A Phase I, Multi-Dose Study of SGN-40 (Anti-huCD40 mAb) in Patients With Refractory or Recurrent Multiple Myeloma

Inclusion Criteria:

1. Patients must have refractory or recurrent secretory multiple myeloma (MM).

2. Patients must have failed at least two different prior systemic therapies for MM.

3. Patients may have received a maximum of five cytotoxic regimens.

4. Patients who have received any of the following must complete within the specified
time frame below:

- Autologous stem cell transplant - 12 weeks prior to first dose

- Nitrogen Mustard agents, Melphalan, BCNU, IVIG, or monoclonal antibody therapy -
6 weeks prior to first dose

- Chemotherapy, Radiation, or other therapies for MM - 4 weeks prior to first dose

5. Patients who have not undergone autologous stem cell transplantation must be either
ineligible for stem cell transplantation or, if eligible, must have refused treatment
by autologous stem cell transplantation.

6. Patients must have an ECOG performance status of ≤ 2 and a life expectancy > three
months.

7. Patients must be available for periodic blood sampling, study-related assessments,
and management of toxicity at the treating institution for the entire duration of the
study.

8. Patients must be at least 18 years of age.

9. Females of childbearing potential must have a negative β-HCG pregnancy test result
within three days of enrollment. All patients must plan to use an effective
contraceptive method during the course of the study.

10. Patients must meet baseline lab data requirements.

11. Patients must give written informed consent.

Exclusion Criteria:

1. Patients with non-secretory MM or solitary plasmacytoma or plasma cell leukemia.

2. Patients with a history of allogeneic transplantation.

3. Patients receiving plasmapheresis within four weeks prior to enrollment.

4. Patients undergoing major surgery within four weeks prior to enrollment.

5. Patients with a known hypersensitivity to recombinant proteins or any excipient
contained in the drug formulation.

6. Patients with a history of other malignancies during the past five years with the
exception of adequately treated basal or squamous cell skin cancer or cervical
carcinoma in situ.

7. Patients with any active viral, bacterial, or systemic fungal infection within four
weeks of enrollment.

8. Patients with a history of significant chronic or recurrent infections requiring
treatment.

9. Patients with a history of active thrombosis within three months of enrollment.

10. Patients with a history of pulmonary embolism.

11. Patients with a history of migraines or severe headaches requiring medical therapy
within 12 months of enrollment.

12. Patients who are pregnant or breastfeeding.

13. Patients with uncontrolled hypercalcemia.

14. Patients with any serious underlying medical condition that would impair their
ability to receive or tolerate the planned treatment.

15. Patients with dementia or altered mental status that would preclude understanding and
rendering of informed consent.