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RecruitingNCT07742215AMMADINAUpdated Aug 3, 2026

A Study of the Efficacy and Safety of BCD-248 in Combination With Daratumumab in Patients With Relapsed or Refractory Multiple Myeloma (AMMADINA)

A Phase 3 interventional study of BCD-248 + daratumumab and Daratumumab + pomalidomide + dexamethasone in Myeloma Multiple, sponsored by Biocad. Recruiting at 16 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-03.

Sponsored by Biocad · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2026; still recruiting 4 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
390
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The aim of the study is to assess the efficacy and safety of the BCD-248 in combination with daratumumab versus the combination of daratumumab, pomalidomide, and dexamethasone in the treatment of relapsed or refractory multiple myeloma. The study will be conducted in a population of male and female subjects aged 18 years and older, with confirmed symptomatic multiple myeloma with measurable disease, who have received one prior line of therapy that included a proteasome inhibitor and lenalidomide and were refractory to lenalidomide, or who have received two or three prior lines of therapy that included a proteasome inhibitor and lenalidomide, with disease progression during or after the last line of therapy.

02

Conditions studied

  • Myeloma Multiple

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Keywords

  • biologics
  • monoclonal antibodies
03

In context

Multiple Myeloma

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

This study's planned enrollment of 390 is above the median of 41 across 3,005 interventional studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

Biocad is the lead sponsor of 94 studies on the registry; 12 are open to participants now.

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

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

  • Signed form.
  • Age ≥18 years.
  • Documented diagnosis of multiple myeloma according to the IMWG criteria.
  • at screening.
  • At least 1, but not more than 3 prior lines of antimyeloma therapy, including lenalidomide and a proteasome inhibitor.
  • Documented progression according to the IMWG criteria during or after the last .
  • score 0-2.
  • Resolution of symptoms of toxicity on the prior line of therapy.

Exclusion criteria

Exclusion Criteria:

  • Prior therapy with anti-BCMA or anti-CD3 drugs, pomalidomide.
  • to anti-CD38 monoclonal antibodies according to the IMWG criteria.
  • Use of any products or medical devices within 28 days prior to randomization or planned use of investigational products or medical devices during participation in this study.
  • Hematopoietic stem cell transplantation - prior to randomization or planned during the study
  • Plasmapheresis within 14 days prior to randomization.
  • Administration of a within 28 days prior to randomization.
  • A history of myelodysplastic syndrome or other other than multiple myeloma within 5 years prior to screening.
  • Life-threatening acute complications of the underlying disease.
  • Concomitant diseases and/or conditions that significantly increase the risk of AEs during the study:

    1. Stable angina pectoris, functional class III-IV.
    2. Unstable angina pectoris and/or myocardial infarction within 6 months prior to randomization.
    3. Congestive heart failure, class III-IV.
    4. (according to the Investigator) cardiac arrhythmia and conduction disorders that do not respond to the maximum possible antiarrhythmic therapy (therapy must be stable for 4 weeks before the planned start of the study therapy).
    5. Moderate to severe asthma, uncontrolled asthma, asthma with \<50% of predicted normal.
    6. with forced expiratory volume in 1 second \<50% of predicted normal.
    7. A history of angioneurotic edema, severe respiratory failure.
    8. Active diseases. Patients with type 1 diabetes mellitus and hypothyroidism, requiring only hormone replacement therapy, as well as with skin diseases (vitiligo, alopecia, psoriasis, etc.), which do not require systemic therapy, are allowed to participate.
    9. Thromboembolic (deep vein thrombosis, pulmonary embolism) or cerebrovascular (stroke, ) events within 6 months prior to randomization.
    10. Any infection within 14 days prior to randomization that requires systemic etiological therapy or may, in the Investigator's opinion, increase the risk of infectious complications.
    11. Any other concomitant disease or condition, which, in the Investigator's opinion, significantly increases the risk of AEs in the study.
  • Subjects with amyloidosis, POEMS syndrome, plasma cell leukemia
  • CNS involvement or clinical signs of meningeal involvement of multiple myeloma.
  • infection, active infection, .
  • , allergy, or intolerance to monoclonal antibodies or any component of BCD-248, daratumumab, pomalidomide, or dexamethasone.
  • Major surgery within less than 14 days prior to the expected start of the study therapy, incomplete recovery from surgery, or planned surgery during participation in the study.
  • Pregnancy or breastfeeding, as well as intention to become pregnant or father a child during the study period and within 180 days after receiving the last dose of the IP.
Terms in these criteria, in plain language(18)

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.

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.

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.

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.

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.

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.

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.

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.

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.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

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.

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 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
390 participants (estimated)

Study arms

  • Experimental
    BCD-248-Dara

    BCD-248 in combination with daratumumab

    Drug: BCD-248 + daratumumab

  • Active comparator
    DPd

    Daratumumab in combination with pomalidomide and dexamethasone

    Drug: Daratumumab + pomalidomide + dexamethasone

Interventions

  • DrugBCD-248 + daratumumab

    Drug page: Daratumumab

    BCD-248 subcutaneously, daratumumab intravenously

  • DrugDaratumumab + pomalidomide + dexamethasone

    Drug pages: Daratumumab · Pomalidomide · Dexamethasone

    Daratumumab intravenously, pomalidomide per os, dexamethasone per os

06

What researchers measure

Primary outcomes

  1. Frequency of MRD negativity by flow cytometry at 12 months from the start of therapy

    Time frame: up to 12 months

  2. Progression-free survival according to the International Myeloma Working Group (IMWG) criteria

    The disease status and treatment efficacy will be analyzed according to the International Myeloma Working Group (IMWG) criteria for response and minimal residual disease assessment in multiple myeloma proposed in 2006 and modified in 2011 and 2016

    Time frame: up to 36 months

Secondary outcomes

  1. Overall response rate (at least partial response) according to the IMWG criteria.

    Time frame: up to 5 years

  2. Frequency of at least a complete response according to the IMWG criteria.

    Time frame: up to 5 years

  3. Frequency of at least a very good partial response according to the IMWG criteria.

    Time frame: up to 5 years

  4. Frequency of MRD negativity.

    Time frame: up to 5 years

  5. Frequency of sustained MRD negativity.

    Time frame: up to 5 years

  6. Time to response.

    Time frame: up to 5 years

  7. Duration of response.

    Time frame: up to 5 years

  8. Time to progression.

    Time frame: up to 5 years

  9. Overall survival.

    Time frame: up to 5 years

  10. Ctrough of BCD-248.

    Pharmacokinetics

    Time frame: up to 12 months

  11. Changes over time in the concentration of soluble BCMA in the blood.

    Pharmacodynamics

    Time frame: up to 12 months

  12. Changes over time in lymphocyte populations.

    Pharmacodynamics

    Time frame: up to 12 months

  13. Proportion of participants with detected BAbs and NAbs to BCD-248

    Immunogenicity

    Time frame: up to 5 years

  14. Incidence and characteristics of adverse events

    ITo assess the safety of the study therapy, vital signs will be assessed, physical, laboratory and instrumental examinations will be performed, and the presence and characteristics of adverse events will be assessed

    Time frame: up to 5 years

07

Study locations

16 of 16 sites recruiting
  • SI "Republican Scientific and Practical Center for Radiation Medicine and Human Ecology"
    Homyel, Belarus
    Recruiting
    • Dmitry Novik · Principal investigator
  • SBHI "Chelyabinsk regional clinical hospital"
    Chelyabinsk, Russia
    Recruiting
    • Marina Kiseleva · Principal investigator
  • SBHI "Regional oncological dispensary"
    Irkutsk, Russia
    Recruiting
    • Denis Iukalchuk · Principal investigator
  • SAHI "Republican Clinical Oncology Dispensary of the Ministry of Health of the Republic of Tatarstan named after Professor M.Z. Sigal"
    Kazan', Russia
    Recruiting
    • Gulnara Husainova · Principal investigator
  • Regional Government-Owned Publicly Funded Healthcare Institution "Regional Clinical Hospital"
    Krasnoyarsk, Russia
    Recruiting
    • Elena Martynova · Principal investigator
  • Branch Office of Hadassah Medical Ltd.
    Moscow, Russia
    Recruiting
    • Vidmantė Daylidite · Principal investigator
  • BHI of the Omsk region "Clinical Oncological Dispensary"
    Omsk, Russia
    Recruiting
    • Anastasia Zimina · Principal investigator
  • St. Petersburg State Healthcare Institution "City Hospital No. 15"
    Saint Petersburg, 190000, Russia
    Recruiting
    • Elena Karyagina · Principal investigator
  • FSBI "National Medical Research Center named after V.A. Almazov" of the Ministry of Health of the Russian Federation
    Saint Petersburg, Russia
    Recruiting
    • Yurii Osipov · Principal investigator
  • FSBI "Russian Research Institute of Hematology and Transfusiology" of the Federal Medical and Biological Agency
    Saint Petersburg, Russia
    Recruiting
    • Andrei Garifullin · Principal investigator
  • SBHI "Leningrad Regional Clinical Hospital"
    Saint Petersburg, Russia
    Recruiting
    • Sergei Voloshin · Principal investigator
  • FSBEI of Higher Education "Samara State Medical University" of the Ministry of Health of the Russian Federation
    Samara, Russia
    Recruiting
    • Igor Davidkin · Principal investigator
  • FSBEI HE "Saratov State Medical University named after V.I. Razumovsky" of the Ministry of Health of Russia
    Saratov, Russia
    Recruiting
    • Tatyana Shelehova · Principal investigator
  • Private healthcare institution "Clinical hospital "RZD-Medicine" of the city of Smolensk"
    Smolensk, Russia
    Recruiting
    • Mariia Novikova · Principal investigator
  • State Budgetary Healthcare Institution "Oncological Dispensary No.2" of the Ministry of Health of the Krasnodar Region
    Sochi, Russia
    Recruiting
    • Dmitrii Kirtbaia · Principal investigator
  • SBHI "Republican Clinical Hospital named G.G. Kuvatov"
    Ufa, Russia
    Recruiting
    • Aigul Latypova · Principal investigator
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

Started Jun 2026 (actual). Primary completion is estimated for Jul 2028, 25 months after the start.

Of 107 industry-sponsored phase 3 interventional studies under Multiple Myeloma, half reached primary completion within 45 months of starting (the median), counting those still running; a quarter within 31 and three quarters within 66. This study's planned 25 months is below that.

Counting every sponsor, half of 178 studies reached it within 56 months; a quarter within 35 and three quarters within 95.

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

Registered
Jul 23, 2026
First posted
Aug 3, 2026
StartActual
Jun 15, 2026
Primary completionEst.
Jul 2028
CompletionEst.
Oct 2032
Last update
Aug 3, 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 Aug 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07742215
Lead sponsor
Biocad
Responsible party
Sponsor
First posted
Aug 3, 2026
Start date
Jun 15, 2026
Primary completion
Jul 2028 (estimated)
Completion
Oct 2032 (estimated)
Last update
Aug 3, 2026

Study contacts

Evgeniia Mikhailova
Contact
mikhailova@biocad.ru
+79110812368
Arina Zinkina
study director · Director of Clinical Development Department, BIOCAD

Oversight

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

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Studies of the drug tested here: Daratumumab

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