ClinicalTrials.gg
RecruitingNCT07609940POPLINUpdated Oct 27, 2026

Adult Outpatient Linvoseltamab With Tocilizumab Prophylaxis to Mitigate the Risk of Cytokine Release Syndrome (CRS)

A Phase 4 interventional study of Linvoseltamab and Tocilizumab in Relapsed/Refractory Multiple Myeloma (RRMM), sponsored by Regeneron Pharmaceuticals. Recruiting at 7 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Regeneron Pharmaceuticals · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Updated Oct 27, 20263 sites addedGo to Updates ↓

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Phase
Phase 4
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 16 studies testing linvoseltamab in Multiple Myeloma — 13 open to participants now, 15 under way, 4 of them phase 3. linvoseltamab · Multiple Myeloma.

Planned enrollment
14th of 16
30 · median 168
Started
2026
with 6 others
Phase 4
Only one
of the 16
Primary completion
2027-10
later than 1 of 14 live
Registered
16th of 16
by date
Lead sponsor
10 of 16
Regeneron Pharmaceuticals

Among the 16 studies testing linvoseltamab in Multiple Myeloma, this one is the 14th largest by planned enrollment, is one of 7 that started in 2026, is the only one in phase 4, reaches primary completion later than 1 of the 14 other live ones, and was the 16th registered.

Multiple Myeloma

3,763 studies on the registry are indexed under Multiple Myeloma; 770 are open to participants now.

Browse Multiple Myeloma studies →

Open to participants now

13 of the 16 studies testing linvoseltamab in Multiple Myeloma are open now, in 12 countries. Recruiting first, the newest first:

7 more — sign in →

By country, each count listing its studies:

All 13 open studies →

About linvoseltamab

linvoseltamab: first FDA approval 2025 (LYNOZYFIC), first EMA approval 2025. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 585 Multiple Myeloma studies recruiting now, 430 (74%) 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.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 16 studies testing linvoseltamab in Multiple Myeloma, or all of them as a file.
02

Study summary

This study is researching whether the use of tocilizumab before the first dose of linvoseltamab will decrease the risk of Cytokine Release Syndrome (CRS) in participants who have Relapsed or Refractory Multiple Myeloma (RRMM) who have already been treated with at least four lines of treatment for their multiple myeloma, including medicines called a proteasome inhibitor, an immunomodulatory drug, and an anti-Cluster of Differentiation (CD) 38 antibody.

The aim of the study is to see how safe, tolerable and effective linvoseltamab is when given after tocilizumab.

The study is looking at several other research questions, including:

  • What side effects may happen from taking tocilizumab before the first dose of linvoseltamab
  • Whether tocilizumab has an impact on CRS, including whether participants require hospital care and, if so, how many hospital visits occur and how long they last
  • How frequently other medications (for example, corticosteroids or additional doses of tocilizumab) are used to support participants' care if needed
03

Conditions studied

  • Relapsed/Refractory Multiple Myeloma (RRMM)

Keywords

  • Cytokine Release Syndrome (CRS)
  • Linvoseltamab
  • Tocilizumab
  • Bispecific antibodies
04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  1. Disease progression on or after at least 4 including a(n) Protease Inhibitor (PI), Immunomodulatory imide Drug (IMiD), and anti-CD 38 antibody
  2. (ECOG) performance status score ≤2
  3. Confirmed progressive disease according to IMWG criteria during or after the most recent line of therapy

Key Exclusion Criteria:

  1. Diagnosis of plasma cell leukemia, symptomatic amyloidosis (including myeloma-associated amyloidosis), Waldenström macroglobulinemia (lymphoplasmacytic lymphoma), or Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes (POEMS) syndrome
  2. Known myeloma brain lesions or meningeal involvement
  3. History of neurodegenerative condition, Progressive Multifocal Leukoencephalopathy [PML], or Central Nervous System (CNS) movement disorder

NOTE: Other protocol defined inclusion/exclusion criteria apply

Terms in these criteria, in plain language(2)

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.

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Linvoseltamab

    Drug: Linvoseltamab · Drug: Tocilizumab

Interventions

  • Administered per the protocol

    Also known as: REGN5458, Lynozyfic™

  • Administered per the protocol

    Also known as: ACTEMRA®

06

What researchers measure

Primary outcomes

  1. Occurrence of any grade CRS per American Society for Transplantation and Cellular Therapy (ASTCT) grading

    Time frame: Up to 28 days

  2. Severity of any grade CRS per ASTCT grading

    Time frame: Up to 28 days

Secondary outcomes

  1. Occurrence of CRS of any grade

    Time frame: Up to 12 months

  2. Occurrence of recurrent CRS of any grade

    Time frame: Up to 12 months

  3. Occurrence of grade ≥2 CRS per ASTCT grading

    Time frame: Up to 12 months

  4. Occurrence of recurrent grade ≥2 CRS per ASTCT grading

    Time frame: Up to 12 months

  5. Occurrence of any grade infections per National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0

    NCI CTCAE grade 1 to 5 version 5.0

    Time frame: Up to 12 months

  6. Occurrence of grade ≥3 infections per NCI-CTCAE version 5.0

    Time frame: Up to 12 months

  7. Occurrence of any grade Immune effector Cell-Associated Neurotoxicity Syndrome (ICANS) per ASTCT grading

    Time frame: Up to 12 months

  8. Occurrence of grade ≥3 ICANS per ASTCT grading

    Time frame: Up to 12 months

  9. Occurrence of any grade neurotoxicity per NCI-CTCAE version 5.0 grading

    Time frame: Up to 12 months

  10. Occurrence of any grade neurotoxicity per ASTCT grading

    Time frame: Up to 12 months

  11. Occurrence of grade ≥3 neurotoxicity per NCI-CTCAE version 5.0 grading

    Time frame: Up to 12 months

  12. Occurrence of grade ≥3 neurotoxicity per ASTCT grading

    Time frame: Up to 12 months

  13. Occurrence of any grade neutropenia per NCI-CTCAE version 5.0 grading

    Time frame: Up to 12 months

  14. Occurrence of grade ≥3 neutropenia per NCI-CTCAE version 5.0 grading

    Time frame: Up to 12 months

  15. Number of treatment doses of tocilizumab following at least 1 dose of linvoseltamab for the management CRS

    Time frame: Up to 12 months

  16. Number of treatment doses of corticosteroid following at least 1 dose of linvoseltamab for the management CRS

    Time frame: Up to 12 months

  17. Total duration of corticosteroid treatment following at least 1 dose of linvoseltamab for the management CRS

    Time frame: Up to 12 months

  18. Number of hospitalizations per participant treated with at least 1 dose of linvoseltamab

    Time frame: Up to 12 months

  19. Total length of each Adverse Event (AE)-related hospital stay

    Time frame: Up to 12 months

  20. Occurrence of Treatment-Emergent Adverse Events (TEAEs) in participants treated with at least 1 dose of linvoseltamab

    Time frame: Up to 12 months

  21. Severity of TEAEs in participants treated with at least 1 dose of linvoseltamab

    Time frame: Up to 12 months

  22. Occurrence of Adverse Events of Special Interest (AESI) in participants treated with at least 1 dose of linvoseltamab

    Time frame: Up to 12 months

  23. Severity of AESI in participants treated with at least 1 dose of linvoseltamab

    Time frame: Up to 12 months

  24. Occurrence of Serious Adverse Events (SAEs) in participants treated with at least 1 dose of linvoseltamab

    Time frame: Up to 12 months

  25. Severity of SAEs in participants treated with at least 1 dose of linvoseltamab

    Time frame: Up to 12 months

  26. Achievement of Partial Response or better (≥PR) per International Myeloma Working Group (IMWG) criteria

    Time frame: Up to 12 months

  27. Duration Of Response (DOR)

    Time frame: Up to 12 months

  28. Progression-Free Survival (PFS)

    Time frame: Up to 12 months

  29. Overall Survival

    Time frame: Up to 12 months

  30. Time To Response (TTR)

    Time frame: Up to 12 months

07

Study locations

7 of 7 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: When Regeneron has: received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry) the legal authority to share the data, and ensured the ability to protect participant privacy

Access criteria: Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Timeline

2 registry updates 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 Jul 2026 (actual). Primary completion is estimated for Oct 2027, 14 months after the start.

Of 28 phase 4 interventional studies under Multiple Myeloma, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 57. This study's planned 14 months is below that.

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

Registered
May 20, 2026
First posted
May 27, 2026
StartActual
Jul 15, 2026
Primary completionEst.
Oct 11, 2027
CompletionEst.
Dec 6, 2028
Last update
Oct 27, 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.
Sites
3 sites added
Show 3 added (3 United States)
  • Comprehensive Hematology Oncology · St. Petersburg, United States
  • Renown Health Medical Oncology · Reno, United States
  • Texas Tech University Health Science Center School of Medicine · Lubbock, United States
across 2 updates, Sep 25, 2026 – Oct 27, 2026
Show all 2 updates
  1. Oct 27, 2026
    2 sites added
    Show 2 added (2 United States)
    • Renown Health Medical Oncology · Reno, United States
    • Texas Tech University Health Science Center School of Medicine · Lubbock, United States
    + 1 other change: verification date
  2. Sep 25, 2026
    1 site added
    Show site
    • Comprehensive Hematology Oncology · St. Petersburg, United States

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07609940
Responsible party
Sponsor
First posted
May 27, 2026
Start date
Jul 15, 2026
Primary completion
Oct 11, 2027 (estimated)
Completion
Dec 6, 2028 (estimated)
Last update
Oct 27, 2026

Study contacts

Clinical Trials Administrator
Contact
clinicaltrials@regeneron.com
844-734-6643
Clinical Trial Management
study director · Regeneron Pharmaceuticals

Oversight

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

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Studies of the drugs tested here: Linvoseltamab · Tocilizumab

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