Last reviewed · How we verify

NCT05590377: iinnovate-3

A Study of Modakafusp Alfa Together With Daratumumab Adults With Relapsed or Refractory Multiple Myeloma

Terminated Phase 1, PHASE2 Results posted Last updated 30 January 2026
What this trial tests

Phase 1, PHASE2 trial testing Modakafusp Alfa in Multiple Myeloma in 15 participants. Terminated before completion.

Timeline
23 January 2023
Primary endpoint
22 May 2024
22 May 2024

Quick facts

Lead sponsorTeva Branded Pharmaceutical Products R&D LLC
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment15
Start date23 January 2023
Primary completion22 May 2024
Estimated completion22 May 2024
Sites27 locations across France, South Korea, Canada, Australia, China, United States, 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.

Phase 1: Number of Participants With Dose Limiting Toxicities (DLT) Primary · Phase 1: Cycle 1 (cycle length=28 days)

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.

GroupValue95% CI
Phase 1 (Dose Escalation) Modakafusp Alfa 80 mg + Daratumumab0
Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + Daratumumab0
Phase 1 (Dose Escalation) Modakafusp Alfa 240 mg + Daratumumab1
Phase 1: Number of Participants Reporting One or More TEAEs and Per Severity Primary · Phase 1: Up to 15.9 months

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 CTC

Grade 1
GroupValue95% CI
Phase 1 (Dose Escalation) Modakafusp Alfa 80 mg + Daratumumab1
Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + Daratumumab0
Phase 1 (Dose Escalation) Modakafusp Alfa 240 mg + Daratumumab0
Grade 2
GroupValue95% CI
Phase 1 (Dose Escalation) Modakafusp Alfa 80 mg + Daratumumab0
Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + Daratumumab2
Phase 1 (Dose Escalation) Modakafusp Alfa 240 mg + Daratumumab1
Grade 3
GroupValue95% CI
Phase 1 (Dose Escalation) Modakafusp Alfa 80 mg + Daratumumab2
Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + Daratumumab4
Phase 1 (Dose Escalation) Modakafusp Alfa 240 mg + Daratumumab3
Grade 4
GroupValue95% CI
Phase 1 (Dose Escalation) Modakafusp Alfa 80 mg + Daratumumab0
Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + Daratumumab0
Phase 1 (Dose Escalation) Modakafusp Alfa 240 mg + Daratumumab1
Grade 5
GroupValue95% CI
Phase 1 (Dose Escalation) Modakafusp Alfa 80 mg + Daratumumab0
Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + Daratumumab0
Phase 1 (Dose Escalation) Modakafusp Alfa 240 mg + Daratumumab1
Phase 1: Overall Response Rate (ORR) Secondary · Phase 1: Up to 15.9 months

ORR is defined as the percentage of participants who achieved a confirmed PR or better during the study in the safety population. ORR will be assessed by the investigator per IMWG criteria.

GroupValue95% CI
Phase 1 (Dose Escalation) Modakafusp Alfa 80 mg + Daratumumab33.30.84 – 90.57
Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + Daratumumab66.722.28 – 95.67
Phase 1 (Dose Escalation) Modakafusp Alfa 240 mg + Daratumumab50.011.81 – 88.19
Phase 1 and Phase 2a: Number of Participants With Anti-drug Antibodies (ADA) Secondary · Up to 15.9 months

After completion of Phase 1 Dose Escalation of this study the sponsor decided not to proceed with Phase 2a due to strategic reasons and hence no participants were enrolled for Phase 2a.

GroupValue95% CI
Phase 1 (Dose Escalation) Modakafusp Alfa 80 mg + Daratumumab3
Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + Daratumumab2
Phase 1 (Dose Escalation) Modakafusp Alfa 240 mg + Daratumumab0

Adverse events — posted to ClinicalTrials.gov

Time frame: Phase 1: Up to 15.9 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase 1 (Dose Escalation) Modakafusp Alfa 80 mg + Daratumumab
Serious: 0/3 (0%)
Deaths: 1/3
Phase 1 (Dose Escalation) Modakafusp Alfa 120 mg + Daratumumab
Serious: 1/6 (17%)
Deaths: 1/6
Phase 1 (Dose Escalation) Modakafusp Alfa 240 mg + Daratumumab
Serious: 2/6 (33%)
Deaths: 2/6

Serious adverse events (6 terms)

ReactionSystemPhase 1 (Dose Escalation) …Phase 1 (Dose Escalation) …Phase 1 (Dose Escalation) …
Confusional statePsychiatric disorders
Cytokine release syndromeImmune system disorders
Febrile neutropeniaBlood and lymphatic system disorders
General physical health deteriorationGeneral disorders
HyperthermiaGeneral disorders
Infusion related reactionInjury, poisoning and procedural complications
Other adverse events (64 terms — click to expand)

ReactionSystemPhase 1 (Dose Escalation) …Phase 1 (Dose Escalation) …Phase 1 (Dose Escalation) …
AnaemiaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Back painMusculoskeletal and connective tissue disorders
FatigueGeneral disorders
ChillsGeneral disorders
DiarrhoeaGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
InsomniaPsychiatric disorders
PyrexiaGeneral disorders
Upper respiratory tract infectionInfections and infestations
Abdominal discomfortGastrointestinal disorders
AnxietyPsychiatric disorders
AstheniaGeneral disorders
Atrial fibrillationCardiac disorders
Blood alkaline phosphatase increasedInvestigations
Blood lactate dehydrogenase increasedInvestigations
Blood pressure systolic increasedInvestigations
Blood triglycerides increasedInvestigations
ConstipationGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Decreased appetiteMetabolism and nutrition disorders
Dry eyeEye disorders
Dry mouthGastrointestinal disorders
DysgeusiaNervous system disorders
FallInjury, poisoning and procedural complications
Gastrooesophageal reflux diseaseGastrointestinal disorders
HaematuriaRenal and urinary disorders
Haemoglobin decreasedInvestigations
Heart rate increasedInvestigations
HypercalcaemiaMetabolism and nutrition disorders
HypercreatininaemiaMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
HyperphagiaMetabolism and nutrition disorders
HyperphosphataemiaMetabolism and nutrition disorders
HypoalbuminaemiaMetabolism and nutrition disorders
HypogonadismEndocrine disorders
Infusion related reactionInjury, poisoning and procedural complications
Injection site erythemaGeneral disorders

Most-reported serious reactions: Confusional state, Cytokine release syndrome, Febrile neutropenia, General physical health deterioration, Hyperthermia, Infusion related reaction.

Data from ClinicalTrials.gov NCT05590377 adverse events section.

Sponsor's own description

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.

Publications & conference data

5 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. Targeted Delivery Strategies for Multiple Myeloma and Their Adverse Drug Reactions.
    Li S, Wang H, Xiong S, Liu J, et al · · 2024 · cited 3× · PMID 39065683 · DOI 10.3390/ph17070832
  5. 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.

Verify against primary sources

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/NCT05590377.

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