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DRUG:

Elrexfio (elranatamab-bcmm)

i
Other names: PF-06863135, PF 06863135, PF06863135, PF‑3135, PF3135, RN 613, RN613, RN-613
Company:
Pfizer
Drug class:
CD3 agonist, BCMA inhibitor
Related drugs:
1m
A Real World Study of Elranatamab in Patients With RR Multiple Myeloma in Taiwan (clinicaltrials.gov)
P=N/A, N=1, Active, not recruiting, Pfizer | Not yet recruiting --> Active, not recruiting | N=30 --> 1
Enrollment closed • Enrollment change • Real-world evidence
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Elrexfio (elranatamab-bcmm)
1m
Influence of PPM1D Mutations on Response and Survival Outcomes Following Bispecific Antibody Therapy in Relapsed and Refractory Multiple Myeloma Patients. (PubMed, Biomedicines)
We conducted a retrospective, single-center study including 27 patients with RRMM who were treated with bsAbs (teclistamab, elranatamab, or talquetamab) between June 2022 and September 2025 and for whom genetic material was available before bsAB treatment. These findings suggest that PPM1D mutations may represent a promising biomarker in patients with RRMM treated with bsAbs. Larger, prospective studies are warranted to validate and further elucidate these observations.
Journal
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PPM1D (Protein Phosphatase Mg2+/Mn2+ Dependent 1D)
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Elrexfio (elranatamab-bcmm) • Talvey (talquetamab-tgvs) • Tecvayli (teclistamab-cqyv)
2ms
Trial initiation date
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clonoSEQ®
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lenalidomide • bortezomib • Elrexfio (elranatamab-bcmm) • Darzalex Faspro (daratumumab and hyaluronidase-fihj) • dexamethasone injection
2ms
Emerging T-Cell Engagers and Novel Immunotargets in Multiple Myeloma. (PubMed, Oncology (Williston Park))
T cell-redirecting therapies represent a central pillar in modern oncology, delivering high response rates across hematologic malignancies with expanding roles in earlier treatment settings. Future progress will depend on improving durability, optimizing sequencing, mitigating toxicity, and enhancing real-world deliverability through next-generation and multitarget platforms.
Review • Journal
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DLL3 (Delta Like Canonical Notch Ligand 3)
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Yescarta (axicabtagene ciloleucel) • Breyanzi (lisocabtagene maraleucel) • Kymriah (tisagenlecleucel-T) • Epkinly (epcoritamab-bysp) • Elrexfio (elranatamab-bcmm) • Imdelltra (tarlatamab-dlle) • Tecartus (brexucabtagene autoleucel) • Talvey (talquetamab-tgvs) • Tecvayli (teclistamab-cqyv) • Columvi (glofitamab-gxbm) • cevostamab (RG6160)
2ms
New P2/3 trial
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CD4 (CD4 Molecule)
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Elrexfio (elranatamab-bcmm)
2ms
New P2 trial
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Elrexfio (elranatamab-bcmm)
2ms
Multiple Myeloma Cells Resistant to T-cell Therapies Exhibits a CD45+ Immune Evasive Phenotype. (PubMed, Cancer Immunol Res)
Bone marrow samples were treated ex vivo with BCMA CAR T cells, TCEs (elranatamab, SAR442257), or activated T cells, and analyzed by flow cytometry. CD45 upregulation was validated in patient samples before and after idecabtagene vicleucel therapy (anti-BCMA CAR T-cell therapy), and by using in an in vivo mouse model of disseminated MM...Mechanistic studies implicated secreted HSP70, while bulk RNA-sequencing revealed increased LAG-3, IFN-γ signaling, and PD-L1 expression. These findings suggest T cell-redirecting therapy (TCRT) drives an immuno-evasive phenotype defined by CD45 upregulation and immune checkpoint activation, supporting combination strategies of TCRT with checkpoint inhibitors to overcome resistance in relapsed/refractory MM.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • IFNG (Interferon, gamma) • LAG3 (Lymphocyte Activating 3) • PTPRC (Protein Tyrosine Phosphatase Receptor Type C)
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PD-L1 expression
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Elrexfio (elranatamab-bcmm) • SAR442257 • Abecma (idecabtagene vicleucel)
2ms
New P2 trial
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CD4 (CD4 Molecule)
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Elrexfio (elranatamab-bcmm) • Actemra IV (tocilizumab)
3ms
Study of Elranatamab for Relapsed or Refractory Myeloma in Patients Previously Exposed to Three-drug Classes (clinicaltrials.gov)
P2, N=50, Active, not recruiting, PETHEMA Foundation | Recruiting --> Active, not recruiting
Enrollment closed • IO biomarker
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Elrexfio (elranatamab-bcmm)
3ms
New trial
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Elrexfio (elranatamab-bcmm)
3ms
Enrollment change
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lenalidomide • dexamethasone • pomalidomide • Elrexfio (elranatamab-bcmm) • Darzalex Faspro (daratumumab and hyaluronidase-fihj)
4ms
MagnetisMM-4: Umbrella Study of Elranatamab (PF-06863135) in Combination With Anti-Cancer Treatments in Multiple Myeloma (clinicaltrials.gov)
P2, N=46, Terminated, Pfizer | Active, not recruiting --> Terminated; A business decision was made by Pfizer to terminate the study and not proceed with the Phase 2 expansion of this study. The reason for study termination is not due to any safety concerns or requests from regulatory authorities.
Trial termination
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lenalidomide • dexamethasone • Elrexfio (elranatamab-bcmm) • Ogsiveo (nirogacestat)