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. 2025 Aug 25;16:1616. doi: 10.1007/s12672-025-03312-6

Table 1.

Clinical trials evaluating checkpoint Inhibition of the CD47-SIRPα axis in multiple myeloma

Clinical Trials.gov Identifier Drug name Mechanism of action Study design and description Current status
NCT04892446 Hu5F9-G4 (magrolimab) Human IgG4 monoclonal antibody against CD47 Multicenter, phase II study evaluating the efficacy of magrolimab dual therapy with daratumumab, combination therapy with pomalidomide and dexamethasone, and dual therapy with carfilzomib, in patients with relapsed/refractory MM. Ongoing
NCT04445701 AO-176 Humanized IgG2 monoclonal antibody targeting CD47 Open-label, multi-center, dose-escalation phase I/II clinical trials evaluating efficacy of combination therapy of AO-176, dexamethasone and bortezomib in patients with relapsed/refractory MM. Ongoing
NCT05139225 Maplirpacept (TTI-622) Fusion protein of CD47-binding domain of SIRPα linked to Fc region of human IgG4 Open-label, phase I study evaluating TTI-622 in combination with daratumumab in patients with relapsed/refractory multiple myeloma Ongoing
NCT05567887 Maplirpacept (TTI-622) Fusion protein of CD47-binding domain of SIRPα linked to Fc region of human IgG4 Open-label, phase I study in patients with relapsed/refractory MM to assess safety and tolerability of Maplirpacept monotherapy Ongoing
NCT05896774 Maplirpacept (TTI-622) Fusion protein of CD47-binding domain of SIRPα linked to Fc region of human IgG4 Open-label, phase I study in patients with relapsed/refractory MM to evaluate safety and tolerability of Maplirpacept monotherapy. Ongoing
NCT03530683 Maplirpacept (TTI-622) Fusion protein of CD47-binding domain of SIRPα linked to Fc region of human IgG4 Open-label, multi-center phase I study evaluating the safety and efficacy of maplirpacept monotherapy against maplirpacept/carfilzomib/dexamethasone triple therapy and maplirpacept//carfilzomib/dexamethasone combination therapy in patients with relapsed/refractory MM. Ongoing
NCT05675449 Maplirpacept (TTI-622) Fusion protein of CD47-binding domain of SIRPα linked to Fc region of human IgG4 Open-label, phase Ib study comparing elranatamab/maplirpacept dual-therapy to elranatamab/carfilzomib/dexamethasone combination therapy in patients with relapsed/refractory MM. Ongoing
NCT04895410 Lemzoparlimab Novel, differentiated CD47 antibody targeting a distinct CD47 epitope preferential to tumour cells Phase 1b, dose escalation and exapansion study of Lemzoparlimab with or without dexamethasone and in combination with anti-myeloma regimens for the treatment of patients with relapsed/refractory MM.
NCT02663518 Ontorpacept (TTI-621) Fusion protein of CD47-binding domain of SIRPα linked to Fc region of human IgG1 Open-label, phase Ia/Ib trial evaluating Ontorpacept monotherapy in patients with relapsed/refractory MM. Terminated for administrative reasons