Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Label indication LYNOZYFIC is indicated for the treatment of adult patients with relapsed or refractory multiple myeloma who have received at least four prior lines of therapy, including a proteasome inhibitor, an immunomodulatory agent, and an anti-CD38 monoclonal antibody. This indication is approved under accelerated approval based on response rate and durability of response [see Clinical Studies (14) ] . FDA label
Also known as REGN5458, Lynozyfic™, BCMAxCD3
linvoseltamab · 14 trials · 9 indications
Part 1
Part 1
Part 1
Part 1
Part 1
Part 1
Part 2
Part 2
The rate of MRD-negativity among participants. Defined by rate of MRD negativity using clonoSEQ MRD® assay at sensitivities of 10\^-5 and 10\^-6. MRD negativity is defined as 0 residual clonal cells in a bone marrow biopsy sample
The number of patients who experience MRD negativity (10\^-5 sensitivity by 12 cycles of linvoseltamab (MRD conversion rate) will be determined by dividing this number of MRD negative responses by the total number of evaluable patients. MRD negativity rate (\<10\^-5) by 12 cycles of linvoseltamab
Part 1 An AEI is a toxicity potentially related to study treatment that may preclude dose escalation or expansion according to the Bayesian Optimal Interval (BOIN) design decision rules
Part 1 As assessed by the NCI-CTCAE grading system version 5 (for all grades)
Part 1 As assessed by the NCI-CTCAE grading system version 5 (for all grades)
Part 2
AESI include grade 2 or higher Cytokine Release Syndrome (CRS) and Immune effector Cell-Associated Neurotoxicity Syndrome (ICANS)
Phase 1
Phase 1
Phase 1
Phase 2
Phase 2
Phase 2
Phase 2
Phase 1
Phase 1
Phase 1
Phase 2
Phase 2
Phase 1
Phase 2
Phase 1
Phase 1
Phase 2
Phase 2 Transplant-eligible cohort
Phase 2 Transplant-eligible cohort
Phase 2 Transplant-ineligible cohort
Phase 2 Transplant ineligible cohort
Dose finding portion only
≥ grade 3 per National Cancer Institute-Common Terminology Criteria for Adverse Events \[NCI-CTCAE v5.0\]
Phase 1 and Phase 2 for Japanese cohort only
Phase 1
Phase 1
Phase 1 part 2
Phase 2, for Japanese cohort only
Phase 2, cohorts 1 and 2
Phase 2, cohort 3
Phase 2, cohort 3
| Arm | Type | Description |
|---|---|---|
| Linvoseltamab | EXPERIMENTAL | - |
| Daratumumab | ACTIVE_COMPARATOR | - |
| Part 1: Arm A | EXPERIMENTAL | - |
| Part 1: Arm B | EXPERIMENTAL | - |
| Part 2: Arm A | EXPERIMENTAL | - |
| Part 2: Arm B | EXPERIMENTAL | - |
| Part 2: Arm C | EXPERIMENTAL | - |
| Elotuzumab/Pomalidomide/Dexamethasone (EPd) | ACTIVE_COMPARATOR | Randomization 1:1 |
| Linvoseltamab Group | EXPERIMENTAL | Participants in this group will be administered a fixed duration of Linvoseltamab for four to six 28-day cycles, depending on minimal residual disease (MRD) conversion status. After four cycles, participants that are MRD-negative will no longer receive study treatment. Participants that are MRD-positive will receive an additional two cycles of Linvoseltamab. Total participation duration is up to 3 years. |
| Cohort 1 - Linvoseltamab Treatment Group | EXPERIMENTAL | Participants in this group are currently receiving lenalidomide maintenance therapy for ≤12 months will have linvoseltamab added to the lenalidomide maintenance therapy and receive treatment with the combination for up to 24 cycles. Total participation duration is up to 4.5 years |
| Cohort 2 - Lenalidomide Treatment Group | EXPERIMENTAL | Participants in this group are currently receiving lenalidomide maintenance therapy but have relapsed disease within 12 months of starting maintenance will have Linvoseltamab added to lenalidomide maintenance and receive treatment with the combination for up to 24 cycles. Total participation duration is up to 4.5 years |
| Safety Run-In (Part 1) | EXPERIMENTAL | Sequential groups of participants will be enrolled to assess the initial safety and tolerability of the step-up regimen leading up to the start of different full doses of linvoseltamab. |
| Expansion (Part 2) - Dose regimen 1 | EXPERIMENTAL | Participants will be randomized in a 1:1:1:1 ratio across 4 dosing regimens |
| Expansion (Part 2) - Dose regimen 2 | EXPERIMENTAL | Participants will be randomized in a 1:1:1:1 ratio across 4 dosing regimens |
| Expansion (Part 2) - Dose regimen 3 | EXPERIMENTAL | Participants will be randomized in a 1:1:1:1 ratio across 4 dosing regimens |
| Expansion (Part 2) - Dose regimen 4 | EXPERIMENTAL | Participants will be randomized in a 1:1:1:1 ratio across 4 dosing regimens |
| Expansion (Part 2) | EXPERIMENTAL | - |
| REGN17372 + Linvoseltamab | EXPERIMENTAL | Phase 1 Phase 2 |
| Linvoseltamab monotherapy | ACTIVE_COMPARATOR | Phase 2 |
| REGN7945+Linvoseltamab | EXPERIMENTAL | Phase 1 Phase 2 |
| Phase 1: Cohort 1: Low Dose | EXPERIMENTAL | Dose Escalation: Non-Randomized |
| Phase 1: Cohort 2: High Dose | EXPERIMENTAL | Dose Escalation: Non-Randomized |
| Phase 2: Low Dose | EXPERIMENTAL | Dose Expansion: Participants will be randomized in a 1:1 ratio |
| Phase 2: High Dose | EXPERIMENTAL | Dose Expansion: Participants will be randomized in a 1:1 ratio |
| Severe IgE-mediated food allergy | EXPERIMENTAL | - |
| Phase 1 cohorts | EXPERIMENTAL | Linvoseltamab dose escalation (part A), dose expansion (part B), and evaluation of alternative step-up regimen (part C) for participants with NDMM who are treatment-naïve. |
| Phase 2 - transplant ineligible cohort | EXPERIMENTAL | Transplant-ineligible participants, enrolled in dose expansion, will receive selected linvoseltamab regimen until disease progression as per protocol. |
| Phase 2 - transplant eligible cohort | EXPERIMENTAL | Transplant-eligible participants, enrolled in dose expansion, will receive selected linvoseltamab regimen for a fixed duration of treatment as per protocol |
| Cohort 1: Linvoseltamab + Daratumumab | EXPERIMENTAL | Linvoseltamab + Daratumumab |
| Cohort 2: Linvolseltamab + Carfilzomib | EXPERIMENTAL | Linvoseltamab + Carfilzomib |
| Cohort 3: Linvoseltamab + Lenalidomide | EXPERIMENTAL | Linvoseltamab + Lenalidomide |
| Cohort 4: Linvoseltamab + Bortezomib | EXPERIMENTAL | Linvoseltamab + Bortezomib |
| Cohort 5: Linvoseltamab + Pomalidomide | EXPERIMENTAL | Linvoseltamab + Pomalidomide |
| Cohort 6: Linvoseltamab + Isatuximab | EXPERIMENTAL | Linvoseltamab + Isatuximab |
| Cohort 7: Linvoseltamab + Fianlimab | EXPERIMENTAL | Linvoseltamab + Fianlimab |
| Cohort 8: Linvoseltamab + Cemiplimab | EXPERIMENTAL | Linvoseltamab + Cemiplimab |
| Cohort 9: Linvoseltamab + Nirogacestat | EXPERIMENTAL | Linvoseltamab + Nirogacestat |
| Cohort 10: Linvoseltamab + Cevostamab | EXPERIMENTAL | Linvoseltamab + Cevostamab |
| Linvoseltamab - Phase 1 | EXPERIMENTAL | Phase 1 has two parts. Part 1, consists of linvoseltamab intravenous (IV) dose escalation and Part 2, consists of subcutaneous (SC) administration. |
| Linvoseltamab - Phase 2 - Cohort 1 | EXPERIMENTAL | Low Dose of linvoseltamab IV monotherapy. |
| Linvoseltamab - Phase 2 - Cohort 2 | EXPERIMENTAL | High Dose of linvoseltamab IV monotherapy. |
| Linvoseltamab - Phase 2 - Cohort 3 | EXPERIMENTAL | Anti-interleukin (IL)-6 receptor (R) prophylactic therapy followed by high dose of IV linvoseltamab monotherapy. |
| Name | Type | Description |
|---|---|---|
| Linvoseltamab | DRUG | Administered per the protocol |
| Daratumumab | DRUG | Administered per the protocol |
| Carfilzomib | DRUG | Administered per the protocol |
| Dexamethasone | DRUG | Administered per the protocol |
| Pomalidomide | DRUG | Administered per the protocol |
| Bortezomib | DRUG | Administered per the protocol |
| Elotuzumab | DRUG | Elotuzumab will be administered by IV infusion |
| Lenalidomide | DRUG | Participants will take 10mg of Lenalidomide maintenance therapy standard of care by mouth daily from days 1 through 21 of each 28 day cycle of Linvoseltamab therapy. Lenalidomide therapy will begin on Cycle 2 Day 1 of Linvoseltamab therapy. |
| REGN17372+Linvoseltamab | DRUG | Administered per the protocol |
| REGN7945+Linvoseltamab | DRUG | Administered per protocol |
| dupilumab | DRUG | Administered by subcutaneous (SC) injection |
| Isatuximab | DRUG | Administered per the protocol |
| Fianlimab | DRUG | Administered per the protocol |
| Cemiplimab | DRUG | Administered per the protocol |
| Nirogacestat | DRUG | Administered per the protocol |
| Cevostamab | DRUG | Administered per the protocol |
Key Inclusion Criteria: 1. Eastern Cooperative Oncology Group performance status score ≤1 2. SMM diagnosis per IMWG criteria as defined in the protocol 3. Meets HR-SMM criteria by 1 of the risk models as defined in the protocol Key Exclusion Criteria: 1. Evidence of myeloma-defining events attrib...
Linvoseltamab is an investigational monoclonal antibody being developed by Regeneron Pharmaceuticals, Inc. (ticker REGN). It is being studied in multiple myeloma and related plasma cell conditions, including relapsed and/or refractory multiple myeloma, high risk smoldering multiple myeloma, monoclonal gammopathy of undetermined significance, and food allergy. It remains in clinical development and is not described as approved.
Linvoseltamab targets CD3 and BCMA. It is a bispecific monoclonal antibody designed to bind BCMA on plasma cells and CD3 on T cells, bringing the two cell types together. This mechanism is being investigated across plasma cell disorders such as relapsed and/or refractory multiple myeloma and high risk smoldering multiple myeloma.
Linvoseltamab is developed by Regeneron Pharmaceuticals, Inc., which trades under the ticker REGN. Regeneron is running the clinical program, including a Phase 1 combination study of REGN17372 with linvoseltamab and several later-stage studies in multiple myeloma and smoldering multiple myeloma.
Linvoseltamab is in clinical development, with studies spanning Phase 1 through Phase 3. The program includes a Phase 1 combination trial, a Phase 2 maintenance study, and two Phase 3 trials. It is investigational and has not been described as approved by the FDA for any indication.
Linvoseltamab is being studied in five trials, three of which are recruiting. These include NCT07455851, a Phase 1 combination study with REGN17372 in relapsed/refractory multiple myeloma; NCT07393282, a Phase 3 comparison with daratumumab in high risk smoldering multiple myeloma; NCT07222761, a Phase 3 study in relapsed/refractory multiple myeloma; and NCT06910124, a Phase 2 maintenance study with lenalidomide.
Linvoseltamab is being investigated for relapsed and/or refractory multiple myeloma, including as monotherapy and in combination with carfilzomib or REGN17372, and for high risk smoldering multiple myeloma. It is also being studied in a Phase 2 maintenance setting with lenalidomide for multiple myeloma. These uses remain investigational.