Final Results of a Phase 2 Multi‐Arm Study of Magrolimab Combinations in Patients With Relapsed/Refractory Multiple Myeloma

Abstract Introduction Patients with pretreated relapsed/refractory multiple myeloma (RRMM) have a poor prognosis and limited treatment options, underscoring the need for safe treatments with durable efficacy. Methods This Phase 2 study evaluated magrolimab (Magro) plus daratumumab (Dara) or pomalido...

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Main Authors: Barry Paul, Jiri Minarik, Francesca Cottini, Cristina Gasparetto, Jack Khouri, Mitul Gandhi, Jens Hillengass, Moshe Levy, Michaela Liedtke, Sudhir Manda, Irwindeep Sandhu, Douglas Sborov, Ivan Spicka, Saad Usmani, Mei Dong, Lin Gu, Carmen Leung, Parul Doshi, Christine Chen, Ludek Pour
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:eJHaem
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Online Access:https://doi.org/10.1002/jha2.70072
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author Barry Paul
Jiri Minarik
Francesca Cottini
Cristina Gasparetto
Jack Khouri
Mitul Gandhi
Jens Hillengass
Moshe Levy
Michaela Liedtke
Sudhir Manda
Irwindeep Sandhu
Douglas Sborov
Ivan Spicka
Saad Usmani
Mei Dong
Lin Gu
Carmen Leung
Parul Doshi
Christine Chen
Ludek Pour
author_facet Barry Paul
Jiri Minarik
Francesca Cottini
Cristina Gasparetto
Jack Khouri
Mitul Gandhi
Jens Hillengass
Moshe Levy
Michaela Liedtke
Sudhir Manda
Irwindeep Sandhu
Douglas Sborov
Ivan Spicka
Saad Usmani
Mei Dong
Lin Gu
Carmen Leung
Parul Doshi
Christine Chen
Ludek Pour
author_sort Barry Paul
collection DOAJ
description Abstract Introduction Patients with pretreated relapsed/refractory multiple myeloma (RRMM) have a poor prognosis and limited treatment options, underscoring the need for safe treatments with durable efficacy. Methods This Phase 2 study evaluated magrolimab (Magro) plus daratumumab (Dara) or pomalidomide/dexamethasone (Pd) or carfilzomib/dexamethasone (Kd) in RRMM. The primary efficacy endpoint was objective response rate (ORR). Results ORR was 14.3% (Magro+Dara; n = 14), 20.0% (Magro+Pd; n = 10) and 36.4% (Magro+Kd; n = 11). There were two dose‐limiting toxicities: febrile neutropenia (Magro+Dara) and infusion‐related reaction (Magro+Pd). Grade ≥ 3 Magro‐related adverse event (AE) rates were 64.3% (Magro+Dara), 60.0% (Magro+Pd) and 63.6% (Magro+Kd). Two deaths were AE‐related; neither was Magro related. Conclusion As the study closed early, insights into the clinical profile of Magro combinations in RRMM are limited. Trial Registration This trial was registered at www.clinicaltrials.gov as #NCT04892446
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spelling doaj-art-bcd228912f614c23bbfa784f7fc64efa2025-08-20T03:16:12ZengWileyeJHaem2688-61462025-06-0163n/an/a10.1002/jha2.70072Final Results of a Phase 2 Multi‐Arm Study of Magrolimab Combinations in Patients With Relapsed/Refractory Multiple MyelomaBarry Paul0Jiri Minarik1Francesca Cottini2Cristina Gasparetto3Jack Khouri4Mitul Gandhi5Jens Hillengass6Moshe Levy7Michaela Liedtke8Sudhir Manda9Irwindeep Sandhu10Douglas Sborov11Ivan Spicka12Saad Usmani13Mei Dong14Lin Gu15Carmen Leung16Parul Doshi17Christine Chen18Ludek Pour19Atrium Health Levine Cancer Institute Wake Forest University School of Medicine Charlotte North Carolina USAFakultni Nemocnice Olomouc Olomouc Czech RepublicThe Ohio State University Columbus Ohio USADuke Cancer Institute Durham North Carolina USACleveland Clinic Cleveland Ohio USAUS Oncology Site, Virginia Cancer Specialists Fairfax Virginia USARoswell Park Cancer Institute Buffalo New York USABaylor University Medical Center Dallas Texas USAStanford Cancer Center Palo Alto California USAArizona Oncology Associates Tucson Arizona USACross Cancer Institute Edmonton Alberta CanadaHuntsman Cancer Institute at the University of Utah Salt Lake City Utah USACharles University Hospital Kralovske Vinohrady Prague Czech RepublicMemorial Sloan‐Kettering Cancer Center New York New York USAGilead Sciences, Inc Foster City California USAGilead Sciences, Inc Foster City California USAGilead Sciences, Inc Foster City California USAGilead Sciences, Inc Foster City California USAPrincess Margaret Cancer Centre Toronto Ontario CanadaUniversity Hospital Brno Brno Czech RepublicAbstract Introduction Patients with pretreated relapsed/refractory multiple myeloma (RRMM) have a poor prognosis and limited treatment options, underscoring the need for safe treatments with durable efficacy. Methods This Phase 2 study evaluated magrolimab (Magro) plus daratumumab (Dara) or pomalidomide/dexamethasone (Pd) or carfilzomib/dexamethasone (Kd) in RRMM. The primary efficacy endpoint was objective response rate (ORR). Results ORR was 14.3% (Magro+Dara; n = 14), 20.0% (Magro+Pd; n = 10) and 36.4% (Magro+Kd; n = 11). There were two dose‐limiting toxicities: febrile neutropenia (Magro+Dara) and infusion‐related reaction (Magro+Pd). Grade ≥ 3 Magro‐related adverse event (AE) rates were 64.3% (Magro+Dara), 60.0% (Magro+Pd) and 63.6% (Magro+Kd). Two deaths were AE‐related; neither was Magro related. Conclusion As the study closed early, insights into the clinical profile of Magro combinations in RRMM are limited. Trial Registration This trial was registered at www.clinicaltrials.gov as #NCT04892446https://doi.org/10.1002/jha2.70072carfilzomibdaratumumabdexamethasonemagrolimabpomalidomiderelapsed/refractory multiple myeloma
spellingShingle Barry Paul
Jiri Minarik
Francesca Cottini
Cristina Gasparetto
Jack Khouri
Mitul Gandhi
Jens Hillengass
Moshe Levy
Michaela Liedtke
Sudhir Manda
Irwindeep Sandhu
Douglas Sborov
Ivan Spicka
Saad Usmani
Mei Dong
Lin Gu
Carmen Leung
Parul Doshi
Christine Chen
Ludek Pour
Final Results of a Phase 2 Multi‐Arm Study of Magrolimab Combinations in Patients With Relapsed/Refractory Multiple Myeloma
eJHaem
carfilzomib
daratumumab
dexamethasone
magrolimab
pomalidomide
relapsed/refractory multiple myeloma
title Final Results of a Phase 2 Multi‐Arm Study of Magrolimab Combinations in Patients With Relapsed/Refractory Multiple Myeloma
title_full Final Results of a Phase 2 Multi‐Arm Study of Magrolimab Combinations in Patients With Relapsed/Refractory Multiple Myeloma
title_fullStr Final Results of a Phase 2 Multi‐Arm Study of Magrolimab Combinations in Patients With Relapsed/Refractory Multiple Myeloma
title_full_unstemmed Final Results of a Phase 2 Multi‐Arm Study of Magrolimab Combinations in Patients With Relapsed/Refractory Multiple Myeloma
title_short Final Results of a Phase 2 Multi‐Arm Study of Magrolimab Combinations in Patients With Relapsed/Refractory Multiple Myeloma
title_sort final results of a phase 2 multi arm study of magrolimab combinations in patients with relapsed refractory multiple myeloma
topic carfilzomib
daratumumab
dexamethasone
magrolimab
pomalidomide
relapsed/refractory multiple myeloma
url https://doi.org/10.1002/jha2.70072
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