Malignant Plasma Cell NeoplasmsPhase 2NCT07560449
QLS4131 Combination Therapy in Malignant Plasma Cell Neoplasms
A Phase 2 study testing QLS4131, QL2109 and Pomalidomide in people with Malignant Plasma Cell Neoplasms, run by Qilu Pharmaceutical Co., Ltd..
Trial summary
The purpose of the study is to compare the efficacy of QLS4131(SC) in combination with QL2109, with or without pomalidomide or lenalidomide, and QLS4131 (SC) in combination with QL2109, and QLS4131 (SC) in combination with Pomalidomide, and QLS4131(SC) in combination with QL2109 and Lenalidomide. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Malignant Plasma Cell Neoplasms
- What is being tested?
- QLS4131, QL2109 and Pomalidomide
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 162 participants
- Where
- No sites listed yet
- Study dates
- Jun 2026to Jun 2030
- 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
- Diagnosis of multiple myeloma confirmed according to the 2016 International Myeloma Working Group (IMWG) diagnostic criteria, or diagnosis of plasma cell leukemia and primary light-chain amyloidosis confirmed in accordance with relevant guidelines.;
- For patients with multiple myeloma and plasma cell leukemia, measurable disease at screening is defined as meeting any one of the following:
- Serum M-protein ≥0.5 g/dL (5 g/L);
- Urine M-protein ≥200 mg/24 hours;
- Serum immunoglobulin free light chain ≥10 mg/dL (100 mg/L) with an abnormal serum immunoglobulin κ/λ free light chain ratio.
- For patients with light-chain amyloidosis:Measurable disease is defined as Involved serum free light chain ≥ 50 mg/L with an abnormal light chain ratio,ordifference between involved and uninvolved serum free light chains (dFLC) ≥ 50 mg/L.
Who cannot join
- History of Grade 3 or higher cytokine release syndrome (CRS) associated with any T-cell redirecting therapy (e.g., CD3-redirecting technologies or CAR-T cell therapy);
- Patients who received any of the following prior anti-tumor therapies before the first dose of investigational productt:
- Previous treatment with BCMA/GPRC5D/CD3-targeted therapy;
- Received any anti-tumor therapy within 4 weeks prior to the first dose, except for the following circumstances:
- Cytotoxic therapy or small-molecule targeted therapy within 2 weeks or 5 half-lives, If the half-life is unknown, the washout period shall be 2 weeks (whichever is longer);
- Immunomodulatory drug therapy within 7 days
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- Genetically modified adoptive cell therapy within 3 months.;
- Traditional Chinese medicine with anti-tumor indications within 14 days.;
- Radiotherapy within 14 days
- Prior intolerance to Pomalidomide (applies to treatment cohorts containing Pomalidomide);
- Prior intolerance to Lenalidomide (applies to treatment cohorts containing Lenalidomide);
- Prior intolerance to QL2109 (applies to treatment cohorts containing QL2109).
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: A Multicenter, Open-Label Phase II Study to Evaluate QLS4131 Combination Therapy in the Treatment of Malignant Plasma Cell Neoplasms
The purpose of the study is to compare the efficacy of QLS4131(SC) in combination with QL2109, with or without pomalidomide or lenalidomide, and QLS4131 (SC) in combination with QL2109, and QLS4131 (SC) in combination with Pomalidomide, and QLS4131(SC) in combination with QL2109 and Lenalidomide.
- Conditions
- Malignant Plasma Cell Neoplasms
- Being tested
- QLS4131, QL2109, Pomalidomide, Lenalidomide, Dexamethasone
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
QLS4131Drug
QLS4131 will be administered subcutaneously.
QL2109Drug
QL2109 will be administered subcutaneously.
PomalidomideDrug
Pomalidomide will be self-administered as a single dose orally.
LenalidomideDrug
Lenalidomide will be self-administered as a single dose orally.
DexamethasoneDrug
Dexamethasone will be administered orally or intravenously.
| Study group | Role | What they receive |
|---|---|---|
| QLS4131(SC) in combination with QL2109, with or without Pomalidomide or Lenalidomide | Experimental | Participants will receive QLS4131 and QL2109 as SC injections; Pomalidomide/ Lenalidomide will be self-administered as a single dose orally; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug. Receives: Drug: QLS4131; Drug: QL2109; Drug: Pomalidomide; Drug: Lenalidomide; Drug: Dexamethasone |
| QLS4131(SC) in combination with QL2109 | Experimental | Participants will receive QLS4131 and QL2109 as SC injections; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug. Receives: Drug: QLS4131; Drug: QL2109; Drug: Dexamethasone |
| QLS4131(SC) in combination with Pomalidomide | Experimental | Participants will receive QLS4131 as SC injections; Pomalidomide will be self-administered as a single dose orally; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug. Receives: Drug: QLS4131; Drug: Pomalidomide; Drug: Dexamethasone |
| QLS4131(SC) in combination with QL2109 for injection and Lenalidomide | Experimental | Participants will receive QLS4131 and QL2109 as SC injections; Lenalidomide will be self-administered as a single dose orally; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug. Receives: Drug: QLS4131; Drug: QL2109; Drug: Lenalidomide; Drug: Dexamethasone |
What is being measured
The primary outcome is the main question the study is designed to answer.
DLT
To evaluate the tolerability and safety of subcutaneous administration of QLS4131 for Injection in combination with other agents in patients with malignant plasma cell neoplasms
Measured: From time of the first dose of QLS4131 to end of DLT period (28 days)
MTD
To determine the maximum tolerated dose (MTD)
Measured: Up to 2 years
ORR (Partial Response [PR] or Better)
Overall response (PR or better) is defined as percentage of participants who have a PR or better per International Myeloma Working Group (IMWG) criteria.
Measured: Up to 2 years
Overall Minimal Residual Disease (MRD)
MRD-negative is defined as proportion of participants who achieve MRD negativity at a threshold of 10^-5 at any timepoint after the first dose of study drug and before disease progression or start of subsequent antimyeloma therapy.
Measured: Up to 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 May 2026
- Study startJun 2026 (estimated)
- Primary completionJun 2028 (estimated)
- Study completionJun 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Malignant Plasma Cell NeoplasmsStudies of the same condition, open and under way.
- More trials run by Qilu Pharmaceutical Co., Ltd.The 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
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 162 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Qilu Pharmaceutical Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07560449
- Sponsor's protocol ID
- QLS4131-202
- Status last verified
- Apr 2026
- First submitted
- 21 Apr 2026
- Last updated
- 1 May 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Open-Label Phase II Study to Evaluate QLS4131 Combination Therapy in the Treatment of Malignant Plasma Cell Neoplasms
- ClinicalTrials.gov ID
- NCT07560449
- Acronym / sponsor ID
- QLS4131-202
- Conditions
- Malignant Plasma Cell Neoplasms
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 162 participants (estimated)
- Lead sponsor
- Qilu Pharmaceutical Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- Jun 2026 (estimated)
- Primary completion
- Jun 2028 (estimated)
- Study completion
- Jun 2030 (estimated)
- First posted
- 1 May 2026 (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 purpose of the study is to compare the efficacy of QLS4131(SC) in combination with QL2109, with or without pomalidomide or lenalidomide, and QLS4131 (SC) in combination with QL2109, and QLS4131 (SC) in combination with Pomalidomide, and QLS4131(SC) in combination with QL2109 and Lenalidomide.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| QLS4131(SC) in combination with QL2109, with or without Pomalidomide or Lenalidomide | Experimental | Drug: QLS4131, Drug: QL2109, Drug: Pomalidomide, Drug: Lenalidomide, Drug: DexamethasoneParticipants will receive QLS4131 and QL2109 as SC injections; Pomalidomide/ Lenalidomide will be self-administered as a single dose orally; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug. |
| QLS4131(SC) in combination with QL2109 | Experimental | Drug: QLS4131, Drug: QL2109, Drug: DexamethasoneParticipants will receive QLS4131 and QL2109 as SC injections; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug. |
| QLS4131(SC) in combination with Pomalidomide | Experimental | Drug: QLS4131, Drug: Pomalidomide, Drug: DexamethasoneParticipants will receive QLS4131 as SC injections; Pomalidomide will be self-administered as a single dose orally; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug. |
| QLS4131(SC) in combination with QL2109 for injection and Lenalidomide | Experimental | Drug: QLS4131, Drug: QL2109, Drug: Lenalidomide, Drug: DexamethasoneParticipants will receive QLS4131 and QL2109 as SC injections; Lenalidomide will be self-administered as a single dose orally; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Diagnosis of multiple myeloma confirmed according to the 2016 International Myeloma Working Group (IMWG) diagnostic criteria, or diagnosis of plasma cell leukemia and primary light-chain amyloidosis confirmed in accordance with relevant guidelines.;
- For patients with multiple myeloma and plasma cell leukemia, measurable disease at screening is defined as meeting any one of the following:
- Serum M-protein ≥0.5 g/dL (5 g/L);
- Urine M-protein ≥200 mg/24 hours;
- Serum immunoglobulin free light chain ≥10 mg/dL (100 mg/L) with an abnormal serum immunoglobulin κ/λ free light chain ratio.
Key exclusion criteria (12 listed)
- History of Grade 3 or higher cytokine release syndrome (CRS) associated with any T-cell redirecting therapy (e.g., CD3-redirecting technologies or CAR-T cell therapy);
- Patients who received any of the following prior anti-tumor therapies before the first dose of investigational productt:
- Prior intolerance to Pomalidomide (applies to treatment cohorts containing Pomalidomide);
- Prior intolerance to Lenalidomide (applies to treatment cohorts containing Lenalidomide);
- Prior intolerance to QL2109 (applies to treatment cohorts containing QL2109).
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 |
|---|---|---|
| QLS4131QLS4131 will be administered subcutaneously. | Drug | QLS4131(SC) in combination with Pomalidomide, QLS4131(SC) in combination with QL2109, QLS4131(SC) in combination with QL2109 for injection and Lenalidomide, QLS4131(SC) in combination with QL2109, with or without Pomalidomide or Lenalidomide |
| QL2109QL2109 will be administered subcutaneously. | Drug | QLS4131(SC) in combination with QL2109, QLS4131(SC) in combination with QL2109 for injection and Lenalidomide, QLS4131(SC) in combination with QL2109, with or without Pomalidomide or Lenalidomide |
| PomalidomidePomalidomide will be self-administered as a single dose orally. | Drug | QLS4131(SC) in combination with Pomalidomide, QLS4131(SC) in combination with QL2109, with or without Pomalidomide or Lenalidomide |
| LenalidomideLenalidomide will be self-administered as a single dose orally. | Drug | QLS4131(SC) in combination with QL2109 for injection and Lenalidomide, QLS4131(SC) in combination with QL2109, with or without Pomalidomide or Lenalidomide |
| DexamethasoneDexamethasone will be administered orally or intravenously. | Drug | QLS4131(SC) in combination with Pomalidomide, QLS4131(SC) in combination with QL2109, QLS4131(SC) in combination with QL2109 for injection and Lenalidomide, QLS4131(SC) in combination with QL2109, with or without Pomalidomide or Lenalidomide |
Primary outcome
DLT
Time frame: From time of the first dose of QLS4131 to end of DLT period (28 days)
To evaluate the tolerability and safety of subcutaneous administration of QLS4131 for Injection in combination with other agents in patients with malignant plasma cell neoplasms
MTD
Time frame: Up to 2 years
To determine the maximum tolerated dose (MTD)
ORR (Partial Response [PR] or Better)
Time frame: Up to 2 years
Overall response (PR or better) is defined as percentage of participants who have a PR or better per International Myeloma Working Group (IMWG) criteria.
Overall Minimal Residual Disease (MRD)
Time frame: Up to 2 years
MRD-negative is defined as proportion of participants who achieve MRD negativity at a threshold of 10^-5 at any timepoint after the first dose of study drug and before disease progression or start of subsequent antimyeloma therapy.
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 1 May 2026.
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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.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing QLS4131, QL2109 and Pomalidomide in people with Malignant Plasma Cell Neoplasms, run by Qilu Pharmaceutical Co., Ltd..
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 6 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: opening soon, as of the sponsor's last update on 1 May 2026. Status can change between updates, so confirm with the study contact before making plans.
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 YU HU, Doctor of Medicine (MD) (027-85726387, dr_huyu@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
DLT (time frame: From time of the first dose of QLS4131 to end of DLT period (28 days)). 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 1 May 2026.