ADCs in MM

TargetAgentActive key trials (phase)Prior linesRegimenToxicities (≥ grade 3)
BCMABelantamab mafodotinNCT03715478 (Ph I/II)RRMM+ Pom/DexKeratopathy/MEC, ↓ VA, neutropenia, thrombocytopenia, lung infection, dyspnea
NCT03848845 DREAMM-4 (Ph II)RRMM+ Pembrolizumab-
NCT04126200 DREAMM-5 (Ph II)3 or more+/− GSK3174998 or +/− GSK3359609 or +/− nirogacestat or +/− dostarlimab-
NCT03544281 DREAMM-6 (Ph II)RRMM+ Len/Dex or + Bor/DexKeratopathy/MEC, thrombocytopenia
NCT04484623 DREAMM-8 (Ph III)1 or more+ Pom/Dex-
NCT04091126 DREAMM-9 (Ph III)TI-NDMM+/− Bor/Len/Dex-
NCT04398745 DREAMM-12 (Ph I)2 or moreSingle agent-
NCT04177823 (Ph I)2 or moreSingle agent-
MEDI2228NCT03489525RRMMSingle agentThrombocytopenia, pleural effusion, rash, transaminitis
AMG 224NCT02561962 (Ph I)3 or moreSingle agentThrombocytopenia, transaminitis, fatigue, nausea, anemia
CD38 (ADC)TAK-169NCT04017130 (Ph I)2 or moreSingle agent-
TAK-573NCT03215030 (Ph I/II)3 or more+/− Dex-
CD46 (ADC)FOR46NCT03650491 (Ph I)RRMMSingle agent-
CD74 (ADC)STRO-001NCT03424603 (Ph I)RRMMSingle agent-

↓: decreased; -: not applicable; Ph: clinical trial phase; TI-NDMM: transplant-ineligible newly diagnosed MM; MEC: microcyst- like epithelial changes; VA: visual acuity