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| ID | Type | Description | Link |
|---|---|---|---|
| 64407564MMY1002 | Other Identifier | Janssen Research & Development, LLC | |
| 2019-000330-19 | EudraCT Number | ||
| 2023-503468-17-00 | Registry Identifier | EUCT number |
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The purpose of this study is to identify recommended Phase 2 doses (RP2Ds) for each treatment combination (between daratumumab plus talquetamab and teclistamab plus daratumumab with or without pomalidomide) and to characterize the safety of each RP2D for selected treatment combinations.
Multiple myeloma is a malignant plasma cell disorder characterized by osteolytic lesions, increased susceptibility to infections, hypercalcemia, and renal failure. Overall rationale of study is that daratumumab in combination with talquetamab or teclistamab with or without pomalidomide may lead to enhanced clinical responses in treatment of relapsed or refractory multiple myeloma through multiple mechanisms of action. Daratumumab is human immunoglobulin G1 kappa monoclonal antibody (IgG1k) that binds with high affinity to a unique epitope on cluster of differentiation 38 (CD38) in a variety of hematological malignancies including multiple myeloma. Talquetamab and teclistamab are bispecific T cell redirection antibodies. Talquetamab binds to cluster of differentiation 3 (CD3) receptor complex on T cells and to G protein-coupled receptor family C group 5-member D (GPRC5D), a 7-transmembrane receptor protein on plasma cells and teclistamab binds to human and cynomolgus-CD3 and B cell maturation antigen (BCMA). Purpose of study is to evaluate safety of daratumumab in combination with talquetamab and teclistamab with or without pomalidomide, and to evaluate preliminary antitumor activity of each combination. Study consists of a screening period, treatment period (Part 1: dose escalation and Part 2: dose expansion), a Post-treatment Follow-up Period (after the last dose of study drug and will continue for up to 16 weeks for each subject), and a Long-term Extension Period. The study will end when one of the following occurs: 1) the study drug has received marketing authorization and, if regionally applicable, government reimbursement is available; 2) a long-term extension rollover study has commenced for participants who are still benefiting from study treatment as determined by their investigator; or 3) all participants have discontinued study treatment. Total duration of study is approximately 5 years and 6 months. Efficacy, safety, pharmacokinetics (PK), immunogenicity, and biomarkers will be assessed at specified time points. Participants safety will be monitored throughout study by Study Evaluation Team (SET). SET consists of members of sponsor's study team and participating investigators.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Dose Escalation | Experimental | Participants will be assigned to either a combination of 1) daratumumab plus teclistamab or 2) daratumumab plus talquetamab or 3) daratumumab plus talquetamab plus pomalidomide or 4) daratumumab plus teclistamab plus pomalidomide. |
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| Part 2: Dose Expansion | Experimental | Participants will be treated with the RP2D(s) for selected treatment combinations determined in Part 1. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Daratumumab | Drug | Participants will receive daratumumab. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Number of Participants With Dose Limiting Toxicity (DLT) | 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. | Up to 52 Weeks |
| Part 1: Number of Participants With Dose Limiting Toxicity by Severity | 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. | Up to 52 Weeks |
| Part 2: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | 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. | Up to 48 Weeks |
| Part 2: Number of Participants With Adverse Events and SAEs by Severity | 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. | Up to 48 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Serum Concentration of Daratumumab | Serum concentration of daratumumab will be assessed. | Up to 52 Weeks |
| Serum Concentration of Talquetamab | Serum concentration of talquetamab will be assessed. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Janssen Research & Development, LLC Clinical Trial | Janssen Research & Development, LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Hope National Medical Center | Duarte | California | 91010 | United States | ||
| City of Hope Orange County Lennar Foundation Cancer Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40983036 | Derived | Chari A, van de Donk NWCJ, Dholaria B, Weisel K, Mateos MV, Goldschmidt H, Martin TG, Morillo D, Reece D, Rodriguez-Otero P, Bhutani M, D'Souza A, Oriol A, Rosinol L, Bahlis NJ, Vishwamitra D, Skerget S, Verona RI, Bakshi K, Kang L, Prior TJ, Vandenberk L, Tolbert J, Lee S, Smit MD, Wasch R. Talquetamab plus daratumumab for the treatment of relapsed or refractory multiple myeloma in the TRIMM-2 study. Blood. 2025 Dec 11;146(24):2902-2913. doi: 10.1182/blood.2025029360. | |
| 32956453 |
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The data sharing policy of the Janssen Pharmaceutical Companies of Johnson & Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
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| Talquetamab | Drug | Participants will receive talquetamab. |
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| Teclistamab | Drug | Participants will receive teclistamab. |
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| Pomalidomide | Drug | Participants will receive pomalidomide. |
|
| Up to 52 Weeks |
| Serum Concentration of Teclistamab | Serum concentration of teclistamab will be assessed. | Up to 52 Weeks |
| Biomarker Assessment of Daratumumab | Serum cytokine concentrations will be measured at the time of drug infusion of daratumumab for biomarker assessment. | Up to Cycle 7 Day 1 (each cycle of 28-days) |
| Biomarker Assessment of Talquetamab | Serum cytokine concentrations will be measured at the time of drug infusion of talquetamab for biomarker assessment. | Up to Cycle 7 Day 1 (each cycle of 28-days) |
| Biomarker Assessment of Teclistamab | Serum cytokine concentrations will be measured at the time of drug infusion of teclistamab for biomarker assessment. | Up to Cycle 7 Day 1 (each cycle of 28-days) |
| Number of Participants With Anti-Drug Antibodies to Daratumumab | Number of participants with anti-drug antibodies to daratumumab will be assessed. | Up to 52 Weeks |
| Number of Participants With Anti-Drug Antibodies to Talquetamab | Number of participants with anti-drug antibodies to talquetamab will be assessed. | Up to 52 Weeks |
| Number of Participants With Anti-Drug Antibodies to Teclistamab | Number of Participants with anti-drug antibodies to teclistamab will be assessed. | Up to 52 Weeks |
| Overall Response Rate (ORR) | ORR is defined as the percentage of participants who have a partial response (PR) or better according to the International Myeloma Working Group (IMWG) criteria. | Up to 48 Weeks |
| Clinical Benefit Rate | Clinical benefit rate (ORR + minimal response [MR]) is defined as the of participants who have a MR or better according to the IMWG criteria. | Up to 48 Weeks |
| Duration of Response (DOR) | DOR is defined as the time from the date of initial documentation of a response (PR or better) to the date of first documented evidence of progressive disease, as defined in the IMWG criteria. | Up to 48 Weeks |
| Time to Response | Time to response is defined as the time between date of first dose of study drug and the first efficacy evaluation that the participant has met all criteria for PR or better. | Up to 48 Weeks |
| Irvine |
| California |
| 92618 |
| United States |
| University of California San Francisco | San Francisco | California | 94143 | United States |
| The Blavatnik Family Chelsea Medical Center at Mount Sinai | New York | New York | 10011 | United States |
| Mount Sinai Medical Center | New York | New York | 10029 | United States |
| Levine Cancer Institute | Charlotte | North Carolina | 28204 | United States |
| Wake Forest Baptist Medical Center | Winston-Salem | North Carolina | 27157 | United States |
| University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
| Vanderbilt Ingram Cancer Center | Nashville | Tennessee | 37232 | United States |
| Medical College Of Wisconsin | Milwaukee | Wisconsin | 53226 | United States |
| Arthur J E Child Comprehensive Cancer Centre | Calgary | Alberta | T2N 5G2 | Canada |
| University Health Network UHN Princess Margaret Cancer Centre | Toronto | Ontario | M5G 2M9 | Canada |
| Universitatsklinikum Freiburg | Freiburg im Breisgau | 79106 | Germany |
| Universitaetsklinikum Hamburg Eppendorf | Hamburg | 20246 | Germany |
| Universitaetsklinikum Heidelberg | Heidelberg | 69120 | Germany |
| Universitatsklinikum Wurzburg | Würzburg | 97080 | Germany |
| VU Medisch Centrum | Amsterdam | 1081 HV | Netherlands |
| LUMC | Leiden | 2333ZA | Netherlands |
| Hosp Clinic de Barcelona | Barcelona | 08036 | Spain |
| Inst. Cat. Doncologia-H Duran I Reynals | Barcelona | 08908 | Spain |
| Germans Trias I Pujol | Barcelona | 08916 | Spain |
| Hosp Univ Fund Jimenez Diaz | Madrid | 28040 | Spain |
| Clinica Univ. de Navarra | Pamplona | 31008 | Spain |
| Hosp Clinico Univ de Salamanca | Salamanca | 37007 | Spain |
| Derived |
| Pillarisetti K, Powers G, Luistro L, Babich A, Baldwin E, Li Y, Zhang X, Mendonca M, Majewski N, Nanjunda R, Chin D, Packman K, Elsayed Y, Attar R, Gaudet F. Teclistamab is an active T cell-redirecting bispecific antibody against B-cell maturation antigen for multiple myeloma. Blood Adv. 2020 Sep 22;4(18):4538-4549. doi: 10.1182/bloodadvances.2020002393. |
| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D020141 | Hemostatic Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D008232 | Lymphoproliferative Disorders |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C556306 | daratumumab |
| C000730985 | talquetamab |
| C467566 | pomalidomide |
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