recruiting
  • Ege Universitesi Tip Fakultesi - Hematology

    Izmir

    Vural

    Recruiting
  • Ege University Medicine Faculty, Izmir

    Izmir

    Comert

    Recruiting

Other trials in Turkey (Türkiye)

Germany3 sites, 3 recruiting
  • Universitaetsmedizin Greifswald

    Greifswald

    Krönke

    Recruiting
  • Universitaetsklinikum Schleswig-Holstein -Campus Luebeck - Klinik fuer Haematologie und Onkologie

    Lübeck

    Leitner

    Recruiting
  • University Hospital of Würzburg

    Würzburg

    Waldschmidt

    Recruiting

Other trials in Germany

Ireland3 sites, 3 recruiting
  • Cork University Hospital

    Cork

    Mykytiv

    Recruiting
  • Beaumont Hospital

    Dublin

    Quinn

    Recruiting
  • University Hospital Limerick - Department of Haematology

    Limerick

    Clifford

    Recruiting

Other trials in Ireland

Norway3 sites, 3 recruiting
  • Stavanger University Hospital

    Stavanger

    Haukås

    Recruiting
  • Vestfold Hospital Trust

    Tønsberg

    Moksnes

    Recruiting
  • St. Olavs hospital HF

    Trondheim

    Slørdahl

    Recruiting

Other trials in Norway

Austria2 sites, 2 recruiting
  • Ordensklinikum Linz

    Linz

    Strassl

    Recruiting
  • Klinik Ottakring

    Vienna

    Schreder

    Recruiting

Other trials in Austria

Estonia2 sites, 2 recruiting
  • North Estonia Medical Centre Foundation

    Tallinn

    Loigom

    Recruiting
  • Tartu University Hospital

    Tartu

    Pärnat

    Recruiting

Other trials in Estonia

Finland2 sites, 2 recruiting
  • Helsinki University Hospital Comprehensive Cancer Center

    Helsinki

    Söderholm

    Recruiting
  • Kuopio University Hospital

    Kuopio

    Partanen

    Recruiting

Other trials in Finland

Portugal2 sites, 2 recruiting
  • CHUC

    Coimbra

    Roque

    Recruiting
  • Hospital da Luz Lisboa

    Lisbon

    Pedrosa

    Recruiting

Other trials in Portugal

Switzerland2 sites, 2 recruiting
  • Universitaetsspital Basel - Zentrum fur Hamato-Onkologie

    Basel

    Heim

    Recruiting
  • Kantonsspital St. Gallen

    Sankt Gallen

    Lehmann

    Recruiting

Other trials in Switzerland

Croatia1 site, 1 recruiting
  • University Hospital Centre Zagreb - Clinic for Internal Medicine

    Zagreb

    Basic-Kinda

    Recruiting

Other trials in Croatia

Denmark1 site, 1 recruiting
  • Aarhus Universitetshospital

    Aarhus

    Ølholm Vase

    Recruiting

Other trials in Denmark

Netherlands1 site, 1 recruiting
  • Erasmus MC

    Rotterdam

    Stege

    Recruiting

Other trials in Netherlands

Sweden1 site, 1 recruiting
  • Skåne University Hospital, Region Skåne

    Lund

    Lemonakis

    Recruiting

Other trials in Sweden

About this study

Official title: A Randomized, Open-Label, Controlled Phase 3 Study of Comparing Daratumumab, Lenalidomide and Dexamethasone Induction Followed by Linvoseltamab Versus Continued Daratumumab, Lenalidomide, and Dexamethasone in Newly Diagnosed Transplant Ineligible Multiple Myeloma Patients

This study is researching an experimental drug called linvoseltamab. The study is focused on participants with newly diagnosed multiple myeloma (NDMM) who are ineligible for autologous stem cell transplantation (transplant-ineligible).

The main purpose of this study is to compare the effect and safety of linvoseltamab with the effect and safety of the standard treatment.

Being tested
Linvoseltamab, Daratumumab, Lenalidomide, Dexamethasone
Keywords
Multiple Myeloma (MM), Transplant ineligible, Newly diagnosed, Linvoseltamab, BCMA X CD3 bispecific antibody, CD38 antibody, Lenalidomide
Medical subject headings
Multiple Myeloma

What participants receive

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

  • LinvoseltamabDrug

    Also called REGN5458

    Administered per the protocol

  • DaratumumabDrug

    Administered per the protocol

  • LenalidomideDrug

    Administered per the protocol

  • DexamethasoneDrug

    Administered per the protocol

Study groups in NCT06932562
Study groupRoleWhat they receive
Control arm DRdActive comparatorNot described
Receives: Drug: Daratumumab; Drug: Lenalidomide; Drug: Dexamethasone
Experimental Arm DRd+ linvolsetamabExperimentalNot described
Receives: Drug: Linvoseltamab; Drug: Daratumumab; Drug: Lenalidomide; Drug: Dexamethasone

What is being measured

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

  1. Minimal Residual Disease (MRD)

    Minimal Residual Disease (MRD) negative Complete Remission (CR) status at 10^-5 per International Myeloma Working Group (IMWG) criteria

    Measured: up to 11 years

  2. MRD negative CR status by BICR

    MRD negative CR status at 10^-5 as determined by the Blinded Independent Central Review (BICR)

    Measured: up to 11 years

  3. Progression Free Survival (PFS) per IMWG criteria

    defined as the time from the date of randomization until the first occurrence of disease progression or death from any cause, whichever occurs earlier, where disease progression is determined per IMWG criteria.

    Measured: up to 11 years

  4. PFS as determined by BICR

    defined as the time from the date of randomization until the first occurrence of disease progression or death from any cause, whichever occurs earlier, where disease progression is determined per by BICR.

    Measured: up to 11 years

Secondary outcomes (25)
  1. Overall Survival (OS)

    Overall Survival (OS), measured from the date of from randomization to the date the subject's death

    Measured: up to 11 years

  2. Objective Response (OR) of Complete Response (CR)

    To compare the proportion of patients who achieve an objective response per International Myeloma Working Group (IMWG) response criteria between the two study arms for Complete Response (CR) or better

    Measured: up to 11 years

  3. OR of Very Good Partial Response (VGPR)

    To compare the proportion of patients who achieve an objective response per International Myeloma Working Group (IMWG) response criteria between the two study arms for VGPR or better

    Measured: up to 11 years

  4. OR of Partial Response (PR)

    To compare the proportion of patients who achieve an objective response per International Myeloma Working Group (IMWG) response criteria between the two study arms for PR or better

    Measured: up to 11 years

  5. Sustained MRD

    Sustained MRD negative CR (sMRD) at 10^-5 per IMWG criteria

    Measured: up to 11 years

  6. Duration of response (DOR) of stringent (s)CR

    duration of response to best overall response of stringent sCR, per IMWG response criteria

    Measured: up to 11 years

  7. Duration of response (DOR) of CR

    duration of response to best overall response of CR, per IMWG response criteria

    Measured: up to 11 years

  8. Duration of response (DOR) of VGPR

    duration of response to best overall response of VGPR, per IMWG response criteria

    Measured: up to 11 years

  9. Duration of response (DOR) of PR

    duration of response to best overall response of PR, per IMWG response criteria

    Measured: up to 11 years

  10. Time to response ≥CR

    Time from randomization to objective response (≥CR) as per IMWG response criteria

    Measured: up to 11 years

  11. Time to response ≥VGPR

    Time from randomization to objective response (≥VGPR) as per IMWG response criteria

    Measured: up to 11 years

  12. Time to response ≥PR

    Time from randomization to objective response (≥PR) as per IMWG response criteria

    Measured: up to 11 years

  13. Disease progression

    Time to disease progression per IMWG response criteria

    Measured: up to 11 years

  14. Incidence of TEAEs

    Incidence of treatment emergent adverse events (TEAEs)

    Measured: up to 11 years

  15. Severity of TEAEs

    Severity of treatment emergent adverse events (TEAEs)

    Measured: up to 11 years

  16. Serious Adverse Events

    Incidence of Serious Adverse Events (SAE)

    Measured: up to 11 years

  17. Concentrations of linvoseltamab

    Concentrations of linvoseltamab in serum over time

    Measured: up to 11 years

  18. Incidence antidrug antibodies

    Incidence of antidrug antibodies (ADAs) to linvoseltamab

    Measured: up to 11 years

  19. Titer of ADA

    Titer of ADA to linvoseltamab

    Measured: up to 11 years

  20. EORTC QLQ-C30 Global Health Status / Quality of Life

    Change in European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) The EORTC QLQ-C30 is a 30-item validated questionnaire developed to measure patient-reported quality of life using one global health status/quality of life (GHS/QoL) scale, 5 functioning scales (physical, role, emotional, cognitive, and social) ranging from from 1 = "very poor" to 7 = "excellent" and 9 symptom scales/items (fatigue, nausea/vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea and financial difficulties) among patients with cancer, ranging from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.

    Measured: up to 11 years

  21. EORTC QLQ-C30 Physical Functioning (PF)

    Change in European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire functioning scale Physical Functioning (PF). PF scale consist of 5 items, ranging from from 1 = "not at all" to 4 = "very much" higher scores indicate higher ("better") level of functioning

    Measured: up to 11 years

  22. EORTC QLQ-C30 Role Functioning (RF)

    Change in European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire functioning scale Role Functioning (RF). RF scale consist of 2 items, ranging from from 1 = "not at all" to 4 = "very much" higher scores indicate higher ("better") level of functioning

    Measured: up to 11 years

  23. EORTC QLQ-C30 Pain

    Change in European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire symptom scale Pain. Pain scale consist of 2 items, ranging from from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden

    Measured: up to 11 years

  24. EORTC QLQ-C30 Fatigue

    Change in European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire symptom scale Fatigue. Fatigue scale consist of 3 items, ranging from from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden

    Measured: up to 11 years

  25. EQ-5D-5L VAS

    Change in EuroQoL-5 Dimensions, 5-level Questionnaire (EQ-5D-5L) Visual Analogue Score (VAS) (EQ-5D-5L VAS).

    The EQ-5D-5L is a generic questionnaire that measures Health-Related Quality of Life (HRQoL) across 5 dimensions of health (mobility, self-care, usual activities, pain/discomfort and anxiety/depression) across 5 levels (1= no problems, 2= slight problems, 3= some problems, 4= severe problems and 5= extreme problems), higher scores indicate lower health states And a visual analogue scale (VAS). VAS scale ranging from 0 = "worst" to 100 = "best" higher score indicate higher health status

    Measured: up to 11 years

Timeline

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

  1. First posted17 Apr 2025
  2. Study start23 Dec 2025
  3. Primary completionDec 2036 (estimated)
  4. Study completionDec 2036 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06932562
Sponsor's protocol ID
EMN39
Other IDs
2024-519827-16-00
Status last verified
Nov 2025
First submitted
10 Apr 2025
Last updated
25 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Linvoseltamab, Daratumumab and Lenalidomide in people with Multiple Myeloma, run by European Myeloma Network B.V. at 59 sites in 18 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 5 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: looking for participants now, as of the sponsor's last update on 25 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 59 sites in Italy, Australia, Spain, Czechia, Greece and 13 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 Silvia Villa (+31 10 268 70 65, silvia.villa@emn.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Minimal Residual Disease (MRD) (time frame: up to 11 years). The study lists 4 primary outcomes in all. 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 25 Mar 2026.

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