Talquetamab: Talquetamab will be administered by subcutaneous (SC) injection.
Teclistamab: Teclistamab will be administered by SC injection.
Study summary
The purpose of this study is to identify the recommended Phase 2 regimen(s) (RP2R\[s\]) and schedule for the study treatment (Part 1), to characterize the safety of the RP2R(s) for the study treatment (Part 2) and to evaluate the anticancer activity of talquetamab + teclistamab in participants with relapsed or refractory multiple myeloma and extramedullary disease (EMD) (Part 3).
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Documented initial diagnosis of multiple myeloma according to International Myeloma Working Group (IMWG) diagnostic criteria
* Part 1 and 2: Participant could not tolerate or has disease that is relapsed or refractory to established therapies, including the last line of therapy. Part 3: (a) Relapsed or refractory disease, and exposed to a PI, IMiD, and an anti-CD38 mAb; (b) Documented evidence of progressive disease based on investigator's determination of response by IMWG criteria on or after their last regimen
* Part 1 and Part 2: Eastern Cooperative Oncology Group (ECOG) performance status grade of 0 or 1 at screening and immediately before the start of study drug administration. Part 3: ECOG performance status grade of 0, 1, or 2 at screening and immediately before the start of study drug administration
Exclusion Criteria:
* All Parts: Targeted therapy, epigenetic therapy, or treatment with an investigational treatment or an invasive investigational medical device within 21 days or at least 5 half-lives, whichever is less. Part 3: prior BCMA targeted bispecific antibody therapy; prior GPRC5D targeted therapy
* All Parts: Allogeneic stem cell transplant within 6 months before the first dose of study treatment.
* All Parts: Central nervous system involvement or clinical signs of meningeal involvement of multiple myeloma.
* All Parts: Active plasma cell leukemia (greater than \[\>\]2.0\*10\^9/L plasma cells by standard differential), Waldenström's macroglobulinemia, POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, M- protein, and skin changes), or primary amyloid light chain amyloidosis
Primary outcome measure(s)
Part 1: Number of Participants with Dose Limiting Toxicity (DLT) — Approximately 5 years 10 months The dose limiting toxicities are based on drug related adverse events and defined as any of the following events: hematological or non-hematological toxicity of grade 3 or higher.
Part 1: Severity of DLT as Assessed by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) — Approximately 5 years 10 months Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening, and Grade 5= Death related to adverse event.
Part 2: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) as a Measure of Safety and Tolerability — Approximately 5 years 10 months An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect, and suspects transmission of any infectious agent via a medicinal product, is medically important.
Part 2: Number of Participants with Adverse Events and SAEs by Severity — Approximately 5 years 10 months Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening, and Grade 5= Death related to adverse event.
Part 3: Overall Response Rate (ORR) — Approximately 5 years 10 months ORR is defined as the percentage of participants who have a partial response (PR) or better according Independent Review Committees (IRC).
Trial sites (40)
Facility
City
Region
Status
University of Alabama at Birmingham, Comprehensive Cancer Center
Birmingham
Alabama
University of Arkansas for Medical Sciences
Little Rock
Arkansas
Colorado Blood Cancer Institute
Denver
Colorado
Emory University
Atlanta
Georgia
Mayo Clinic
Rochester
Minnesota
Washington University St. Louis School Medicine Siteman Cancer Center
St Louis
Missouri
Mount Sinai Medical Center
New York
New York
Memorial Sloan Kettering Cancer Center
New York
New York
Atrium Health
Charlotte
North Carolina
Wake Forest University Baptist Medical Center (WFUBMC) - Comprehensive Cancer Center
Winston-Salem
North Carolina
Cleveland Clinic
Cleveland
Ohio
Oregon Health And Science University
Portland
Oregon
The University of Texas MD Anderson Cancer Center
Houston
Texas
St Vincents Hospital Melbourne
Fitzroy
Australia
Royal Perth Hospital
Perth
Australia
Arthur J E Child Comprehensive Cancer Centre
Calgary
Alberta
Alberta Health Services
Edmonton
Alberta
Princess Margaret Cancer Centre University Health Network
Toronto
Ontario
McGill University Health Centre
Montreal
Quebec
Hadassah Medical Center
Jerusalem
Israel
Sheba Medical Center
Ramat Gan
Israel
Tel Aviv Sourasky Medical Center
Tel Aviv
Israel
Kanazawa University Hospital
Kanazawa
Japan
Nagoya City University Hospital
Nagoya
Japan
Osaka University Hospital
Osaka
Japan
Tohoku University Hospital
Sendai
Japan
Japanese Red Cross Medical Center
Shibuya City
Japan
Seoul National University Hospital
Seoul
South Korea
Severance Hospital Yonsei University Health System
Seoul
South Korea
Asan Medical Center
Seoul
South Korea
Samsung Medical Center
Seoul
South Korea
The Catholic University of Korea Seoul St Marys Hospital
Seoul
South Korea
Hosp. Univ. Germans Trias I Pujol
Badalona
Spain
Hosp Clinic de Barcelona
Barcelona
Spain
Inst. Cat. Doncologia-H Duran I Reynals
L'Hospitalet de Llobregat
Spain
Hosp Univ Fund Jimenez Diaz
Madrid
Spain
UNIV. HOSP. October 12
Madrid
Spain
Clinica Univ. de Navarra
Pamplona
Spain
Hosp Clinico Univ de Salamanca
Salamanca
Spain
Hosp. Univ. Marques de Valdecilla
Santander
Spain
More Janssen Research & Development, LLC trials in the USA
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time on our Cookie Policy page. See also our Privacy Policy.