ClinicalTrials.gg
RecruitingNCT04879043Updated Sep 17, 2026

Study to Assess Safety of HDP-101 in Patients With Relapsed Refractory Multiple Myeloma

A Phase 1/2 interventional study of HDP-101 in Multiple Myeloma and Plasma Cell Disorder, sponsored by Heidelberg Pharma AG. Recruiting at 24 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by Heidelberg Pharma AG · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2022; still recruiting 4 years 9 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
78
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 — 51 open to participants now, 103 under way, 47 of them phase 3. Multiple Myeloma · Germany.

Planned enrollment
178th of 263
78 · median 171
Started
2022
with 21 others
Phase 1/2
41 of 297
10 open now
Primary completion
2028-03
later than 61 of 101 live
Registered
211th of 297
by date

Among the 297 studies in Multiple Myeloma with a site in Germany, this one is the 178th largest by planned enrollment of the 263 interventional ones, is one of 22 that started in 2022, is one of 41 in phase 1/2, reaches primary completion later than 61 of the 101 other live ones, and was the 211th registered.

By phase

297 studies; the count open now beside each. This study's row is marked.

Phase 3110 · 18 open
Phase 265 · 5 open
Phase 1/2this study41 · 10 open
Phase 133 · 2 open
Observational32 · 9 open
No phase11 · 5 open
Phase 2/33 · 1 open
Other kind2 · 1 open

By the year they started

First in 1997; this study’s year is marked. 22 started in 2022.

Size and results

Median enrollment 171 across the 263 interventional studies, 298 across the 32 observational. Of the 180 that completed or were terminated, 87 (48%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 297 studies in Multiple Myeloma with a site in Germany, or all of them as a file.
02

Study summary

This study will assess the safety, tolerability, pharmacokinetics (PK) and the therapeutic potential of HDP-101 in patients with plasma cell disorders including multiple myeloma.

Read the detailed description

The study will consists of two parts: a Part 1 dose escalation phase and a Part 2a expansion phase for safety, tolerability, PK, PD, and clinical activity testing. The study will enroll subjects with relapsed/refractory MM or other plasma cell disorders expressing BCMA. An adaptive 2-parameter Bayesian logistic regression model (BLRM) for dose-escalation with overdose control will be used in the dose-escalation phase for determination of the MTD or the RP2D. Dose-expansion phase of the study aims to collect preliminary evidence of antitumor activity and to confirm the safety of the HDP-101 as a monotherapy.

03

Conditions studied

  • Multiple Myeloma
  • Plasma Cell Disorder
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

  • Male or female aged ≥18 years.
  • >12 weeks.
  • Performance Status (PS) of 0 to 2.
  • A confirmed diagnosis of active MM according to the diagnostic criteria established by the International Myeloma Working Group (IMWG).
  • Must have undergone SCT or is considered transplant ineligible.
  • Must have undergone prior treatments with antimyeloma therapy which must have included an immunomodulatory drug, proteasome inhibitor, and anti-CD38 treatment, alone or in combination. In addition, the patient should either or intolerant to any established standard of care therapy providing a meaningful clinical benefit for the patient assessed by the Investigator.
  • as per IMWG criteria.
  • Adequate organ system function as defined in protocol.

Exclusion criteria

Exclusion Criteria:

  • For patient entering the Phase 2a part only: Prior treatment with any approved or experimental BCMA-targeting modalities are not allowed.
  • Known central nervous system involvement.
  • Plasma cell leukemia.
  • History of congestive heart failure.
  • Autologous or allogenic SCT within 12 weeks before the first infusion or is planning for SCT.
  • Symptomatic post allogenic hemopoietic cell transplant within 12 months prior to the first study treatment infusion.
  • Radiotherapy within 21 days prior to the first study treatment infusion.
  • History of any other known to be active.
  • Known infection.
  • Patients with active infection requiring systemic anti-infective.
  • Patients with positive test results for surface antigen or Hepatitis B core antigen.
  • Patients with positive test results for virus (HCV) infection.
  • Current active liver or biliary disease.
Terms in these criteria, in plain language(10)

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.

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.

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

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.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

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.

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 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.

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.

05

Study design

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

Study arms

  • Experimental
    HDP-101

    Participants will receive HDP-101 intravenously in a 21 day cycle until disease progression, intolerable toxicity, Investigator's discretion or patient withdrawal. During the phase 1 tolerability of different dose levels will be evaluated. During the phase 2a dose expansion part the recommended phase 2 dose (RP2D) of HDP-101 will be administered.

    Drug: HDP-101

Interventions

  • DrugHDP-101

    HDP-101 is available as lyophilized white powder for preparation of infusion.

06

What researchers measure

Primary outcomes

  1. Number of patients who experience dose-limiting toxicity (DLT) during the first cycle of treatment - Part 1 as defined in Clinical Study Protocol

    Time frame: Up to Day 21 (from first dose)

  2. Objective response rate (ORR)

    Proportion of enrolled subjects who achieve a partial response (PR) or better, i.e. stringent complete response (sCR), complete response (CR), very good partial response (VGPR) and PR, according to the IMWG criteria.

    Time frame: Through study completion, an average of 1 year

Secondary outcomes

  1. Assess the safety and tolerability of HDP-101

    Number of patients with serious and non-serious adverse events grouped by system organ class and preferred terms based on Common Terminology Criteria for Adverse Events (CTCAE v 5.0) classification.

    Time frame: Through study completion, an average of 1 year

  2. To assess the anticancer activity of HDP-101 in terms of time-to-event (TTE)

    Clinical efficacy of HDP-101 measured by Progression Free Survival (PFS) and Overall Survival (OS).

    Time frame: Through study completion, an average of 1 year

07

Study locations

11 of 24 sites recruiting
  • Winship Cancer Institute of Emory University
    Atlanta, Georgia 30322, United States
    Recruiting
  • Norton Healthcare, Inc.
    Louisville, Kentucky 40202, United States
    Not yet recruiting
  • Nebraska Cancer Institute
    Omaha, Nebraska 68130, United States
    Recruiting
  • Mount Sinai, The Tisch Cancer Instutute
    New York, New York 10029, United States
    Recruiting
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
    Recruiting
  • Charité - Campus Benjamin Franklin Med. Klinik m.S. Hämatologie, Onkologie
    Berlin, 12203, Germany
    Withdrawn

    Not enrolling at this site — choose another above.

  • Klinikum Chemnitz gGmbH, Klinik f. Innere Medizin III
    Chemnitz, 09116, Germany
    Withdrawn

    Not enrolling at this site — choose another above.

  • Universitätsklinikum Köln
    Cologne, 50937, Germany
    Withdrawn

    Not enrolling at this site — choose another above.

  • Asklepios Klinik Altona, Haematologie und internistische Onkologie
    Hamburg, 22763, Germany
    Withdrawn

    Not enrolling at this site — choose another above.

  • Universitätsklinikum Heidelberg
    Heidelberg, 69120, Germany
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Universitätsklinikum Schleswig-Holstein
    Kiel, 24105, Germany
    Withdrawn

    Not enrolling at this site — choose another above.

  • UKSH Campus Lübeck Klinik für Hämatologie und Onkologie
    Lübeck, 23538, Germany
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Universitätsklinikum Mainz
    Mainz, 55131, Germany
    Withdrawn

    Not enrolling at this site — choose another above.

  • Semmelweis University, Belgyogyaszati es Onkologiai Klinika
    Budapest, 1083, Hungary
    Recruiting
  • National Institute of Oncology, Department of Oncological Internal Medicine
    Budapest, 1122, Hungary
    Withdrawn

    Not enrolling at this site — choose another above.

  • Pécsi Tudományegyetem Klinikai Központ
    Pécs, 7624, Hungary
    Not yet recruiting
  • Pratia Onkologia Katowice
    Katowice, 40-568, Poland
    Recruiting
  • Pratia Onkologia Kraków
    Krakow, 40-519, Poland
    Recruiting
  • Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Lodzi
    Lodz, 93-513, Poland
    Withdrawn

    Not enrolling at this site — choose another above.

  • Szpital Wojewodzki w Opolu
    Opole, 45-061, Poland
    Withdrawn

    Not enrolling at this site — choose another above.

  • AIDPORT Sp. zo.o.
    Skórzewo, 60-185, Poland
    Recruiting
  • MICS Centrum Medyczne Torun
    Torun, 87-100, Poland
    Recruiting
  • Arensia Clinics SRL
    Bucharest, Romania
    Recruiting
  • Oncology Institute Prof. Dr. Ion Chiricuta I.O.C.N.
    Cluj-Napoca, Romania
    Recruiting
08

References and documents

Publications

  • Strassz A, Raab MS, Orlowski RZ, Kulke M, Schiedner G, Pahl A. A First in Human Study Planned to Evaluate HDP-101, an Anti-BCMA Amanitin Antibody-Drug Conjugate with a New Payload and a New Mode of Action, in Multiple Myeloma. Blood 2020; 136 (Supplement 1): 34. doi: https://doi.org/10.1182/blood-2020-142285

Individual participant data

Plan to share: No

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

Started Feb 2022 (actual). Primary completion is estimated for Mar 2028, 73 months after the start.

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 planned 73 months is above 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 23, 2021
First posted
May 10, 2021
StartActual
Feb 7, 2022
Primary completionEst.
Mar 2028
CompletionEst.
Sep 2028
Last update
Sep 17, 2026
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 Sep 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04879043
Lead sponsor
Heidelberg Pharma AG
Responsible party
Sponsor
First posted
May 10, 2021
Start date
Feb 7, 2022
Primary completion
Mar 2028 (estimated)
Completion
Sep 2028 (estimated)
Last update
Sep 17, 2026

Study contacts

Lei Wang, MD
Contact
clinical@hdpharma.com
+ 49 6203 1009 0

Oversight

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

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