ClinicalTrials.gg
Not yet recruitingNCT07830485CAREMM-010Updated Oct 26, 2026

CM336 Plus Daratumumab and Lenalidomide in Transplant-Ineligible Newly Diagnosed Multiple Myeloma

A Phase 2 interventional study of CM336 (BCMA/CD3 bispecific antibody) and Daratumumab in Multiple Myeloma, sponsored by Institute of Hematology & Blood Diseases Hospital, China. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by Institute of Hematology & Blood Diseases Hospital, China · Phase 2, Interventional, and Treatment

Updated Oct 26, 2026Eligibility revisedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 40 studies in Multiple Myeloma by Institute of Hematology & Blood Diseases Hospital, China — 32 open to participants now, 35 under way, none of them phase 3. Multiple Myeloma · Institute of Hematology & Blood Diseases Hospital, China.

Planned enrollment
18th of 36
24 · median 24
Started
2026
with 15 others
Phase 2
18 of 40
15 open now
Primary completion
2029-04
later than 32 of 34 live
Registered
38th of 40
by date

Among the 40 studies in Multiple Myeloma by Institute of Hematology & Blood Diseases Hospital, China, this one is the 18th largest by planned enrollment of the 36 interventional ones that give a count, is one of 16 that started in 2026, is one of 18 in phase 2, reaches primary completion later than 32 of the 34 other live ones, and was the 38th registered.

Multiple Myeloma

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

Browse Multiple Myeloma studies →

Open to participants now

32 of the 40 studies in Multiple Myeloma by Institute of Hematology & Blood Diseases Hospital, China are open now, in 1 country. Recruiting first, the newest first:

26 more — sign in →

By country, each count listing its studies:

All 32 open studies →

Where they have run

Who these studies take

Of the 584 Multiple Myeloma studies recruiting now, 429 (73%) 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 to 75 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 40 studies in Multiple Myeloma by Institute of Hematology & Blood Diseases Hospital, China, or all of them as a file.
02

Study summary

The goal of this clinical trial is to evaluate whether CM336, a BCMA/CD3 bispecific antibody, in combination with daratumumab and lenalidomide can induce deep and durable responses in adults with transplant-ineligible newly diagnosed multiple myeloma (NDMM). The study will also evaluate the safety of this treatment combination.

The main questions it aims to answer are:

  • How many participants achieve minimal residual disease (MRD) negativity after 6 treatment cycles?
  • What side effects occur during treatment with CM336 combined with daratumumab and lenalidomide?
  • How many participants respond to treatment and how deep are these responses?
  • How long does MRD negativity and treatment response last?
  • How long do participants remain free from disease progression?

All participants will receive the study treatment. There is no comparison group in this study.

Participants will:

  • Receive CM336 by subcutaneous injection together with subcutaneous daratumumab and oral lenalidomide in 28-day treatment cycles.
  • Undergo regular blood tests, bone marrow examinations, MRD assessments, and disease assessments to monitor treatment response and safety.
  • Be monitored throughout the study for treatment-related adverse events.
03

Conditions studied

  • Multiple Myeloma

Keywords

  • Transplant-ineligible multiple myeloma
  • BCMA/CD3 bispecific antibody
  • CM336
  • Newly diagnosed multiple myeloma
  • Minimal residual disease
04

Who can participate

The criteria were revised on the registry on Oct 26, 2026. See what changed

Ages eligible
18 Years to 75 Years
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

  1. Able to understand and voluntarily sign a written form (ICF).
  2. Age 18 to 75 years.
  3. Newly diagnosed symptomatic multiple myeloma according to International Myeloma Working Group (IMWG) criteria. Patients who have received no more than two cycle of anti-myeloma therapy before enrollment are eligible.
  4. Not planned to undergo stem cell transplantation as treatment and meeting at least one of the following criteria, including but not limited to:

    • Age ≥65 years;
    • (ECOG) performance status of 3-4;
    • Considered unable to tolerate autologous stem cell transplantation based on investigator assessment.
  5. , defined by at least one of the following:

    • Serum M-protein ≥10 g/L by serum protein electrophoresis (SPEP); for IgA or IgD myeloma, quantitative IgA or IgD levels may be used instead;
    • Urine M-protein ≥200 mg/24 hours;
    • If neither serum nor urine M-protein meets the above criteria, involved serum free light chain (FLC) ≥100 mg/L with an abnormal serum FLC ratio (normal range: 0.26-1.65).
  6. Adequate hepatic function, defined as:

    • Total \<1.5 × (ULN), except for participants with Gilbert syndrome, who must have total bilirubin \<3 × ULN;
    • (AST) and alanine aminotransferase (ALT) ≤2.5 × ULN.
  7. Adequate renal function, defined as ≥30 mL/min calculated using the Cockcroft-Gault formula.
  8. Hematologic parameters within 7 days prior to screening meeting the following criteria:

    • White blood cell (WBC) count ≥1.5 × 10\^9/L;
    • (ANC) ≥1.0 × 10\^9/L;
    • ≥70 g/L;
    • count ≥75 × 10\^9/L if bone marrow plasma cells are \<50%, or ≥50 × 10\^9/L if bone marrow plasma cells are ≥50%.
  9. Participants receiving hematopoietic growth factor support, including erythropoietin, granulocyte colony-stimulating factor (G-CSF), granulocyte-macrophage colony-stimulating factor (GM-CSF), or thrombopoietic agents (e.g., eltrombopag, thrombopoietin, or interleukin-11), must have an interval of at least 2 weeks between the last administration of growth factor support and screening assessment.
  10. Participants receiving blood product transfusions must meet the following requirements:

    • At least 2 weeks between the last red blood cell (RBC) transfusion and hemoglobin assessment at screening;
    • At least 1 week between the last platelet transfusion and platelet assessment at screening.
  11. Able and willing to receive protocol-recommended prophylactic anticoagulation therapy.
  12. Female participants of must:

    • Have a negative serum pregnancy test at screening; and
    • Agree to use effective from the date of signing informed consent throughout study treatment and for at least 3 months after the last dose of study treatment.

Male participants, including those who have undergone vasectomy, must agree to use condoms during sexual intercourse with women of childbearing potential and must not plan to father a child from the date of signing informed consent throughout study treatment and for at least 3 months after the last dose of study treatment.

Exclusion criteria

Exclusion Criteria:

  1. Diagnosis of smoldering multiple myeloma (SMM), monoclonal gammopathy of undetermined significance (MGUS), Waldenström macroglobulinemia, POEMS syndrome, amyloidosis, or primary or secondary plasma cell leukemia.
  2. Central nervous system (CNS) involvement or clinical evidence of .
  3. Known intolerance, , allergy, or to daratumumab, lenalidomide, or CM336.
  4. Severe and/or uncontrolled cardiovascular disease, including:

    • Unstable angina;
    • Symptomatic congestive heart failure;
    • Myocardial infarction within 6 months prior to enrollment;
    • Severe and uncontrolled cardiac arrhythmias;
    • Any other cardiovascular or cerebrovascular condition deemed by the investigator to make participation inappropriate.
  5. Active infection, including:

    • (HIV) infection;
    • Active infection (HBV DNA positive);
    • Active infection (HCV RNA positive);
    • Active or latent syphilis infection (Treponema pallidum antibody positive);
    • Active pulmonary tuberculosis, as evidenced by chest imaging or other relevant examinations within 3 months before screening or during the screening period;
  6. Concurrent or any serious concomitant disease that, in the investigator's judgment, could compromise participant safety or interfere with completion of the study.
  7. Pregnant or breastfeeding women.
  8. Expected of less than 6 months.
  9. Any active gastrointestinal disorder that may impair the participant's ability to swallow oral medication or may interfere with absorption of study treatment.
  10. Major surgery within 2 weeks prior to enrollment (e.g., surgery requiring general anesthesia), incomplete recovery from prior surgery, or planned major surgery during study participation. Kyphoplasty and vertebroplasty are not considered major surgery. Participants undergoing procedures under local anesthesia may be eligible.
  11. Receipt of a within 4 weeks before the first dose of study treatment.
  12. Any active severe psychiatric disorder, medical condition, symptom, or other circumstance that, in the investigator's judgment, may interfere with treatment, protocol compliance, or the ability to provide .
  13. Inability or unwillingness to provide written informed consent.
Terms in these criteria, in plain language(23)

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.

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.

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.

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.

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.

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.

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.

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.

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.

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).

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

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.

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.

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

Study arms

  • Experimental
    CM336 plus Dara-R

    Enrolled participants will receive up to 18 cycles of treatment with CM336 in combination with daratumumab and lenalidomide. Each treatment cycle is 28 days.

    Drug: CM336 (BCMA/CD3 bispecific antibody) · Drug: Daratumumab · Drug: Lenalidomide

Interventions

  • DrugCM336 (BCMA/CD3 bispecific antibody)

    Drug page: CM336

    CM336 is administered subcutaneously (SC) using a step-up dosing regimen of 3 mg on Day 1, 20 mg on Day 4, 80 mg on Day 7, and 160 mg on Day 10. The first administration of the target dose is considered Cycle 1 Day 1 of the target-dose phase. During Cycle 1, CM336 160 mg is administered once weekly. From Cycle 2 through Cycle 18, CM336 160 mg is administered every 4 weeks.

  • Daratumumab is administered subcutaneously at a dose of 1800 mg in 28-day treatment cycles. One dose is administered on Day 0 before initiation of the CM336 step-up dosing regimen. During the CM336 target-dose treatment phase, daratumumab is administered once weekly during Cycles 1-2, every 2 weeks during Cycles 3-6, and every 4 weeks during Cycles 7-18.

  • Lenalidomide is administered orally at 25 mg once daily on Days 1-21 of each 28-day treatment cycle during Cycles 1-18. The starting dose may be adjusted for participants with renal impairment, frailty, or advanced age based on creatinine clearance and investigator judgment.

06

What researchers measure

Primary outcomes

  1. Minimal residual disease (MRD) negative rate

    Proportion of participants achieving minimal residual disease (MRD) negativity after 6 treatment cycles.

    Time frame: After 6 treatment cycles (each cycle is 28 days)

Secondary outcomes

  1. Incidence and severity of adverse events (AEs)

    Incidence, type, and severity of adverse events. Adverse events will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 6.0.

    Time frame: From the first dose of CM336 through 30 days after the last dose of CM336, up to approximately 18 months.

  2. Duration of MRD negativity

    Duration of MRD negativity, defined as the time from the first documented MRD-negative assessment to the first documented loss of MRD negativity, disease progression, or death, whichever occurs first. Participants without any of these events will be censored at the date of their last evaluable MRD assessment.

    Time frame: From the first documented MRD-negative assessment until disease progression, death, or end of follow-up, assessed up to approximately 36 months

  3. Overall Response Rate (ORR)

    Proportion of participants achieving partial response (PR) or better according to International Myeloma Working Group (IMWG) response criteria.

    Time frame: Up to 18 treatment cycles (each cycle is 28 days)

  4. Very Good Partial Response or Better Rate (≥VGPR)

    Proportion of participants achieving very good partial response (VGPR), complete response (CR), or stringent complete response (sCR) according to International Myeloma Working Group (IMWG) response criteria.

    Time frame: Up to 18 treatment cycles (each cycle is 28 days)

  5. Complete Response Rate (CRR)

    Proportion of participants achieving complete response (CR) or stringent complete response (sCR) according to International Myeloma Working Group (IMWG) response criteria.

    Time frame: Up to 18 treatment cycles (each cycle is 28 days)

  6. Duration of Response (DoR)

    Duration of response, defined as the time from the first documented response of partial response (PR) or better until documented disease progression or death from any cause, whichever occurs first.

    Time frame: From the first documented response until disease progression or death, assessed up to approximately 36 months

  7. Progression-free survival (PFS)

    Progression-free survival, defined as the time from the first dose of study treatment until the first documented disease progression or death from any cause, whichever occurs first.

    Time frame: From the first dose of study treatment until disease progression or death from any cause, assessed up to approximately 36 months

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Start is estimated for Oct 2026; primary completion for Apr 2029, 30 months later.

Of 412 non-industry phase 2 interventional studies under Multiple Myeloma, half reached primary completion within 59 months of starting (the median), counting those still running; a quarter within 40 and three quarters within 96. This study's planned 30 months is below that.

Counting every sponsor, half of 505 studies reached it within 57 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
Sep 15, 2026
First posted
Sep 21, 2026
StartEst.
Oct 15, 2026
Primary completionEst.
Apr 15, 2029
CompletionEst.
Apr 30, 2031
Last update
Oct 26, 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.
Eligibility
1 inclusion criterion edited
What changed in the criteria
Inclusion criteria
  • EditedNewly diagnosed symptomatic multiple myeloma according to International Myeloma Working Group (IMWG) criteria. Patients who have received no more than onetwo cycle of anti-myeloma therapy before enrollment are eligible.
Oct 26, 2026
Show all 1 update
  1. Oct 26, 2026
    Eligibility 1 inclusion criterion edited
    What changed in the criteria
    Inclusion criteria
    • EditedNewly diagnosed symptomatic multiple myeloma according to International Myeloma Working Group (IMWG) criteria. Patients who have received no more than onetwo cycle of anti-myeloma therapy before enrollment are eligible.
    + 1 other change: verification date

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
NCT07830485
Responsible party
Sponsor
First posted
Sep 21, 2026
Start date
Oct 15, 2026 (estimated)
Primary completion
Apr 15, 2029 (estimated)
Completion
Apr 30, 2031 (estimated)
Last update
Oct 26, 2026

Study contacts

Gang An
Contact
angang@ihcams.ac.cn
+86 13502181109

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: CM336

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