Study Stopped
After completion of Phase 1 Dose Escalation of this study the sponsor decided not to proceed with Phase 2a due to strategic reasons. Thus, no participants were enrolled for Phase 2a and the study was terminated early.
A Study of Modakafusp Alfa Together With Daratumumab Adults With Relapsed or Refractory Multiple Myeloma
iinnovate-3
A Phase 1/2a Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of Modakafusp Alfa in Combination With Daratumumab Subcutaneous in Patients With Relapsed or Refractory Multiple Myeloma
2 other identifiers
interventional
15
7 countries
27
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1 multiple-myeloma
Started Jan 2023
Shorter than P25 for phase_1 multiple-myeloma
27 active sites
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
CompletedFirst Posted
Study publicly available on registry
October 21, 2022
CompletedStudy Start
First participant enrolled
January 23, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 22, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
May 22, 2024
CompletedResults Posted
Study results publicly available
August 6, 2025
CompletedJanuary 30, 2026
January 1, 2026
1.3 years
October 19, 2022
April 25, 2025
January 13, 2026
Conditions
Keywords
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
EXPERIMENTALModakafusp 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.
Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + Daratumumab
EXPERIMENTALModakafusp 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.
Phase 1 (Dose Escalation) Modakafusp Alfa 240 mg + Daratumumab
EXPERIMENTALModakafusp 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.
Phase 2a Dose Finding: Modakafusp Alfa (DL1) + Daratumumab
EXPERIMENTALModakafusp 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.
Phase 2a Dose Finding: Modakafusp Alfa (DL2) + Daratumumab
EXPERIMENTALModakafusp 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.
Interventions
Modakafusp alfa intravenous infusion
Daratumumab SC injection
Eligibility Criteria
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
Cedars-Sinai Medical Center
Los Angeles, California, 77598, United States
Fort Wayne Medical Oncology and Hematology, Inc
Fort Wayne, Indiana, 46060, United States
HCA Midwest Health (Midwest Ventures Group HCA MidAmerica Division)
Overland Park, Kansas, 66211, United States
Tulane University Health Sciences Center
New Orleans, Louisiana, 70112, United States
Floating Hospital for Children at Tufts Medical Center
Boston, Massachusetts, 02111, United States
Washington University School of Medicine
St Louis, Missouri, 63130, United States
University of Nebraska Medical Center
Omaha, Nebraska, 68198, United States
Summit Medical Group PA
Florham Park, New Jersey, 07932, United States
New York Cancer and Blood Specialists
Bay Shore, New York, 11706, United States
Stony Brook University Hospital
Stony Brook, New York, 11794, United States
University of Cincinnati - Vontz Center for Molecular Studies
Cincinnati, Ohio, 45267, United States
Tranquil Clinical Research
Webster, Texas, 78041, United States
Concord Repatriation General Hospital
Concord, New South Wales, 2139, Australia
The Alfred Hospital
Melbourne, Victoria, 3004, Australia
Centre Hospitalier Universitaire De Sherbrooke (CHUS) - Centre de Recherche Clinique Etienne-Le Bel (CRCELB) Hopital Fleurimont
Sherbrooke, Quebec, J1H 5N4, Canada
Sun Yat-Sen University Cancer Center
Guangzhou, Guangdong, 510060, China
Wuhan Union Hospital
Wuhan, Hubei, 430022, China
Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
Tianjin, Tianjin Municipality, 300020, China
Zhejiang University School of Medicine - The First Affiliated Hospital (Zhejiang Provincial First Hospital)
Hangzhou, Zhejiang, 310003, China
CHRU Lille
Lille, Hauts-de-France, 59037, France
Institut Paoli-Calmettes
Marseille, Provence-Alpes-Côte d'Azur Region, 13273, France
Chonnam National University Hwasun Hospital
Hwasun, Jeollanam-do, 58128, South Korea
Samsung Medical Center
Seoul, 06351, South Korea
The Catholic University of Korea, Seoul St. Marys Hospital
Seoul, 06591, South Korea
Hospital Universitario Vall d'Hebron
Barcelona, 08035, Spain
Fundacion Instituto de Estudios Ciencias de la Salud de Castilla y Leon-Investigacion Biomedica de Salamanca (IBSAL)
Salamanca, 37007, Spain
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
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.