ClinicalTrials.gg
CompletedNCT03136653Updated Aug 25, 2021

A Phase 2 Trial of MP0250 Plus Bortezomib + Dexamethasone in Patients With Multiple Myeloma

A Phase 1/2 interventional study of MP0250 plus BOR+DEX in Multiple Myeloma in Relapse, sponsored by Molecular Partners AG. Completed at 24 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-08-25.

Sponsored by Molecular Partners AG · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
33
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 297 studies in Multiple Myeloma with a site in Germany — 50 open to participants now, 102 under way, 47 of them phase 3. Multiple Myeloma · Germany.

Enrollment
233rd of 263
33 · median 171
Started
2017
with 15 others
Phase 1/2
41 of 297
10 open now
Registered
156th of 297
by date

Among the 297 studies in Multiple Myeloma with a site in Germany, this one is the 233rd largest by enrollment of the 263 interventional ones that give a count, is one of 16 that started in 2017, is one of 41 in phase 1/2, and was the 156th registered.

Multiple Myeloma

3,760 studies on the registry are indexed under Multiple Myeloma; 769 are open to participants now.

Browse Multiple Myeloma studies →

Open to participants now

50 of the 297 studies in Multiple Myeloma with a site in Germany are open now. Recruiting first, the newest first:

45 more — sign in →

All 50 open studies →

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 584 Multiple Myeloma studies recruiting now, 429 (73%) set no upper age limit and 106 (18%) stop at 75 or younger; 36 take children under 18; 24 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The purpose of this study is to assess the efficacy, safety, tolerability, pharmacokinetics (PK), immunogenicity and efficacy of MP0250 in combination with bortezomib + dexamethasone in patients with refractory and relapsed multiple myeloma (RRMM).

MP0250 is a multi-DARPin® drug candidate with three specificities, able to simultaneously neutralize the activities of vascular endothelial growth factor (VEGF) and hepatocyte growth factor (HGF) and also to bind to human serum albumin (HSA) to give an increased plasma half-life and potentially enhanced tumor penetration.

03

Conditions studied

  • Multiple Myeloma in Relapse

Browse trials for

Keywords

  • DARPin
  • MP0250
  • VEGF
  • HGF
  • RRMM
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients with MM who have received:

    • Part 1 ≥2 (including bortezomib and an IMiD) and have shown no response (i.e. stable disease) to, have progressed on the most recent treatment or have progressed within 60 days of the most recent therapy
    • Part 2 ≥2 lines of prior therapy that included a proteasome inhibitor (bortezomib, carfilzomib or both) and an IMiD (thalidomide, lenalidomide and/or pomalidomide) either alone or in combination and a response no better than SD lasting at least 4 months on a bortezomib- or carfilzomib-based regimen as last line of therapy or progression on treatment or within 60 days of stopping a bortezomib- or carfilzomib-based regimen as last line of therapy. Note: For transplant-eligible patients enrolled to Part 1 or Part 2, induction plus conditioning chemotherapy/ +/- maintenance therapy constitute one regimen.
  2. Presence of a with at least one of the following criteria:

    • Serum M protein ≥0.5 g/dL, or
    • Urine M protein ≥200 mg/24 h, or
    • Involved serum free light chain (FLC) levels >100 mg/L and abnormal kappa/lambda (κ/λ) ratio in patients without detectable serum or urine M protein, or
    • For patients with immunoglobulin A (IgA) myeloma whose disease can only be reliably measured by quantitative immunoglobulin measurement, a serum IgA level ≥0.5g/dL.
  3. (ECOG) performance status (0 to 1)
  4. >3 months
  5. Adequate hepatic function at Screening, with (AST) and alanine aminotransferase (ALT) \<3x and total \<2 x upper limit of normal (ULN). For patients with Gilbert's syndrome (Gilbert-Meulengracht syndrome), higher bilirubin of 5 x ULN is acceptable
  6. (ANC) ≥1000/mm3 at Screening. Screening ANC must be independent of growth factor support for ≥1 week
  7. ≥8.0 g/dL at Screening. Use of erythropoietic stimulating factors and red blood cell (RBC) transfusions per institutional guidelines is allowed, however most recent RBC transfusion must not have been done within 7 days prior to obtaining screening hemoglobin
  8. count ≥50 000/mm3 at Screening. Patients must not have received platelet transfusions for at least 1 week prior to obtaining the screening platelet count
  9. Calculated or measured (CrCl) of ≥ 45 mL/min at Screening based on the Cockcroft and Gault formula
  10. Serum albumin concentration ≥ 25 g/L. Note: Patients with lower levels of serum albumin at baseline may receive albumin supplementation to comply with this criterion
  11. Males and females ≥18 years of age
  12. Male Participants: A male participant must agree to use a highly effective
  13. Female Participants: A female participant is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies:

    1. Not a woman of (WOCBP) OR
    2. A WOCBP who agrees to follow contraceptive guidance from the Screening visit, during the treatment period and for at least 3 months after the last dose of study treatment
  14. Capable of giving signed

Exclusion criteria

Exclusion Criteria:

  1. Patients with the following diseases:

    • Monoclonal gammopathy of undetermined significance (MGUS) of non- immunoglobulin (Ig)M and IgM subtypes,
    • Light chain MGUS,
    • Solitary plasmacytoma (alone or with minimal marrow involvement),
    • Systemic Ig light chain amyloidosis,
    • Waldenstrom's Macroglobulinemia,
    • Myelodysplastic syndrome,
    • Plasma cell leukemia defined as a plasma cell count >2000/mm3
    • Polyneuropathy, organomegaly endocrinopathy, monoclonal protein, and skin changes (POEMS) syndrome
  2. Peripheral neuropathy Grade 2 or higher at Screening or patients with a history of Grade 3/4 neuropathy or Grade 2 with pain
  3. Prior or concurrent , except for: Adequately treated basal cell or squamous cell skin cancer, carcinoma in-situ of the cervix or breast or very low and low risk prostate cancer in active surveillance or any other cancer from which the patient has been disease-free for >5 years
  4. Active congestive heart failure ( [NYHA] Class III to IV), symptomatic cardiac ischemia, or conduction abnormalities uncontrolled by conventional intervention. Myocardial infarction within 6 months prior to screening
  5. Uncontrolled hypertension (defined as systolic blood pressure (SBP) >150 mm Hg diastolic blood pressure (DBP) >100 mm Hg despite antihypertensive medication)
  6. Stroke, or within 6 months of Screening, bleeding and vascular disease
  7. Abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the past 6 months
  8. Significant concurrent, uncontrolled medical condition including, but not limited to, severe wound healing complication, renal (except related to MM), hepatic, hematological except MM, gastrointestinal, endocrine, pulmonary, neurological, cerebral or psychiatric disease
  9. Acute active infection requiring systemic antibiotics, antiviral (except antiviral therapy directed at ) or antifungal agents within 14 days prior to screening
  10. Clinical signs of or documented or cerebral involvement of MM
  11. Treatment with ixazomib as last in Part 2
  12. Therapy with approved or anticancer therapeutics within 21 days (or in the case of nitrosureas, within 6 weeks) prior to treatment (except anti-myeloma treatment with a carfilzomib- or bortezomib-based regimen in Part 2) Note: Patients must have recovered from pre-existing, treatment-related adverse events to Grade 1 or lower
  13. stem cell transplantation (ASCT) within 12 weeks before the date of enrollment
  14. Prior allogeneic stem cell transplantation with active graft-versus-host-disease
  15. Major surgery within 21 days prior to Screening
  16. Immunotherapy within 21 days prior to Screening
  17. Newly initiated therapy with bisphosphonate or RANKL (within two months prior to Screening). Patients on stable regimen with bisphosphonate or receptor activator of nuclear kappa-B ligand (RANKL)-inhibitor therapy over 2 months can continue these treatments at the same dose. No new therapy with bisphosphonate/RANKL inhibitor is allowed during the study
  18. Radiation therapy within 2 months of Cycle 1, Day 1 is not permitted Except for local low-dose, palliative radiation to bone lesions for pain control.
  19. Patients who have received treatment with any non-marketed product within 21 days prior to treatment start
  20. Current participation in any other interventional clinical study
  21. Patients known or suspected of not being able to comply with a study protocol (e.g. due to alcoholism, drug dependency or psychological disorder)
  22. Known infection with or serologic status reflecting active hepatitis B or virus infection as follows:

    • Not receiving or not responding to anti-viral therapy.
    • HCV RNA detected
  23. Patients with to dexamethasone or bortezomib according to the applicable local product label
  24. Known to components of the investigational product, for example, histidine buffer or the Tween diluent
Terms in these criteria, in plain language(26)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
33 participants (actual)

Study arms

  • Experimental
    Single arm Study MP0250 plus BOR + DEX

    Single arm study of MP0250 plus bortezomib + dexamethasone

    Biological: MP0250 plus BOR+DEX

Interventions

  • BiologicalMP0250 plus BOR+DEX

    Drug page: MP0250

    6 mg/kg or 8 mg/kg or 12 mg/kg of MP0250, IV (in the vein,) on day 1 of each 21 day cycle. Bortezomib and Dexamethasone according to label. Number of Cycles: until progression or unacceptable toxicity develops.

06

What researchers measure

Primary outcomes

  1. Part 1: Overall Response Rate (ORR)

    Defined as the number of participants achieving a complete response (CR), very good partial response (VGPR), or partial response (PR) during treatment with MP0250 plus bortezomib+dexamethasone determined by the Investigator in part 1.

    Time frame: 24 months

  2. Part 2: ORR

    Defined as the number of participants achieving a confirmed, stringent complete response (sCR), very good partial response (VGPR), or partial response (PR) during treatment with MP0250 plus bortezomib+dexamethasone determined by the Investigator in part 2.

    Time frame: 24 months

Secondary outcomes

  1. Number of Participants Who Experienced One or More Treatment-Emergent Adverse Events

    Time frame: 24 months

  2. Number of Participants who Experienced One or More Treatment-Emergent SAEs

    Time frame: 24 months

  3. Number of Participants Who Experienced One or More Common Terminology Criteria for Adverse Events (CTCAE) Grade ≥ 3 Adverse Events

    Time frame: 24 months

  4. Number of Participants with a Clinical Significant Change from Baseline in Laboratory Results

    Time frame: 24 months

  5. Number of Participants with a Clinically Significant Change from Baseline in Vital Signs

    Time frame: 24 months

  6. Number of Participants with a Clinically Significant Change from Baseline in Electrocardiogram (ECG) Results

    Time frame: 24 months

  7. Number of Participants with a Positive Anti-drug Antibody (ADA) Result

    Time frame: 24 months

  8. Titer of Anti-drug Antibodies (ADA)

    Time frame: 24 months

  9. Time Course of Anti-drug Antibodies

    Time frame: 24 months

  10. Duration of Response (DOR)

    DOR is defined as the duration from first observation of partial response (PR) or better until disease progression, or death from myeloma.

    Time frame: 24 months

  11. Progression Free Survival (PFS)

    PFS is determined as the time from first study treatment until progression or death from myeloma.

    Time frame: 24 months

07

Study locations

24 sites
  • Hanusch Krankenhaus Wiener Gebietskrankenkasse
    Wien, Vienna 1140, Austria
  • Landeskliniken Salzburg Saint Johanns-Spital
    Salzburg, 5020, Austria
  • Fakultní Nemocnice Brno
    Brno, Jihormoravsky Krav 625 00, Czechia
  • Fakultní Nemocnice Ostrava
    Ostrava - Poruba, Severomoravsky KRAJ 708 52, Czechia
  • Odense University Hospital
    Odense C, 5000, Denmark
  • Vejle Sygehus
    Vejle, 7100, Denmark
  • Asklepios Klinik Altona
    Hamburg-Altona, Hamburg 22763, Germany
  • Universitätsklinikum Dresden
    Dresden, Sachsen 01307, Germany
  • Universitaetsklinikum Essen
    Essen, 45147, Germany
  • Universitätsklinikum Heidelberg
    Heidelberg, 69120, Germany
  • Universitätsklinikum Leipzig
    Leipzig, 04103, Germany
  • Universitätsklinikum Münster
    Münster, 48149, Germany
  • Universitätsklinikum Würzburg
    Würzburg, 97080, Germany
  • Azienda Ospedaliera Policlinico di Bari
    Bari, 70124, Italy
  • Azienda Ospedaliero Universitaria di Bologna Policlinico Sant'Orsola-Malpighi
    Bologna, 40138, Italy
  • Arcispedale Santa Maria Nuova
    Reggio Emilia, 42100, Italy
  • Fondazione Policlinico Universitario Agostino Gemelli
    Roma, 00168, Italy
  • Azienda Ospedaliera Città della Salute e della Scienza di Torino
    Torino, 10126, Italy
  • Samodzielny Publiczny Zakład Opieki Zdrowotnej Zespół Szpitali Miejskich
    Chorzów, Slaskie 41-500, Poland
  • Uniwersyteckie Centrum Kliniczne
    Gdańsk, 80-214, Poland
  • Szpital Uniwersytecki w Krakowie
    Kraków, 31-501, Poland
  • Centrum Onkologii Ziemi Lubelskiej
    Lublin, 20-090, Poland
  • Szpital Wojewódzki w Opolu
    Opole, 45-061, Poland
  • Instytut Hematologii i Transfuzjologii
    Warszawa, 02-776, Poland
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2017 to primary completion in Oct 2020, 40 months.

Of 98 industry-sponsored phase 1/2 interventional studies under Multiple Myeloma, half reached primary completion within 64 months of starting (the median), counting those still running; a quarter within 42 and three quarters within 90. This study's 40 months is below that.

Counting every sponsor, half of 201 studies reached it within 65 months; a quarter within 44 and three quarters within 92.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 18, 2017
First posted
May 2, 2017
StartActual
May 23, 2017
Primary completionActual
Oct 12, 2020
CompletionActual
Jan 13, 2021
Last update
Aug 25, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 25, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03136653
Lead sponsor
Molecular Partners AG
Responsible party
Sponsor
First posted
May 2, 2017
Start date
May 23, 2017
Primary completion
Oct 12, 2020
Completion
Jan 13, 2021
Last update
Aug 25, 2021

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: MP0250

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