ClinicalTrials.gg
RecruitingNCT07647432HEME-25Updated Oct 26, 2026

HEME-25 Open-Label Feasibility Study of Elranatamab Utilized as Consolidation in Newly Diagnosed Plasmablastic Lymphoma With or Without HIV

A Phase 1 interventional study of Elranatamab (Elra) in Plasmablastic Lymphoma, HIV and Consolidation, sponsored by University of Illinois Chicago. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by University of Illinois Chicago · Phase 1, Interventional, and Treatment

Updated Oct 26, 2026Now RecruitingFirst site in United States+6 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
17
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a single-arm feasibility trial in which patients with histologically confirmed plasmablastic lymphoma (PBL) with or without HIV, who have achieved a Complete Response or Partial Response after definitive frontline chemotherapy, will receive Elranatamab (Elra) consolidation.

Read the detailed description

Patients after definitive therapy will receive Elra subcutaneously for up to six 28-day cycles, beginning with a step-up dosing schedule (12 mg on day 1, 32 mg on day 4, followed by 76 mg weekly on days 8, 15, and 22 of Cycle 1). Patients will transition to 76 mg every 2 weeks (days 1 and 15) during Cycles 2 and 3, followed by an interim PET/CT assessment at the end of Cycle 3. During cycles 4 through 6, all patients will receive 76 mg every 4 weeks (on day 1 of each cycle).

Participants will undergo disease assessment with PET/CT at the end of Cycle 3, post-end of treatment (EOT) visit, and every 6 months thereafter (±2 weeks) for up to 2 years to assess recurrence and survival. Routine clinical follow-up will continue every 3 months, as per the standard of care (SOC).

02

Conditions studied

  • Plasmablastic Lymphoma
  • HIV
  • Consolidation

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03

In context

Plasmablastic Lymphoma

18 studies on the registry are indexed under Plasmablastic Lymphoma; 11 are open to participants now.

This study's planned enrollment of 17 is below the median of 28 across 16 interventional studies indexed under Plasmablastic Lymphoma.

Browse Plasmablastic Lymphoma studies →

Lead sponsor

University of Illinois Chicago is the lead sponsor of 20 studies on the registry; 15 are open to participants now.

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

04

Who can participate

The criteria were revised on the registry on Oct 6, 2026. See what changed

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

  • Age ≥ 18 years at time of consent
  • PS 0 or 1
  • Histologically and immunophenotypically confirmed PBL
  • Ann Arbor stage at initial diagnosis: stage I with LDH > and/or bulky disease >7.5 cm or stage II-IV
  • Received definitive front-line therapy for PBL with end-of-treatment PR or CR. Date of end-of-treatment response evaluation must be within 8 weeks prior to enrollment.
  • Adequate bone marrow function with recovery from prior therapy (without growth factor or transfusion support), defined as:

    • ≥ 500 cells/mcL
    • count ≥ 50,000 cells/mcL
    • ≥8 g/dL
  • Adequate renal function defined by an estimated ≥30 mL/min (according to the Cockcroft Gault formula, by 24-hour urine collection for creatinine clearance, or according to local institutional standard method).
  • Adequate hepatic function characterized by the following:

    • Total ≤2 x ULN (≤3 x ULN if documented Gilbert's syndrome)
    • ≤2.5 x ULN
    • ALT ≤2.5 x ULN
  • Availability of (block or unstained slides) for mandatory central pathology review and correlative BCMA testing. Central pathology review and BCMA testing may be completed after enrollment.
  • Able to provide written and HIPAA authorization for release of personal health information via an approved UIC IRB ICF and HIPAA authorization. If a subject is unable to consent, an LAR may provide consent on their behalf.
  • As determined at the discretion of the enrolling physician or protocol designee, the ability of the subject to understand and comply with study procedures for the entire length of the study
  • If capable of becoming pregnant: Negative serum or urine pregnancy test
  • If -positive:

    • Receiving effective combined antiretroviral therapy
    • ≥ 50 cells/mcL within 4 weeks before enrollment

Exclusion criteria

Exclusion criteria:

  • Prior BCMA bispecific therapy
  • Stable or progressive disease following front-line therapy as determined by the investigator
  • Receiving any other agents
  • Expected survival \< 2 months
  • Known or suspected PBL involvement of the parenchymal brain or spinal cord at diagnosis. Asymptomatic only will be allowed.
  • Uncontrolled intercurrent illness, including but not limited to uncontrolled infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
  • Concurrent requiring active therapy within the last 3 years, except for the following:

    • Basal cell carcinoma limited to the skin
    • Squamous cell carcinoma limited to the skin
    • Carcinoma in situ of the cervix or breast
    • Adequately treated lentigo malignant melanoma
    • Localized prostate cancer
    • Active therapy consists of or maintenance therapy to reduce the risk of recurrence of a malignancy that was previously treated with curative intent and with no evidence of active disease within 2 years prior to screening
  • Pregnant or nursing
  • PWH with a history of AIDS-defining opportunistic infection within the past year
  • Receipt of a within 28 days prior to the first dose of study treatment
Terms in these criteria, in plain language(17)

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.

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.

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.

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.

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.

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).

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.

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.

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

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.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

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.

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.

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.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

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

Study arms

  • Experimental
    Single-arm Open label study of Elra of pts with PBL

    Patients will receive Elra subcutaneously for up to six 28-day cycles, beginning with a step-up dosing schedule (12 mg on day 1, 32 mg on day 4, followed by 76 mg weekly on days 8, 15, and 22 of Cycle 1). Patients will transition to 76 mg every 2 weeks (days 1 and 15) during Cycles 2 and 3, followed by an interim PET/CT assessment at the end of Cycle 3. During Cycles 4 through 6, all patients will receive 76 mg every 4 weeks (on day 1 of each cycle).

    Drug: Elranatamab (Elra)

Interventions

  • Elra will be administered subcutaneously on day 1, day 4, then weekly on day 8, 15 and day 22 completing 1 cycle. Up to 6 cycles may be given.

06

What researchers measure

Primary outcomes

  1. Feasibility of giving Elra in consolidation after therapy of PBL

    Evaluation of feasibility of (Elra) consolidation following definitive therapy in patients with PBL, defined as the proportion of patients completing at least 3 cycles (12 weeks) of consolidation therapy.

    Time frame: 12 weeks ( 3 cycles)

  2. Estimate the complete response in HIV+/ HIV- patients

    Estimate the complete response (CR) rate (per 2014 Lugano criteria)(1) for patients after 6 cycles of consolidation, stratified by HIV status.

    Time frame: 6 months

  3. Evaluate the safety and tolerability of Elra consolidation

    To evaluate the safety and tolerability of Elra consolidation, including the incidence, severity, and management of cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS), assessed by ASTCT consensus criteria.

    Time frame: 6 months

Secondary outcomes

  1. Assess event-free survival, progression-free and overall survival of Elra

    Assess event-free survival (EFS), progression-free survival (PFS), and overall survival (OS) at 1- and 2-year post-completion of Elra consolidation

    Time frame: 1 year and 2 year

  2. Estimate the conversion rate of PR to CR after consolidation

    Estimate the conversion rate from pre-consolidation partial response (PR) to CR at the end of Cycle 3 and Cycle 6.

    Time frame: Cycle 3 and cycle 6 (12 weeks and 24 weeks)

  3. Evaluate quality of life (QoL) outcomes as measured by changes from baseline

    Evaluate quality of life (QoL) outcomes as measured by changes from baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - High-Grade Non-Hodgkin Lymphoma 29 items (EORTC QLQ-NHL-HG29) scores.

    Time frame: 6 months

  4. Assess the effects of Elra on CD4 T-cell counts and HIV-1 viral load

    Assess the effects of Elra on CD4 T-cell counts and HIV-1 viral load in people with HIV (PWH).

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 26, 2026
Sites
1 site added — first site in United States
Show site
  • University of Illinois at Chicago · Chicago, United States
Oct 26, 2026
Start date
Dec 1, 2026→Oct 21, 2026 (actual)
Oct 26, 2026
Eligibility
5 inclusion criteria edited, 6 added; 17 exclusion criteria removed
What changed in the criteria
Inclusion criteria
  • EditedECOG performance status (PS) 0 or 1
  • EditedAnn Arbor stage at initial diagnosis: stage I with lactate dehydrogenase (LDH) > upper limit of normal (ULN) and/or bulky disease >7.5 cm or stage II-IV
  • EditedReceived definitive front-line therapy for PBL with end-of-treatment PR or CR. Date of end-of-treatment response evaluation must be within 8 weeks prior to enrollment.
  • EditedAdequate bone marrow function with recovery from prior therapy (without growth factor or transfusion support), defined as:
  • AddedHemoglobin ≥8 g/dL
  • AddedAdequate renal function defined by an estimated creatinine clearance ≥30 mL/min (according to the Cockcroft Gault formula, by 24-hour urine collection for creatinine clearance, or according to local institutional standard method).
  • AddedAdequate hepatic function characterized by the following:
  • AddedTotal bilirubin ≤2 x ULN (≤3 x ULN if documented Gilbert's syndrome)
  • AddedAST ≤2.5 x ULN
  • AddedALT ≤2.5 x ULN
  • EditedAble to provide written informed consent and HIPAA authorization for release of personal health information, via an approved UIC Institutional Review Board (IRB) informed consent formIRB ICF and HIPAA authorization. If a subject is unable to consent, aan LAR may provide consent on their behalf.
Exclusion criteria
  • RemovedKey inclusion criteria:
  • RemovedAge ≥ 18 years at time of consent
  • RemovedECOG performance status (PS) 0 or 1
  • RemovedHistologically and immunophenotypically confirmed PBL
  • RemovedAnn Arbor stage at initial diagnosis: stage I with lactate dehydrogenase (LDH) > upper limit of normal (ULN) and/or bulky disease >7.5 cm or stage II-IV
  • RemovedReceived definitive front-line therapy for PBL with end-of-treatment PR or CR
  • RemovedAdequate bone marrow function with recovery from prior therapy, defined as:
  • RemovedANC ≥ 500 cells/mcL
  • RemovedPlatelet count ≥ 50,000 cells/mcL
  • RemovedAvailability of archival tumor tissue (block or unstained slides) for mandatory central pathology review and correlative BCMA testing. Central pathology review and BCMA testing may be completed after enrollment.
  • RemovedAble to provide written informed consent and HIPAA authorization for release of personal health information, via an approved UIC Institutional Review Board (IRB) informed consent form and HIPAA authorization. If a subject is unable to consent, a LAR may provide consent on their behalf.
  • RemovedAs determined at the discretion of the enrolling physician or protocol designee, the ability of the subject to understand and comply with study procedures for the entire length of the study
  • RemovedIf capable of becoming pregnant: Negative serum or urine pregnancy test
  • RemovedIf HIV-positive:
  • RemovedReceiving effective combined antiretroviral therapy
  • RemovedCD4+ T-cell count ≥ 50 cells/mcL within 4 weeks before enrollment
  • RemovedKey exclusion criteria:
Oct 6, 2026
Primary outcomes
1 edited, 1 description edited
What changed in the outcomes
  • EditedEvaluationFeasibility of giving Elra in consolidation after therapy of PBLTime frame: 12 weeks ( 3 cycles)
  • DescriptionEstimate the complete response in HIV+/ HIV- patients: how it is measured was reworded
Oct 6, 2026
Secondary outcomes
2 edited
What changed in the outcomes
  • EditedEstimate the conversion rate of PR to CR after consolidationTime frame: Cycle 3 and cycle 6 (12 weeks and 24 weeks)
  • EditedAssess the effects of Elra on CD4 T-cell counts and HIV-1 viral loadTime frame: 6 months
Oct 6, 2026
Title
HEME-25: Open-Label Feasibility Study of Elranatamab Utilized as Consolidation in Newly Diagnosed Plasmablastic Lymphoma With or Without HIV
Oct 6, 2026
Design
Added Phase 1; removed Phase 2·Phase 3
Oct 6, 2026
Show all 2 updates
  1. Oct 26, 2026
    Not yet recruiting→Recruiting
    1 site added — first site in United States
    Show site
    • University of Illinois at Chicago · Chicago, United States
    Start date Dec 1, 2026→Oct 21, 2026 (now actual)
    + 3 other changes: verification date, oversight details and contact details
  2. Oct 6, 2026
    Eligibility 5 inclusion criteria edited, 6 added; 17 exclusion criteria removed
    What changed in the criteria
    Inclusion criteria
    • EditedECOG performance status (PS) 0 or 1
    • EditedAnn Arbor stage at initial diagnosis: stage I with lactate dehydrogenase (LDH) > upper limit of normal (ULN) and/or bulky disease >7.5 cm or stage II-IV
    • EditedReceived definitive front-line therapy for PBL with end-of-treatment PR or CR. Date of end-of-treatment response evaluation must be within 8 weeks prior to enrollment.
    • EditedAdequate bone marrow function with recovery from prior therapy (without growth factor or transfusion support), defined as:
    • AddedHemoglobin ≥8 g/dL
    • AddedAdequate renal function defined by an estimated creatinine clearance ≥30 mL/min (according to the Cockcroft Gault formula, by 24-hour urine collection for creatinine clearance, or according to local institutional standard method).
    • AddedAdequate hepatic function characterized by the following:
    • AddedTotal bilirubin ≤2 x ULN (≤3 x ULN if documented Gilbert's syndrome)
    • AddedAST ≤2.5 x ULN
    • AddedALT ≤2.5 x ULN
    • EditedAble to provide written informed consent and HIPAA authorization for release of personal health information, via an approved UIC Institutional Review Board (IRB) informed consent formIRB ICF and HIPAA authorization. If a subject is unable to consent, aan LAR may provide consent on their behalf.
    Exclusion criteria
    • RemovedKey inclusion criteria:
    • RemovedAge ≥ 18 years at time of consent
    • RemovedECOG performance status (PS) 0 or 1
    • RemovedHistologically and immunophenotypically confirmed PBL
    • RemovedAnn Arbor stage at initial diagnosis: stage I with lactate dehydrogenase (LDH) > upper limit of normal (ULN) and/or bulky disease >7.5 cm or stage II-IV
    • RemovedReceived definitive front-line therapy for PBL with end-of-treatment PR or CR
    • RemovedAdequate bone marrow function with recovery from prior therapy, defined as:
    • RemovedANC ≥ 500 cells/mcL
    • RemovedPlatelet count ≥ 50,000 cells/mcL
    • RemovedAvailability of archival tumor tissue (block or unstained slides) for mandatory central pathology review and correlative BCMA testing. Central pathology review and BCMA testing may be completed after enrollment.
    • RemovedAble to provide written informed consent and HIPAA authorization for release of personal health information, via an approved UIC Institutional Review Board (IRB) informed consent form and HIPAA authorization. If a subject is unable to consent, a LAR may provide consent on their behalf.
    • RemovedAs determined at the discretion of the enrolling physician or protocol designee, the ability of the subject to understand and comply with study procedures for the entire length of the study
    • RemovedIf capable of becoming pregnant: Negative serum or urine pregnancy test
    • RemovedIf HIV-positive:
    • RemovedReceiving effective combined antiretroviral therapy
    • RemovedCD4+ T-cell count ≥ 50 cells/mcL within 4 weeks before enrollment
    • RemovedKey exclusion criteria:
    Primary outcomes 1 edited, 1 description edited
    What changed in the outcomes
    • EditedEvaluationFeasibility of giving Elra in consolidation after therapy of PBLTime frame: 12 weeks ( 3 cycles)
    • DescriptionEstimate the complete response in HIV+/ HIV- patients: how it is measured was reworded
    Secondary outcomes 2 edited
    What changed in the outcomes
    • EditedEstimate the conversion rate of PR to CR after consolidationTime frame: Cycle 3 and cycle 6 (12 weeks and 24 weeks)
    • EditedAssess the effects of Elra on CD4 T-cell counts and HIV-1 viral loadTime frame: 6 months
    Design Added Phase 1; removed Phase 2·Phase 3
    Title HEME-25: Open-Label Feasibility Study of Elranatamab Utilized as Consolidation in Newly Diagnosed Plasmablastic Lymphoma With or Without HIV
    + 3 other changes: index terms, description and conditions

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
NCT07647432
Lead sponsor
University of Illinois Chicago
Collaborators
Pfizer
Responsible party
Sponsor
First posted
Jun 15, 2026
Start date
Oct 21, 2026
Primary completion
Dec 1, 2029 (estimated)
Completion
Dec 1, 2030 (estimated)
Last update
Oct 26, 2026

Study contacts

Paul Rubinstein, MD
Contact
paulgr@uic.edu
312 413 1300
Paul Rubinstein, MD
principal investigator · university of Illinois Chicago Campus

Oversight

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

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