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Multiple MyelomaPhase 3GENESISNCT03246529

A Phase III, Safety, Tolerability and Efficacy of Combination Treatment of BL-8040 and Granulocyte Colony Stimulating Factor (G-CSF) as Compared to Placebo and G-CSF for the Mobilization of Hematopoietic Stem Cells for Autologous Transplantation in Subjects With Multiple Myeloma (MM)

A Phase 3 study testing BL-8040 1.25 mg/kg + G-CSF in people with Multiple Myeloma, run by BioLineRx, Ltd. at 18 sites in 5 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

A total of 122 subjects were randomized into the study and investigated in the double-blind placebo-controlled setting to assess the efficacy and safety of G-CSF + BL-8040 as compared to G-CSF + placebo. Read more about this study

Who is it for?
Ages 18 to 78 years
Conditions the study is for
Multiple Myeloma
What is being tested?
BL-8040 1.25 mg/kg + G-CSF
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
180 participants
Where
18 sitesin 5 countries
Study dates
23 Mar 2018to 30 Sep 2029
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 78 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically confirmed Multiple Myeloma prior to enrolment and randomization.
  • At least 1 week (7 days) from last induction cycle of combination/multi-agent cyto-reductive chemotherapy (e.g., KRD [carfilzomib, lenalidomide, dexamethasone] or VRD (e.g., bortezomib, lenalidomide, dexamethasone) or last single agent chemotherapy (e.g., lenalidomide, pomalidomide, bortezomib, dexamethasone, etc.) prior to the first dose of G-CSF for mobilization.
  • Eligible for autologous hematopoietic stem cell transplantation according to the Investigator's discretion.
  • The subjects should be in first or second CR (including CR and SCR) or PR (including PR and VGPR).
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
  • Adequate organ function at screening as defined as below:
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  • Hematology:
  • White blood cell counts more than 2.5 x 10^9/L
  • Absolute neutrophil count more than 1.5 x 10^9/L
  • Platelet count more than 100 x10^9/L Renal Function:
  • Glomerular Filtration Rate (GFR) value of ≥15 mL/min/1.732 calculated by Modification of Diet in Renal Disease (MDRD) equation
  • Hepatic function:
  • Alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) ≤ 2.5 x ULN
  • Total Bilirubin ≤ 2.0 x Upper Limit Normal (ULN) unless the subject has Gilbert disease
  • Coagulation test:
  • International Normalized Ratio (INR) or Prothrombin Time (PT): ≤1.5 x ULN unless subject is receiving anticoagulant therapy, as long as PT or Partial Thromboplastin Time (PTT) is within therapeutic range of intended use of anticoagulants
  • Activated Partial Thromboplastin Time (aPTT): ≤1.5 x ULN unless subject is receiving anticoagulant therapy, as long as PT or PTT is within therapeutic range of intended use of anticoagulants
  • Male subjects must agree to use an adequate method of contraception starting with the first day of G-CSF administration through 30 days after the last dose of study drug.
  • Patients must have a signed study informed consent prior to entering the study.

Who cannot join

  • Previous history of autologous or allogeneic-Hematopoietic Cell Transplantation (HCT).
  • Failed previous Hematopoietic Stem Cell (HSC) collections or collection attempts.
  • Taken any of the listed below concomitant medications, growth factors or stimulating agents within the designated washout period:
  • Dexamethasone: 7 days;
  • Thalidomide: 7 days;
  • Lenalidomide: 7 days;
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  • Pomalidomide: 7 days;
  • Bortezomib: 7 days;
  • Carfilzomib: 7 days;
  • G-CSF: 14 days;
  • Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF) or Neulasta®: 21 days;
  • Erythropoietin or erythrocyte stimulating agents: 30 days;
  • Eltrombopag, romiplostim or platelet stimulating agents: 30 days;
  • Carmustine (BCNU): 42 days/6 weeks;
  • Daratumumab: 28 days;
  • Ixazomib: 7 days.
  • Received >6 cycles lifetime exposure to thalidomide or lenalidomide.
  • Received >8 cycles of alkylating agent combinations.
  • Received >6 cycles of melphalan.
  • Received prior treatment with radioimmunotherapy (e.g., radionuclides, holmium).
  • Received prior treatment with venetoclax.
  • Plans to receive maintenance treatment within 60 days post-engraftment (e.g., lenalidomide, bortezomib, pomalidomide, thalidomide, carfilzomib, etc.)
  • Has received a live vaccine within 30 days of the planned start of G-CSF administration. Seasonal flu vaccines that do not contain live virus are permitted.
  • Known active central nervous system (CNS) metastases or carcinomatous meningitis.
  • A history of allergic reactions attributed to compounds of similar chemical or biologic composition to BL-8040, G-CSF, or other agents used in the study.
  • Has an active infection requiring systemic therapy or uncontrolled infection.
  • Has a known additional malignancy that is progressing or requires active treatment.
  • Has an underlying medical condition that would preclude study participation.
  • Is currently participating and receiving study therapy or has participated in a study of an investigational agent and received study therapy or used an investigational device within 4 weeks of the first dose of treatment.
  • O2 saturation < 92% (on room air).
  • Personal history or family history of Long QT Syndrome or Torsade de Pointes.
  • History of unexplained syncope, syncope from an uncorrected cardiac etiology, or family history of sudden cardiac death.
  • Myocardial infarction, coronary artery bypass grafting (CABG), coronary or cerebral artery stenting and /or angioplasty, stroke, cardiac surgery, or hospitalization for congestive heart failure within 3 months or greater than Angina Pectoris Class >2 or New York Heart Association (NYHA) Heart Failure >2.
  • ECG in screening showing QTcF > 470 msec, and/or PR > 280 msec,.
  • Mobitz II 2nd degree Atrioventricular (AV) Block, 2:1 AV Block, High Grade AV Block, or Complete Heart Block, unless the patient has an implanted pacemaker or implantable cardiac defibrillator (ICD) with backup pacing capabilities.
  • Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation for the full duration of the trial, or is not in the best interest of the subject to participate, in the opinion of the treating investigator.
  • Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.
  • Is pregnant or breastfeeding, or expecting to conceive within the projected duration of the trial, starting with the screening visit through 30 days after the last dose of study drug.
  • Has a known history of HIV (HIV 1/2 antibodies)
  • Has known active Hepatitis B (e.g., Hepatitis B Surface Antigen [HBsAg] reactive) or Hepatitis C (e.g., Hepatitis C Virus [HCV] RNA [qualitative] is detected).
  • Untreated or unsuccessfully treated Hepatitis B or C.

Trial locations and contacts

18 sites in 5 countries.

18 sites in 5 countries

United States10 sites
  • University of Maryland

    Baltimore, Maryland, 21201

  • Loyola University Medical Center

    Chicago, Illinois, 60611

  • University of Cincinnati

    Cincinnati, Ohio, 45221

  • University of Florida

    Gainesville, Florida, 100278

  • MD Anderson Cancer Center

    Houston Texas, Texas, 77030

  • UCLA Medical Center

    Los Angeles, California, 167817

  • University of Miami

    Miami, Florida, 33136

  • Mayo Clinic

    Rochester, Minnesota, 55902

  • Huntsman Cancer Institute in University of Utah

    Salt Lake City, Utah, 84112

  • The Washington University School of Medicine

    St Louis, Missouri, 63110

Other trials in United States

Spain3 sites
  • Hospital de La Santa Creu I Sant Pau

    Barcelona, 08041

  • Hospital University Ramon y Cajal

    Madrid, 135250

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

Other trials in Spain

Hungary2 sites
  • Central Hospital of Southern Pest National Institute of Hematology and Infectious Diseases

    Budapest, 1097

  • University of Debrecen

    Debrecen, 4032

Other trials in Hungary

Italy2 sites
  • Div. Clinicizzata di Ematologia - Policlinico Vittorio Emanuele

    Catania, 95124

  • Presidio Ospedaliero Morelli Viale Europa

    Reggio Calabria, 89133

Other trials in Italy

Germany1 site
  • University of Koln

    Cologne, Koln, 50923

Other trials in Germany

About this study

Official title: A Phase III, Randomized, Placebo-Controlled, Multi-Centre Study Evaluating the Safety, Tolerability and Efficacy of Combination Treatment of BL-8040 and G-CSF as Compared to Placebo and G-CSF for the Mobilization of Hematopoietic Stem Cells for Autologous Transplantation in Subjects With Multiple Myeloma - The GENESIS Study

A total of 122 subjects were randomized into the study and investigated in the double-blind placebo-controlled setting to assess the efficacy and safety of G-CSF + BL-8040 as compared to G-CSF + placebo.

Read the detailed description
  • Part 1: This lead-in period, designed to ascertain the dose of BL-8040, enrolled a total of 12 subjects to an open labeled treatment to assess the efficacy, safety, pharmacokinetic (PK) and pharmacodynamic (PD) parameters of treatment with G-CSF 10 µg/kg/day and BL-8040 1.25 mg/kg, per study protocol to goal collection of ≥ 6 × 10^6 CD34+ cells/kg.
  • Part 2: Following the successful completion of Part 1, a total of 122 subjects were randomized into Part 2 of the study which employed a double-blind placebo-controlled setting to assess the efficacy and safety of G-CSF + BL-8040 as compared to G-CSF + placebo.
Being tested
BL-8040 1.25 mg/kg + G-CSF, Placebo +G-CSF
Medical subject headings
Multiple Myeloma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BL-8040 1.25 mg/kg + G-CSFDrug

    Up to 2 subcutaneous (SC) injections of BL-8040 are anticipated during the study. Injections of G-CSF per standard of care

  • Placebo +G-CSFDrug

    Up to 2 SC injections of Placebo are anticipated during the study. Injections of G-CSF per standard of care

Study groups in NCT03246529
Study groupRoleWhat they receive
BL-8040 1.25 mg/kg + G-CSFExperimentalDouble-blind placebo-controlled setting designed to assess the safety, tolerability and efficacy of G-CSF + BL-8040 as compared to G-CSF + Placebo, for stem cell mobilization in MM.
Receives: Drug: BL-8040 1.25 mg/kg + G-CSF
Placebo + G-CSFActive comparatorDouble-blind placebo-controlled setting designed to assess the safety, tolerability and efficacy of G-CSF + BL-8040 as compared to G-CSF + Placebo, for stem cell mobilization in MM.
Receives: Drug: Placebo +G-CSF

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Subjects Mobilizing ≥6 × 10^6 CD34+ Cells/kg With up to 2 Apheresis Sessions

    Percentage of subjects mobilizing ≥6 × 10^6 CD34+ cells/kg with up to 2 apheresis sessions in preparation for autologous hematopoetic cell transplantation (auto-HCT) after treatment with G-CSF + single administration of BL-8040/placebo.

    Based on central laboratory data.

    Measured: From first day of study treatment (G-CSF) until day of second apheresis which was planned to occur on Day 6

Secondary outcomes (8)
  1. Percentage of Subjects Mobilizing ≥2 × 10^6 CD34+ Cells/kg in 1 Apheresis Session

    Percentage of subjects mobilizing ≥2 × 10^6 CD34+ cells/kg in 1 apheresis session after treatment with G-CSF + single administration of BL-8040/ placebo.

    Measured: From first day of study treatment (G-CSF) until day of first apheresis which was planned to occur on Day 5

  2. Percentage of Subjects Mobilizing ≥6 × 10^6 CD34+ Cells/kg in 1 Apheresis Session

    Percentage of subjects mobilizing ≥6 × 10^6 CD34+ cells/kg in 1 apheresis session after treatment with G-CSF + single administration of BL-8040/ placebo.

    Measured: From first day of study treatment (G-CSF) until day of first apheresis which was planned to occur on Day 5

  3. Time to Neutrophil Engraftment, After Auto-HCT

    Time to neutrophil engraftment after auto-HCT, where engraftment was defined as absolute neutrophil count (ANC) ≥0.5 × 10^9/L for 3 days or ≥1.0 × 10^9/L for 1 day following the conditioning regimen associated nadir.

    Measured: End of engraftment period, which was defined as 29 days post transplantation

  4. Time to Platelet Engraftment, After Auto-HCT

    Time to platelet engraftment, after auto-HCT, where engraftment was defined as the first of 3 consecutive measurements of platelet count ≥20 × 10^9/L without platelet transfusion support for 7 days following the conditioning regimen associated nadir.

    Measured: End of engraftment period, which was defined as 29 days post transplantation

  5. Subjects With Graft Durability at 100 Days Post Transplant/ Early Termination

    Subjects achieving graft durability were defined as meeting the following 2 criteria:

    • Platelet count ≥50 × 10^9/L without transfusion for at least 2 weeks.
    • Hemoglobin level ≥10 g/dL with no erythropoietin support or transfusions for at least 1 month.

    This analysis was performed in part 2 of the study only.

    Measured: Day 100 Post-Transplantation (± 7 days)

  6. Graft Durability at 6 Months Post Transplantation

    Comparability of the graft durability between the BL-8040 + G-CSF arm and the placebo + G-CSF arm at 6 months post transplantation

    Measured: 6 Months Post Transplantation

  7. Graft Durability at 9 Months Post Transplantation

    Comparability of the graft durability between the BL-8040 + G-CSF arm and the placebo + G-CSF arm at 9 months post transplantation

    Measured: 9 Months Post Transplantation

  8. Graft Durability at 12 Months Post Transplantation

    Comparability of the graft durability between the BL-8040 + G-CSF arm and the placebo + G-CSF arm at 12 months post transplantation

    Measured: 12 Month Post Transplantation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Aug 2017
  2. Study start23 Mar 2018
  3. Primary completion22 Dec 2020
  4. Study completion30 Sep 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Subjects were randomized using a 2:1 ratio to receive G-CSF + BL-8040 or G-CSF + Placebo, respectively. Randomization will use permuted blocks stratifying subjects by US geographical region (NorthEast, SouthEast, MidWest, SouthWest and NorthWest), remission status (CR vs. PR), and baseline platelet count (\< 200 × 10\^9/L or ≥ 200 × 10\^9/L).
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03246529
Sponsor's protocol ID
BL-8040.SCM.301
Acronym
GENESIS
Status last verified
Dec 2025
First submitted
2 Aug 2017
Last updated
15 Jan 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Crees ZD, Rettig MP, Jayasinghe RG, Stockerl-Goldstein K, Larson SM, Arpad I, Milone GA, Martino M, Stiff P, Sborov D, Pereira D, Micallef I, Moreno-Jimenez G, Mikala G, Coronel MLP, Holtick U, Hiemenz J, Qazilbash MH, Hardy N, Latif T, Garcia-Cadenas I, Vainstein-Haras A, Sorani E, Gliko-Kabir I, Goldstein I, Ickowicz D, Shemesh-Darvish L, Kadosh S, Gao F, Schroeder MA, Vij R, DiPersio JF. Motixafortide and G-CSF to mobilize hematopoietic stem cells for autologous transplantation in multiple myeloma: a randomized phase 3 trial. Nat Med. 2023 Apr;29(4):869-879. doi: 10.1038/s41591-023-02273-z. Epub 2023 Apr 17.

    PubMed 37069359
  • Crees ZD, Stockerl-Goldstein K, Vainstein A, Chen H, DiPersio JF. GENESIS: Phase III trial evaluating BL-8040 + G-CSF to mobilize hematopoietic cells for autologous transplant in myeloma. Future Oncol. 2019 Nov;15(31):3555-3563. doi: 10.2217/fon-2019-0380. Epub 2019 Sep 9.

    PubMed 31495201

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing BL-8040 1.25 mg/kg + G-CSF in people with Multiple Myeloma, run by BioLineRx, Ltd. at 18 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 19 inclusion and 41 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 15 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in United States, Spain, Hungary, Italy, Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Nov 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Subjects Mobilizing ≥6 × 10^6 CD34+ Cells/kg With up to 2 Apheresis Sessions (time frame: From first day of study treatment (G-CSF) until day of second apheresis which was planned to occur on Day 6). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03246529, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jan 2026.

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