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Multiple Myeloma (MM)Phase 1NCT04123418

A Study of WVT078 in Patients With Multiple Myeloma (MM)

A Phase 1 study testing WVT078 and WHG626 in people with Multiple Myeloma (MM), run by Novartis Pharmaceuticals at 12 sites in 8 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The design of a phase I, open-label, dose finding study was chosen in order to establish a safe and tolerated dose of single agent WVT078 alone and in combination with WHG626 in patients relapses and/or refractory Multiple Myeloma (MM) Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Multiple Myeloma (MM)
What is being tested?
WVT078 and WHG626
Could I receive a placebo?
No, everyone receives an active treatment
How many people
56 participants
Where
12 sitesin 8 countries
Study dates
5 Dec 2019to 2 Dec 2024
Phase
Phase 1
Are there results?
None posted in the registry

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 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects who are relapsed and/or refractory to two or more regimens including an IMID, proteasome inhibitor, and an anti-CD38 agent (if available)

Who cannot join

  • Use of systemic chronic steroid therapy (>or= 10mg/day prednisone or equivalent) or any immunosuppressive therapy within 7 days of first dose of study treatment
  • Malignant disease other than being treated on this study
  • Active known or suspected autoimmune disease
  • Impaired cardiac function or clinically significant cardiac disease
  • Treatment with cytotoxic or small molecule antineoplastics or any experimental therapy within 14 days or 5 half-lives whichever is shorter
  • Active central nervous system involvement by malignancy or presence of symptomatic CNS metasteses

Trial locations and contacts

12 sites in 8 countries.

12 sites in 8 countries

United States3 sites
  • Emory University School of Medicine-Winship Cancer Institute

    Atlanta, Georgia, 30322

  • University Of Wisconsin

    Madison, Wisconsin, 53792

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

Other trials in United States

Germany2 sites
  • Novartis Investigative Site

    Dresden, 01307

  • Novartis Investigative Site

    Heidelberg, 69120

Other trials in Germany

Spain2 sites
  • Novartis Investigative Site

    Barcelona, 08041

  • Novartis Investigative Site

    Santander, Cantabria, 39008

Other trials in Spain

Australia1 site
  • Novartis Investigative Site

    Melbourne, Victoria, 3004

Other trials in Australia

Israel1 site
  • Novartis Investigative Site

    Tel Aviv, 6423906

Other trials in Israel

Italy1 site
  • Novartis Investigative Site

    Milan, MI, 20162

Other trials in Italy

Japan1 site
  • Novartis Investigative Site

    Bunkyo Ku, Tokyo, 113-8677

Other trials in Japan

Norway1 site
  • Novartis Investigative Site

    Oslo, NO-0407

Other trials in Norway

About this study

Official title: A Phase I, Open-label, Multicenter, Study of WVT078 in Subjects With Relapsed and/or Refractory Multiple Myeloma

The design of a phase I, open-label, dose finding study was chosen in order to establish a safe and tolerated dose of single agent WVT078 alone and in combination with WHG626 in patients relapses and/or refractory Multiple Myeloma (MM)

Read the detailed description

This first-in-human trial with WVT078 is a dose escalation study whose primary purpose is to characterize the safety, tolerability, and determine recommended dose regimen(s) of WVT078 alone and in combination with WHG626 in subjects with MM who have received two or more standard of care lines of therapy including an IMID, a proteasome inhibitor, and an anti-CD38 agent (if available) and are relapsed and/or refractory to or intolerant of each regimen. In addition, this study will assess preliminary anti-MM response of and characterize the pharmacokinetics and immunogenicity of WVT078 alone and in combination with WHG626. The results of this study will inform the future development of WVT078 alone and in combination with WHG626 as a treatment for relapsed and/or refractory MM.

Being tested
WVT078, WHG626
Keywords
Multiple Myeloma, phase 1
Medical subject headings
Multiple Myeloma

What participants receive

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

  • WVT078Biological

    WVT078 will be administered IV (intravenously) in a dose escalation schedule

  • WHG626Drug

    WHG626 will be administered orally in a dose escalation schedule

Study groups in NCT04123418
Study groupRoleWhat they receive
WVT078 in Multiple Myeloma (MM) patientsExperimentalDose escalation study to determine Maximum Tolerated Dose (MTD)/ Recommended Dose (RD) in adult patients with relapsed and/or refractory Multiple Myeloma (MM)
Receives: Biological: WVT078
WVT078 in combination with WHG626 in Multiple Myeloma (MM) patientsExperimentalDose escalation study to determine Maximum Tolerated Dose (MTD)/ Recommended Dose (RD) in adult patients with relapsed and/or refractory Multiple Myeloma (MM)
Receives: Biological: WVT078; Drug: WHG626

What is being measured

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

  1. Incidence of dose limiting toxicity (DLTs) in Cycle 1

    To characterize the safety, tolerability, and determine the recommended dose regimen(s) of WVT078 alone and in combination with WHG626 in subjects with relapsed and/or refractory MM

    Measured: 28 days (first cycle)

  2. Frequency of dose interruptions

    To characterize the safety, tolerability, and determine the recommended dose regimen(s) of WVT078 alone and in combination with WHG626 in subjects with relapsed and/or refractory MM

    Measured: Up to 28 months

  3. Frequency of discontinuations

    To characterize the safety, tolerability, and determine the recommended dose regimen(s) of WVT078 alone and in combination with WHG626 in subjects with relapsed and/or refractory MM

    Measured: up to 28 months

  4. Frequency of dose reductions

    To characterize the safety, tolerability, and determine the recommended dose regimen(s) of WVT078 alone and in combination with WHG626 in subjects with relapsed and/or refractory MM

    Measured: up to 28 months

  5. Incidence and severity of AEs and SAEs, including changes in laboratory values, vital signs, ECGs, and CRS/immune-mediated reactions

    To characterize the safety, tolerability, and determine the recommended dose regimen(s) of WVT078 alone and in combination with WHG626 in subjects with relapsed and/or refractory MM

    Measured: Up to 31 months

Secondary outcomes (19)
  1. Best Overall Response (BOR)

    Response assessment per International Myeloma Working Group (IMWG) criteria

    Measured: Up to 36 months

  2. Duration of Response (DOR)

    Response assessment per International Myeloma Working Group (IMWG) criteria

    Measured: Up to 36 months

  3. Progresson Free Survival (PFS)

    Response assessment per International Myeloma Working Group (IMWG) criteria

    Measured: Up to 36 months

  4. AUC of WVT078 derived from serum concentrations

    Measured: Up to 28 months

  5. Cmax of WVT078 derived from serum concentrations

    Measured: Up to 28 months

  6. Cmin of WVT078 derived from serum concentrations

    Measured: Up to 28 months

  7. Tmax of WVT078 derived from serum concentrations

    Measured: Up to 28 months

  8. T1/2 of WVT078 derived from serum concentrations

    Measured: Up to 28 months

  9. Concentration of WVT078 Anti Drug Antibodies (ADA) as measured in serum

    Measured: Up to 28 months

  10. AUC of WHG626 derived from plasma concentrations

    Measured: Up to 28 months

  11. Cmax of WHG626 derived from plasma concentrations

    Measured: Up to 28 months

  12. Cmin of WHG626 derived from plasma concentrations

    Measured: Up to 28 months

  13. Tmax of WHG626 derived from plasma concentrations

    Measured: Up to 28 months

  14. T1/2 of WHG626 derived from plasma concentrations

    Measured: Up to 28 months

  15. AUC of GWQ573 (the active metabolite of WHG626) derived from plasma concentrations

    Measured: Up to 28 months

  16. Cmax of GWQ573 (the active metabolite of WHG626) derived from plasma concentrations

    Measured: Up to 28 months

  17. Cmin of GWQ573 (the active metabolite of WHG626) devived from plasma concentrations

    Measured: Up to 28 months

  18. Tmax of GWQ573 (the active metabolite of WHG626) derived from plasma concentrations

    Measured: Up to 28 months

  19. T1/2 of GWQ573 (the active metabolite of WHG626) derived from plasma concentrations

    Measured: Up to 28 months

Timeline

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

  1. First posted10 Oct 2019
  2. Study start5 Dec 2019
  3. Primary completion2 Dec 2024
  4. Study completion2 Dec 2024

Why it stopped: The decision was made for business reasons and was not based on any safety or tolerability concerns

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04123418
Sponsor's protocol ID
CWVT078A12101
Status last verified
Dec 2025
First submitted
2 Oct 2019
Last updated
24 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Raab MS, Cohen YC, Schjesvold F, Aardalen K, Oka A, Spencer A, Wermke M, Souza AD, Kaufman JL, Cafro AM, Ocio EM, Doki N, Henson K, Trabucco G, Carrion A, Bender FC, Juif PE, Fessehatsion A, Fan L, Stonehouse JP, Blankenship JW, Granda B, De Vita S, Lu H. Preclinical discovery and initial clinical data of WVT078, a BCMA x CD3 bispecific antibody. Leukemia. 2023 Jun;37(6):1349-1360. doi: 10.1038/s41375-023-01883-3. Epub 2023 Apr 6.

    PubMed 37024520

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing WVT078 and WHG626 in people with Multiple Myeloma (MM), run by Novartis Pharmaceuticals at 12 sites in 8 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 1 inclusion and 6 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: stopped early, as of the sponsor's last update on 24 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United States, Germany, Spain, Australia, Israel and 3 more countries. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study was stopped early (reason given: The decision was made for business reasons and was not based on any safety or tolerability concerns). Results are not available in the source record.

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?

Incidence of dose limiting toxicity (DLTs) in Cycle 1 (time frame: 28 days (first cycle)). The study lists 5 primary outcomes in all. 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 NCT04123418, which also lists 1 linked publication.

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 24 Dec 2025.

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