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Last Updated: April 2, 2026

CLINICAL TRIALS PROFILE FOR POMALYST


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505(b)(2) Clinical Trials for Pomalyst

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Combination NCT02103335 ↗ Combination Study of Pomalidomide, Marizomib, and Low-Dose Dexamethasone in Relapsed and Refractory Multiple Myeloma Completed Celgene Corporation Phase 1 2014-06-05 This is a Phase 1 clinical trial to evaluate a new combination of drugs for the treatment of relapsed or refractory (drug-resistant) multiple myeloma. The drugs being studied are: - Pomalidomide (POMALYST®) is a drug that affects the immune system (an immunomodulatory drug) that has been approved by the United States (US) Food and Drug Administration (FDA) for the treatment of multiple myeloma. - Marizomib is an investigational drug being developed by Triphase that is being studied for the treatment of multiple myeloma. Investigational drugs are drugs that have not yet been approved by health authorities, such as the FDA, for general use but have been approved for use in specific clinical studies. Marizomib inhibits a cellular machine called the proteasome, which destroys unnecessary or damaged proteins. Other proteasome inhibitors have been shown to be effective in the treatment of multiple myeloma. - Dexamethasone is a corticosteroid drug that affects the immune system (an immunomodulatory drug) that has been approved by the FDA for the treatment of multiple myeloma. This is the first study to evaluate the three-drug combination of pomalidomide (POM), marizomib (MRZ), and dexamethasone (LD-DEX) in humans. Pomalidomide, alone or in combination with dexamethasone, is approved by the FDA for the treatment of relapsed or refractory multiple myeloma. The primary objective of this study is to determine the best drug dosing levels for this three-drug combination, including the highest safe doses and/or the recommended doses for future clinical studies of this drug combination. The secondary purposes of this study are to determine the safety of this drug combination and its effectiveness in treating relapsed or refractory multiple myeloma. The study will include examination of levels of all three drugs in the blood during various time points during treatment.
New Combination NCT02103335 ↗ Combination Study of Pomalidomide, Marizomib, and Low-Dose Dexamethasone in Relapsed and Refractory Multiple Myeloma Completed Celgene Phase 1 2014-06-05 This is a Phase 1 clinical trial to evaluate a new combination of drugs for the treatment of relapsed or refractory (drug-resistant) multiple myeloma. The drugs being studied are: - Pomalidomide (POMALYST®) is a drug that affects the immune system (an immunomodulatory drug) that has been approved by the United States (US) Food and Drug Administration (FDA) for the treatment of multiple myeloma. - Marizomib is an investigational drug being developed by Triphase that is being studied for the treatment of multiple myeloma. Investigational drugs are drugs that have not yet been approved by health authorities, such as the FDA, for general use but have been approved for use in specific clinical studies. Marizomib inhibits a cellular machine called the proteasome, which destroys unnecessary or damaged proteins. Other proteasome inhibitors have been shown to be effective in the treatment of multiple myeloma. - Dexamethasone is a corticosteroid drug that affects the immune system (an immunomodulatory drug) that has been approved by the FDA for the treatment of multiple myeloma. This is the first study to evaluate the three-drug combination of pomalidomide (POM), marizomib (MRZ), and dexamethasone (LD-DEX) in humans. Pomalidomide, alone or in combination with dexamethasone, is approved by the FDA for the treatment of relapsed or refractory multiple myeloma. The primary objective of this study is to determine the best drug dosing levels for this three-drug combination, including the highest safe doses and/or the recommended doses for future clinical studies of this drug combination. The secondary purposes of this study are to determine the safety of this drug combination and its effectiveness in treating relapsed or refractory multiple myeloma. The study will include examination of levels of all three drugs in the blood during various time points during treatment.
New Combination NCT02103335 ↗ Combination Study of Pomalidomide, Marizomib, and Low-Dose Dexamethasone in Relapsed and Refractory Multiple Myeloma Completed Triphase Research and Development I Corporation Phase 1 2014-06-05 This is a Phase 1 clinical trial to evaluate a new combination of drugs for the treatment of relapsed or refractory (drug-resistant) multiple myeloma. The drugs being studied are: - Pomalidomide (POMALYST®) is a drug that affects the immune system (an immunomodulatory drug) that has been approved by the United States (US) Food and Drug Administration (FDA) for the treatment of multiple myeloma. - Marizomib is an investigational drug being developed by Triphase that is being studied for the treatment of multiple myeloma. Investigational drugs are drugs that have not yet been approved by health authorities, such as the FDA, for general use but have been approved for use in specific clinical studies. Marizomib inhibits a cellular machine called the proteasome, which destroys unnecessary or damaged proteins. Other proteasome inhibitors have been shown to be effective in the treatment of multiple myeloma. - Dexamethasone is a corticosteroid drug that affects the immune system (an immunomodulatory drug) that has been approved by the FDA for the treatment of multiple myeloma. This is the first study to evaluate the three-drug combination of pomalidomide (POM), marizomib (MRZ), and dexamethasone (LD-DEX) in humans. Pomalidomide, alone or in combination with dexamethasone, is approved by the FDA for the treatment of relapsed or refractory multiple myeloma. The primary objective of this study is to determine the best drug dosing levels for this three-drug combination, including the highest safe doses and/or the recommended doses for future clinical studies of this drug combination. The secondary purposes of this study are to determine the safety of this drug combination and its effectiveness in treating relapsed or refractory multiple myeloma. The study will include examination of levels of all three drugs in the blood during various time points during treatment.
New Combination NCT02188368 ↗ Pomalidomide for Lenalidomide for Relapsed or Refractory Multiple Myeloma Patients Active, not recruiting Celgene Corporation Phase 2 2014-08-01 The purpose of this clinical research study is to evaluate the safety and effectiveness (good and bad effects) of pomalidomide given as part of a combination therapy that include more than just steroids to treat subjects with relapsed (subjects whose disease came back) or refractory (subjects whose disease did not respond to past treatment) multiple myeloma (MM). Pomalidomide (alone or in combination with dexamethasone) has been approved by the United States Food and Drug Administration (FDA) for the treatment of MM patients who have received at least two prior therapies, including lenalidomide and bortezomib, and have demonstrated disease progression on or within 60 days of completion of their last therapy. However, the use of pomalidomide in combination with other drugs used to treat MM, such as chemotherapeutic agents and proteasome inhibitors, is currently being tested and is not approved. Pomalidomide is in the same drug class as thalidomide and lenalidomide. Like lenalidomide, pomalidomide is a drug that alters the immune system and it may also interfere with the development of small blood vessels that help support tumor growth. Therefore, in theory, it may reduce or prevent the growth of cancer cells. The testing done with pomalidomide thus far has shown that it is well-tolerated and effective for subjects with MM both on its own and in combination with dexamethasone. Using another drug class, namely proteasome inhibitors, we have demonstrated that simply replacing a proteasome inhibitor with another in an established anti-myeloma treatment regimen can frequently overcome resistance regardless of the other agents that are part of the anti-myeloma regimen. Importantly, the toxicity profile of the new combinations closely resembled that of the proteasome inhibitor administered as a single agent. Based on this experience, we hypothesize that the replacement of lenalidomide with pomalidomide will yield similar results in a similar relapsed/refractory MM patient population.
New Combination NCT02188368 ↗ Pomalidomide for Lenalidomide for Relapsed or Refractory Multiple Myeloma Patients Active, not recruiting Oncotherapeutics Phase 2 2014-08-01 The purpose of this clinical research study is to evaluate the safety and effectiveness (good and bad effects) of pomalidomide given as part of a combination therapy that include more than just steroids to treat subjects with relapsed (subjects whose disease came back) or refractory (subjects whose disease did not respond to past treatment) multiple myeloma (MM). Pomalidomide (alone or in combination with dexamethasone) has been approved by the United States Food and Drug Administration (FDA) for the treatment of MM patients who have received at least two prior therapies, including lenalidomide and bortezomib, and have demonstrated disease progression on or within 60 days of completion of their last therapy. However, the use of pomalidomide in combination with other drugs used to treat MM, such as chemotherapeutic agents and proteasome inhibitors, is currently being tested and is not approved. Pomalidomide is in the same drug class as thalidomide and lenalidomide. Like lenalidomide, pomalidomide is a drug that alters the immune system and it may also interfere with the development of small blood vessels that help support tumor growth. Therefore, in theory, it may reduce or prevent the growth of cancer cells. The testing done with pomalidomide thus far has shown that it is well-tolerated and effective for subjects with MM both on its own and in combination with dexamethasone. Using another drug class, namely proteasome inhibitors, we have demonstrated that simply replacing a proteasome inhibitor with another in an established anti-myeloma treatment regimen can frequently overcome resistance regardless of the other agents that are part of the anti-myeloma regimen. Importantly, the toxicity profile of the new combinations closely resembled that of the proteasome inhibitor administered as a single agent. Based on this experience, we hypothesize that the replacement of lenalidomide with pomalidomide will yield similar results in a similar relapsed/refractory MM patient population.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Pomalyst

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00463385 ↗ A Phase II Study of Pomalidomide in Myelofibrosis With Myeloid Metaplasia Completed Celgene Phase 2 2007-04-01 The purpose of this study is to determine the safety of and to select a treatment regimen of pomalidomide (CC-4047) either as single-agent or in combination with prednisone to study further in patients with myelofibrosis with myeloid metaplasia (MMM).
NCT00463385 ↗ A Phase II Study of Pomalidomide in Myelofibrosis With Myeloid Metaplasia Completed Celgene Corporation Phase 2 2007-04-01 The purpose of this study is to determine the safety of and to select a treatment regimen of pomalidomide (CC-4047) either as single-agent or in combination with prednisone to study further in patients with myelofibrosis with myeloid metaplasia (MMM).
NCT00537511 ↗ A Phase I/II Study to Determine the Maximum Tolerated Dose (MTD) and Safety of CC-4047 (Pomalidomide) Administered in Conjunction With Cisplatin and Etoposide Terminated Celgene Phase 1/Phase 2 2008-02-01 The purpose of this study is to determine the maximum tolerated dose and safety of CC-4047 (pomalidomide) given in combination with cisplatin and etoposide in patients with extensive disease small cell lung cancer.
NCT00537511 ↗ A Phase I/II Study to Determine the Maximum Tolerated Dose (MTD) and Safety of CC-4047 (Pomalidomide) Administered in Conjunction With Cisplatin and Etoposide Terminated Celgene Corporation Phase 1/Phase 2 2008-02-01 The purpose of this study is to determine the maximum tolerated dose and safety of CC-4047 (pomalidomide) given in combination with cisplatin and etoposide in patients with extensive disease small cell lung cancer.
NCT00717522 ↗ Efficacy and Safety Study of CC-4047 (Pomalidomide) to Treat Advanced Soft Tissue Sarcoma Terminated Celgene Phase 2 2008-08-01 The purpose of the study is to determine the safety and efficacy of single agent CC-4047 (pomalidomide) in patients with advanced soft tissue sarcomas who have relapsed or are refractory to prior anticancer therapy.
NCT00717522 ↗ Efficacy and Safety Study of CC-4047 (Pomalidomide) to Treat Advanced Soft Tissue Sarcoma Terminated Celgene Corporation Phase 2 2008-08-01 The purpose of the study is to determine the safety and efficacy of single agent CC-4047 (pomalidomide) in patients with advanced soft tissue sarcomas who have relapsed or are refractory to prior anticancer therapy.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Pomalyst

Condition Name

Condition Name for Pomalyst
Intervention Trials
Multiple Myeloma 31
Recurrent Plasma Cell Myeloma 12
Refractory Plasma Cell Myeloma 10
Multiple Myeloma in Relapse 6
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Condition MeSH

Condition MeSH for Pomalyst
Intervention Trials
Multiple Myeloma 61
Neoplasms, Plasma Cell 59
Recurrence 4
Neoplasms 3
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Clinical Trial Locations for Pomalyst

Trials by Country

Trials by Country for Pomalyst
Location Trials
United States 278
Canada 35
Japan 24
China 20
Spain 17
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Trials by US State

Trials by US State for Pomalyst
Location Trials
Massachusetts 20
New York 18
Minnesota 18
California 18
Ohio 17
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Clinical Trial Progress for Pomalyst

Clinical Trial Phase

Clinical Trial Phase for Pomalyst
Clinical Trial Phase Trials
Phase 4 1
Phase 3 7
Phase 2 41
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Clinical Trial Status

Clinical Trial Status for Pomalyst
Clinical Trial Phase Trials
Active, not recruiting 19
Completed 18
Recruiting 17
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Clinical Trial Sponsors for Pomalyst

Sponsor Name

Sponsor Name for Pomalyst
Sponsor Trials
National Cancer Institute (NCI) 20
Celgene 19
Celgene Corporation 14
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Sponsor Type

Sponsor Type for Pomalyst
Sponsor Trials
Industry 85
Other 75
NIH 20
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Pomalyst (pomalidomide): Clinical Trials, Market Analysis, and Projections

Last updated: February 21, 2026

What is the current status of clinical trials involving Pomalyst (pomalidomide)?

Pomalyst, marketed by Celgene (a Bristol Myers Squibb company), is approved for multiple myeloma. It has been investigated in several ongoing and completed clinical trials. As of 2023, approximately 20 trials are registered focusing on multiple myeloma, lymphoma, and other hematologic malignancies.

Significant studies include:

  • NCT03050051: Evaluating Pomalyst with dexamethasone combined with other agents for relapsed or refractory multiple myeloma.
  • NCT03536240: Comparing Pomalyst versus other therapeutic options in early-phase trials.
  • NCT04667937: Studying novel combinations involving Pomalyst for treatment-resistant cases.

Most trials target relapsed/refractory multiple myeloma, examining efficacy, safety, and combination therapies with agents such as daratumumab, dexamethasone, and monoclonal antibodies. The clinical development pipeline remains active with early-phase studies exploring new combinations.

How does Pomalyst perform in current market conditions?

Market penetration

Pomalyst gained FDA approval in 2013 for multiple myeloma after prior therapies failed. The drug has established a significant presence in the hematologic malignancy market, with sustained revenue growth driven by combination therapies.

Sales and revenue

In 2022, Pomalyst generated approximately USD 2.7 billion globally. North America accounts for 65%, Europe for 20%, and the rest of the world for 15%. Revenue increased 5% compared to 2021, despite increased competition and patent challenges.

Pricing

The average wholesale price (AWP) in the U.S. is roughly USD 14,000 per 28-day supply. Cost-effectiveness analyses favor combination regimens, increasing the drug's value proposition in heavily pretreated patient populations.

Competition

Primary competitors include:

  • Revlimid (lenalidomide): Approved for similar indications; offers a slightly different safety profile.
  • Imnovid (pomalidomide): Also marketed by Celgene/BMS, targeting different lines of therapy.
  • Monoclonal antibodies: Daratumumab and elotuzumab, which are used in combination with Pomalyst or as alternatives.

Market share estimates suggest Pomalyst covers about 40% of the relapsed/refractory multiple myeloma segment.

What are the future projections for Pomalyst's market growth?

Growth drivers

  • New combination protocols: Trials combining Pomalyst with drugs like daratumumab, isatuximab, and newer agents suggest ongoing enhancements in efficacy. These combinations could expand indications to earlier lines of therapy.
  • Extended approvals: Expected extensions into maintenance therapy and pre-myeloma settings if ongoing trials demonstrate clinical benefit.
  • Global expansion: Entry into emerging markets where multiple myeloma treatment options are expanding.

Forecast financials

Market analyst reports project:

  • Compound annual growth rate (CAGR) of approximately 4.2% for Pomalyst through 2028.
  • Revenue reaching USD 3.4 billion globally by 2028.
  • Uptake hampered, primarily by patent expirations in key markets (U.S. patent expires 2026) and increasing competition from biosimilars and generics.

Patent landscape

  • The US patent for Pomalyst is set to expire in 2026, risking generic entry.
  • Patent challenges in Europe and Asia could influence pricing and market share.

Summary of regulatory and policy factors

  • FDA approval in 2013 focused on relapsed or refractory multiple myeloma.
  • EU approved Pomalyst for similar indications.
  • Pricing and reimbursement strategies vary across regions, impacting access and market share.

Key Takeaways

  • Pomalyst remains a foundational therapy for relapsed and refractory multiple myeloma.
  • Current clinical trials are exploring efficacy in combination regimens and earlier stages of disease.
  • Revenue growth is expected but will be tempered by patent expirations and market competition.
  • The global market for Pomalyst is projected to grow at a CAGR of around 4% through 2028, reaching over USD 3.4 billion.
  • Patent expiry in 2026 poses a significant risk to revenue streams, possibly leading to generic competition.

Frequently Asked Questions

What are the main indications for Pomalyst?

Approved for relapsed or refractory multiple myeloma in combination with dexamethasone, after at least two prior therapies.

How does Pomalyst compare with other treatment options?

It offers comparable or superior efficacy in certain patient populations, with a distinct safety profile. Combining with monoclonal antibodies enhances outcomes.

What are the primary adverse effects?

Common side effects include neutropenia, anemia, fatigue, and thromboembolism. Risk management involves blood count monitoring and prophylactic anticoagulation in some cases.

When do patent expirations threaten revenue?

US patents expire in 2026, after which biosimilars and generics may impact sales and market share.

What new indications or combinations are under investigation?

Studies exploring Pomalyst with daratumumab, isatuximab, and other agents for extended use in earlier lines of therapy are ongoing and may influence future label expansions.


References

[1] ClinicalTrials.gov. (2023). Pomalidomide studies. https://clinicaltrials.gov

[2] Bristol Myers Squibb. (2022). Pomalyst product label. https://packageinserts.bms.com

[3] IQVIA. (2023). Global Oncology Market Data. IQVIA Institute.

[4] U.S. Food and Drug Administration. (2013). Pomalyst approval document. https://www.fda.gov

[5] MarketWatch. (2023). Hematologic malignancies therapeutics market analysis. https://marketwatch.com

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