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Clinical Trials/NCT07284758
NCT07284758RecruitingPhase 2

A Phase 2, Open-Label, Single-Arm, Multicenter Study to Evaluate the Efficacy of Cemsidomide + Dexamethasone in Subjects With Relapsed/Refractory Multiple Myeloma

C4 Therapeutics, Inc.21 sites in 2 countries100 target enrollmentStarted: February 18, 2026Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 2
Status
Recruiting
Enrollment
100
Locations
21
Primary Endpoint
Overall response rate (ORR) per International Myeloma Working Group (IMWG) Response Criteria by an Independent Review Committee (IRC)

Study Overview

Brief Summary

This is a Phase 2, open-label, single-arm, multicenter study to assess the antimyeloma activity and further characterize the safety, tolerability, PK, and PD of cemsidomide in combination with dexamethasone in participants with relapsed/refractory multiple myeloma (r/r MM).

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Be willing and able to provide signed informed consent for the study.
  • Age ≥ 18 years at the time of signed consent.
  • Subjects must have a documented diagnosis of MM and measurable disease at enrollment.
  • Received at least 3 prior anti-myeloma regimens (for a minimum of 2 or more consecutive cycles) that must have included an immunomodulatory drug (i.e., IKZF 1/3 degrader), a proteasome inhibitor, an anti-CD38 antibody, and a T-cell engager (TCE) or chimeric antigen receptor T-cell (CAR-T) therapy, unless not available per local standard of care.
  • Subjects need to have adequate organ function.
  • Toxicities from prior anticancer therapies must have resolved to baseline severity or CTCAE ≤ Grade
  • Female subjects may not be pregnant or intend to become pregnant, may not breastfeed or intend to breastfeed, or donate ova during their participation in this study until 30 days after the last dose of study treatment.
  • Male subjects must agree to use a condom when having intercourse with a person of childbearing potential during the Treatment Period and for at least 30 days after the last dose of study treatment.
  • Male subjects must refrain from donating sperm during the Treatment Period and for 30 days after discontinuation.
  • Subjects must refrain from donating blood during study treatment and for 30 days after discontinuation.

Exclusion Criteria

  • Presence of myeloma in the central nervous system (CNS).
  • Subjects with any of the following:
  • Systemic light chain amyloidosis
  • Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal gammopathy, and Skin changes (POEMS) Syndrome
  • Myelodysplastic syndrome (MDS).
  • Previously treated with cemsidomide.
  • Clinically significant impaired cardiac function or cardiac disease.
  • Thromboembolic event within 3 months prior to enrollment.
  • Known malignancy other than study indication that has progressed or required treatment within the past 3 years.
  • Uncontrolled active bacterial, fungal, or viral infection.
  • Inability or difficulty swallowing tablets.
  • NOTE: Other inclusion/exclusion criteria may apply, per protocol.

Arms & Interventions

Cemsidomide + Dexamethasone:

Experimental

Participants receive cemsidomide plus dexamethasone during a 28-day treatment cycle, and will continue to receive treatment until the participant meets one of the discontinuation criteria.

Intervention: Cemsidomide (Drug)

Cemsidomide + Dexamethasone:

Experimental

Participants receive cemsidomide plus dexamethasone during a 28-day treatment cycle, and will continue to receive treatment until the participant meets one of the discontinuation criteria.

Intervention: Dexamethasone (Drug)

Outcomes

Primary Outcomes

Overall response rate (ORR) per International Myeloma Working Group (IMWG) Response Criteria by an Independent Review Committee (IRC)

Time Frame: up to approximately 43 months

Secondary Outcomes

  • Duration of response (DoR; IRC assessed)(up to approximately 43 months)
  • Complete response (CR) rate (IRC assessed)(up to approximately 43 months)
  • Time to response (IRC assessed)(up to approximately 43 months)
  • Progression free survival (PFS; IRC assessed)(up to approximately 43 months)
  • Overall survival (OS)(up to approximately 43 months)
  • Adverse events (AEs); serious AEs (SAEs); AEs leading to treatment interruption, reduction, or discontinuation; and deaths(within 30 to 35 days of the last dose of study treatment)
  • Plasma concentrations of cemsidomide(up to approximately 4 months)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (21)

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