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A Safety Study of SEA-BCMA in Patients With Multiple Myeloma

A Phase 1 Study of SEA-BCMA in Patients With Relapsed or Refractory Multiple Myeloma

Status
Terminated
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03582033
Enrollment
83
Registered
2018-07-10
Start date
2018-11-01
Completion date
2023-11-09
Last updated
2024-12-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Multiple Myeloma

Keywords

RRMM, Antibodies, monoclonal, Antigens, BCMA, Immunotherapy, Hematologic diseases, Myeloma, Seattle Genetics

Brief summary

This trial will study SEA-BCMA to find out whether it is an effective treatment for multiple myeloma (MM) and what side effects (unwanted effects) may occur. The study will have several parts. In Parts A and B, participants get SEA-BCMA by itself. This part of the study will find out how much SEA-BCMA should be given for treatment and how often. It will also find out how safe the treatment is and how well it works. In Part C of the study, participants will get SEA-BCMA and dexamethasone. In Part D, participants will get SEA-BCMA, dexamethasone, and pomalidomide. Dexamethasone and pomalidomide are both drugs that can be used to treat multiple myeloma. These parts of the study will find out whether these drugs are safe when used together.

Interventions

Given into the vein (IV; intravenously)

DRUGdexamethasone

Given by mouth (orally) or by IV

DRUGpomalidomide

Given orally

Sponsors

Seagen Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Histologically confirmed diagnosis of MM * Must have MM that is relapsed or refractory * Has received a proteasome inhibitor, an immunomodulatory drug, and an anti-CD38 antibody * Measurable disease, as defined by at least one of the following: (1) serum M protein 0.5 g/dL or higher, (2) urine M protein 200 mg/24 hour or higher, and (3) serum immunoglobulin free light chain (FLC) 10 mg/dL or higher and abnormal serum immunoglobulin kappa lambda FLC ratio. * Eastern Cooperative Oncology Group (ECOG) status score of 0 or 1 * Life expectancy of greater than 3 months in the opinion of the investigator * Adequate hematologic, renal, and hepatic function

Exclusion criteria

* Parts A and D: Prior treatment with a BCMA-directed therapy * History of another malignancy within 3 years * Active cerebral or meningeal disease related to the underlying malignancy * Uncontrolled Grade 3 or higher infection * Prior antitumor therapy that is not completed at least 4 weeks prior to first dose of study drug, or at least 2 weeks if progressing. Prior CAR-T-cell therapy must be completed 8 weeks before first dose of study drug. * Combination therapy only: 1. Known intolerance to corticosteroids 2. Uncontrolled psychoses

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part AFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 44 months (maximum follow up of 45 months)An adverse event (AE) was any untoward medical occurrence in a participant/ clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. TEAEs were defined as newly occurring (not present at baseline)/worsening after first dose of investigational product (IP). TESAEs were any untoward medical occurrence at any dose that: suspected to cause death; life-threatening; required hospitalization; persistent/significant disability/incapacity & may cause congenital anomaly/birth defect. Treatment related TEAEs were related to study treatment and relatedness was judged by investigator. TEAEs were graded according to National Cancer Institute, Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version (v) 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening).
Number of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part BFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 33 months (maximum follow up of 34 months)An AE was any untoward medical occurrence in a participant/ clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. TEAEs were defined as newly occurring (not present at baseline)/worsening after first dose of IP. TESAEs were any untoward medical occurrence at any dose that: suspected to cause death; life-threatening; required hospitalization; persistent/significant disability/incapacity & may cause congenital anomaly/birth defect. Treatment related TEAEs were related to study treatment and relatedness was judged by investigator. TEAEs were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening).
Number of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 36 months (maximum follow up of 37 months)An AE was any untoward medical occurrence in a participant/ clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. TEAEs were defined as newly occurring (not present at baseline)/worsening after first dose of IP. TESAEs were any untoward medical occurrence at any dose that: suspected to cause death; life-threatening; required hospitalization; persistent/significant disability/incapacity & may cause congenital anomaly/birth defect. Treatment related TEAEs were related to study treatment and relatedness was judged by investigator. TEAEs were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening).
Number of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part DFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 19 months (maximum follow up of 20 months)An AE was any untoward medical occurrence in a participant/ clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. TEAEs were defined as newly occurring (not present at baseline)/worsening after first dose of IP. TESAEs were any untoward medical occurrence at any dose that: suspected to cause death; life-threatening; required hospitalization; persistent/significant disability/incapacity & may cause congenital anomaly/birth defect. Treatment related TEAEs were related to study treatment and relatedness was judged by investigator. TEAEs were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening).
Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 44 months (maximum follow up of 45 months)The following serum chemistry laboratory parameters were assessed: Alanine aminotransferase high, albumin low, alkaline phosphatase high, amylase high, aspartate aminotransferase high, calcium corrected for albumin high, calcium corrected for albumin low, creatinine high, glucose high, glucose low, lipase high, phosphate low, potassium high, potassium low, sodium high, sodium low, total bilirubin high and urate high. Chemistry laboratory parameters abnormalities were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening). Participants with any serum chemistry parameter meeting CTCAE grade 1 to 4 were reported.
Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part BFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 33 months (maximum follow up of 34 months)The following serum chemistry laboratory parameters were assessed: Alanine aminotransferase high, albumin low, alkaline phosphatase high, amylase high, aspartate aminotransferase high, calcium corrected for albumin high, calcium corrected for albumin low, creatinine high, glucose high, glucose low, lipase high, phosphate low, potassium high, potassium low, sodium high, sodium low, total bilirubin high and urate high. Chemistry laboratory parameters abnormalities were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening). Participants with any serum chemistry parameter meeting CTCAE grade 1 to 4 were reported.
Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 36 months (maximum follow up of 37 months)The following serum chemistry laboratory parameters were assessed: Alanine aminotransferase high, albumin low, alkaline phosphatase high, amylase high, aspartate aminotransferase high, calcium corrected for albumin high, calcium corrected for albumin low, creatinine high, glucose high, glucose low, lipase high, phosphate low, potassium high, potassium low, sodium high, sodium low, total bilirubin high and urate high. Chemistry laboratory parameters abnormalities were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening). Participants with any serum chemistry parameter meeting CTCAE grade 1 to 4 were reported.
Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part DFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 19 months (maximum follow up of 20 months)The following serum chemistry laboratory parameters were assessed: Alanine aminotransferase high, albumin low, alkaline phosphatase high, amylase high, aspartate aminotransferase high, calcium corrected for albumin high, calcium corrected for albumin low, creatinine high, glucose high, glucose low, lipase high, phosphate low, potassium high, potassium low, sodium high, sodium low, total bilirubin high and urate high. Chemistry laboratory parameters abnormalities were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening). Participants with any serum chemistry parameter meeting CTCAE grade 1 to 4 were reported.
Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 44 months (maximum follow up of 45 months)The following hematology laboratory parameters were assessed: hemoglobin high, hemoglobin low, leukocytes high, leukocytes low, lymphocytes high, lymphocytes low, neutrophils low and platelets low. Laboratory abnormality events were graded according to NCI CTCAE v 4.03 (grade 1=mild, grade 2=moderate, grade 3= severe and grade 4= life-threatening). Participants with any hematology parameter meeting CTCAE grade 1 to 4 were reported.
Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part BFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 33 months (maximum follow up of 34 months)The following hematology laboratory parameters were assessed: hemoglobin high, hemoglobin low, leukocytes high, leukocytes low, lymphocytes high, lymphocytes low, neutrophils low and platelets low. Laboratory abnormality events were graded according to NCI CTCAE v 4.03 (grade 1=mild, grade 2=moderate, grade 3= severe and grade 4= life-threatening). Participants with any hematology parameter meeting CTCAE grade 1 to 4 were reported.
Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 36 months (maximum follow up of 37 months)The following hematology laboratory parameters were assessed: hemoglobin high, hemoglobin low, leukocytes high, leukocytes low, lymphocytes high, lymphocytes low, neutrophils low and platelets low. Laboratory abnormality events were graded according to NCI CTCAE v 4.03 (grade 1=mild, grade 2=moderate, grade 3= severe and grade 4= life-threatening). Participants with any hematology parameter meeting CTCAE grade 1 to 4 were reported.
Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part DFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 19 months (maximum follow up of 20 months)The following hematology laboratory parameters were assessed: hemoglobin high, hemoglobin low, leukocytes high, leukocytes low, lymphocytes high, lymphocytes low, neutrophils low and platelets low. Laboratory abnormality events were graded according to NCI CTCAE v 4.03 (grade 1=mild, grade 2=moderate, grade 3= severe and grade 4= life-threatening). Participants with any hematology parameter meeting CTCAE grade 1 to 4 were reported.
Number of Participants With Dose Limiting Toxicities (DLTs): Part ACycle 1 (28 days)The DLT-evaluation period was the first cycle of treatment. DLTs were graded according to the NCI-CTCAE, v 4.03, and were defined as any of the following events during the DLT-evaluation period: a ) A delay of SEA-BCMA treatment by more than 7 days due to toxicity, b) Any AE \>=Grade 3, unless deemed by the safety monitoring committee (SMC) to be clearly unrelated to SEA-BCMA except for the AEs as pre specified in protocol to be considered a DLT and c) Any treatment related death.
Number of Participants With DLTs: Part BCycle 1 (28 days)The DLT-evaluation period was the first cycle of treatment. DLTs were graded according to the NCI-CTCAE, v 4.03, and were defined as any of the following events during the DLT-evaluation period: a ) A delay of SEA-BCMA treatment by more than 7 days due to toxicity, b) Any AE \>=Grade 3, unless deemed by the SMC to be clearly unrelated to SEA-BCMA except for the AEs as pre specified in protocol to be considered a DLT and c) Any treatment related death.
Number of Participants With DLTs: Part CCycle 1 (28 days)The DLT-evaluation period was the first cycle of treatment. DLTs were graded according to the NCI-CTCAE, v 4.03, and were defined as any of the following events during the DLT-evaluation period: a ) A delay of SEA-BCMA treatment by more than 7 days due to toxicity, b) Any AE \>=Grade 3, unless deemed by the SMC to be clearly unrelated to SEA-BCMA except for the AEs as pre specified in protocol to be considered a DLT and c) Any treatment related death.
Number of Participants With DLTs: Part DCycle 1 (28 days)The DLT-evaluation period was the first cycle of treatment. DLTs were graded according to the NCI-CTCAE, v 4.03, and were defined as any of the following events during the DLT-evaluation period: a ) A delay of SEA-BCMA treatment by more than 7 days due to toxicity, b) Any AE \>=Grade 3, unless deemed by the SMC to be clearly unrelated to SEA-BCMA except for the AEs as pre specified in protocol to be considered a DLT and c) Any treatment related death.

Secondary

MeasureTime frameDescription
ORR as Per the IMWG Uniform Response Criteria: Part CFrom the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 37 months)The ORR was defined as the percentage of participants with an OR per investigator. A participant was determined to have an OR if, based on the 2016 IMWG uniform response criteria, and achieved a sCR, CR, VGPR, or a PR. sCR: FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: negative immunofixation of serum & urine, disappearance of any STP, 5% plasma cells in bone marrow. VGPR: serum and UMP detectable by immunofixation but not on electrophoresis or \>= 90% reduction in SMP level+UMP level \<100 mg/24 hour, PR: \>=50% reduction of SMP & reduction in 24-hour urinary M-protein by \>=90%/to \<200 mg/24 hour. If SMP & UMP are unmeasurable, a ≥50% decrease in the difference between involved & uninvolved FLC levels were required in place of the M-protein criteria. In addition to above criteria, if present at baseline, \>=50% reduction in the size of STP were also required.
ORR as Per the IMWG Uniform Response Criteria: Part DFrom the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 20 months)The ORR was defined as the percentage of participants with an OR per investigator. A participant was determined to have an OR if, based on the 2016 IMWG uniform response criteria, and achieved a sCR, CR, VGPR, or a PR. sCR: FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: negative immunofixation of serum & urine, disappearance of any STP, 5% plasma cells in bone marrow. VGPR: serum and UMP detectable by immunofixation but not on electrophoresis/ \>= 90% reduction in SMP level+UMP level \<100 mg/24 hour, PR: \>=50% reduction of SMP & reduction in 24-hour urinary M-protein by \>=90%/to \<200 mg/24 hour. If SMP & UMP are unmeasurable, a ≥50% decrease in the difference between involved & uninvolved FLC levels were required in place of the M-protein criteria. In addition to above criteria, if present at baseline, \>=50% reduction in the size of STP were also required.
Percentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AFrom the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 45 months)BOR consisted of MRD-negative CR,sCR,CR,VGPR,PR,MR,SD & PD per 2016 IMWG. MRD: evaluated using adaptive next generation sequencing(NGS) for MRD assay & carried out on relevant specimen to understand activity of SEA-BCMA. sCR: CR & normal FLC ratio & absence of clonal cells in bone marrow by IC/ IF. CR: Negative immunofixation of serum & urine disappearance of any STP, & \<5% plasma cells in bone marrow. VGPR: SMP & UMP detectable by IF but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hr, PR: \>=50% R of SMP & R in 24-hr UMP by \>=90%/by \<200 mg/24 hr. If SMP & UMP are unmeasurable, \>=50% decrease in difference between involved & uninvolved FLC levels were required in place of M-protein criteria. SD: Not meeting criteria for CR, VGPR, PR, MR, or progression. MR: 25-49% R of SMP & R in 24-hr UMP by 50-89%, which still exceeds 200mg/24 hr. DP: objective evidence of tumor progression(based on serum/urine/BM assessments) &/clinical progression/investigator.
OS: Part BFrom date of start of study treatment until date of death or censoring date (maximum up to 34 months)OS was defined as the time from the start of any study treatment to the date of death due to any cause. OS was calculated as date of death minus date of first dose of any study treatment plus 1. OS for participants who were alive at their date of last contact, including those lost to follow-up, were censored at the date of last contact. If the last recorded date where a participant was known to be alive is the date of first dose of any study treatment, survival time was censored on the date of first dose of any study treatment (i.e., OS duration of 1 day).
Percentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part BFrom the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 34 months)BOR consisted of MRD-negative CR, sCR, CR, VGPR, PR, MR, SD & PD per 2016 IMWG. MRD: evaluated using adaptive NGS for MRD assay & carried out on relevant specimen to understand activity of SEA-BCMA. sCR: CR & normal FLC ratio & absence of clonal cells in bone marrow by IC/ IF. CR: Negative immunofixation of serum & urine disappearance of any STP, & \<5% plasma cells in bone marrow. VGPR: SMP & UMP detectable by IF but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hr, PR: \>=50% R of SMP & R in 24-hr UMP by \>=90%/by \<200 mg/24 hr. If SMP & UMP are unmeasurable, \>=50% decrease in difference between involved & uninvolved FLC levels were required in place of M-protein criteria. SD: Not meeting criteria for CR, VGPR, PR, MR, or progression. MR: 25-49% R of SMP & R in 24-hr UMP by 50-89%, which still exceeds 200mg/24 hr. DP: objective evidence of tumor progression(based on serum/urine/BM assessments) &/clinical progression/investigator.
Percentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CFrom the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 37 months)BOR consisted of MRD-negative CR, sCR, CR, VGPR, PR, MR, SD & PD per 2016 IMWG. MRD: evaluated using NGS for MRD assay & carried out on relevant specimen to understand activity of SEA-BCMA. sCR: CR & normal FLC ratio & absence of clonal cells in bone marrow by IC/ IF. CR: Negative immunofixation of serum & urine disappearance of any STP, & \<5% plasma cells in bone marrow. VGPR: SMP & UMP detectable by IF but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hr, PR: \>=50% R of SMP & R in 24-hr UMP by \>=90%/by \<200 mg/24 hr. If SMP & UMP are unmeasurable, \>=50% decrease in difference between involved & uninvolved FLC levels were required in place of M-protein criteria. SD: Not meeting criteria for CR, VGPR, PR, MR, or progression. MR: 25-49% R of SMP & R in 24-hr UMP by 50-89%, which still exceeds 200mg/24 hr. DP: objective evidence of tumor progression(based on serum/urine/BM assessments) &/clinical progression/investigator.
Percentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part DFrom the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 20 months)BOR consisted of MRD-negative CR,sCR,CR,VGPR,PR,MR,SD & PD per 2016 IMWG. MRD: evaluated using adaptive NGS for MRD assay & carried out on relevant specimen to understand activity of SEA-BCMA. sCR: CR & normal FLC ratio & absence of clonal cells in bone marrow by IC/ IF. CR: Negative immunofixation of serum & urine disappearance of any STP, & \<5% plasma cells in bone marrow. VGPR: SMP & UMP detectable by IF but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hr, PR: \>=50% R of SMP & R in 24-hr UMP by \>=90%/by \<200 mg/24 hr. If SMP & UMP are unmeasurable, \>=50% decrease in difference between involved & uninvolved FLC levels were required in place of M-protein criteria. SD: Not meeting criteria for CR, VGPR, PR, MR, or progression. MR: 25-49% R of SMP & R in 24-hr UMP by 50-89%, which still exceeds 200mg/24 hr. DP: objective evidence of tumor progression(based on serum/urine/BM assessments) &/clinical progression/investigator.
Duration of Objective Response (DOR) as Per the IMWG Uniform Response Criteria: Part AFrom the first dose of study treatment until the first documented OR (sCR or CR or PR or VGPR) on or before the first documented PD or death or censoring date, whichever occurred first (maximum up to 45 months)DOR: Time from first documentation of OR(sCR,CR,VGPR/PR) to first documentation of PD/death due to any cause, whichever came first. PD: Objective evidence of tumor progression(TP) (based on serum, urine/BM assessments) &/clinical progression/ investigator. sCR: CR, normal FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: Negative immunofixation of serum&urine, disappearance of any STP, &\<5% plasma cells in bone marrow. VGPR: Serum & UMP detectable by immunofixation but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hour, PR: \>=50%R of SMP & R in 24-hour UMP by \>=90% or to \<200 mg/24 hour. DOR: censored on date of last disease assessment documenting absence of PD for participants who do not have PD & were still on study at the time of an analysis/removed from study prior to documentation of TP. Participants started new antitumor treatment prior to documentation of PD were censored at last disease assessment prior to start of new treatment.
DOR as Per the IMWG Uniform Response Criteria: Part BFrom the first dose of study treatment until the first documented OR (sCR or CR or PR or VGPR) on or before the first documented PD or death or censoring date, whichever occurred first (maximum up to 34 months)DOR: Time from first documentation of OR(sCR,CR,VGPR/PR) to first documentation of PD/death due to any cause, whichever came first. PD: Objective evidence of tumor progression(TP) (based on serum, urine/BM assessments) &/clinical progression/ investigator. sCR: CR, normal FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: Negative immunofixation of serum&urine, disappearance of any STP, &\<5% plasma cells in bone marrow. VGPR: Serum & UMP detectable by immunofixation but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hour, PR: \>=50%R of SMP & R in 24-hour UMP by \>=90% or to \<200 mg/24 hour. DOR: censored on date of last disease assessment documenting absence of PD for participants who do not have PD & were still on study at the time of an analysis/removed from study prior to documentation of TP. Participants started new antitumor treatment prior to documentation of PD were censored at last disease assessment prior to start of new treatment.
DOR as Per the IMWG Uniform Response Criteria: Part CFrom the first dose of study treatment until the first documented OR (sCR or CR or PR or VGPR) on or before the first documented PD or death or censoring date, whichever occurred first (maximum up to 37 months)DOR: Time from first documentation of OR(sCR,CR,VGPR/PR) to first documentation of PD/death due to any cause, whichever came first. PD: Objective evidence of tumor progression(TP) (based on serum, urine/BM assessments) &/clinical progression/ investigator. sCR: CR, normal FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: Negative immunofixation of serum&urine, disappearance of any STP, &\<5% plasma cells in bone marrow. VGPR: Serum & UMP detectable by immunofixation but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hour, PR: \>=50%R of SMP & R in 24-hour UMP by \>=90% or to \<200 mg/24 hour. DOR: censored on date of last disease assessment documenting absence of PD for participants who do not have PD & were still on study at the time of an analysis/removed from study prior to documentation of TP. Participants started new antitumor treatment prior to documentation of PD were censored at last disease assessment prior to start of new treatment.
DOR as Per the IMWG Uniform Response Criteria: Part DFrom the first dose of study treatment until the first documented OR (sCR or CR or PR or VGPR) on or before the first documented PD or death or censoring date, whichever occurred first (maximum up to 20 months)DOR: Time from first documentation of OR(sCR,CR,VGPR/PR) to first documentation of PD/death due to any cause, whichever came first. PD: Objective evidence of tumor progression(TP) (based on serum, urine/BM assessments) &/clinical progression/ investigator. sCR: CR, normal FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: Negative immunofixation of serum&urine, disappearance of any STP, &\<5% plasma cells in bone marrow. VGPR: Serum & UMP detectable by immunofixation but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hour, PR: \>=50%R of SMP & R in 24-hour UMP by \>=90% or to \<200 mg/24 hour. DOR: censored on date of last disease assessment documenting absence of PD for participants who do not have PD & were still on study at the time of an analysis/removed from study prior to documentation of TP. Participants started new antitumor treatment prior to documentation of PD were censored at last disease assessment prior to start of new treatment.
Progression Free Survival (PFS): Part AFrom the date of first dose until the first documentation of PD or death or censoring date, whichever occurred first (maximum up to 45 months)PFS: Time from the start of any study treatment to first documentation of DP or to death due to any cause, whichever comes first. DP included objective evidence of tumor progression (based on serum, urine or BM assessments) and/or clinical progression per investigator. PFS was censored on the date of the last disease assessment documenting absence of PD for participants who do not have disease progression and are still on study at the time of an analysis, or discontinuation of study prior to documentation of tumor progression. Participants who have started a new antitumor treatment prior to documentation of PD were censored at the last disease assessment prior to start of new treatment. Participants lacking an evaluation of tumor response after their first dose had their event time censored as 1 day.
PFS: Part BFrom the date of first dose until the first documentation of PD or death or censoring date, whichever occurred first (maximum up to 34 months)PFS: Time from the start of any study treatment to first documentation of DP or to death due to any cause, whichever comes first. DP included objective evidence of tumor progression (based on serum, urine or BM assessments) and/or clinical progression per investigator. PFS was censored on the date of the last disease assessment documenting absence of PD for participants who do not have disease progression and are still on study at the time of an analysis, or discontinuation of study prior to documentation of tumor progression. Participants who have started a new antitumor treatment prior to documentation of PD were censored at the last disease assessment prior to start of new treatment. Participants lacking an evaluation of tumor response after their first dose had their event time censored as 1 day.
PFS: Part CFrom the date of first dose until the first documentation of PD or death or censoring date, whichever occurred first (maximum up to 37 months)PFS: Time from the start of any study treatment to first documentation of DP or to death due to any cause, whichever comes first. DP included objective evidence of tumor progression (based on serum, urine or BM assessments) and/or clinical progression per investigator. PFS was censored on the date of the last disease assessment documenting absence of PD for participants who do not have disease progression and are still on study at the time of an analysis, or discontinuation of study prior to documentation of tumor progression. Participants who have started a new antitumor treatment prior to documentation of PD were censored at the last disease assessment prior to start of new treatment. Participants lacking an evaluation of tumor response after their first dose had their event time censored as 1 day.
Area Under the Serum Concentration-Time Curve From Time 0 to Day 14 (AUC0-14) of SEA-BCMA: Part ACycle 1 and 2: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, 168 and 336 hours post end of infusion on Day 1Area under the observed concentration-time curve from the time of dosing to Day 14 calculated by log-linear trapezoidal approximation.
OS: Part CFrom date of start of study treatment until date of death or censoring date (maximum up to 37 months)OS was defined as the time from the start of any study treatment to the date of death due to any cause. OS was calculated as date of death minus date of first dose of any study treatment plus 1. OS for participants who were alive at their date of last contact, including those lost to follow-up, were censored at the date of last contact. If the last recorded date where a participant was known to be alive is the date of first dose of any study treatment, survival time was censored on the date of first dose of any study treatment (i.e., OS duration of 1 day).
OS: Part DFrom date of start of study treatment until date of death or censoring date (maximum up to 20 months)OS was defined as the time from the start of any study treatment to the date of death due to any cause. OS was calculated as date of death minus date of first dose of any study treatment plus 1. OS for participants who were alive at their date of last contact, including those lost to follow-up, were censored at the date of last contact. If the last recorded date where a participant was known to be alive is the date of first dose of any study treatment, survival time was censored on the date of first dose of any study treatment (i.e., OS duration of 1 day).
PFS: Part DFrom the date of first dose until the first documentation of PD or death or censoring date, whichever occurred first (maximum up to 20 months)PFS: Time from the start of any study treatment to first documentation of DP or to death due to any cause, whichever comes first. DP included objective evidence of tumor progression (based on serum, urine or BM assessments) and/or clinical progression per investigator. PFS was censored on the date of the last disease assessment documenting absence of PD for participants who do not have disease progression and are still on study at the time of an analysis, or discontinuation of study prior to documentation of tumor progression. Participants who have started a new antitumor treatment prior to documentation of PD were censored at the last disease assessment prior to start of new treatment. Participants lacking an evaluation of tumor response after their first dose had their event time censored as 1 day.
Area Under the Serum Concentration-Time Curve From Time 0 to Day 7 (AUC0-7) of SEA-BCMA: Part ACycle 1: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, and 168 hours post end of infusion on Day 1Area under the observed concentration-time curve from the time of dosing to Day 7 calculated by log-linear trapezoidal approximation.
AUC0-7 of SEA-BCMA: Part BCycle 1: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, and 168 hours post end of infusion on Day 1Area under the observed concentration-time curve from the time of dosing to Day 7 calculated by log-linear trapezoidal approximation.
AUC0-7 of SEA-BCMA: Part CCycle 1: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, and 168 hours post end of infusion on Day 1Area under the observed concentration-time curve from the time of dosing to Day 7 calculated by log-linear trapezoidal approximation.
AUC0-7 of SEA-BCMA: Part DCycle 1: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, and 168 hours post end of infusion on Day 1Area under the observed concentration-time curve from the time of dosing to Day 7 calculated by log-linear trapezoidal approximation.
Maximum Observed Serum Concentration (Cmax) of SEA-BCMA: Part ACycle 1 and 2: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, 168 and 336 hours post end of infusion on Day 1 and 15
Cmax of SEA-BCMA: Part BCycle 1: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, 168 and 336 hours post end of infusion on Day 1 and 15
Cmax of SEA-BCMA: Part CCycle 1: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, 168 and 336 hours post end of infusion on Day 1 and 15
Cmax of SEA-BCMA: Part DCycle 1:Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, 168 and 336 hours post end of infusion on Day 1 and 15
Number of Participants With SEA-BCMA Antitherapeutic Antibodies (ATA): Part AAnytime during study (maximum up to 45 months)A positive baseline ATA result was considered positive post-baseline if the post-baseline ATA titer result was at least four times higher than the baseline result.
Number of Participants With SEA-BCMA, ATA: Part BAnytime during study (maximum up to 34 months)A positive baseline ATA result was considered positive post-baseline if the post-baseline ATA titer result was at least four times higher than the baseline result.
Number of Participants With SEA-BCMA, ATA: Part CAnytime during study (maximum up to 37 months)A positive baseline ATA result was considered positive post-baseline if the post-baseline ATA titer result was at least four times higher than the baseline result.
Number of Participants With SEA-BCMA, ATA: Part DAnytime during study (maximum up to 20 months)A positive baseline ATA result was considered positive post-baseline if the post-baseline ATA titer result was at least four times higher than the baseline result.
Overall Survival (OS): Part AFrom date of start of study treatment until date of death or censoring date (maximum up to 45 months)OS was defined as the time from the start of any study treatment to the date of death due to any cause. OS was calculated as date of death minus date of first dose of any study treatment plus 1. OS for participants who were alive at their date of last contact, including those lost to follow-up, were censored at the date of last contact. If the last recorded date where a participant was known to be alive is the date of first dose of any study treatment, survival time was censored on the date of first dose of any study treatment (i.e., OS duration of 1 day).
Objective Response Rate (ORR) as Per the International Myeloma Working Group (IMWG) Uniform Response Criteria: Part AFrom the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 45 months)ORR: Percentage of participants with an objective response (OR) per investigator. Participant was determined to have an OR if, based on 2016 IMWG uniform response criteria, & achieved stringent complete response (sCR), Complete response (CR), very good partial response(VGPR) & partial response(PR): free light chain(FLC) ratio & absence of clonal cells in bone marrow by immunohistochemistry(IC)/ immunofluorescence(IF). CR: negative immunofixation of serum & urine, disappearance of any soft tissue plasmacytomas(STP), 5% plasma cells in bone marrow. VGPR: serum & urine M-protein (UMP) detectable by immunofixation but not on electrophoresis/ \>= 90% reduction in serum M-protein (SMP) level+UMP level \<100 mg/24 hr, PR: \>=50% reduction of SMP & reduction in 24-hr urinary M-protein by \>=90%/to \<200 mg/24 hr. If SMP & UMP are unmeasurable, a ≥50% decrease in the difference between involved & uninvolved FLC levels were required in place of the M-protein criteria.
ORR as Per the IMWG Uniform Response Criteria: Part BFrom the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 34 months)The ORR was defined as the percentage of participants with an OR per investigator. A participant was determined to have an OR if, based on the 2016 IMWG uniform response criteria, and achieved a sCR, CR, VGPR, or a PR. sCR: FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: negative immunofixation of serum & urine, disappearance of any STP, 5% plasma cells in bone marrow. VGPR: serum and UMP detectable by immunofixation but not on electrophoresis or \>= 90% reduction in SMP level+UMP level \<100 mg/24 hour, PR: \>=50% reduction of SMP & reduction in 24-hour urinary M-protein by \>=90%/to \<200 mg/24 hour. If SMP & UMP are unmeasurable, a ≥50% decrease in the difference between involved & uninvolved FLC levels were required in place of the M-protein criteria. In addition to above criteria, if present at baseline, \>=50% reduction in the size of STP were also required.

Countries

United States

Participant flow

Recruitment details

A total of 106 participants signed the informed consent form. 15 participants were screen failures, 8 were not assigned to receive study treatment and 83 participants received at least 1 dose of study treatment.

Pre-assignment details

This study had following parts: Part A (SEA-\[B-cell maturation antigen\] BCMA) monotherapy, Part B (SEA-BCMA monotherapy intensive dosing), Part C (SEA-BCMA and dexamethasone combination) and Part D (SEA-BCMA, pomalidomide and dexamethasone combination).

Participants by arm

ArmCount
Part A: SEA-BCMA 100mg
Participants received SEA-BCMA 100 mg as a monotherapy q2wk IV on Day 1 and 15 of each 28- day cycle. Participants received treatment until disease progression, unacceptable toxicity, withdrawal of consent, death, or study termination, whichever occurs first.
2
Part A: SEA-BCMA 200mg
Participants received SEA-BCMA 200 mg as a monotherapy q2wk IV on Day 1 and 15 of each 28- day cycle. Participants received treatment until disease progression, unacceptable toxicity, withdrawal of consent, death, or study termination, whichever occurs first.
2
Part A: SEA-BCMA 400mg
Participants received SEA-BCMA 400 mg as a monotherapy q2wk IV on Day 1 and 15 of each 28- day cycle. Participants received treatment until disease progression, unacceptable toxicity, withdrawal of consent, death, or study termination, whichever occurs first.
2
Part A: SEA-BCMA 800mg
Participants received SEA-BCMA 800 mg as a monotherapy q2wk IV on Day 1 and 15 of each 28- day cycle. Participants received treatment until disease progression, unacceptable toxicity, withdrawal of consent, death, or study termination, whichever occurs first.
7
Part A: SEA-BCMA 1600mg
Participants received SEA-BCMA 1600 mg as a monotherapy q2wk IV on Day 1 and 15 of each 28- day cycle. Participants received treatment until disease progression, unacceptable toxicity, withdrawal of consent, death, or study termination, whichever occurs first.
22
Part B: SEA-BCMA 1600mg
Participants received SEA-BCMA 1600 mg as an IV infusion q1wk as induction dose for the first two cycles, followed by q2wk as maintenance dose in subsequent cycles, of each 28-day cycle. Participants received treatment until disease progression, unacceptable toxicity, withdrawal of consent, death, or study termination, whichever occurs first.
20
Part C: SEA-BCMA 1600mg and Dexamethasone
Participants received SEA-BCMA 1600 mg IV q2wk on Day 1 and 15 of each 28-day cycle, and dexamethasone 40 mg orally or as an IV infusion on Day 1, 8, 15, and 22 of each 28-day cycle. Participants received treatment until disease progression, unacceptable toxicity, withdrawal of consent, death, or study termination, whichever occurs first.
12
Part C: SEA-BCMA 800mg and Dexamethasone
Participants received SEA-BCMA 800 mg IV q1wk on Day 1 and 15 of each 28-day cycle, and dexamethasone 40 mg orally or as an IV infusion on Day 1, 8, 15, and 22 of each 28-day cycle. Participants received treatment until disease progression, unacceptable toxicity, withdrawal of consent, death, or study termination, whichever occurs first.
6
Part C: SEA-BCMA 1600 mg and Dexamethasone
Participants received SEA-BCMA 1600 mg IV q1wk on Day 1,8,15 and 22 of each 28-day cycle, and dexamethasone 40 mg orally or as an IV infusion on Day 1, 8, 15, and 22 of each 28-day cycle. Participants received treatment until disease progression, unacceptable toxicity, withdrawal of consent, death, or study termination, whichever occurs first.
5
Part D: SEA-BCMA 1600 mg, Pomalidomide and Dexamethasone
Participants received SEA-BCMA 1600 mg IV q2wk on Day 1 and 15 of each 28-day cycle, dexamethasone 40 mg orally or as an IV infusion on Day 1, 8, 15, and 22 and pomalidomide 4 mg orally, daily from Day 1 to 21 of each of each 28-day cycle. Participants received treatment until disease progression, unacceptable toxicity, withdrawal of consent, death, or study termination, whichever occurs first.
5
Total83

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009
Part ADeath11241100000
Part ALost to Follow-up0000100000
Part AOther0000200000
Part AStudy terminated by sponsor0002100000
Part AWithdrawal by Subject1101700000
Part BDeath0000020000
Part BStudy terminated by sponsor00000120000
Part BWithdrawal by Subject0000060000
Part CDeath0000006120
Part COther0000002000
Part CStudy terminated by sponsor0000003320
Part CWithdrawal by Subject0000001210
Part DDeath0000000001
Part DStudy terminated by sponsor0000000004

Baseline characteristics

CharacteristicPart A: SEA-BCMA 100mgPart A: SEA-BCMA 200mgPart A: SEA-BCMA 400mgPart A: SEA-BCMA 800mgPart A: SEA-BCMA 1600mgPart B: SEA-BCMA 1600mgPart C: SEA-BCMA 1600mg and DexamethasonePart C: SEA-BCMA 800mg and DexamethasonePart C: SEA-BCMA 1600 mg and DexamethasonePart D: SEA-BCMA 1600 mg, Pomalidomide and DexamethasoneTotal
Age, Continuous68.5 Years
STANDARD_DEVIATION 2.1
70.0 Years
STANDARD_DEVIATION 7.1
72.5 Years
STANDARD_DEVIATION 9.2
64.3 Years
STANDARD_DEVIATION 10.6
73.3 Years
STANDARD_DEVIATION 7.9
73.2 Years
STANDARD_DEVIATION 8.9
66.9 Years
STANDARD_DEVIATION 8.5
74.3 Years
STANDARD_DEVIATION 6.5
72.6 Years
STANDARD_DEVIATION 3.9
71.2 Years
STANDARD_DEVIATION 6.6
71.3 Years
STANDARD_DEVIATION 8.3
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants1 Participants3 Participants0 Participants2 Participants1 Participants1 Participants1 Participants9 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants2 Participants2 Participants6 Participants18 Participants19 Participants10 Participants5 Participants4 Participants4 Participants72 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants2 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants2 Participants
Race (NIH/OMB)
Black or African American
2 Participants1 Participants0 Participants3 Participants1 Participants2 Participants3 Participants0 Participants1 Participants0 Participants13 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants0 Participants2 Participants
Race (NIH/OMB)
White
0 Participants1 Participants2 Participants4 Participants19 Participants17 Participants9 Participants6 Participants3 Participants5 Participants66 Participants
Sex: Female, Male
Female
2 Participants0 Participants2 Participants2 Participants10 Participants7 Participants7 Participants2 Participants2 Participants2 Participants36 Participants
Sex: Female, Male
Male
0 Participants2 Participants0 Participants5 Participants12 Participants13 Participants5 Participants4 Participants3 Participants3 Participants47 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
deaths
Total, all-cause mortality
1 / 21 / 22 / 24 / 711 / 222 / 206 / 121 / 62 / 51 / 5
other
Total, other adverse events
2 / 22 / 22 / 26 / 718 / 2217 / 2010 / 125 / 65 / 55 / 5
serious
Total, serious adverse events
1 / 21 / 22 / 23 / 78 / 225 / 205 / 123 / 62 / 53 / 5

Outcome results

Primary

Number of Participants With DLTs: Part B

The DLT-evaluation period was the first cycle of treatment. DLTs were graded according to the NCI-CTCAE, v 4.03, and were defined as any of the following events during the DLT-evaluation period: a ) A delay of SEA-BCMA treatment by more than 7 days due to toxicity, b) Any AE \>=Grade 3, unless deemed by the SMC to be clearly unrelated to SEA-BCMA except for the AEs as pre specified in protocol to be considered a DLT and c) Any treatment related death.

Time frame: Cycle 1 (28 days)

Population: The DE analysis set included treated participants who either experienced a DLT, or were followed up for the full DLT evaluation period and received at least 75% of the intended total Cycle 1 SEA-BCMA dose, and did not receive prohibited treatment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With DLTs: Part B0 Participants
Primary

Number of Participants With DLTs: Part C

The DLT-evaluation period was the first cycle of treatment. DLTs were graded according to the NCI-CTCAE, v 4.03, and were defined as any of the following events during the DLT-evaluation period: a ) A delay of SEA-BCMA treatment by more than 7 days due to toxicity, b) Any AE \>=Grade 3, unless deemed by the SMC to be clearly unrelated to SEA-BCMA except for the AEs as pre specified in protocol to be considered a DLT and c) Any treatment related death.

Time frame: Cycle 1 (28 days)

Population: The DE analysis set included treated participants who either experienced a DLT, or were followed up for the full DLT evaluation period and received at least 75% of the intended total Cycle 1 SEA-BCMA dose, and did not receive prohibited treatment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With DLTs: Part C0 Participants
Part A: SEA-BCMA 200mgNumber of Participants With DLTs: Part C0 Participants
Part A: SEA-BCMA 400mgNumber of Participants With DLTs: Part C0 Participants
Primary

Number of Participants With DLTs: Part D

The DLT-evaluation period was the first cycle of treatment. DLTs were graded according to the NCI-CTCAE, v 4.03, and were defined as any of the following events during the DLT-evaluation period: a ) A delay of SEA-BCMA treatment by more than 7 days due to toxicity, b) Any AE \>=Grade 3, unless deemed by the SMC to be clearly unrelated to SEA-BCMA except for the AEs as pre specified in protocol to be considered a DLT and c) Any treatment related death.

Time frame: Cycle 1 (28 days)

Population: The DE analysis set included treated participants who either experienced a DLT, or were followed up for the full DLT evaluation period and received at least 75% of the intended total Cycle 1 SEA-BCMA dose, and did not receive prohibited treatment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With DLTs: Part D0 Participants
Primary

Number of Participants With Dose Limiting Toxicities (DLTs): Part A

The DLT-evaluation period was the first cycle of treatment. DLTs were graded according to the NCI-CTCAE, v 4.03, and were defined as any of the following events during the DLT-evaluation period: a ) A delay of SEA-BCMA treatment by more than 7 days due to toxicity, b) Any AE \>=Grade 3, unless deemed by the safety monitoring committee (SMC) to be clearly unrelated to SEA-BCMA except for the AEs as pre specified in protocol to be considered a DLT and c) Any treatment related death.

Time frame: Cycle 1 (28 days)

Population: The DLT-evaluable (DE) analysis set included treated participants who either experienced a DLT, or were followed up for the full DLT evaluation period and received at least 75% of the intended total Cycle 1 SEA-BCMA dose, and did not receive prohibited treatment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With Dose Limiting Toxicities (DLTs): Part A0 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Dose Limiting Toxicities (DLTs): Part A0 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Dose Limiting Toxicities (DLTs): Part A0 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Dose Limiting Toxicities (DLTs): Part A1 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Dose Limiting Toxicities (DLTs): Part A0 Participants
Primary

Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part A

The following hematology laboratory parameters were assessed: hemoglobin high, hemoglobin low, leukocytes high, leukocytes low, lymphocytes high, lymphocytes low, neutrophils low and platelets low. Laboratory abnormality events were graded according to NCI CTCAE v 4.03 (grade 1=mild, grade 2=moderate, grade 3= severe and grade 4= life-threatening). Participants with any hematology parameter meeting CTCAE grade 1 to 4 were reported.

Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 44 months (maximum follow up of 45 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 20 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 41 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 10 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 31 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 20 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 40 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 11 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 31 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 11 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 20 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 31 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 40 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 42 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 34 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 21 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 10 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 212 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 41 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 39 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part AGrade 10 Participants
Primary

Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part B

The following hematology laboratory parameters were assessed: hemoglobin high, hemoglobin low, leukocytes high, leukocytes low, lymphocytes high, lymphocytes low, neutrophils low and platelets low. Laboratory abnormality events were graded according to NCI CTCAE v 4.03 (grade 1=mild, grade 2=moderate, grade 3= severe and grade 4= life-threatening). Participants with any hematology parameter meeting CTCAE grade 1 to 4 were reported.

Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 33 months (maximum follow up of 34 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part BGrade 16 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part BGrade 26 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part BGrade 37 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part BGrade 41 Participants
Primary

Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part C

The following hematology laboratory parameters were assessed: hemoglobin high, hemoglobin low, leukocytes high, leukocytes low, lymphocytes high, lymphocytes low, neutrophils low and platelets low. Laboratory abnormality events were graded according to NCI CTCAE v 4.03 (grade 1=mild, grade 2=moderate, grade 3= severe and grade 4= life-threatening). Participants with any hematology parameter meeting CTCAE grade 1 to 4 were reported.

Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 36 months (maximum follow up of 37 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CGrade 11 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CGrade 23 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CGrade 34 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CGrade 44 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CGrade 40 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CGrade 11 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CGrade 32 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CGrade 23 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CGrade 41 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CGrade 20 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CGrade 33 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part CGrade 11 Participants
Primary

Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part D

The following hematology laboratory parameters were assessed: hemoglobin high, hemoglobin low, leukocytes high, leukocytes low, lymphocytes high, lymphocytes low, neutrophils low and platelets low. Laboratory abnormality events were graded according to NCI CTCAE v 4.03 (grade 1=mild, grade 2=moderate, grade 3= severe and grade 4= life-threatening). Participants with any hematology parameter meeting CTCAE grade 1 to 4 were reported.

Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 19 months (maximum follow up of 20 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part DGrade 10 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part DGrade 22 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part DGrade 31 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Hematology: Part DGrade 42 Participants
Primary

Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part A

The following serum chemistry laboratory parameters were assessed: Alanine aminotransferase high, albumin low, alkaline phosphatase high, amylase high, aspartate aminotransferase high, calcium corrected for albumin high, calcium corrected for albumin low, creatinine high, glucose high, glucose low, lipase high, phosphate low, potassium high, potassium low, sodium high, sodium low, total bilirubin high and urate high. Chemistry laboratory parameters abnormalities were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening). Participants with any serum chemistry parameter meeting CTCAE grade 1 to 4 were reported.

Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 44 months (maximum follow up of 45 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 20 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 42 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 30 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 10 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 20 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 40 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 31 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 11 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 10 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 20 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 40 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 32 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 32 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 23 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 11 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 41 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 40 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 14 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 27 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part AGrade 311 Participants
Primary

Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part B

The following serum chemistry laboratory parameters were assessed: Alanine aminotransferase high, albumin low, alkaline phosphatase high, amylase high, aspartate aminotransferase high, calcium corrected for albumin high, calcium corrected for albumin low, creatinine high, glucose high, glucose low, lipase high, phosphate low, potassium high, potassium low, sodium high, sodium low, total bilirubin high and urate high. Chemistry laboratory parameters abnormalities were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening). Participants with any serum chemistry parameter meeting CTCAE grade 1 to 4 were reported.

Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 33 months (maximum follow up of 34 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part BGrade 36 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part BGrade 41 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part BGrade 15 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part BGrade 28 Participants
Primary

Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part C

The following serum chemistry laboratory parameters were assessed: Alanine aminotransferase high, albumin low, alkaline phosphatase high, amylase high, aspartate aminotransferase high, calcium corrected for albumin high, calcium corrected for albumin low, creatinine high, glucose high, glucose low, lipase high, phosphate low, potassium high, potassium low, sodium high, sodium low, total bilirubin high and urate high. Chemistry laboratory parameters abnormalities were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening). Participants with any serum chemistry parameter meeting CTCAE grade 1 to 4 were reported.

Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 36 months (maximum follow up of 37 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CGrade 10 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CGrade 25 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CGrade 35 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CGrade 42 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CGrade 41 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CGrade 11 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CGrade 33 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CGrade 21 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CGrade 40 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CGrade 22 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CGrade 32 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part CGrade 11 Participants
Primary

Number of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part D

The following serum chemistry laboratory parameters were assessed: Alanine aminotransferase high, albumin low, alkaline phosphatase high, amylase high, aspartate aminotransferase high, calcium corrected for albumin high, calcium corrected for albumin low, creatinine high, glucose high, glucose low, lipase high, phosphate low, potassium high, potassium low, sodium high, sodium low, total bilirubin high and urate high. Chemistry laboratory parameters abnormalities were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening). Participants with any serum chemistry parameter meeting CTCAE grade 1 to 4 were reported.

Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 19 months (maximum follow up of 20 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part DGrade 33 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part DGrade 40 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part DGrade 11 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Maximum Laboratory Toxicity Grade, by NCI-CTCAE v4.03- Serum Chemistry: Part DGrade 21 Participants
Primary

Number of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part B

An AE was any untoward medical occurrence in a participant/ clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. TEAEs were defined as newly occurring (not present at baseline)/worsening after first dose of IP. TESAEs were any untoward medical occurrence at any dose that: suspected to cause death; life-threatening; required hospitalization; persistent/significant disability/incapacity & may cause congenital anomaly/birth defect. Treatment related TEAEs were related to study treatment and relatedness was judged by investigator. TEAEs were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening).

Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 33 months (maximum follow up of 34 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part BTEAEs19 Participants
Part A: SEA-BCMA 100mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part BTESAEs5 Participants
Part A: SEA-BCMA 100mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part BTreatment Related TEAEs7 Participants
Part A: SEA-BCMA 100mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part BTEAEs (>= Grade 3)6 Participants
Primary

Number of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part C

An AE was any untoward medical occurrence in a participant/ clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. TEAEs were defined as newly occurring (not present at baseline)/worsening after first dose of IP. TESAEs were any untoward medical occurrence at any dose that: suspected to cause death; life-threatening; required hospitalization; persistent/significant disability/incapacity & may cause congenital anomaly/birth defect. Treatment related TEAEs were related to study treatment and relatedness was judged by investigator. TEAEs were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening).

Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 36 months (maximum follow up of 37 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CTEAEs11 Participants
Part A: SEA-BCMA 100mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CTESAEs5 Participants
Part A: SEA-BCMA 100mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CTreatment Related TEAEs4 Participants
Part A: SEA-BCMA 100mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CTEAEs (>= Grade 3)8 Participants
Part A: SEA-BCMA 200mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CTEAEs (>= Grade 3)5 Participants
Part A: SEA-BCMA 200mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CTEAEs6 Participants
Part A: SEA-BCMA 200mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CTreatment Related TEAEs0 Participants
Part A: SEA-BCMA 200mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CTESAEs3 Participants
Part A: SEA-BCMA 400mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CTEAEs (>= Grade 3)3 Participants
Part A: SEA-BCMA 400mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CTESAEs2 Participants
Part A: SEA-BCMA 400mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CTreatment Related TEAEs3 Participants
Part A: SEA-BCMA 400mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part CTEAEs5 Participants
Primary

Number of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part D

An AE was any untoward medical occurrence in a participant/ clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. TEAEs were defined as newly occurring (not present at baseline)/worsening after first dose of IP. TESAEs were any untoward medical occurrence at any dose that: suspected to cause death; life-threatening; required hospitalization; persistent/significant disability/incapacity & may cause congenital anomaly/birth defect. Treatment related TEAEs were related to study treatment and relatedness was judged by investigator. TEAEs were graded according to NCI CTCAE v 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening).

Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 19 months (maximum follow up of 20 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part DTEAEs5 Participants
Part A: SEA-BCMA 100mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part DTESAEs3 Participants
Part A: SEA-BCMA 100mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part DTreatment Related TEAEs3 Participants
Part A: SEA-BCMA 100mgNumber of Participants With TEAEs, TESAEs, Treatment Related TEAEs and >=Grade 3 TEAEs: Part DTEAEs (>= Grade 3)3 Participants
Primary

Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part A

An adverse event (AE) was any untoward medical occurrence in a participant/ clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. TEAEs were defined as newly occurring (not present at baseline)/worsening after first dose of investigational product (IP). TESAEs were any untoward medical occurrence at any dose that: suspected to cause death; life-threatening; required hospitalization; persistent/significant disability/incapacity & may cause congenital anomaly/birth defect. Treatment related TEAEs were related to study treatment and relatedness was judged by investigator. TEAEs were graded according to National Cancer Institute, Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version (v) 4.03 (grade 1= mild, grade 2= moderate, grade 3= severe and grade 4= life-threatening).

Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment up to 44 months (maximum follow up of 45 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATreatment Related TEAEs0 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATEAEs2 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATEAEs (>= Grade 3)1 Participants
Part A: SEA-BCMA 100mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATESAEs1 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATreatment Related TEAEs0 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATESAEs1 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATEAEs (>= Grade 3)1 Participants
Part A: SEA-BCMA 200mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATEAEs2 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATEAEs2 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATEAEs (>= Grade 3)2 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATESAEs2 Participants
Part A: SEA-BCMA 400mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATreatment Related TEAEs1 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATEAEs6 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATESAEs3 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATreatment Related TEAEs4 Participants
Part A: SEA-BCMA 800mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATEAEs (>= Grade 3)4 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATESAEs8 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATEAEs20 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATEAEs (>= Grade 3)13 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), Treatment Related TEAEs and Greater Than or Equal to (>=) Grade 3 TEAEs: Part ATreatment Related TEAEs13 Participants
Secondary

Area Under the Serum Concentration-Time Curve From Time 0 to Day 14 (AUC0-14) of SEA-BCMA: Part A

Area under the observed concentration-time curve from the time of dosing to Day 14 calculated by log-linear trapezoidal approximation.

Time frame: Cycle 1 and 2: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, 168 and 336 hours post end of infusion on Day 1

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here, 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part A: SEA-BCMA 100mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 14 (AUC0-14) of SEA-BCMA: Part ACycle 2244.8 Day*micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 15.4
Part A: SEA-BCMA 100mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 14 (AUC0-14) of SEA-BCMA: Part ACycle 1181.3 Day*micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 20
Part A: SEA-BCMA 200mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 14 (AUC0-14) of SEA-BCMA: Part ACycle 1302.6 Day*micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 14.6
Part A: SEA-BCMA 200mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 14 (AUC0-14) of SEA-BCMA: Part ACycle 2436.0 Day*micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 10.6
Part A: SEA-BCMA 400mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 14 (AUC0-14) of SEA-BCMA: Part ACycle 1977.2 Day*micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 37
Part A: SEA-BCMA 400mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 14 (AUC0-14) of SEA-BCMA: Part ACycle 22216.4 Day*micrograms per milliliter (ug/mL)
Part A: SEA-BCMA 800mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 14 (AUC0-14) of SEA-BCMA: Part ACycle 11443.2 Day*micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 23.9
Part A: SEA-BCMA 800mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 14 (AUC0-14) of SEA-BCMA: Part ACycle 22387.9 Day*micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 41.4
Part A: SEA-BCMA 1600mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 14 (AUC0-14) of SEA-BCMA: Part ACycle 13267.7 Day*micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 26.8
Part A: SEA-BCMA 1600mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 14 (AUC0-14) of SEA-BCMA: Part ACycle 25972.1 Day*micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 61
Secondary

Area Under the Serum Concentration-Time Curve From Time 0 to Day 7 (AUC0-7) of SEA-BCMA: Part A

Area under the observed concentration-time curve from the time of dosing to Day 7 calculated by log-linear trapezoidal approximation.

Time frame: Cycle 1: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, and 168 hours post end of infusion on Day 1

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A: SEA-BCMA 100mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 7 (AUC0-7) of SEA-BCMA: Part A112.6 Day*ug/mLGeometric Coefficient of Variation 17.6
Part A: SEA-BCMA 200mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 7 (AUC0-7) of SEA-BCMA: Part A197.6 Day*ug/mLGeometric Coefficient of Variation 11.1
Part A: SEA-BCMA 400mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 7 (AUC0-7) of SEA-BCMA: Part A626.5 Day*ug/mLGeometric Coefficient of Variation 26.3
Part A: SEA-BCMA 800mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 7 (AUC0-7) of SEA-BCMA: Part A932.0 Day*ug/mLGeometric Coefficient of Variation 22.1
Part A: SEA-BCMA 1600mgArea Under the Serum Concentration-Time Curve From Time 0 to Day 7 (AUC0-7) of SEA-BCMA: Part A2064.5 Day*ug/mLGeometric Coefficient of Variation 23.4
Secondary

AUC0-7 of SEA-BCMA: Part B

Area under the observed concentration-time curve from the time of dosing to Day 7 calculated by log-linear trapezoidal approximation.

Time frame: Cycle 1: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, and 168 hours post end of infusion on Day 1

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A: SEA-BCMA 100mgAUC0-7 of SEA-BCMA: Part B2001.3 Day*ug/mLGeometric Coefficient of Variation 26.4
Secondary

AUC0-7 of SEA-BCMA: Part C

Area under the observed concentration-time curve from the time of dosing to Day 7 calculated by log-linear trapezoidal approximation.

Time frame: Cycle 1: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, and 168 hours post end of infusion on Day 1

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A: SEA-BCMA 100mgAUC0-7 of SEA-BCMA: Part C2011.8 Day*ug/mLGeometric Coefficient of Variation 32.9
Part A: SEA-BCMA 200mgAUC0-7 of SEA-BCMA: Part C840.3 Day*ug/mLGeometric Coefficient of Variation 21.2
Part A: SEA-BCMA 400mgAUC0-7 of SEA-BCMA: Part C1629.3 Day*ug/mLGeometric Coefficient of Variation 20.9
Secondary

AUC0-7 of SEA-BCMA: Part D

Area under the observed concentration-time curve from the time of dosing to Day 7 calculated by log-linear trapezoidal approximation.

Time frame: Cycle 1: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, and 168 hours post end of infusion on Day 1

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)
Part A: SEA-BCMA 100mgAUC0-7 of SEA-BCMA: Part D1926.2 Day*ug/mL
Secondary

Cmax of SEA-BCMA: Part B

Time frame: Cycle 1: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, 168 and 336 hours post end of infusion on Day 1 and 15

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A: SEA-BCMA 100mgCmax of SEA-BCMA: Part B493.3 ug/mLGeometric Coefficient of Variation 27.7
Secondary

Cmax of SEA-BCMA: Part C

Time frame: Cycle 1: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, 168 and 336 hours post end of infusion on Day 1 and 15

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A: SEA-BCMA 100mgCmax of SEA-BCMA: Part C471.5 ug/mLGeometric Coefficient of Variation 72.3
Part A: SEA-BCMA 200mgCmax of SEA-BCMA: Part C204.2 ug/mLGeometric Coefficient of Variation 27.3
Part A: SEA-BCMA 400mgCmax of SEA-BCMA: Part C486.4 ug/mLGeometric Coefficient of Variation 17.9
Secondary

Cmax of SEA-BCMA: Part D

Time frame: Cycle 1:Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, 168 and 336 hours post end of infusion on Day 1 and 15

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A: SEA-BCMA 100mgCmax of SEA-BCMA: Part D415.1 ug/mLGeometric Coefficient of Variation 31.8
Secondary

DOR as Per the IMWG Uniform Response Criteria: Part B

DOR: Time from first documentation of OR(sCR,CR,VGPR/PR) to first documentation of PD/death due to any cause, whichever came first. PD: Objective evidence of tumor progression(TP) (based on serum, urine/BM assessments) &/clinical progression/ investigator. sCR: CR, normal FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: Negative immunofixation of serum&urine, disappearance of any STP, &\<5% plasma cells in bone marrow. VGPR: Serum & UMP detectable by immunofixation but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hour, PR: \>=50%R of SMP & R in 24-hour UMP by \>=90% or to \<200 mg/24 hour. DOR: censored on date of last disease assessment documenting absence of PD for participants who do not have PD & were still on study at the time of an analysis/removed from study prior to documentation of TP. Participants started new antitumor treatment prior to documentation of PD were censored at last disease assessment prior to start of new treatment.

Time frame: From the first dose of study treatment until the first documented OR (sCR or CR or PR or VGPR) on or before the first documented PD or death or censoring date, whichever occurred first (maximum up to 34 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Part A: SEA-BCMA 100mgDOR as Per the IMWG Uniform Response Criteria: Part B8.4 Months
Secondary

DOR as Per the IMWG Uniform Response Criteria: Part C

DOR: Time from first documentation of OR(sCR,CR,VGPR/PR) to first documentation of PD/death due to any cause, whichever came first. PD: Objective evidence of tumor progression(TP) (based on serum, urine/BM assessments) &/clinical progression/ investigator. sCR: CR, normal FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: Negative immunofixation of serum&urine, disappearance of any STP, &\<5% plasma cells in bone marrow. VGPR: Serum & UMP detectable by immunofixation but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hour, PR: \>=50%R of SMP & R in 24-hour UMP by \>=90% or to \<200 mg/24 hour. DOR: censored on date of last disease assessment documenting absence of PD for participants who do not have PD & were still on study at the time of an analysis/removed from study prior to documentation of TP. Participants started new antitumor treatment prior to documentation of PD were censored at last disease assessment prior to start of new treatment.

Time frame: From the first dose of study treatment until the first documented OR (sCR or CR or PR or VGPR) on or before the first documented PD or death or censoring date, whichever occurred first (maximum up to 37 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Part A: SEA-BCMA 100mgDOR as Per the IMWG Uniform Response Criteria: Part CNA Months
Part A: SEA-BCMA 200mgDOR as Per the IMWG Uniform Response Criteria: Part CNA Months
Part A: SEA-BCMA 400mgDOR as Per the IMWG Uniform Response Criteria: Part C6.5 Months
Secondary

DOR as Per the IMWG Uniform Response Criteria: Part D

DOR: Time from first documentation of OR(sCR,CR,VGPR/PR) to first documentation of PD/death due to any cause, whichever came first. PD: Objective evidence of tumor progression(TP) (based on serum, urine/BM assessments) &/clinical progression/ investigator. sCR: CR, normal FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: Negative immunofixation of serum&urine, disappearance of any STP, &\<5% plasma cells in bone marrow. VGPR: Serum & UMP detectable by immunofixation but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hour, PR: \>=50%R of SMP & R in 24-hour UMP by \>=90% or to \<200 mg/24 hour. DOR: censored on date of last disease assessment documenting absence of PD for participants who do not have PD & were still on study at the time of an analysis/removed from study prior to documentation of TP. Participants started new antitumor treatment prior to documentation of PD were censored at last disease assessment prior to start of new treatment.

Time frame: From the first dose of study treatment until the first documented OR (sCR or CR or PR or VGPR) on or before the first documented PD or death or censoring date, whichever occurred first (maximum up to 20 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Part A: SEA-BCMA 100mgDOR as Per the IMWG Uniform Response Criteria: Part D8.3 Months
Secondary

Duration of Objective Response (DOR) as Per the IMWG Uniform Response Criteria: Part A

DOR: Time from first documentation of OR(sCR,CR,VGPR/PR) to first documentation of PD/death due to any cause, whichever came first. PD: Objective evidence of tumor progression(TP) (based on serum, urine/BM assessments) &/clinical progression/ investigator. sCR: CR, normal FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: Negative immunofixation of serum&urine, disappearance of any STP, &\<5% plasma cells in bone marrow. VGPR: Serum & UMP detectable by immunofixation but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hour, PR: \>=50%R of SMP & R in 24-hour UMP by \>=90% or to \<200 mg/24 hour. DOR: censored on date of last disease assessment documenting absence of PD for participants who do not have PD & were still on study at the time of an analysis/removed from study prior to documentation of TP. Participants started new antitumor treatment prior to documentation of PD were censored at last disease assessment prior to start of new treatment.

Time frame: From the first dose of study treatment until the first documented OR (sCR or CR or PR or VGPR) on or before the first documented PD or death or censoring date, whichever occurred first (maximum up to 45 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Part A: SEA-BCMA 1600mgDuration of Objective Response (DOR) as Per the IMWG Uniform Response Criteria: Part A10.0 Months
Secondary

Maximum Observed Serum Concentration (Cmax) of SEA-BCMA: Part A

Time frame: Cycle 1 and 2: Pre dose, 1 and 2 hour intradose, end of drug administration, 2, 6 , 24, 72, 168 and 336 hours post end of infusion on Day 1 and 15

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure. 'Number Analyzed' signifies number of participants evaluable for the specified rows.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Part A: SEA-BCMA 100mgMaximum Observed Serum Concentration (Cmax) of SEA-BCMA: Part ACycle 244.9 Micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 3.6
Part A: SEA-BCMA 100mgMaximum Observed Serum Concentration (Cmax) of SEA-BCMA: Part ACycle 128.5 Micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 32.3
Part A: SEA-BCMA 200mgMaximum Observed Serum Concentration (Cmax) of SEA-BCMA: Part ACycle 147.2 Micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 3.9
Part A: SEA-BCMA 200mgMaximum Observed Serum Concentration (Cmax) of SEA-BCMA: Part ACycle 262.4 Micrograms per milliliter (ug/mL)
Part A: SEA-BCMA 400mgMaximum Observed Serum Concentration (Cmax) of SEA-BCMA: Part ACycle 1134.8 Micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 11.6
Part A: SEA-BCMA 400mgMaximum Observed Serum Concentration (Cmax) of SEA-BCMA: Part ACycle 2213.1 Micrograms per milliliter (ug/mL)
Part A: SEA-BCMA 800mgMaximum Observed Serum Concentration (Cmax) of SEA-BCMA: Part ACycle 1236.4 Micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 14.4
Part A: SEA-BCMA 800mgMaximum Observed Serum Concentration (Cmax) of SEA-BCMA: Part ACycle 2307.4 Micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 34.1
Part A: SEA-BCMA 1600mgMaximum Observed Serum Concentration (Cmax) of SEA-BCMA: Part ACycle 1494.6 Micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 20.3
Part A: SEA-BCMA 1600mgMaximum Observed Serum Concentration (Cmax) of SEA-BCMA: Part ACycle 2746.6 Micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 29.7
Secondary

Number of Participants With SEA-BCMA Antitherapeutic Antibodies (ATA): Part A

A positive baseline ATA result was considered positive post-baseline if the post-baseline ATA titer result was at least four times higher than the baseline result.

Time frame: Anytime during study (maximum up to 45 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With SEA-BCMA Antitherapeutic Antibodies (ATA): Part A0 Participants
Part A: SEA-BCMA 200mgNumber of Participants With SEA-BCMA Antitherapeutic Antibodies (ATA): Part A0 Participants
Part A: SEA-BCMA 400mgNumber of Participants With SEA-BCMA Antitherapeutic Antibodies (ATA): Part A0 Participants
Part A: SEA-BCMA 800mgNumber of Participants With SEA-BCMA Antitherapeutic Antibodies (ATA): Part A0 Participants
Part A: SEA-BCMA 1600mgNumber of Participants With SEA-BCMA Antitherapeutic Antibodies (ATA): Part A0 Participants
Secondary

Number of Participants With SEA-BCMA, ATA: Part B

A positive baseline ATA result was considered positive post-baseline if the post-baseline ATA titer result was at least four times higher than the baseline result.

Time frame: Anytime during study (maximum up to 34 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With SEA-BCMA, ATA: Part B0 Participants
Secondary

Number of Participants With SEA-BCMA, ATA: Part C

A positive baseline ATA result was considered positive post-baseline if the post-baseline ATA titer result was at least four times higher than the baseline result.

Time frame: Anytime during study (maximum up to 37 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With SEA-BCMA, ATA: Part C0 Participants
Part A: SEA-BCMA 200mgNumber of Participants With SEA-BCMA, ATA: Part C0 Participants
Part A: SEA-BCMA 400mgNumber of Participants With SEA-BCMA, ATA: Part C0 Participants
Secondary

Number of Participants With SEA-BCMA, ATA: Part D

A positive baseline ATA result was considered positive post-baseline if the post-baseline ATA titer result was at least four times higher than the baseline result.

Time frame: Anytime during study (maximum up to 20 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA. Here Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A: SEA-BCMA 100mgNumber of Participants With SEA-BCMA, ATA: Part D0 Participants
Secondary

Objective Response Rate (ORR) as Per the International Myeloma Working Group (IMWG) Uniform Response Criteria: Part A

ORR: Percentage of participants with an objective response (OR) per investigator. Participant was determined to have an OR if, based on 2016 IMWG uniform response criteria, & achieved stringent complete response (sCR), Complete response (CR), very good partial response(VGPR) & partial response(PR): free light chain(FLC) ratio & absence of clonal cells in bone marrow by immunohistochemistry(IC)/ immunofluorescence(IF). CR: negative immunofixation of serum & urine, disappearance of any soft tissue plasmacytomas(STP), 5% plasma cells in bone marrow. VGPR: serum & urine M-protein (UMP) detectable by immunofixation but not on electrophoresis/ \>= 90% reduction in serum M-protein (SMP) level+UMP level \<100 mg/24 hr, PR: \>=50% reduction of SMP & reduction in 24-hr urinary M-protein by \>=90%/to \<200 mg/24 hr. If SMP & UMP are unmeasurable, a ≥50% decrease in the difference between involved & uninvolved FLC levels were required in place of the M-protein criteria.

Time frame: From the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 45 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (NUMBER)
Part A: SEA-BCMA 100mgObjective Response Rate (ORR) as Per the International Myeloma Working Group (IMWG) Uniform Response Criteria: Part A0 Percentage of participants
Part A: SEA-BCMA 200mgObjective Response Rate (ORR) as Per the International Myeloma Working Group (IMWG) Uniform Response Criteria: Part A0 Percentage of participants
Part A: SEA-BCMA 400mgObjective Response Rate (ORR) as Per the International Myeloma Working Group (IMWG) Uniform Response Criteria: Part A0 Percentage of participants
Part A: SEA-BCMA 800mgObjective Response Rate (ORR) as Per the International Myeloma Working Group (IMWG) Uniform Response Criteria: Part A0 Percentage of participants
Part A: SEA-BCMA 1600mgObjective Response Rate (ORR) as Per the International Myeloma Working Group (IMWG) Uniform Response Criteria: Part A14 Percentage of participants
Secondary

ORR as Per the IMWG Uniform Response Criteria: Part B

The ORR was defined as the percentage of participants with an OR per investigator. A participant was determined to have an OR if, based on the 2016 IMWG uniform response criteria, and achieved a sCR, CR, VGPR, or a PR. sCR: FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: negative immunofixation of serum & urine, disappearance of any STP, 5% plasma cells in bone marrow. VGPR: serum and UMP detectable by immunofixation but not on electrophoresis or \>= 90% reduction in SMP level+UMP level \<100 mg/24 hour, PR: \>=50% reduction of SMP & reduction in 24-hour urinary M-protein by \>=90%/to \<200 mg/24 hour. If SMP & UMP are unmeasurable, a ≥50% decrease in the difference between involved & uninvolved FLC levels were required in place of the M-protein criteria. In addition to above criteria, if present at baseline, \>=50% reduction in the size of STP were also required.

Time frame: From the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 34 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (NUMBER)
Part A: SEA-BCMA 100mgORR as Per the IMWG Uniform Response Criteria: Part B20 Percentage of participants
Secondary

ORR as Per the IMWG Uniform Response Criteria: Part C

The ORR was defined as the percentage of participants with an OR per investigator. A participant was determined to have an OR if, based on the 2016 IMWG uniform response criteria, and achieved a sCR, CR, VGPR, or a PR. sCR: FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: negative immunofixation of serum & urine, disappearance of any STP, 5% plasma cells in bone marrow. VGPR: serum and UMP detectable by immunofixation but not on electrophoresis or \>= 90% reduction in SMP level+UMP level \<100 mg/24 hour, PR: \>=50% reduction of SMP & reduction in 24-hour urinary M-protein by \>=90%/to \<200 mg/24 hour. If SMP & UMP are unmeasurable, a ≥50% decrease in the difference between involved & uninvolved FLC levels were required in place of the M-protein criteria. In addition to above criteria, if present at baseline, \>=50% reduction in the size of STP were also required.

Time frame: From the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 37 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (NUMBER)
Part A: SEA-BCMA 100mgORR as Per the IMWG Uniform Response Criteria: Part C17 Percentage of participants
Part A: SEA-BCMA 200mgORR as Per the IMWG Uniform Response Criteria: Part C33 Percentage of participants
Part A: SEA-BCMA 400mgORR as Per the IMWG Uniform Response Criteria: Part C20 Percentage of participants
Secondary

ORR as Per the IMWG Uniform Response Criteria: Part D

The ORR was defined as the percentage of participants with an OR per investigator. A participant was determined to have an OR if, based on the 2016 IMWG uniform response criteria, and achieved a sCR, CR, VGPR, or a PR. sCR: FLC ratio & absence of clonal cells in bone marrow by IC/IF. CR: negative immunofixation of serum & urine, disappearance of any STP, 5% plasma cells in bone marrow. VGPR: serum and UMP detectable by immunofixation but not on electrophoresis/ \>= 90% reduction in SMP level+UMP level \<100 mg/24 hour, PR: \>=50% reduction of SMP & reduction in 24-hour urinary M-protein by \>=90%/to \<200 mg/24 hour. If SMP & UMP are unmeasurable, a ≥50% decrease in the difference between involved & uninvolved FLC levels were required in place of the M-protein criteria. In addition to above criteria, if present at baseline, \>=50% reduction in the size of STP were also required.

Time frame: From the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 20 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (NUMBER)
Part A: SEA-BCMA 100mgORR as Per the IMWG Uniform Response Criteria: Part D80 Percentage of participants
Secondary

OS: Part B

OS was defined as the time from the start of any study treatment to the date of death due to any cause. OS was calculated as date of death minus date of first dose of any study treatment plus 1. OS for participants who were alive at their date of last contact, including those lost to follow-up, were censored at the date of last contact. If the last recorded date where a participant was known to be alive is the date of first dose of any study treatment, survival time was censored on the date of first dose of any study treatment (i.e., OS duration of 1 day).

Time frame: From date of start of study treatment until date of death or censoring date (maximum up to 34 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (MEDIAN)
Part A: SEA-BCMA 100mgOS: Part BNA Months
Secondary

OS: Part C

OS was defined as the time from the start of any study treatment to the date of death due to any cause. OS was calculated as date of death minus date of first dose of any study treatment plus 1. OS for participants who were alive at their date of last contact, including those lost to follow-up, were censored at the date of last contact. If the last recorded date where a participant was known to be alive is the date of first dose of any study treatment, survival time was censored on the date of first dose of any study treatment (i.e., OS duration of 1 day).

Time frame: From date of start of study treatment until date of death or censoring date (maximum up to 37 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (MEDIAN)
Part A: SEA-BCMA 100mgOS: Part C18.0 Months
Part A: SEA-BCMA 200mgOS: Part CNA Months
Part A: SEA-BCMA 400mgOS: Part C12.2 Months
Secondary

OS: Part D

OS was defined as the time from the start of any study treatment to the date of death due to any cause. OS was calculated as date of death minus date of first dose of any study treatment plus 1. OS for participants who were alive at their date of last contact, including those lost to follow-up, were censored at the date of last contact. If the last recorded date where a participant was known to be alive is the date of first dose of any study treatment, survival time was censored on the date of first dose of any study treatment (i.e., OS duration of 1 day).

Time frame: From date of start of study treatment until date of death or censoring date (maximum up to 20 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (MEDIAN)
Part A: SEA-BCMA 100mgOS: Part DNA Months
Secondary

Overall Survival (OS): Part A

OS was defined as the time from the start of any study treatment to the date of death due to any cause. OS was calculated as date of death minus date of first dose of any study treatment plus 1. OS for participants who were alive at their date of last contact, including those lost to follow-up, were censored at the date of last contact. If the last recorded date where a participant was known to be alive is the date of first dose of any study treatment, survival time was censored on the date of first dose of any study treatment (i.e., OS duration of 1 day).

Time frame: From date of start of study treatment until date of death or censoring date (maximum up to 45 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (MEDIAN)
Part A: SEA-BCMA 100mgOverall Survival (OS): Part A9.2 Months
Part A: SEA-BCMA 200mgOverall Survival (OS): Part A37.5 Months
Part A: SEA-BCMA 400mgOverall Survival (OS): Part A8.1 Months
Part A: SEA-BCMA 800mgOverall Survival (OS): Part A19.2 Months
Part A: SEA-BCMA 1600mgOverall Survival (OS): Part A19.7 Months
Secondary

Percentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part A

BOR consisted of MRD-negative CR,sCR,CR,VGPR,PR,MR,SD & PD per 2016 IMWG. MRD: evaluated using adaptive next generation sequencing(NGS) for MRD assay & carried out on relevant specimen to understand activity of SEA-BCMA. sCR: CR & normal FLC ratio & absence of clonal cells in bone marrow by IC/ IF. CR: Negative immunofixation of serum & urine disappearance of any STP, & \<5% plasma cells in bone marrow. VGPR: SMP & UMP detectable by IF but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hr, PR: \>=50% R of SMP & R in 24-hr UMP by \>=90%/by \<200 mg/24 hr. If SMP & UMP are unmeasurable, \>=50% decrease in difference between involved & uninvolved FLC levels were required in place of M-protein criteria. SD: Not meeting criteria for CR, VGPR, PR, MR, or progression. MR: 25-49% R of SMP & R in 24-hr UMP by 50-89%, which still exceeds 200mg/24 hr. DP: objective evidence of tumor progression(based on serum/urine/BM assessments) &/clinical progression/investigator.

Time frame: From the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 45 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (NUMBER)
Part A: SEA-BCMA 100mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AComplete response (CR)0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AStable disease (SD)50 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part APartial response (PR)0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AProgressive disease (DP)50 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AStringent complete response (sCR)0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AMinimal Residual Disease (MRD)-negative complete response (CR)0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AMinimal response (MR)0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AVery good partial response (VGPR)0 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AVery good partial response (VGPR)0 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AMinimal Residual Disease (MRD)-negative complete response (CR)0 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AStringent complete response (sCR)0 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AComplete response (CR)0 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part APartial response (PR)0 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AStable disease (SD)100 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AMinimal response (MR)0 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AProgressive disease (DP)0 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part APartial response (PR)0 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AProgressive disease (DP)100 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AStable disease (SD)0 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AMinimal Residual Disease (MRD)-negative complete response (CR)0 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AMinimal response (MR)0 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AVery good partial response (VGPR)0 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AStringent complete response (sCR)0 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AComplete response (CR)0 Percentage of participants
Part A: SEA-BCMA 800mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AMinimal response (MR)0 Percentage of participants
Part A: SEA-BCMA 800mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AComplete response (CR)0 Percentage of participants
Part A: SEA-BCMA 800mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AStringent complete response (sCR)0 Percentage of participants
Part A: SEA-BCMA 800mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AStable disease (SD)86 Percentage of participants
Part A: SEA-BCMA 800mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part APartial response (PR)0 Percentage of participants
Part A: SEA-BCMA 800mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AProgressive disease (DP)14 Percentage of participants
Part A: SEA-BCMA 800mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AVery good partial response (VGPR)0 Percentage of participants
Part A: SEA-BCMA 800mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AMinimal Residual Disease (MRD)-negative complete response (CR)0 Percentage of participants
Part A: SEA-BCMA 1600mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AVery good partial response (VGPR)5 Percentage of participants
Part A: SEA-BCMA 1600mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AStringent complete response (sCR)0 Percentage of participants
Part A: SEA-BCMA 1600mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AComplete response (CR)0 Percentage of participants
Part A: SEA-BCMA 1600mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AMinimal Residual Disease (MRD)-negative complete response (CR)0 Percentage of participants
Part A: SEA-BCMA 1600mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AStable disease (SD)45 Percentage of participants
Part A: SEA-BCMA 1600mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AProgressive disease (DP)36 Percentage of participants
Part A: SEA-BCMA 1600mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part AMinimal response (MR)5 Percentage of participants
Part A: SEA-BCMA 1600mgPercentage of Participants With Best Overall Response (BOR) as Per the IMWG Uniform Response Criteria: Part APartial response (PR)9 Percentage of participants
Secondary

Percentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part B

BOR consisted of MRD-negative CR, sCR, CR, VGPR, PR, MR, SD & PD per 2016 IMWG. MRD: evaluated using adaptive NGS for MRD assay & carried out on relevant specimen to understand activity of SEA-BCMA. sCR: CR & normal FLC ratio & absence of clonal cells in bone marrow by IC/ IF. CR: Negative immunofixation of serum & urine disappearance of any STP, & \<5% plasma cells in bone marrow. VGPR: SMP & UMP detectable by IF but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hr, PR: \>=50% R of SMP & R in 24-hr UMP by \>=90%/by \<200 mg/24 hr. If SMP & UMP are unmeasurable, \>=50% decrease in difference between involved & uninvolved FLC levels were required in place of M-protein criteria. SD: Not meeting criteria for CR, VGPR, PR, MR, or progression. MR: 25-49% R of SMP & R in 24-hr UMP by 50-89%, which still exceeds 200mg/24 hr. DP: objective evidence of tumor progression(based on serum/urine/BM assessments) &/clinical progression/investigator.

Time frame: From the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 34 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (NUMBER)
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part BMRD-negative CR0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part BsCR5 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part BCR0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part BVGPR0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part BPR15 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part BMR5 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part BSD55 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part BDP15 Percentage of participants
Secondary

Percentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part C

BOR consisted of MRD-negative CR, sCR, CR, VGPR, PR, MR, SD & PD per 2016 IMWG. MRD: evaluated using NGS for MRD assay & carried out on relevant specimen to understand activity of SEA-BCMA. sCR: CR & normal FLC ratio & absence of clonal cells in bone marrow by IC/ IF. CR: Negative immunofixation of serum & urine disappearance of any STP, & \<5% plasma cells in bone marrow. VGPR: SMP & UMP detectable by IF but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hr, PR: \>=50% R of SMP & R in 24-hr UMP by \>=90%/by \<200 mg/24 hr. If SMP & UMP are unmeasurable, \>=50% decrease in difference between involved & uninvolved FLC levels were required in place of M-protein criteria. SD: Not meeting criteria for CR, VGPR, PR, MR, or progression. MR: 25-49% R of SMP & R in 24-hr UMP by 50-89%, which still exceeds 200mg/24 hr. DP: objective evidence of tumor progression(based on serum/urine/BM assessments) &/clinical progression/investigator.

Time frame: From the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 37 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (NUMBER)
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CDP17 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CMR0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CVGPR0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CPR8 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CsCR8 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CMRD-negative CR0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CSD67 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CCR0 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CVGPR17 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CMRD-negative CR0 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CsCR0 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CCR0 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CPR17 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CMR17 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CSD33 Percentage of participants
Part A: SEA-BCMA 200mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CDP17 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CCR0 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CMRD-negative CR0 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CMR0 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CsCR0 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CVGPR0 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CDP20 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CSD60 Percentage of participants
Part A: SEA-BCMA 400mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part CPR20 Percentage of participants
Secondary

Percentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part D

BOR consisted of MRD-negative CR,sCR,CR,VGPR,PR,MR,SD & PD per 2016 IMWG. MRD: evaluated using adaptive NGS for MRD assay & carried out on relevant specimen to understand activity of SEA-BCMA. sCR: CR & normal FLC ratio & absence of clonal cells in bone marrow by IC/ IF. CR: Negative immunofixation of serum & urine disappearance of any STP, & \<5% plasma cells in bone marrow. VGPR: SMP & UMP detectable by IF but not on electrophoresis/ \>= 90% reduction(R) in SMP level+UMP level \<100 mg/24 hr, PR: \>=50% R of SMP & R in 24-hr UMP by \>=90%/by \<200 mg/24 hr. If SMP & UMP are unmeasurable, \>=50% decrease in difference between involved & uninvolved FLC levels were required in place of M-protein criteria. SD: Not meeting criteria for CR, VGPR, PR, MR, or progression. MR: 25-49% R of SMP & R in 24-hr UMP by 50-89%, which still exceeds 200mg/24 hr. DP: objective evidence of tumor progression(based on serum/urine/BM assessments) &/clinical progression/investigator.

Time frame: From the first dose of study treatment until the first documented sCR or CR or PR or VGPR or new anti-cancer therapies or death, whichever occurred first (maximum up to 20 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureGroupValue (NUMBER)
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part DsCR40 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part DMRD-negative CR0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part DCR0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part DVGPR20 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part DPR20 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part DMR0 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part DSD20 Percentage of participants
Part A: SEA-BCMA 100mgPercentage of Participants With BOR as Per the IMWG Uniform Response Criteria: Part DDP0 Percentage of participants
Secondary

PFS: Part B

PFS: Time from the start of any study treatment to first documentation of DP or to death due to any cause, whichever comes first. DP included objective evidence of tumor progression (based on serum, urine or BM assessments) and/or clinical progression per investigator. PFS was censored on the date of the last disease assessment documenting absence of PD for participants who do not have disease progression and are still on study at the time of an analysis, or discontinuation of study prior to documentation of tumor progression. Participants who have started a new antitumor treatment prior to documentation of PD were censored at the last disease assessment prior to start of new treatment. Participants lacking an evaluation of tumor response after their first dose had their event time censored as 1 day.

Time frame: From the date of first dose until the first documentation of PD or death or censoring date, whichever occurred first (maximum up to 34 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (MEDIAN)
Part A: SEA-BCMA 100mgPFS: Part B1.7 Months
Secondary

PFS: Part C

PFS: Time from the start of any study treatment to first documentation of DP or to death due to any cause, whichever comes first. DP included objective evidence of tumor progression (based on serum, urine or BM assessments) and/or clinical progression per investigator. PFS was censored on the date of the last disease assessment documenting absence of PD for participants who do not have disease progression and are still on study at the time of an analysis, or discontinuation of study prior to documentation of tumor progression. Participants who have started a new antitumor treatment prior to documentation of PD were censored at the last disease assessment prior to start of new treatment. Participants lacking an evaluation of tumor response after their first dose had their event time censored as 1 day.

Time frame: From the date of first dose until the first documentation of PD or death or censoring date, whichever occurred first (maximum up to 37 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (MEDIAN)
Part A: SEA-BCMA 100mgPFS: Part C1.6 Months
Part A: SEA-BCMA 200mgPFS: Part C3.2 Months
Part A: SEA-BCMA 400mgPFS: Part C3.5 Months
Secondary

PFS: Part D

PFS: Time from the start of any study treatment to first documentation of DP or to death due to any cause, whichever comes first. DP included objective evidence of tumor progression (based on serum, urine or BM assessments) and/or clinical progression per investigator. PFS was censored on the date of the last disease assessment documenting absence of PD for participants who do not have disease progression and are still on study at the time of an analysis, or discontinuation of study prior to documentation of tumor progression. Participants who have started a new antitumor treatment prior to documentation of PD were censored at the last disease assessment prior to start of new treatment. Participants lacking an evaluation of tumor response after their first dose had their event time censored as 1 day.

Time frame: From the date of first dose until the first documentation of PD or death or censoring date, whichever occurred first (maximum up to 20 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (MEDIAN)
Part A: SEA-BCMA 100mgPFS: Part D10.1 Months
Secondary

Progression Free Survival (PFS): Part A

PFS: Time from the start of any study treatment to first documentation of DP or to death due to any cause, whichever comes first. DP included objective evidence of tumor progression (based on serum, urine or BM assessments) and/or clinical progression per investigator. PFS was censored on the date of the last disease assessment documenting absence of PD for participants who do not have disease progression and are still on study at the time of an analysis, or discontinuation of study prior to documentation of tumor progression. Participants who have started a new antitumor treatment prior to documentation of PD were censored at the last disease assessment prior to start of new treatment. Participants lacking an evaluation of tumor response after their first dose had their event time censored as 1 day.

Time frame: From the date of first dose until the first documentation of PD or death or censoring date, whichever occurred first (maximum up to 45 months)

Population: All treated participants analysis set included all treated participants who received any amount of SEA-BCMA.

ArmMeasureValue (MEDIAN)
Part A: SEA-BCMA 100mgProgression Free Survival (PFS): Part A1.7 Months
Part A: SEA-BCMA 200mgProgression Free Survival (PFS): Part A5.9 Months
Part A: SEA-BCMA 400mgProgression Free Survival (PFS): Part A0.7 Months
Part A: SEA-BCMA 800mgProgression Free Survival (PFS): Part A4.4 Months
Part A: SEA-BCMA 1600mgProgression Free Survival (PFS): Part A2.1 Months

Source: ClinicalTrials.gov · Data processed: Feb 21, 2026