Evidence map›Paper›PMID 40000533›Full record

Trial reportTargeted oncology2025

Dose Optimization of Elranatamab to Mitigate the Risk of Cytokine Release Syndrome in Patients with Multiple Myeloma.

Mohamed Elmeliegy, Andrea Viqueira, Erik Vandendries, Anne Hickman, Umberto Conte, Donald Irby, Jennifer Hibma, Hoi-Kei Lon, Joseph Piscitelli, Pooneh Soltantabar and 3 more

4 registry-linked trialsAbstract readClinical Trial
In one paragraph

Trial report in Targeted oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

NCT03269136 phase1completednot on this map

Magnetismm-1 a phase i, open label study to evaluate the safety, pharmacokinetic, pharmacodynamic and clinical activity of elranatamab (pf-06863135), a b-cell maturation antigen (bcma) - cd3 bispecific antibody, as a single agent and in combination with immunomodulatory agents in patients with relapsed/refractory advanced multiple myeloma (mm)

TypeinterventionalSponsorPfizerRan2017 to 2024Enrolled101ConditionsMultiple MyelomaArmsPF-06863135 monotherapy IV or SC, PF-06863135 + dexamethasone, PF-06863135 + lenalidomide, PF-06863135 + pomalidomide
NCT04649359 phase2active not recruitingnot on this map

Magnetismm-3 an open-label, multicenter, non-randomized phase 2 study of elranatamab (pf-06863135) monotherapy in participants with multiple myeloma who are refractory to at least one proteasome inhibitor, one immunomodulatory drug and one anti-cd38 antibody

TypeinterventionalSponsorPfizerRan2021 to 2026Enrolled187ConditionsMultiple MyelomaArmsElranatamab (PF-06863135)
NCT04798586 phase1completednot on this map

A phase i, open label study to evaluate the safety and pharmacokinetic of pf 06863135, a b cell maturation antigen (bcma) cd3 bispecific antibody, as a single agent in japanese participants with relapsed/refractory advanced multiple myeloma

TypeinterventionalSponsorPfizerRan2021 to 2023Enrolled4ConditionsRelapsed or Refractory Multiple MyelomaArmsElranatamab (PF-06863135)
NCT05014412 phase2completednot on this map

A phase 1/2, open-label, multicenter study to evaluate a dosing regimen with two step-up priming doses and longer dosing intervals of elranatamab (pf-06863135) monotherapy in participants with relapsed/refractory multiple myeloma

TypeinterventionalSponsorPfizerRan2021 to 2025Enrolled86ConditionsMultiple MyelomaArmsElranatamab
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Elranatamab: A novel B-cell maturation T-cell engager.Human vaccines & immunotherapeutics · 2026
    Review
  3. Review
  4. Article
  5. Review
  6. Article
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

13 authors.

Mohamed ElmeliegyOncology Research and Development, Pfizer Inc., San Diego, CA, 92121, USA. Mohamed.Elmeliegy@pfizer.com.ORCID http://orcid.org/0000-0002-9825-5890
Andrea ViqueiraOncology Research and Development, Pfizer SLU, Madrid, Spain.
Erik VandendriesOncology Research and Development, Pfizer Inc., Cambridge, MA, USA.
Anne HickmanOncology Research and Development, Pfizer Inc., Groton, CT, USA.
Umberto ConteOncology Research and Development, Pfizer Inc., New York, NY, USA.
Donald IrbyPfizer Research and Development, Pfizer Inc., La Jolla, CA, USA.
Jennifer HibmaPfizer Research and Development, Pfizer Inc., La Jolla, CA, USA.
Hoi-Kei LonOncology Research and Development, Pfizer Inc., San Diego, CA, 92121, USA.
Joseph PiscitelliOncology Research and Development, Pfizer Inc., San Diego, CA, 92121, USA.
Pooneh SoltantabarOncology Research and Development, Pfizer Inc., San Diego, CA, 92121, USA.
Athanasia SkouraOncology Research and Development, Pfizer Inc., New York, NY, USA.
Sibo JiangOncology Research and Development, Pfizer Inc., San Diego, CA, 92121, USA.
Diane WangOncology Research and Development, Pfizer Inc., San Diego, CA, 92121, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElranatamab is a BCMA-CD3 bispecific antibody approved for the treatment of relapsed or refractory multiple myeloma. Cytokine release syndrome is one of the most common adverse events associated with bispecific antibodies.

objectiveWe aimed to determine the optimal elranatamab dosing regimen for mitigating cytokine release syndrome. PATIENTS AND

methodsSafety, pharmacokinetics, and exposure-response were analyzed across four clinical studies (MagnetisMM-1, MagnetisMM-2, MagnetisMM-3, and MagnetisMM-9). Different priming regimens evaluated across these studies included a one-step-up dose priming regimen of 44 mg with or without premedication, a two-step-up dose priming regimen of 12 mg on day 1 and 32 mg on day 4 with premedication, and a two-step-up dose priming regimen of 4 mg on day 1 and 20 mg on day 4 with premedication.

resultsThe maximum elranatamab serum concentration on day 1 was positively associated with any-grade and grade ≥ 2 cytokine release syndrome. A slower time to maximum serum concentration and a lower dose-normalized maximum serum concentration were observed with subcutaneous versus intravenous administration, supporting subcutaneous dosing to help mitigate cytokine release syndrome.

conclusionsBased on the incidence, severity, and predictable profile of cytokine release syndrome, the 12/32-mg priming-dose regimen with premedication was determined to be the optimal regimen before the first full dose of 76 mg on day 8. CLINICAL

trial registrationClinicalTrials.gov identifiers: NCT03269136, NCT04798586, NCT04649359, and NCT05014412.

Indexed as

Antibodies, BispecificCytokine Release SyndromeMultiple MyelomaAdultAgedDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedAntibodies, Bispecific

Identifiers

PMID40000533
PMCPMC11933221

What OpenQuestion holds

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Registered trials

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.