NCT05590377

Brief Summary

The main aim of this study is to determine safety and tolerability of modakafusp alfa given together with daratumumab to find out the best treatment dose. Another aim of this study is to learn more about the characteristics of modakafusp alfa.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
15

participants targeted

Target at below P25 for phase_1 multiple-myeloma

Timeline
Completed

Started Jan 2023

Shorter than P25 for phase_1 multiple-myeloma

Geographic Reach
7 countries

27 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 19, 2022

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 21, 2022

Completed
3 months until next milestone

Study Start

First participant enrolled

January 23, 2023

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 22, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 22, 2024

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

August 6, 2025

Completed
Last Updated

January 30, 2026

Status Verified

January 1, 2026

Enrollment Period

1.3 years

First QC Date

October 19, 2022

Results QC Date

April 25, 2025

Last Update Submit

January 13, 2026

Conditions

Keywords

Drug Therapy

Outcome Measures

Primary Outcomes (3)

  • Phase 1: Number of Participants With Dose Limiting Toxicities (DLT)

    DLT was defined as any of the treatment-emergent adverse events (TEAEs) that occurred during Cycle 1 and were considered by the investigator to be at least possibly related to modakafusp alfa. Toxicity was evaluated according to national cancer institute common terminology criteria for adverse events (NCI CTCAE) Version 5.0.

    Phase 1: Cycle 1 (cycle length=28 days)

  • Phase 1: Number of Participants Reporting One or More TEAEs and Per Severity

    An adverse event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (e.g., a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug. Severity grades for TEAEs were evaluated as per the NCI CTCAE Version 5.0.

    Phase 1: Up to 15.9 months

  • Phase 2a: Overall Response Rate (ORR)

    ORR is defined as the percentage of participants who achieve a confirmed partial response (PR) or better during the study in the safety population. ORR will be assessed by the investigator per International Myeloma Working Group (IMWG) criteria.

    Phase 2a: Up to 15.9 months

Secondary Outcomes (30)

  • Phase 1: Cmax: Single-Dose Maximum Observed Serum Concentration for Modakafusp Alfa

    Phase 1: Days 1, 8, 15, and 22 of Cycles 1 and 2: Pre-dose, and at multiple time points up to 4 hours post-dose; Day 2 of Cycles 1 and 2: Post-dose (cycle length=28 days)

  • Phase 1: Tmax: Time to First Occurrence of Maximum Serum Concentration (Cmax) for Modakafusp Alfa

    Phase 1: Days 1, 8, 15, and 22 of Cycles 1 and 2: Pre-dose, and at multiple time points up to 4 hours post-dose; Day 2 of Cycles 1 and 2: Post-dose (cycle length=28 days)

  • Phase 1: AUC∞: Area Under the Serum Concentration-time Curve From Time 0 to Infinity for Modakafusp Alfa

    Phase 1: Days 1, 8, 15, and 22 of Cycles 1 and 2: Pre-dose, and at multiple time points up to 4 hours post-dose; Day 2 of Cycles 1 and 2: Post-dose (cycle length=28 days)

  • Phase 1: AUClast: Area Under the Serum Concentration-time Curve From Time 0 to Time of the Last Quantifiable Concentration

    Phase 1: Days 1, 8, 15, and 22 of Cycles 1 and 2: Pre-dose, and at multiple time points up to 4 hours post-dose; Day 2 of Cycles 1 and 2: Post-dose (cycle length=28 days)

  • Phase 1: Apparent Serum Terminal Disposition Rate Constant for Modakafusp Alfa

    Phase 1: Days 1, 8, 15, and 22 of Cycles 1 and 2: Pre-dose, and at multiple time points up to 4 hours post-dose; Day 2 of Cycles 1 and 2: Post-dose (cycle length=28 days)

  • +25 more secondary outcomes

Study Arms (5)

Phase 1 (Dose Escalation) Modakafusp Alfa 80 mg + Daratumumab

EXPERIMENTAL

Modakafusp alfa 80 mg, infusion, intravenously (IV), once every 4 weeks (Q4W) with daratumumab 1800 mg, subcutaneously (SC), once weekly (QW) in Cycles 1 and 2, twice weekly (Q2W) in Cycles 3 to 6, and Q4W thereafter in each 28-day treatment cycle until disease progression.

Drug: Modakafusp AlfaDrug: Daratumumab

Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + Daratumumab

EXPERIMENTAL

Modakafusp alfa 120 mg, infusion, IV, Q4W with daratumumab 1800 mg, SC, QW in Cycles 1 and 2, Q2W in Cycles 3 to 6, and Q4W thereafter in each 28-day treatment cycle until disease progression.

Drug: Modakafusp AlfaDrug: Daratumumab

Phase 1 (Dose Escalation) Modakafusp Alfa 240 mg + Daratumumab

EXPERIMENTAL

Modakafusp alfa 240 mg, infusion, IV, Q4W with daratumumab 1800 mg, SC, QW in Cycles 1 and 2, Q2W in Cycles 3 to 6, and Q4W thereafter in each 28-day treatment cycle until disease progression.

Drug: Modakafusp AlfaDrug: Daratumumab

Phase 2a Dose Finding: Modakafusp Alfa (DL1) + Daratumumab

EXPERIMENTAL

Modakafusp alfa at dose level 1 (DL1) \[selected from Phase 1 Dose Escalation\] with daratumumab SC 1800 mg, SC, QW in Cycles 1 and 2, Q2W in Cycles 3 to 6, and Q4W thereafter in each 28-day treatment cycle until disease progression.

Drug: Modakafusp AlfaDrug: Daratumumab

Phase 2a Dose Finding: Modakafusp Alfa (DL2) + Daratumumab

EXPERIMENTAL

Modakafusp alfa at dose level 2 (DL2) \[selected from Phase 1 Dose Escalation\] with daratumumab SC 1800 mg, SC, QW in Cycles 1 and 2, Q2W in Cycles 3 to 6, and Q4W thereafter in each 28-day treatment cycle until disease progression.

Drug: Modakafusp AlfaDrug: Daratumumab

Interventions

Modakafusp alfa intravenous infusion

Also known as: TAK-573
Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + DaratumumabPhase 1 (Dose Escalation) Modakafusp Alfa 240 mg + DaratumumabPhase 1 (Dose Escalation) Modakafusp Alfa 80 mg + DaratumumabPhase 2a Dose Finding: Modakafusp Alfa (DL1) + DaratumumabPhase 2a Dose Finding: Modakafusp Alfa (DL2) + Daratumumab

Daratumumab SC injection

Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + DaratumumabPhase 1 (Dose Escalation) Modakafusp Alfa 240 mg + DaratumumabPhase 1 (Dose Escalation) Modakafusp Alfa 80 mg + DaratumumabPhase 2a Dose Finding: Modakafusp Alfa (DL1) + DaratumumabPhase 2a Dose Finding: Modakafusp Alfa (DL2) + Daratumumab

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Documented multiple myeloma (MM) diagnosis per IMWG criteria.
  • Measurable disease, defined as at least 1 of the following:
  • Serum M protein ≥0.5 grams per deciliter \[g/dL\] (≥5 g/L) on serum protein electrophoresis (SPEP).
  • Urine M protein ≥200 mg/24 hours on urine protein electrophoresis (UPEP).
  • Serum free light chain (FLC) assay with involved FLC level ≥10 mg/dL (≥100 mg/L) provided serum FLC ratio is abnormal.
  • For participants in the Phase 1 Dose Escalation only:
  • Must have received at least 3 prior lines of therapy, including at least 1 proteosome inhibitor (PI), 1 immunomodulatory imide drug (IMiD), and 1 anti-CD38 monoclonal antibody (mAb) drug; or who are triple refractory to a PI, an IMiD, and an anti-CD38 mAb drug, regardless of the number of prior line(s) or therapy.
  • For participants in Phase 2a Dose Finding only:
  • Received 1 to 3 prior line(s) of antimyeloma therapy.
  • Must be refractory to prior lenalidomide treatment.
  • Participants must be sensitive (nonrefractory) or naïve to prior anti-CD38 mAb treatment.
  • Documented progressive disease on or after the last regimen.
  • Participants must have PR or better to at least 1 line of prior therapy.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 at screening.

You may not qualify if:

  • Prior exposure to modakafusp alfa.
  • Participant has polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome, solitary plasmacytoma, amyloidosis, Waldenström macroglobulinemia, plasma cell leukemia, or lymphoplasmacytic lymphoma.
  • Participant has not recovered from adverse reactions to prior myeloma treatment or procedures (chemotherapy, immunotherapy, radiation therapy) to NCI CTCAE, Version 5 Grade ≤1 or baseline, except for alopecia.
  • Previous allogeneic stem cell transplant at any time or autologous stem cell transplant (ASCT) within 12 weeks of planned start of dosing.
  • Seropositive for hepatitis B, or known history of seropositivity for hepatitis C or of seropositivity for human immunodeficiency virus (HIV).
  • Participant has congestive heart failure (New York Heart Association Grade ≥II), cardiac myopathy, active ischemia, or any other uncontrolled cardiac condition such as angina pectoris, clinically significant arrhythmia requiring therapy including anticoagulants, or clinically significant uncontrolled hypertension.
  • Participant has QT interval corrected by the Fridericia method \>480 milliseconds \[msec\] (Grade ≥2).
  • Participant has a chronic condition that will require the chronic use of systemic corticosteroids \>10 milligrams per day (mg/d) of prednisone or equivalent on top of any required corticosteroids for multiple myeloma (MM).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (27)

Banner MD Anderson Cancer Center

Gilbert, Arizona, 85234, United States

Location

Cedars-Sinai Medical Center

Los Angeles, California, 77598, United States

Location

Fort Wayne Medical Oncology and Hematology, Inc

Fort Wayne, Indiana, 46060, United States

Location

HCA Midwest Health (Midwest Ventures Group HCA MidAmerica Division)

Overland Park, Kansas, 66211, United States

Location

Tulane University Health Sciences Center

New Orleans, Louisiana, 70112, United States

Location

Floating Hospital for Children at Tufts Medical Center

Boston, Massachusetts, 02111, United States

Location

Washington University School of Medicine

St Louis, Missouri, 63130, United States

Location

University of Nebraska Medical Center

Omaha, Nebraska, 68198, United States

Location

Summit Medical Group PA

Florham Park, New Jersey, 07932, United States

Location

New York Cancer and Blood Specialists

Bay Shore, New York, 11706, United States

Location

Stony Brook University Hospital

Stony Brook, New York, 11794, United States

Location

University of Cincinnati - Vontz Center for Molecular Studies

Cincinnati, Ohio, 45267, United States

Location

Tranquil Clinical Research

Webster, Texas, 78041, United States

Location

Concord Repatriation General Hospital

Concord, New South Wales, 2139, Australia

Location

The Alfred Hospital

Melbourne, Victoria, 3004, Australia

Location

Centre Hospitalier Universitaire De Sherbrooke (CHUS) - Centre de Recherche Clinique Etienne-Le Bel (CRCELB) Hopital Fleurimont

Sherbrooke, Quebec, J1H 5N4, Canada

Location

Sun Yat-Sen University Cancer Center

Guangzhou, Guangdong, 510060, China

Location

Wuhan Union Hospital

Wuhan, Hubei, 430022, China

Location

Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College

Tianjin, Tianjin Municipality, 300020, China

Location

Zhejiang University School of Medicine - The First Affiliated Hospital (Zhejiang Provincial First Hospital)

Hangzhou, Zhejiang, 310003, China

Location

CHRU Lille

Lille, Hauts-de-France, 59037, France

Location

Institut Paoli-Calmettes

Marseille, Provence-Alpes-Côte d'Azur Region, 13273, France

Location

Chonnam National University Hwasun Hospital

Hwasun, Jeollanam-do, 58128, South Korea

Location

Samsung Medical Center

Seoul, 06351, South Korea

Location

The Catholic University of Korea, Seoul St. Marys Hospital

Seoul, 06591, South Korea

Location

Hospital Universitario Vall d'Hebron

Barcelona, 08035, Spain

Location

Fundacion Instituto de Estudios Ciencias de la Salud de Castilla y Leon-Investigacion Biomedica de Salamanca (IBSAL)

Salamanca, 37007, Spain

Location

MeSH Terms

Conditions

Multiple Myeloma

Interventions

daratumumab

Condition Hierarchy (Ancestors)

Neoplasms, Plasma CellNeoplasms by Histologic TypeNeoplasmsHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System Diseases

Results Point of Contact

Title
Study Director
Organization
Teva Branded Pharmaceutical Products R&D LLC

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 19, 2022

First Posted

October 21, 2022

Study Start

January 23, 2023

Primary Completion

May 22, 2024

Study Completion

May 22, 2024

Last Updated

January 30, 2026

Results First Posted

August 6, 2025

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will share

Qualified researchers may request access to patient level data and related study documents including the study protocol and the statistical analysis plan. Requests will be assessed for scientific merit, product approval status, and conflicts of interest. If the request is approved, patient level data will be de-identified and study documents will be redacted to protect the privacy of trial participants and to protect commercially confidential information. Please visit USMedInfo@tevapharm.com to make your request.

Locations