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NCT05556616: iinnovate-2

A Study of Modakafusp Alfa in Adult Participants With Multiple Myeloma

Terminated Phase 1 Results posted Last updated 29 January 2026
What this trial tests

Phase 1 trial testing Modakafusp alfa in Multiple Myeloma in 15 participants. Terminated before completion.

Timeline
12 January 2023
Primary endpoint
4 June 2024
4 June 2024

Quick facts

Lead sponsorTeva Branded Pharmaceutical Products R&D LLC
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment15
Start date12 January 2023
Primary completion4 June 2024
Estimated completion4 June 2024
Sites21 locations across Belgium, United States, Israel, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Teva Branded Pharmaceutical Products R&D LLC — full company profile →

Who can join

18 and older, any sex, with Multiple Myeloma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Dose-limiting Toxicities (DLTs) Primary · Cycle 1 (Cycle length is 28 days)

DLT was defined by national cancer institute common terminology criteria for adverse events (NCI CTCAE) version 5.0: Grade 5 AE; Hematologic toxicity: Nonfebrile Grade 4 neutropenia lasting more than 7 consecutive days/Grade greater than or equal to (\>=) 3 febrile neutropenia; Grade 4 thrombocytopenia lasting more than 14 consecutive days, Grade 3 thrombocytopenia with clinically significant bleeding; any other Grade 4 with exceptions; Nonhematologic Grade 3 or higher toxicities unrelated to the underlying disease with exceptions.

GroupValue95% CI
Group 1 (NDMM): Modakafusp Alfa 80 mg + Lenalidomide 10 mg0
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Pomalidomide 2 mg1
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Pomalidomide 4 mg1
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Carfilzomib 20/70 mg/m^22
Number of Participants With One or More Treatment Emergent Adverse Events (TEAEs) Primary · Up to 16.7 months

An adverse event (AE) is defined as any untoward medical occurrence in a participants administered a pharmaceutical product; the untoward medical occurrence does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not it is related to the medicinal product. A TEAE was any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug

GroupValue95% CI
Group 1 (NDMM): Modakafusp Alfa 80 mg + Lenalidomide 10 mg3
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Pomalidomide 2 mg3
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Pomalidomide 4 mg4
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Carfilzomib 20/70 mg/m^23
Overall Response Rate (ORR) Secondary · Up to 16.7 months

ORR: percentage of participants achieving confirmed partial response rate(PR)or better(stringent complete response\[sCR\]+complete response\[CR\]+very good partial response\[VGPR\]+PR)during study as defined by IMWG uniform response criteria and as determined by investigator.PR:\>=50%reduction of serum M-protein and\>=90% reduction in urine M-protein or less than(\<)200mg/24 hour, or\>=50%decrease in uninvolved FLC or \>=50% reduction in plasma cells. At baseline,a \>=50% decrease in size of soft tissue plasmacytomas was required. Percentages were rounded off to nearest single decimal place. D

GroupValue95% CI
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Pomalidomide 2 mg00.00 – 60.24
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Pomalidomide 4 mg506.76 – 93.24
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Carfilzomib 20/70 mg/m^233.30.84 – 90.57
Groups 2 and 3: Disease Control Rate (DCR) Secondary · Up to 16.7 months

DCR was defined as the percentage of participants who achieved a stable disease (SD) or better during the study based on the investigator's disease assessment as defined by IMWG uniform response criteria. SD was defined as no known evidence of progressive disease or new bone lesions. Percentages were rounded off to the nearest single decimal place.

GroupValue95% CI
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Pomalidomide 2 mg75.019.41 – 99.37
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Pomalidomide 4 mg50.06.76 – 93.24
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Carfilzomib 20/70 mg/m^266.79.43 – 99.16

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 16.7 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Group 1 (NDMM): Modakafusp Alfa 80 mg + Lenalidomide 10 mg
Serious: 0/3 (0%)
Deaths: 0/3
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Pomalidomide 2 mg
Serious: 1/4 (25%)
Deaths: 0/4
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Pomalidomide 4 mg
Serious: 1/4 (25%)
Deaths: 2/4
Group 2 (RRMM Doublets): Modakafusp Alfa 80 mg + Carfilzomib 20/70 mg/m^2
Serious: 3/3 (100%)
Deaths: 1/3

Serious adverse events (9 terms)

ReactionSystemGroup 1 (NDMM): Modakafusp…Group 2 (RRMM Doublets): M…Group 2 (RRMM Doublets): M…Group 2 (RRMM Doublets): M…
Thrombotic microangiopathyBlood and lymphatic system disorders
Acute myocardial infarctionCardiac disorders
Deep vein thrombosisVascular disorders
Febrile neutropeniaBlood and lymphatic system disorders
Haemolytic uraemic syndromeBlood and lymphatic system disorders
PalpitationsCardiac disorders
Pneumonia influenzalInfections and infestations
Renal failureRenal and urinary disorders
Renal haemorrhageRenal and urinary disorders
Other adverse events (76 terms — click to expand)

ReactionSystemGroup 1 (NDMM): Modakafusp…Group 2 (RRMM Doublets): M…Group 2 (RRMM Doublets): M…Group 2 (RRMM Doublets): M…
AnaemiaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood lactate dehydrogenase increasedInvestigations
FatigueGeneral disorders
HyperglycaemiaMetabolism and nutrition disorders
HypogammaglobulinaemiaImmune system disorders
HyponatraemiaMetabolism and nutrition disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
InsomniaPsychiatric disorders
LeukopeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
Abdominal painGastrointestinal disorders
Acute kidney injuryRenal and urinary disorders
Anal incontinenceGastrointestinal disorders
AnxietyPsychiatric disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Blood alkaline phosphatase increasedInvestigations
Blood creatinine increasedInvestigations
BradycardiaCardiac disorders
Bundle branch block leftCardiac disorders
ChillsGeneral disorders
Clostridium difficile colitisInfections and infestations
ConstipationGastrointestinal disorders
Deep vein thrombosisVascular disorders
DehydrationMetabolism and nutrition disorders
DeliriumPsychiatric disorders
DiarrhoeaGastrointestinal disorders
DizzinessNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Ear infectionInfections and infestations
Electrocardiogram QT prolongedInvestigations
Gastroenteritis salmonellaInfections and infestations
Gastrooesophageal reflux diseaseGastrointestinal disorders
Groin painMusculoskeletal and connective tissue disorders
HaematomaVascular disorders
HeadacheNervous system disorders
HyperkalaemiaMetabolism and nutrition disorders

Most-reported serious reactions: Thrombotic microangiopathy, Acute myocardial infarction, Deep vein thrombosis, Febrile neutropenia, Haemolytic uraemic syndrome, Palpitations, Pneumonia influenzal, Renal failure.

Data from ClinicalTrials.gov NCT05556616 adverse events section.

Sponsor's own description

The main aims of this study are to test for any side effects from modakafusp alfa in combination therapy and to determine the recommended dose of combination therapy with modakafusp alfa. The dose of modakafusp alfa will be increased a little at a time until the highest dose that does not cause harmful side effects is found. Participants will be given modakafusp alfa through a vein.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting NAD<sup>+</sup> metabolism: dual roles in cancer treatment.
    Yong J, Cai S, Zeng Z. · · 2023 · cited 16× · PMID 38116009 · DOI 10.3389/fimmu.2023.1269896
  2. Current Novel Targeted Therapeutic Strategies in Multiple Myeloma.
    Lin CH, Tariq MJ, Ullah F, Sannareddy A, et al · · 2024 · cited 14× · PMID 38892379 · DOI 10.3390/ijms25116192
  3. Updates on Therapeutic Strategies in the Treatment of Relapsed/Refractory Multiple Myeloma.
    Parekh DS, Tiger YKR, Jamouss KT, Hassani J, et al · · 2024 · cited 8× · PMID 39272790 · DOI 10.3390/cancers16172931
  4. PB2129: THE MODAKAFUSP ALFA IINNOVATE CLINICAL DEVELOPMENT PROGRAM: RATIONALE AND DESIGN OF 3 PHASE 1/2 TRIALS OF AN INNATE IMMUNITY ENHANCER FOR MULTIPLE MYELOMA (MM)
    Holstein S, Mian H, Touzeau C, Kingsley E, et al · · 2023

Verify or expand the search:

Other trials of Modakafusp alfa

Trials testing the same drug.

Other recruiting trials for Multiple Myeloma

Currently open trials in the same condition.

Other Teva Branded Pharmaceutical Products R&D LLC trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05556616.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing