CClinicalTrials.gg
RecruitingNCT05020236MAGNETISMM-5Updated Aug 24, 2026

A Study to Learn About the Study Medicine Elranatamab Alone and With Daratumumab in People With Multiple Myeloma Who Have Received Other Treatments

A Phase 3 interventional study of Elranatamab and Daratumumab in Multiple Myeloma, sponsored by Pfizer. Recruiting at 237 sites in 26 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-24.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2021; still recruiting 5 years later.
Phase
Phase 3
Study type
Interventional
Enrollment
893
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this clinical trial is to (1) learn whether the BCMA-CD3 bispecific antibody elranatamab can provide more benefit to people with multiple myeloma compared to a combination therapy including daratumumab, pomalidomide, and dexamethasone, and (2) learn about the safety and activity of elranatamab in combination with the anti-CD38 monoclonal antibody daratumumab. People with multiple myeloma who have received previous treatment including lenalidomide will be enrolled in the study.

Part 1 of the study will assess the safety and activity of different doses of elranatamab in combination with daratumumab.

People participating in Part 2 of the study will be randomly assigned to receive either elranatamab alone, elranatamab plus daratumumab, or daratumumab, pomalidomide, and dexamethasone. Part 2 will evaluate the safety and activity of (1) elranatamab alone compared to daratumumab, pomalidomide, and dexamethasone, and (2) elranatamab plus daratumumab.

Part 3 will assess the effect of increased measures to protect against infection in people treated with either elranatamab alone or together with daratumumab.

All people participating in the study will receive study treatment until their disease progresses, they experience unacceptable side effects, or they choose to no longer participate in the study.

02

Conditions studied

  • Multiple Myeloma

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Keywords

  • Elranatamab
  • PF-06863135
  • B-Cell Maturation Antigen
  • BCMA
  • Bispecific antibody
  • BCMA-CD3 bispecific antibody
  • Daratumumab
  • Pomalidomide
  • Multiple myeloma
  • Relapsed multiple myeloma
  • Refractory multiple myeloma
  • MagnetisMM-5
03

In context

Multiple Myeloma

3,632 studies on the registry are indexed under Multiple Myeloma; 745 are open to participants now.

This study's planned enrollment of 893 is above the median of 41 across 2,907 interventional studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Inclusion criteria

  • Prior diagnosis of multiple myeloma as defined by IMWG criteria (Rajkumar et al, 2014).
  • Measurable disease based on IMWG criteria as defined by at least 1 of the following:

    • Serum M-protein ≥0.5 g/dL.
    • Urinary M-protein excretion ≥200 mg/24 hours.
    • Serum immunoglobulin FLC ≥10 mg/dL (≥100 mg/L) AND abnormal serum immunoglobulin kappa to lambda FLC ratio (\<0.26 or >1.65).
  • Prior anti-multiple myeloma therapy including treatment with lenalidomide.
  • ECOG performance status ≤2.
  • Resolved acute effects of any prior therapy to baseline severity or CTCAE Grade ≤1.
  • Not pregnant and willing to use contraception.

Exclusion criteria

Exclusion Criteria:

  • Smoldering multiple myeloma.
  • Plasma cell leukemia.
  • Amyloidosis.
  • POEMS Syndrome.
  • Stem cell transplant within 12 weeks prior to enrolment, or active graft versus host disease.
  • Active HBV, HCV, SARS-CoV2, HIV, or any active, uncontrolled bacterial, fungal, or viral infection.
  • Any other active malignancy within 3 years prior to enrolment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ.
  • Previous treatment with a BCMA-directed therapy.
  • Live attenuated vaccine within 4 weeks of the first dose of study intervention.
  • Administration with an investigational product (e.g. drug or vaccine) concurrent with study intervention or within 30 days preceding the first dose of study intervention used in this study.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
None (open label)
Enrollment
893 participants (estimated)

Study arms

  • Experimental
    Part 1 Safety Lead-In Dose Escalation: Elranatamab + Daratumumab

    Drug: Elranatamab · Drug: Daratumumab

  • Experimental
    Part 2 Randomized Arm A: Elranatamab

    Drug: Elranatamab

  • Experimental
    Part 2 Randomized Arm B: Elranatamab + Daratumumab

    Drug: Elranatamab · Drug: Daratumumab

  • Active comparator
    Part 2 Randomized Arm C: Daratumumab + Pomalidomide + Dexamethasone

    Drug: Daratumumab · Drug: Pomalidomide · Drug: Dexamethasone

  • Experimental
    Part 3 Arm D: Elranatamab

    Drug: Elranatamab

  • Experimental
    Part 3 Arm E: Elranatamab + Daratumumab

    Drug: Elranatamab · Drug: Daratumumab

Interventions

  • DrugElranatamab

    subcutaneous

    Also known as: PF-06863135

  • DrugDaratumumab

    Daratumumab / hyaluronidase, subcutaneous

    Also known as: Darzalex Faspro; Darzalex solution for injection

  • DrugPomalidomide

    oral

    Also known as: Pomalyst, Imnovid

  • DrugDexamethasone

    oral

06

What researchers measure

Primary outcomes

  1. Part 1 Safety Lead-In: Incidence of dose limiting toxicities

    Time frame: First 42 days after first elranatamab dose

  2. Part 2 Randomized: Progression free survival per International Myeloma Working Group criteria

    Time frame: From date of randomization to date of progressive disease, discontinuation from the study, death, or censoring, whichever occurs first, assessed up to 51 months

  3. Part 3: Frequency of treatment-emergent adverse events

    Time frame: First 84 days after first elranatamab dose

Secondary outcomes

  1. Part 1 Safety Lead-In: Progression free survival per International Myeloma Working Group criteria

    Time frame: From date of randomization to date of progressive disease, discontinuation from study, death, or censoring, whichever occurs first, assessed up to 51 months

  2. Overall survival

    Time frame: From date of randomization to date of discontinuation from study, death, or censoring, whichever occurs first, assessed up to 51 months

  3. Objective response rate per International Myeloma Working Group criteria

    Time frame: From date of randomization to date of progressive disease, discontinuation from study, death, or start of new anticancer therapy, whichever occurs first, assessed up to 51 months

  4. Duration of response per International Myeloma Working Group criteria

    Time frame: From date of confirmed objective response to date of progressive disease, discontinuation from study, death, or censoring, whichever occurs first, assessed up to 51 months

  5. Time to response per International Myeloma Working Group criteria

    Time frame: From date of randomization to date of confirmed objective response, assessed up to 51 months

  6. Complete response rate per International Myeloma Working Group criteria

    Time frame: From date of randomization to date of progressive disease, discontinuation from study, death, or start of new anticancer therapy, whichever occurs first, assessed up to 51 months

  7. Duration of complete response per International Myeloma Working Group criteria

    Time frame: From date of confirmed complete response to date of progressive disease, discontinuation from study, death, or censoring, whichever occurs first, assessed up to 51 months

  8. Minimal residual disease negativity rate per International Myeloma Working Group criteria

    Time frame: From date of randomization to date of progressive disease, discontinuation from study, death, or start of new anticancer therapy, whichever occurs first, assessed up to 51 months

  9. Sustained minimal residual disease negativity rate per International Myeloma Working Group criteria

    Time frame: From date of randomization to date of progressive disease, discontinuation from study, death, or start of new anticancer therapy, whichever occurs first, assessed up to 51 months

  10. Progression free survival on next-line treatment per International Myeloma Working Group criteria

    Time frame: From date of randomization to date of second objective disease progression, discontinuation from the study, death, or censoring, whichever occurs first, assessed up to 51 months

  11. Frequency of treatment-emergent adverse events

    Time frame: From date of first dose of study intervention through minimum of 90 days after last study intervention administration. Reporting of non-serious AEs ends at start of new anti-cancer therapy.

  12. Frequency of abnormal laboratory results

    Time frame: From date of first dose of study intervention through minimum of 90 days after last study intervention administration. Reporting of non-serious AEs ends at start of new anti-cancer therapy.

  13. Rate of Grade ≥2 cytokine release syndrome

    Time frame: First 28 days after first elranatamab dose

  14. Elranatamab pharmacokinetics by pre- and post-dose concentrations

    Time frame: From date of first dose through up to 14 days after date of last dose of elranatamab

  15. Elranatamab immunogenicity by anti-drug antibodies against elranatamab

    Time frame: From date of first dose through up to 14 days after date of last dose of elranatamab

  16. Daratumumab pharmacokinetics by pre-dose concentrations

    Time frame: From date of first dose through up to 14 days after date of last dose of daratumumab

  17. Health-related quality of life by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30

    Time frame: From date of informed consent through up to 35 days after date of last dose of study intervention

  18. Health-related quality of life by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Myeloma 20

    Time frame: From date of informed consent through up to 35 days after date of last dose of study intervention

07

Study locations

80 of 237 sites recruiting
  • Clovis Community Medical Center
    Clovis, California 93611, United States
    Active, not recruiting
  • Community Cancer Institute
    Clovis, California 93611, United States
    Active, not recruiting
  • University of California San Francisco
    Fresno, California 93701, United States
    Active, not recruiting
  • Community Regional Medical Center
    Fresno, California 93721, United States
    Active, not recruiting
  • UCHealth Poudre Valley Hospital
    Fort Collins, Colorado 80524, United States
    Active, not recruiting
  • UCHealth Harmony
    Fort Collins, Colorado 80528, United States
    Active, not recruiting
  • UCHealth Greeley Hospital
    Greeley, Colorado 80634, United States
    Active, not recruiting
  • UCHealth - Medical Center of the Rockies
    Loveland, Colorado 80538, United States
    Active, not recruiting
  • Sylvester Comprehensive Cancer Center - Aventura
    Aventura, Florida 33180, United States
    Recruiting
  • Sylvester Comprehensive Cancer Center- The Lennar Foundation Medical Center
    Coral Gables, Florida 33146, United States
    Recruiting
  • Sylvester Comprehensive Cancer Center - Coral Springs
    Coral Springs, Florida 33065, United States
    Recruiting
  • University of Miami Hospital and Clinics - Deerfield Beach
    Deerfield Beach, Florida 33442, United States
    Recruiting
  • Sylvester Comprehensive Cancer Center - Hollywood
    Hollywood, Florida 33021, United States
    Recruiting
  • Sylvester Comprehensive Cancer Center
    Miami, Florida 33136, United States
    Recruiting
  • University of Miami Hospital and Clinics
    Miami, Florida 33136, United States
    Recruiting
  • Sylvester Comprehensive Cancer Center - Kendall
    Miami, Florida 33176, United States
    Recruiting
  • Sylvester Comprehensive Cancer Center - Plantation
    Plantation, Florida 33324, United States
    Recruiting
  • East Jefferson General Hospital
    Metairie, Louisiana 70006, United States
    Active, not recruiting
  • MSK Basking Ridge
    Basking Ridge, New Jersey 07920, United States
    Recruiting
  • MSK Monmouth
    Middletown, New Jersey 07748, United States
    Recruiting
  • MSK Bergen
    Montvale, New Jersey 07645, United States
    Recruiting
  • MSK Commack
    Commack, New York 11725, United States
    Recruiting
  • MSK Westchester
    Harrison, New York 10604, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center - David H. Koch Center for Cancer Care (74th Street).
    New York, New York 10021, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center - Main Campus
    New York, New York 10065, United States
    Recruiting
  • MSK Nassau
    Uniondale, New York 11553, United States
    Recruiting
  • Alexander Fleming S.A (Instituto Medico Especializado Alexander Fleming)
    Ciudad Autonoma de Buenos Aires, Buenos Aires 1426, Argentina
    Terminated
  • FUNDALEU - Fundacion para combatir la Leucemia
    Ciudad Autonoma de Buenos Aires, Buenos Aires C1114AAN, Argentina
    Recruiting
  • FUNDALEU -Fundación para combatir la leucemia
    Ciudad Autónoma de Buenos Aires, Buenos Aires C1114AAP, Argentina
    Recruiting
  • FUNDALEU
    Ciudad Autónoma de Buenos Aires, Buenos Aires C1114AAP, Argentina
    Recruiting
  • Hospital Italiano de La Plata
    La Plata, Buenos Aires B1900XI, Argentina
    Active, not recruiting
  • Hospital Universitario Austral
    Presidente Derqui, Buenos Aires B1629AHJ, Argentina
    Active, not recruiting
  • Sanatorio de La Mujer
    Rosario, Santa Fe Province S2000ORE, Argentina
    Active, not recruiting
  • Pindara Private Hospital
    Benowa, Queensland 4217, Australia
    Recruiting
  • QScan Radiology Clinics
    Clayfield, Queensland 4011, Australia
    Recruiting
  • Gallipoli Medical Research Foundation
    Greenslopes, Queensland 4120, Australia
    Active, not recruiting
  • Greenslopes Private Hospital
    Greenslopes, Queensland 4120, Australia
    Active, not recruiting
  • Princess Alexandra Hospital
    Woolloongabba, Queensland 4102, Australia
    Recruiting
  • Epworth Freemasons
    East Melbourne, Victoria 3002, Australia
    Recruiting
  • St Vincent's Hospital (Melbourne)
    Fitzroy, Victoria 3065, Australia
    Recruiting
  • Barwon Health
    Geelong, Victoria 3220, Australia
    Recruiting
  • The Alfred Hospital
    Melbourne, Victoria 3004, Australia
    Recruiting
  • Epworth Healthcare
    Richmond, Victoria 3121, Australia
    Recruiting
  • Slade Pharmacy
    Richmond, Victoria 3121, Australia
    Recruiting
  • Linear Clinical Research
    Perth, Western Australia 6009, Australia
    Active, not recruiting
  • Universitätsklinikum Krems
    Krems, Lower Austria 3500, Austria
    Active, not recruiting
  • Klinik Ottakring
    Vienna, State of Vienna 1160, Austria
    Active, not recruiting
  • Universitätsklinik für Innere Medizin V Innsbruck
    Innsbruck, 6020, Austria
    Active, not recruiting
  • Uniklinikum Salzburg
    Salzburg, 5020, Austria
    Recruiting
  • Medizinische Universität Wien
    Vienna, 1090, Austria
    Active, not recruiting
  • Grand Hôpital de Charleroi
    Gilly, Hainaut 6060, Belgium
    Active, not recruiting
  • CHU UCL Namur (site Godinne)
    Yvoir, Namur 5530, Belgium
    Active, not recruiting
  • Instituto D'Or de Pesquisa e Ensino (IDOR) - Filial Salvador
    Salvador, Estado de Bahia 41253-190, Brazil
    Active, not recruiting
  • Centro Gaucho Integrado De Oncologia, Hematologia, Ensino E Pesquisa
    Porto Alegre, Rio Grande do Sul 90110-270, Brazil
    Active, not recruiting
  • Centro de Pesquisa Clínica - Área Administrativa
    Porto Alegre, Rio Grande do Sul 90850-170, Brazil
    Active, not recruiting
  • Hospital Mae de Deus
    Porto Alegre, Rio Grande do Sul 90880-480, Brazil
    Active, not recruiting
  • BP - A Beneficencia Portuguesa de São Paulo
    São Paulo, São Paulo 01321-001, Brazil
    Active, not recruiting
  • Clínica Médica São Germano LTDA
    SP, São Paulo 04537-080, Brazil
    Active, not recruiting
  • Hospital Américas Medical City
    Rio de Janeiro, 22775001, Brazil
    Active, not recruiting
  • Instituto de Educação, Pesquisa e Gestão em Saúde
    Rio de Janeiro, 22793-080, Brazil
    Active, not recruiting
  • ESHO Empresa de Serviços Hospitalares S.A/ Hospital Samaritano de Higienópolis
    São Paulo, 01232-010, Brazil
    Active, not recruiting
  • IDOR Ensino e Pesquisa
    São Paulo, 01401-002., Brazil
    Active, not recruiting
  • HU UNIFESP / SPDM - Hospital São Paulo
    São Paulo, 04024-002, Brazil
    Active, not recruiting
  • Universidade Federal de Sao Paulo
    São Paulo, 04024-002, Brazil
    Active, not recruiting
  • Clínica Médica São Germano S/S Ltda
    São Paulo, 04537-080, Brazil
    Active, not recruiting
  • Instituto D'Or de Pesquisa e Ensino (IDOR)
    São Paulo, 04543-000, Brazil
    Active, not recruiting
  • Instituto D'Or de Pesquisa e Ensino (IDOR)
    São Paulo, 04544-000, Brazil
    Active, not recruiting
  • Arthur J.E. Child Comprehensive Cancer Centre
    Calgary, Alberta T2N 5G2, Canada
    Recruiting
  • Cross Cancer Institute
    Edmonton, Alberta T6G 1Z2, Canada
    Active, not recruiting
  • QEII Health Sciences Centre - Victoria General Site
    Halifax, Nova Scotia B3H 2Y9, Canada
    Recruiting
  • Hamilton Health Sciences-Juravinski Cancer Centre
    Hamilton, Ontario L8V5C2, Canada
    Active, not recruiting
  • Princess Margaret Cancer Centre
    Toronto, Ontario M5G 2M9, Canada
    Active, not recruiting
  • CIUSSS de l'Est-de-l'Île-de-Montréal
    Montreal, Quebec H1T2M4, Canada
    Active, not recruiting
  • Jewish General Hospital
    Montreal, Quebec H3T 1E2, Canada
    Recruiting
  • Saskatoon Cancer Center
    Saskatoon, Saskatchewan S7N4H4, Canada
    Recruiting
  • Peking University Third Hospital
    Beijing, Beijing Municipality 100191, China
    Recruiting
  • Fujian Medical University Union Hospital
    Fuzhou, Fujian 350001, China
    Recruiting
  • Guangdong Provincial People's Hospital
    Guangzhou, Guangdong 510080, China
    Recruiting
  • Nanfang Hospital of Southern Medical University
    Guangzhou, Guangdong 510515, China
    Recruiting
  • Sun Yat-sen University Cancer Center
    Guangzhou, Guangdong 510555, China
    Recruiting
  • Shenzhen Second People's Hospital
    Shenzhen, Guangdong 518035, China
    Recruiting
  • The Second Hospital of Hebei Medical University
    Shijiazhuang, Hebei 050000, China
    Active, not recruiting
  • Henan Cancer Hospital
    Zhengzhou, Henan 450008, China
    Recruiting
  • Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, Hubei 430030, China
    Recruiting
  • Nanjing Drum Tower Hospital , The Affiliated Hospital of Nanjing University Medical School
    Nanjing, Jiangsu 210008, China
    Recruiting
  • The Affiliated Hospital of Xuzhou Medical University
    Xuzhou, Jiangsu 221006, China
    Active, not recruiting
  • The First Affiliated Hospital of Nanchang University
    Nanchang, Jiangxi 330006, China
    Active, not recruiting
  • Jilin Province Cancer Hospital
    Changchun, Jilin 130000, China
    Active, not recruiting
  • The First Hospital of Jilin University
    Changchun, Jilin 130021, China
    Recruiting
  • Shandong Provincial Hospital
    Jinan, Shandong 250021, China
    Active, not recruiting
  • Jinan Central Hospital
    Jinan, Shandong 250100, China
    Recruiting
  • Institute of hematology&blood disease hospital
    Tianjin, Tianjin Municipality 301636, China
    Recruiting
  • The First Affiliated Hospital, Zhejiang University
    Hangzhou, Zhejiang 310003, China
    Recruiting
  • The First Affiliated Hospital of Wenzhou Medical University
    Wenzhou, Zhejiang 325000, China
    Recruiting
  • Beijing Boren Hospital
    Beijing, 100070, China
    Active, not recruiting
  • Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
    Beijing, 100730, China
    Active, not recruiting
  • Chongqing University Cancer Hospital
    Chongqing, 400030, China
    Recruiting
  • Fakultní nemocnice Brno Bohunice
    Brno, Brno-m?sto 625 00, Czechia
    Recruiting
  • Fakultni Nemocnice Plzen
    Plzen - Lochotin, Plzeň Region 304 60, Czechia
    Recruiting
  • Fakultni poliklinika
    Prague, Praha 2 120 00, Czechia
    Recruiting

Showing the first 100 of 237 sites across 26 countries.

08

References and documents

Individual participant data

Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05020236
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Aug 25, 2021
Start date
Oct 4, 2021
Primary completion
Feb 26, 2026
Completion
May 31, 2027 (estimated)
Last update
Aug 24, 2026

Study contacts

Pfizer CT.gov Call Center
Contact
ClinicalTrials.gov_Inquiries@pfizer.com
1-800-718-1021
Pfizer CT.gov Call Center
study director · Pfizer

Oversight

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

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