Evidence map›Paper›PMID 40552138›Full record

Trial reportBlood neoplasia2024

Phase 1b study of the anti-CD38 antibody mezagitamab in patients with relapsed/refractory multiple myeloma.

Amrita Y Krishnan, Krina K Patel, Meera Mohan, Sundar Jagannath, Ruben Niesvizky, Rebecca W Silbermann, Ziji Yu, Tao Long, Scott R P McDonnell, Deborah Berg and 1 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Blood neoplasia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03439280 (A Phase 1/2a Open-label, Dose-Escalation Study to Investigate the Safety and Tolerability, Efficacy, Pharmacokinetics, and Immunogenicity of TAK-079 Administered Subcutaneously as a Single Agent in Patients With Relapsed/Refractory Multiple Myeloma), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03439280 phase1 / phase2completednot on this map

A Phase 1/2a Open-label, Dose-Escalation Study to Investigate the Safety and Tolerability, Efficacy, Pharmacokinetics, and Immunogenicity of TAK-079 Administered Subcutaneously as a Single Agent in Patients With Relapsed/Refractory Multiple Myeloma

TypeinterventionalSponsorMillennium Pharmaceuticals, Inc.Ran2018 to 2022Enrolled50ConditionsRelapsed/Refractory, Multiple MyelomaArmsMezagitamab, Pomalidomide, Dexamethasone
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

11 authors.

Amrita Y KrishnanDepartment of Hematology & Hematopoietic Cell Transplantation, City of Hope, Duarte, CA.
Krina K PatelDepartment of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.
Meera MohanCancer Center - Froedtert Hospital, Medical College of Wisconsin, Milwaukee, WI.
Sundar JagannathInternal Medicine, Cancer (Oncology), Tisch Cancer Institute/Multiple Myeloma Program, Mount Sinai School of Medicine, New York, NY.
Ruben NiesvizkyDivision of Hematology and Medical Oncology, Weill Cornell Medical College, New York, NY.
Rebecca W SilbermannDivision of Hematology/Medical Oncology, School of Medicine, Knight Cancer Institute, Oregon Health & Science University, Portland, OR.
Ziji YuOncology, Takeda Development Center Americas, Inc. (TDCA), Lexington, MA.
Tao LongQuantitative Clinical Pharmacology, Takeda Development Center Americas, Inc. (TDCA), Lexington, MA.
Scott R P McDonnellClinical Development, Takeda Development Center Americas, Inc. (TDCA), Lexington, MA.
Deborah BergOncology Therapeutic Unit, Clinical Science, Takeda Development Center Americas, Inc. (TDCA), Lexington, MA.
Keith E Stockerl-GoldsteinDivision of Oncology, Washington University School of Medicine, St. Louis, MO.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This phase 1b trial aimed to determine the safety, tolerability, and preliminary efficacy of mezagitamab, a subcutaneously administered anti-CD38 monoclonal antibody, in patients with relapsed/refractory multiple myeloma (RRMM). Eligible patients had received ≥3 prior lines of treatment, including an immunomodulatory drug (IMiD), a proteasome inhibitor (PI), and a steroid, or ≥2 prior lines in which 1 included a PI + IMiD, and were refractory or intolerant to ≥1 IMiD and ≥1 PI. Fifty patients were enrolled: 44 received mezagitamab monotherapy (dose-escalating cohorts at 45-1200 mg) and 6 received mezagitamab 300 mg in combination with pomalidomide plus dexamethasone. Patients received mezagitamab weekly for 8 doses, every other week for 8 doses, and monthly thereafter. No dose-limiting toxicities were reported with single-agent mezagitamab, and the recommended phase 2 dose was determined as 600 mg. The most common drug-related treatment-emergent adverse events (TEAEs) were fatigue in the monotherapy cohort (9/44 patients) and neutropenia in the combination cohort (4/6 patients); neutropenia was the only drug-related grade ≥3 TEAE to occur in >1 patient. No infusion reactions occurred, and 4 injection-site reactions were reported. Three patients discontinued treatment due to TEAEs. Among the 22 patients receiving 600 mg mezagitamab, the overall response rate was 47%, and the median duration of response was 22.1 months. Mezagitamab outcomes were comparable to those reported with other anti-CD38 therapies in patients with advanced RRMM. Further development of mezagitamab in myeloma is not planned, but studies are underway in autoimmune conditions. This trial was registered at www.ClinicalTrials.gov as #NCT03439280.

Identifiers

PMID40552138
PMCPMC12182851

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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.