MedPath

Elranatamab

Generic Name
Elranatamab
Brand Names
Elrexfio
Drug Type
Biotech
CAS Number
2408850-14-4
Unique Ingredient Identifier
L0HR9A577V
Background

Elranatamab is a bispecific B-cell maturation antigen (BCMA)-directed CD3 T-cell engager. It is a humanized immunoglobulin 2-alanine kappa antibody derived from two monoclonal antibodies (mAbs), an anti-BCMA mAb and an anti-CD3 mAb, each of which contributes one heavy chain and one light chain to drug structure. The resulting 4-chain bispecific antibody is covalently linked via five inter-chain disulfide bonds. On August 14, 2023, the FDA granted accelerated approval to elranatamab for the treatment of multiple myeloma.

Indication

Elranatamab is indicated for the treatment of adult patients with relapsed or refractory multiple myeloma who have received at least four prior lines of therapy, including a proteasome inhibitor, an immunomodulatory agent, and an anti-CD38 monoclonal antibody.

This indication is approved under accelerated approval based on response rate and durability of response. Continued approval for this indication may be contingent upon verification of clinical benefit in a confirmatory trial(s).

Associated Conditions
Refractory Multiple Myeloma, Relapsed Multiple Myeloma

Elranatamab Post Trial Access Study for Participants With Multiple Myeloma (MM)

Phase 4
Recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2023-09-28
Last Posted Date
2025-04-15
Lead Sponsor
Pfizer
Target Recruit Count
80
Registration Number
NCT06057402
Locations
🇨🇦

Arthur J.E. Child Comprehensive Cancer Centre, Calgary, Alberta, Canada

🇨🇦

Cross Cancer Institute, Edmonton, Alberta, Canada

🇨🇦

McGill University Health Centre, Montréal, Quebec, Canada

Self-administration of Subcutaneous Elranatamab in the Patients' Homes.

Phase 2
Recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2023-08-29
Last Posted Date
2025-03-05
Lead Sponsor
Thomas Lund
Target Recruit Count
20
Registration Number
NCT06015542
Locations
🇩🇰

Odense University Hospital, Odense, Denmark

A Study to Learn About the Effectiveness of the Medicine Called Elranatamab in People With Relapsed Refractory Multiple Myeloma

Completed
Conditions
Multiple Myeloma
Interventions
Drug: Standard of care
First Posted Date
2023-07-06
Last Posted Date
2024-10-29
Lead Sponsor
Pfizer
Target Recruit Count
514
Registration Number
NCT05932290
Locations
🇺🇸

Pfizer, New York, New York, United States

A Study Evaluating the Safety, Pharmacokinetics, and Activity of the Combination of Cevostamab and Elranatamab in Participants With Relapsed or Refractory Multiple Myeloma (R/R MM)

Phase 1
Recruiting
Conditions
Relapsed or Refractory Multiple Myeloma
Interventions
First Posted Date
2023-07-03
Last Posted Date
2025-03-28
Lead Sponsor
Genentech, Inc.
Target Recruit Count
120
Registration Number
NCT05927571
Locations
🇦🇺

Calvary Mater Newcastle, Waratah, New South Wales, Australia

🇦🇺

Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia

🇦🇺

The Alfred Hospital, Prahan, Victoria, Australia

and more 6 locations

A Clinical Trial of Four Medicines (Elranatamab Plus Carfilzomib and Dexamethasone or Maplirpacept) in People With Relapsed Refractory Multiple Myeloma

Phase 1
Recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2023-01-09
Last Posted Date
2025-04-11
Lead Sponsor
Pfizer
Target Recruit Count
90
Registration Number
NCT05675449
Locations
🇺🇸

Clinical Research Advisors (Encino Satellite Location), Encino, California, United States

🇺🇸

Clinical Research Advisors (Korea Town Satellite Location), Los Angeles, California, United States

🇺🇸

Clinical Research Advisors (West Hollywood Satellite Location), Los Angeles, California, United States

and more 28 locations

A Study to Learn About the Effects of the Combination of Elranatamab (PF-06863135), Daratumumab, Lenalidomide or Elranatamab and Lenalidomide Compared With Daratumumab, Lenalidomide, and Dexamethasone in Patients With Newly Diagnosed Multiple Myeloma Who Are Not Candidates for Transplant

Phase 3
Recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2022-11-21
Last Posted Date
2025-05-13
Lead Sponsor
Pfizer
Target Recruit Count
1116
Registration Number
NCT05623020
Locations
🇨🇳

National Taiwan University Hospital, Taipei, Taiwan

🇨🇳

Chang Gung Medical Foundation-Linkou Branch, Taoyuan, Taiwan

🇦🇺

Pindara Private Hospital, Benowa, Queensland, Australia

and more 60 locations

A Study to Learn About the Medicine (Called Elranatamab) in People With Relapsed Refractory Multiple Myeloma

Completed
Conditions
Multiple Myeloma
Interventions
Drug: Standard of care
First Posted Date
2022-10-04
Last Posted Date
2024-05-21
Lead Sponsor
Pfizer
Target Recruit Count
508
Registration Number
NCT05565391
Locations
🇺🇸

Pfizer, New York, New York, United States

Elranatamab Expanded Access Protocol in Adults With Relapsed/Refractory Multiple Myeloma

Conditions
Multiple Myeloma
First Posted Date
2022-07-18
Last Posted Date
2024-08-09
Lead Sponsor
Pfizer
Registration Number
NCT05462639
Locations
🇺🇸

Baptist Hospital of Miami, Miami, Florida, United States

🇺🇸

Ronald Reagan UCLA Medical Center, Los Angeles, California, United States

🇺🇸

UCLA Hematology/Oncology - Westwood (Building 200 Suite 120), Los Angeles, California, United States

and more 29 locations

Study With Elranatamab Versus Lenalidomide in Patients With Newly Diagnosed Multiple Myeloma After Transplant

Phase 3
Recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2022-04-07
Last Posted Date
2025-05-13
Lead Sponsor
Pfizer
Target Recruit Count
760
Registration Number
NCT05317416
Locations
🇫🇷

Hôpital Saint Antoine, Paris Cedex 12, France

🇫🇷

Hopital Lyon Sud, Pierre Benite, France

🇺🇸

Banner Gateway Medical Center, Gilbert, Arizona, United States

and more 216 locations

Pre-approval Single-patient Expanded Access for Elranatamab (PF-06863135)

Conditions
Multiple Myeloma
First Posted Date
2022-02-14
Last Posted Date
2025-02-04
Lead Sponsor
Pfizer
Registration Number
NCT05238311
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