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OncoMatch/Clinical Trials/NCT06920251

Phase II Trials of Letermovir Prophylaxis in Patients With RRMM Undergoing Elranatamab Therapy

Is NCT06920251 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Letermovir for relapsed refractory multiple myeloma (rrmm).

Phase 2RecruitingSeoul National University HospitalNCT06920251Data as of May 2026

Treatment: LetermovirThis is an open-label, single arm, multicenter study to evaluate the efficacy of letermovir in the prevention of clinically significant CMV infection in adult, CMV-seropositive relapsed/refractory MM patients undergoing BsAbs therapy.

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Extracted eligibility criteria

Cancer type

Multiple Myeloma

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Min 3 prior lines

Must have received: proteasome inhibitor

Subject must have received at least one proteasome inhibitor

Must have received: immunomodulatory drug

Subject must have received at least one immunomodulatory drug

Must have received: anti-CD38 antibody

Subject must have received at least one anti-CD38 antibody

Cannot have received: allogeneic stem cell transplantation

Exception: allowed if >1 year prior and no active GVHD and off immunosuppressants

Subject has previously received allogeneic stem cell transplantation within a year during prior therapy. Patients who received allogeneic stem cell transplantation should not have evidence of active graft-versus-host disease (GVHD) and off any immunosuppressants.

Cannot have received: autologous stem cell transplantation

Exception: allowed if >12 weeks prior

received autologous stem cell transplantation within 12 weeks of initiating study treatment

Cannot have received: plasmapheresis

Exception: allowed if >28 days prior

Plasmapheresis within the last 28 days of initiating study treatment

Cannot have received: major surgery

Exception: allowed if >28 days prior

Major surgery (as defined by the investigator) within 28 days of initiating study treatment

Lab requirements

Blood counts

Absolute neutrophil count (ANC) < 1,000/µL; Platelet count < 25,000/µL

Kidney function

Estimated glomerular filtration rate (eGFR) < 30 mL/min or requiring dialysis

Liver function

Serum aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 2.5 × upper limit of normal (ULN); Serum total bilirubin > 1.5 × ULN, or for participants with documented Gilbert's syndrome > 3.0 mg/dL

Cardiac function

LVEF < 40% as determined by a MUGA scan or echocardiography; Prolonged QT syndrome (or QTcF >470 msec at screening); acute myocardial infarction or acute coronary syndromes within 6 months; clinically significant cardiac arrhythmias; thromboembolic or cerebrovascular events within 6 months

Absolute neutrophil count (ANC) < 1,000/µL. Platelet count < 25,000/µL. Estimated glomerular filtration rate (eGFR) < 30 mL/min or requiring dialysis. Serum aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 2.5 × upper limit of normal (ULN) Serum total bilirubin > 1.5 × ULN, or for participants with documented Gilbert's syndrome > 3.0 mg/dL. LVEF < 40% as determined by a MUGA scan or echocardiography; Prolonged QT syndrome (or QTcF >470 msec at screening); acute myocardial infarction or acute coronary syndromes within 6 months; clinically significant cardiac arrhythmias; thromboembolic or cerebrovascular events within 6 months

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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