Evidence map›Paper›PMID 31672767›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2020

A Phase Ib/II Trial of the First-in-Class Anti-CXCR4 Antibody Ulocuplumab in Combination with Lenalidomide or Bortezomib Plus Dexamethasone in Relapsed Multiple Myeloma.

Irene M Ghobrial, Chia-Jen Liu, Robert A Redd, Raymond P Perez, Rachid Baz, Oksana Zavidij, Romanos Sklavenitis-Pistofidis, Paul G Richardson, Kenneth C Anderson, Jacob Laubach and 8 more

Abstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Cytokines and cancer-associated fibroblasts.Journal of hematology & oncology · 2026
    Review
  6. Article
  7. Anti-myeloma activity of the CXCR4 antagonist WZ811.Journal of molecular medicine (Berlin, Germany) · 2026
    Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. The role of CXC chemokines and receptors in breast cancer.Clinical and experimental medicine · 2025
    Review
  14. Review
  15. Review
  16. Structural insights into CXCR4 modulation and oligomerization.Nature structural & molecular biology · 2025
    Article
  17. Review
  18. Review
  19. Review
  20. Review

11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Irene M GhobrialDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts. irene_ghobrial@dfci.harvard.edu.
Chia-Jen LiuDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Robert A ReddDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Raymond P PerezUniversity of Kansas, Fairway, Kansas.
Rachid BazLee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Oksana ZavidijDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Romanos Sklavenitis-PistofidisDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Paul G RichardsonDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Kenneth C AndersonDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Jacob LaubachDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Patrick HenrickDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Alexandra SavellDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Kaitlen ReyesDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Kalvis HornburgDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Stacey ChumaDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Peter SabbatiniBristol-Myers Squibb, Sunnyvale, California.
Michael D RobbinsBristol-Myers Squibb, Sunnyvale, California.
Pamela S BeckerUniversity of Washington, Seattle, Washington.ORCID 0000-0001-6235-9463

Funding

Stroma-mediated clonal evolution in Multiple MyelomaR01CA181683 · NCI · DANA-FARBER CANCER INST · PI GHOBRIAL, IRENE M. · 2014 to 2018
$1.8M
CXCR4 regulation of tumor progression in Multiple MyelomaR01CA125690 · NCI · DANA-FARBER CANCER INST · PI GHOBRIAL, IRENE M. · 2008 to 2012
$1.6M
Targeting cell trafficking as a new therapeutic modality for Multiple MyelomaR01CA133799 · NCI · DANA-FARBER CANCER INST · PI GHOBRIAL, IRENE M. · 2008 to 2011
$1.4M
NCI NIH HHS R01 CA125690NCI NIH HHS R01 CA133799NCI NIH HHS R01 CA181683
6 · The paper itself

Abstract

purposeUlocuplumab (BMS-936564) is a first-in-class fully human IgG4 monoclonal anti-CXCR4 antibody that inhibits the binding of CXCR4 to CXCL12. PATIENTS AND

methodsThis phase Ib/II study aimed to determine the safety and tolerability of ulocuplumab alone and in combination with lenalidomide and dexamethasone (Arm A), or bortezomib and dexamethasone (Arm B), in patients with relapsed/refractory multiple myeloma.

resultsForty-six patients were evaluated (median age, 60 years; range, 53-67). The median number of prior therapies was 3 (range, 1-11), with 70% of subjects having received ≥3. This trial had a dose-escalation and a dose-expansion part. Using a 3+3 design on both arms of the trial, ulocuplumab's dose was escalated to a maximum of 10 mg/kg without reaching MTD. The most common treatment-related adverse events (AE) were neutropenia (13 patients, 43.3%) in Arm A and thrombocytopenia (6 patients, 37.5%) in Arm B. No deaths related to study drugs occurred. The combination of ulocuplumab with lenalidomide and dexamethasone showed a high response rate (PR or better) of 55.2% and a clinical benefit rate of 72.4%, even in patients who had been previously treated with immunomodulatory agents (IMiD).

conclusionsThis study showed that blockade of the CXCR4-CXCL12 axis by ulocuplumab is safe with acceptable AEs and leads to a high response rate in combination with lenalidomide and dexamethasone in patients with relapsed/refractory myeloma, making CXCR4 inhibitors a promising class of antimyeloma drugs that should be further explored in clinical trials.

Indexed as

AgedAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBortezomibDexamethasoneHumansLenalidomideMaximum Tolerated DoseMiddle AgedMultiple MyelomaNeoplasm Recurrence, LocalPatient SafetyReceptors, CXCR4Survival RateTreatment OutcomeAntibodies, Monoclonal, HumanizedBortezomibCXCR4 protein, humanDexamethasoneLenalidomideReceptors, CXCR4ulocuplumab

Identifiers

PMID31672767
PMCPMC11753616

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.