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Ramantamig

Phase 3

Multiple Myeloma | Small molecule | Oncology |Johnson & Johnson|Last Updated: Aug 28, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment1,230

FDA Designations

No designations recorded

Clinical trial landscape

Ramantamig · 2 trials · 1 indication

Phase 3 1Phase 2 1
NCT07665450A Study of Ramantamig Plus Daratumumab Versus Daratumumab, Bortezomib, Lenalidomide, and Dexamethasone (DVRd) or Daratumumab, Lenalidomide, and Dexamethasone (DRd) in Participants With NDMM For Whom Stem Cell Transplant is Not PlannedMultiple Myeloma
NOT YET_RECRUITING1,000 Analytics
PHASE3NOT YET_RECRUITING
A Study of Ramantamig Plus Daratumumab Versus Daratumumab, Bortezomib, Lenalidomide, and Dexamethasone (DVRd) or Daratumumab, Lenalidomide, and Dexamethasone (DRd) in Participants With NDMM For Whom Stem Cell Transplant is Not Planned
Multiple MyelomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-Free Survival (PFS)
Up to approximately 62 months

PFS is defined as the time from treatment assignment (that is, randomization in the trial) to confirmed progression of disease (PD) or death, whichever occurs first.

Percentage of Participants Achieving 12-Month Minimal Residual Disease (MRD)-Negative Complete Response CR
Up to 12 months

12-month MRD-negative CR rate is defined as achieving MRD-negative status at the analysis time window of 12 months (+/-3 months), as determined by next-generation sequencing (NGS) with sensitivity of 10\^-5, prior to PD or subsequent antimyeloma therapy (including ASCT). Additionally, CR or better must be achieved any time from randomization up to and including 12+3 months, according to international myeloma working group (IMWG) criteria.

Percentage of Participants Alive and Free of Treatment-Emergent American Society for Transplantation and Cellular Therapy (ASTCT) Grade Greater Than or Equal to (>=) 2 Cytokine Release Syndrome (CRS)
End of Day 28 from ramantamig dose

Percentage of participants alive and free of treatment-emergent ASTCT Grade \>=2 CRS without the use of intervening treatment for CRS of any grade by the end of Day 28 from ramantamig dose will be reported.

Secondary Endpoints

Overall Survival (OS)
Up to approximately 100 months
Percentage of Participants Achieving 24-Month Sustained MRD-Negative CR
Up to 5 years
Percentage of Participants with Very Good Partial Response (VGPR) or Better
Up to 5 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm A: Ramantamig plus Daratumumab (Ramantamig-D)EXPERIMENTALParticipants will receive ramantamig D subcutaneous injection.
Arm B: Investigator's Choice (DVRd or DRd)ACTIVE_COMPARATORParticipants will receive either daratumumab, bortezomib, lenalidomide, dexamethasone (DVRd) or daratumumab, lenalidomide, dexamethasone (DRd) as per investigator's choice.
Arm A: Tocilizumab + RamantamigEXPERIMENTALParticipants will receive tocilizumab alongwith ramantamig. Ramantamig will be administered for a total treatment of finite duration, or until progressive disease (PD) or intolerable toxicity (whichever is earlier).
Arm B: Placebo + RamantamigPLACEBO_COMPARATORParticipants will receive placebo (saline) alongwith ramantamig. Ramantamig will be administered for a total treatment of finite duration, or until PD or intolerable toxicity (whichever is earlier).

Interventions

NameTypeDescription
RamantamigDRUGRamantamig will be administered subcutaneously.
DaratumumabDRUGDaratumumab will be administered subcutaneously.
LenalidomideDRUGLenalidomide will be administered orally.
BortezomibDRUGBortezomib will be administered subcutaneously or intravenously.
DexamethasoneDRUGDexamethasone will be administered orally or intravenously.
TocilizumabDRUGTocilizumab will be administered as intravenous (IV) injection.
PlaceboDRUGPlacebo (saline) will be administered as IV injection.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion criteria: * Documented diagnosis of multiple myeloma (MM) according to the IMWG diagnostic criteria * Not considered for high-dose chemotherapy with autologous stem cell transplantation (ASCT) due to: i. ineligible due to advanced age; or ii. ineligible due to presence of comorbid conditi...

Countries:United StatesArgentinaAustraliaMalaysia
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Competitive Landscape -Multiple Myeloma 221 trials

Top 20 of 25 competitors

CompanyTickerTrialsLead PhaseDrugs
AbbVie, Inc.ABBV16PHASE3Pomalidomide, Dexamethasone, Venetoclax
Bristol-Myers Squibb CompanyBMY18PHASE3Iberdomide, Lenalidomide
Takeda Pharmaceutical Co. Ltd. Sponsored ADRTAK5PHASE3IGI, 10%
GSK plc Sponsored ADRGSK17PHASE3Belantamab mafodotin, Pomalidomide, Dexamethasone, Bortezomib
Johnson & JohnsonJNJ28PHASE3Talquetamab, Pomalidomide, Teclistamab, Elotuzumab, Dexamethasone
Regeneron Pharmaceuticals, Inc.REGN11PHASE3Linvoseltamab, Carfilzomib, Daratumumab, Dexamethasone, Pomalidomide
Pfizer Inc.PFE11PHASE3Elranatamab, Lenalidomide
Sanofi SA Sponsored ADRSNY17PHASE3Isatuximab, Dexamethasone, Pomalidomide, Montelukast, Paracetamol/ Acetaminophen
AstraZeneca PLCAZN5PHASE3AZD0120, Daratumumab, Carfilzomib, Dexamethasone, Bortezomib
Gilead Sciences, Inc.GILD3PHASE3Anitocabtagene Autoleucel, Cyclophosphamide, Fludarabine, Pomalidomide, Bortezomib
Karyopharm Therapeutics, Inc.KPTI6PHASE3Selinexor, Elotuzumab, Pomalidomide, Dexamethasone
Grifols, S.A. Sponsored ADR Class BGRFS1PHASE3Xembify
BioLineRX Ltd. Sponsored ADRBLRX1PHASE3BL-8040/kg, G-CSF
C4 Therapeutics, Inc.CCCC3PHASE2Cemsidomide, Dexamethasone
Cellectar Biosciences, Inc.CLRB1PHASE2Iopofosine I 131 single dose, Iopofosine I 131 fractionated dose
GeoVax Labs, Inc.GOVX1PHASE2COVID-19 Vaccine, Synthetic MVA-based SARS-CoV-2 Vaccine GEO-CM04S1
Autolus Therapeutics Plc Sponsored ADRAUTL1PHASE2AUTO CAR T cell therapy
Incyte CorporationINCY2PHASE1Ruxolitinib, Lenalidomide, Methylprednisolone
Moderna, Inc.MRNA2PHASE1mRNA-2808
BeOne Medicines Ltd. Sponsored ADRONC1PHASE1Sonrotoclax, Dexamethasone, Carfilzomib, Daratumumab, Pomalidomide
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Recent Changes (Last 90 Days)

LOWAug 28, 2026NCT07589634Completion: 2030-12-02 → 2030-11-08
LOWAug 28, 2026NCT07665450startDate: changed
LOWAug 28, 2026NCT07589634Completion: 2030-12-02 → 2030-11-08
LOWAug 28, 2026NCT07665450startDate: changed
LOWJul 31, 2026NCT07589634Completion: 2030-11-08 → 2030-12-02
LOWJul 31, 2026NCT07589634Completion: 2030-11-08 → 2030-12-02
LOWJul 6, 2026NCT07665450lastUpdatePostDate: changed
LOWJul 6, 2026NCT07589634Status: NOT_YET_RECRUITING → RECRUITING
LOWJul 6, 2026NCT07665450lastUpdatePostDate: changed
LOWJul 6, 2026NCT07589634Status: NOT_YET_RECRUITING → RECRUITING
LOWJun 24, 2026NCT07665450NEW_TRIAL: changed
LOWJun 24, 2026NCT07665450NEW_TRIAL: changed
LOWJun 10, 2026NCT07589634lastUpdatePostDate: changed
LOWJun 10, 2026NCT07589634lastUpdatePostDate: changed

Frequently asked questions about Ramantamig

What is Ramantamig used for in multiple myeloma?

Ramantamig is an investigational small molecule being studied for the treatment of multiple myeloma. It is currently in Phase 3 clinical development for this indication, including a study in newly diagnosed multiple myeloma patients who are not planned for stem cell transplant.

What does Ramantamig target?

The specific molecular target of Ramantamig has not been disclosed. It is a small molecule modality, but its mechanism of action is not publicly detailed in the available information.

Who makes Ramantamig?

Ramantamig is being developed by Johnson & Johnson, a pharmaceutical company traded on the New York Stock Exchange under the ticker JNJ. The company is conducting clinical trials to evaluate the drug's safety and efficacy in multiple myeloma.

What phase is Ramantamig in?

Ramantamig is in Phase 3 clinical development for multiple myeloma. One Phase 3 trial is planned but not yet recruiting, and a Phase 2 trial is currently recruiting participants. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is Ramantamig in?

Ramantamig is involved in two active clinical trials. NCT07665450 is a Phase 3 study comparing Ramantamig plus daratumumab against standard regimens in newly diagnosed multiple myeloma. NCT07589634 is a Phase 2 study evaluating tocilizumab to prevent cytokine release syndrome with Ramantamig in relapsed/refractory multiple myeloma.

Is Ramantamig the same as daratumumab?

No, Ramantamig is not the same as daratumumab. Daratumumab is a monoclonal antibody, while Ramantamig is a small molecule. In clinical trials, Ramantamig is being studied in combination with daratumumab, indicating they are distinct agents with different mechanisms.