Phase 2 Dose-Ranging and Interception Study of Linvoseltamab in Patients with High-Risk Monoclonal Gammopathy of Undetermined Significance or Non-High-Risk Smoldering Multiple Myeloma

The primary purpose of the study is to understand how well the study drug can eliminate
abnormal plasma cells and laboratory signs of high-risk monoclonal gammopathy of
undetermined significance (HR-MGUS) and non high-risk smoldering multiple myeloma
(NHR-SMM). This requires understanding the safety and tolerability of the study drug (how
the body reacts to linvoseltamab) as well as the effectiveness of the study drug (how
well linvoseltamab eliminates plasma cells). All participants will start treatment with
gradually increasing doses of linvoseltamab (step-up doses) before they start receiving
the assigned full dose.

The study is split into 2 parts:

- In Part 1, separate groups of 3-6 patients will receive different full doses of
linvoseltamab to evaluate the short-term side effects (safety) and tolerability of
the study drug within the first 5 weeks after starting treatment. The data collected
will help to make a decision about the dosing regimens chosen for Part 2.

- In Part 2, a larger number of participants will be randomized to different dosing
regimens to further assess the side effects of linvoseltamab, and to evaluate the
ability of linvoseltamab to eliminate abnormal plasma cells in HR-MGUS and NHR-SMM.

The study is looking at several other research questions, including:

- How many participants treated with linvoseltamab have improvement of their HR-MGUS
or NHR-SMM?

- What side effects may happen from taking the study drug?

- How much study drug is in the blood at different times?

- Whether the body makes antibodies against the study drug (which could make the drug
less effective or could lead to side effects).

Key Inclusion Criteria:

1. HR-MGUS or NHR-SMM as defined in the protocol

2. Eastern Cooperative Oncology Group (ECOG) performance status ≤1

3. Adequate hematologic and hepatic function, as described in the protocol

4. Estimated glomerular filtration rate (GFR) ≥30 mL/min/1.73 m2 by the modification of
diet in renal disease (MDRD) equation

Key Exclusion Criteria:

1. High-risk SMM, as defined in the protocol

2. Evidence of any of myeloma-defining events, as described in the protocol

3. Diagnosis of systemic light-chain amyloidosis, Waldenström macroglobulinemia
(lymphoplasmacytic lymphoma), solitary plasmacytoma, or symptomatic MM

4. Clinically significant cardiac or vascular disease within 3 months of study
enrollment, as described in the protocol

5. Any infection requiring hospitalization or treatment with IV anti-infectives within
28 days of the first dose of linvoseltamab

6. Uncontrolled human immunodeficiency virus (HIV), hepatitis B virus (HBV), or
hepatitis C virus (HCV) infection; or other uncontrolled infection or unexplained
signs of infection

NOTE: Other protocol defined inclusion/exclusion criteria apply