A Study of Talquetamab in Participants With Relapsed or Refractory Multiple Myeloma

NCT ID: NCT04634552

Last Updated: 2025-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

510 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-01

Study Completion Date

2029-03-30

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of talquetamab in participants with relapsed or refractory multiple myeloma at the recommended Phase 2 dose(s) (RP2Ds) (Part 3).

Detailed Description

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Conditions

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Hematological Malignancies

Keywords

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Multiple Myeloma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part 3: Cohort A (Talquetamab)

Cohort A will enroll participants with multiple myeloma who have previously received greater than or equal to (\>=) 3 prior lines of therapy and have not been exposed to T cell redirection therapies. Participants will receive talquetamab subcutaneously (SC) at a recommended Phase 2 dose (RP2D) selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. All participants (ongoing and those who are in follow-up) will transition to open-label extension (OLE) phase and will continue to receive the study treatment. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the long-term extension (LTE) and will continue to receive study treatment.

Group Type EXPERIMENTAL

Talquetamab

Intervention Type DRUG

Talquetamab will be administered SC until disease progression.

Part 3: Cohort B (Talquetamab)

Cohort B will enroll participants with multiple myeloma who have previously received \>= 3 prior lines of therapy and have been exposed to T cell redirection therapies. Participants will receive talquetamab subcutaneously (SC) at a recommended Phase 2 dose (RP2D) selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. All participants (ongoing and those who are in follow-up) will transition to OLE phase and will continue to receive the study treatment. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the LTE and will continue to receive study treatment.

Group Type EXPERIMENTAL

Talquetamab

Intervention Type DRUG

Talquetamab will be administered SC until disease progression.

Part 3: Cohort C (Talquetamab)

Cohort C will enroll participants with multiple myeloma who have previously received \>= 3 prior lines of therapy and have not been exposed to T cell redirection therapies. Participants will receive talquetamab SC biweekly at a RP2D selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. All participants (ongoing and those who are in follow-up) will transition to OLE phase and will continue to receive the study treatment. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the LTE and will continue to receive study treatment.

Group Type EXPERIMENTAL

Talquetamab

Intervention Type DRUG

Talquetamab will be administered SC until disease progression.

Part 3: Cohort D (Talquetamab)

Cohort D will enroll participants with multiple myeloma who have previously received \>= 3 prior lines of therapy. Participants will receive talquetamab SC biweekly at a RP2D selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. Participants in this cohort will receive tocilizumab prophylaxis for cytokine release syndrome (CRS) including all outpatient dosing. Participants will transition to OLE upon communication by the sponsor. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the LTE and will continue to receive study treatment.

Group Type EXPERIMENTAL

Talquetamab

Intervention Type DRUG

Talquetamab will be administered SC until disease progression.

Part 3: Cohort E (Talquetamab)

Cohort E will enroll participants with multiple myeloma who have previously received at least 1 proteasome inhibitor (PI), 1 immunomodulatory imide drug (IMiD), and 1 anti-cluster of differentiation 38 (CD38) monoclonal antibody.

Participants will receive talquetamab SC biweekly at a RP2D selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. Participants will receive tocilizumab prophylaxis for CRS with consolidated priming dose schedules as well as possible transition to outpatient priming dosing transition to OLE upon communication by the sponsor. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the LTE and will continue to receive study treatment.

Group Type EXPERIMENTAL

Talquetamab

Intervention Type DRUG

Talquetamab will be administered SC until disease progression.

Interventions

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Talquetamab

Talquetamab will be administered SC until disease progression.

Intervention Type DRUG

Other Intervention Names

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JNJ-64407564

Eligibility Criteria

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Inclusion Criteria

* Documented initial diagnosis of multiple myeloma according to international myeloma working group (IMWG) diagnostic criteria
* Part 3: Measurable disease cohort A, cohort B, cohort C and cohort D: multiple myeloma must be measurable by central laboratory assessment; Cohort E: Multiple myeloma must be measurable by local laboratory assessment
* Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2
* Women of childbearing potential must have a negative pregnancy test at screening and prior to the first dose of study drug using a highly sensitive pregnancy test either serum (beta human chorionic gonadotropin \[hCG\]) or urine
* Willing and able to adhere to the prohibitions and restrictions specified in this protocol

Exclusion Criteria

* Part 3 only: Cohort A and Cohort C only: exposed to a CAR-T or T cell redirection therapy at any time. Cohort B, Cohort D and Cohort E: T cell redirection therapy within 3 months
* Toxicities from previous anticancer therapies should have resolved to baseline levels or to Grade 1 or less except for alopecia or peripheral neuropathy
* Received a cumulative dose of corticosteroids equivalent to \>= 140 milligram (mg) of prednisone within the 14-day period before the first dose of study drug (does not include pretreatment medication)
* Stroke or seizure within 6 months prior to signing the informed consent form (ICF)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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University of Alabama Birmingham

Birmingham, Alabama, United States

Site Status RECRUITING

University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States

Site Status RECRUITING

City of Hope

Duarte, California, United States

Site Status COMPLETED

Memorial Healthcare System

Hollywood, Florida, United States

Site Status RECRUITING

Emory University Winship Cancer Institute

Atlanta, Georgia, United States

Site Status RECRUITING

University of Chicago

Chicago, Illinois, United States

Site Status RECRUITING

Norton Cancer Institute

Louisville, Kentucky, United States

Site Status RECRUITING

University of Michigan Health System

Ann Arbor, Michigan, United States

Site Status RECRUITING

Washington University School Of Medicine

St Louis, Missouri, United States

Site Status RECRUITING

NYU Langone Health

New York, New York, United States

Site Status RECRUITING

Mount Sinai Medical Center

New York, New York, United States

Site Status RECRUITING

University of Rochester Medical Center

Rochester, New York, United States

Site Status RECRUITING

Providence Portland Medical Center

Portland, Oregon, United States

Site Status COMPLETED

Tennessee Oncology

Nashville, Tennessee, United States

Site Status RECRUITING

UZ Antwerpen

Edegem, , Belgium

Site Status RECRUITING

UZ Leuven

Leuven, , Belgium

Site Status RECRUITING

CHU de Liège - Domaine Universitaire du Sart Tilman

Liège, , Belgium

Site Status RECRUITING

UCL - Saint Luc

Woluwe-Saint-Lambert, , Belgium

Site Status RECRUITING

Peking University Third Hospital

Beijing, , China

Site Status ACTIVE_NOT_RECRUITING

Sun Yat Sen University Cancer Center

Guangzhou, , China

Site Status ACTIVE_NOT_RECRUITING

The 1St Affiliated Hospital of Medical College Zhejiang University

Hangzhou, , China

Site Status ACTIVE_NOT_RECRUITING

First Affiliated Hospital SooChow University

Suzhou, , China

Site Status ACTIVE_NOT_RECRUITING

Institute of Hematology & Blood Disease Hospital Chinese Academy of Medical Science

Tianjin, , China

Site Status ACTIVE_NOT_RECRUITING

The Second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, , China

Site Status COMPLETED

The First Affiliated Hospital of Xian Jiaotong University

Xi'an, , China

Site Status ACTIVE_NOT_RECRUITING

CHU Henri Mondor

Créteil, , France

Site Status RECRUITING

CHU de Montpellier Hopital Saint Eloi

Montpellier, , France

Site Status RECRUITING

C.H.U. Hotel Dieu - France

Nantes, , France

Site Status RECRUITING

CHU de Bordeaux - Hospital Haut-Leveque

Pessac, , France

Site Status RECRUITING

Centre hospitalier Lyon-Sud

Pierre-Bénite, , France

Site Status RECRUITING

Pôle IUC Oncopole CHU

Toulouse, , France

Site Status RECRUITING

Charite Campus Benjamin Franklin

Berlin, , Germany

Site Status ACTIVE_NOT_RECRUITING

Universitaetsklinikum Heidelberg

Heidelberg, , Germany

Site Status ACTIVE_NOT_RECRUITING

Universitaetsklinikum Muenster

Münster, , Germany

Site Status COMPLETED

Universitatsklinikum Wurzburg

Würzburg, , Germany

Site Status ACTIVE_NOT_RECRUITING

Rambam Medical Center

Haifa, , Israel

Site Status RECRUITING

Carmel Medical Center

Haifa, , Israel

Site Status RECRUITING

Hadassah Medical Center

Jerusalem, , Israel

Site Status RECRUITING

Sheba Medical Center

Ramat Gan, , Israel

Site Status RECRUITING

Tel Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status RECRUITING

Kameda Medical Center

Chiba, , Japan

Site Status ACTIVE_NOT_RECRUITING

Fukuoka University Hospital

Fukuoka, , Japan

Site Status ACTIVE_NOT_RECRUITING

Ogaki Municipal Hospital

Gifu, , Japan

Site Status ACTIVE_NOT_RECRUITING

Teine Keijinkai Hospital

Hokkaido, , Japan

Site Status COMPLETED

Kobe City Medical Center General Hospital

Kobe, , Japan

Site Status ACTIVE_NOT_RECRUITING

Dokkyo Medical University Saitama Medical Center

Koshigaya, , Japan

Site Status ACTIVE_NOT_RECRUITING

Kumamoto University Hospital

Kumamoto, , Japan

Site Status ACTIVE_NOT_RECRUITING

Kurashiki Central Hospital

Kurashiki, , Japan

Site Status ACTIVE_NOT_RECRUITING

National Hospital Organization Matsumoto Medical Center

Matsumoto, , Japan

Site Status ACTIVE_NOT_RECRUITING

National Hospital Organization Okayama Medical Center

Okayama, , Japan

Site Status ACTIVE_NOT_RECRUITING

Japanese Red Cross Osaka Hospital

Osaka, , Japan

Site Status ACTIVE_NOT_RECRUITING

National Hospital Organization Hiroshima-Nishi Medical Center

Ōtake, , Japan

Site Status ACTIVE_NOT_RECRUITING

Iwate Medical University Hospital

Shiwa-gun, , Japan

Site Status ACTIVE_NOT_RECRUITING

VU Medisch Centrum

Amsterdam, , Netherlands

Site Status ACTIVE_NOT_RECRUITING

UMCU

Utrecht, , Netherlands

Site Status COMPLETED

Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status ACTIVE_NOT_RECRUITING

Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut BadawczyOddz w Gliwicach

Gliwice, , Poland

Site Status COMPLETED

Uniwersytecki Szpital Kliniczny w Poznaniu

Poznan, , Poland

Site Status ACTIVE_NOT_RECRUITING

Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy

Warsaw, , Poland

Site Status COMPLETED

Uniwersytecki Szpital Kliniczny im Jana Mikulicza Radeckiego we Wroclawiu

Wroclaw, , Poland

Site Status ACTIVE_NOT_RECRUITING

Chonnam National University Hwasun Hospital

Jeollanam-do, , South Korea

Site Status COMPLETED

Seoul National University Hospital

Seoul, , South Korea

Site Status COMPLETED

Severance Hospital Yonsei University Health System

Seoul, , South Korea

Site Status COMPLETED

Asan Medical Center

Seoul, , South Korea

Site Status COMPLETED

Samsung Medical Center

Seoul, , South Korea

Site Status COMPLETED

The Catholic University of Korea Seoul St Marys Hospital

Seoul, , South Korea

Site Status COMPLETED

Hosp. Univ. Germans Trias I Pujol

Badalona, , Spain

Site Status COMPLETED

Hosp Univ Vall D Hebron

Barcelona, , Spain

Site Status RECRUITING

Inst. Cat. Doncologia-H Duran I Reynals

Barcelona, , Spain

Site Status ACTIVE_NOT_RECRUITING

Hosp Univ Fund Jimenez Diaz

Madrid, , Spain

Site Status COMPLETED

Hosp. Univ. 12 de Octubre

Madrid, , Spain

Site Status ACTIVE_NOT_RECRUITING

Hosp. Univ. Virgen de La Arrixaca

Murcia, , Spain

Site Status ACTIVE_NOT_RECRUITING

Clinica Univ. de Navarra

Pamplona, , Spain

Site Status RECRUITING

Hosp. Quiron Madrid Pozuelo

Pozuelo de Alarcón, , Spain

Site Status ACTIVE_NOT_RECRUITING

Hosp Clinico Univ de Salamanca

Salamanca, , Spain

Site Status RECRUITING

Hosp. Univ. Marques de Valdecilla

Santander, , Spain

Site Status RECRUITING

Hosp. Virgen Del Rocio

Seville, , Spain

Site Status RECRUITING

Countries

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United States Belgium China France Germany Israel Japan Netherlands Poland South Korea Spain

Central Contacts

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Study Contact

Role: CONTACT

Phone: 844-434-4210

Email: [email protected]

References

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Ito S, Kuroda Y, Sunami K, Matsue K, Imada K, Tamura H, Fujikawa E, Yamazaki H, Takamoto M, Pei L, Qin X, Masterson TJ, Campagna M, Vreys V, Lau BW, Takamatsu Y. Talquetamab in Japanese patients with relapsed/refractory multiple myeloma in the MonumenTAL-1 study. Int J Hematol. 2025 Dec 17. doi: 10.1007/s12185-025-04134-6. Online ahead of print.

Reference Type DERIVED
PMID: 41405810 (View on PubMed)

Einsele H, Moreau P, Bahlis N, Bhutani M, Vincent L, Karlin L, Perrot A, Goldschmidt H, van de Donk NWCJ, Ocio EM, Martinez Lopez J, Rodriguez-Otero P, Dytfeld D, Jakubowiak A, Schinke C, Besemer B, Anguille S, Manier S, Rasche L, Teipel R, Scheid C, Pawlyn C, Cavo M, Diels J, Ghilotti F, Lau BW, Renaud T, Orel O, Ong F, Ramos DF, Ammann E, Parekh T, Albrecht C, Weisel K, Mateos MV. Comparative Efficacy of Talquetamab vs. Real-World Physician's Choice of Treatment in Triple-Class-Exposed Relapsed/Refractory Multiple Myeloma: Updated Analyses of MonumenTAL-1 vs. LocoMMotion/MoMMent. Adv Ther. 2025 Nov 28. doi: 10.1007/s12325-025-03409-y. Online ahead of print.

Reference Type DERIVED
PMID: 41313549 (View on PubMed)

van de Donk NWCJ, Chari A, Martin T, Krishnan A, Rasche L, Ye JC, Popat R, Lipe B, Rodriguez C, Schinke C, Skerget S, Vishwamitra D, Verona R, Gong J, Singh I, Campagna M, Masterson T, Hilder B, Tolbert J, Renaud T, Smit MD, Heuck C, Mateos MV. Characterization and Management of Cytokine Release Syndrome From the MonumenTAL-1 Study of Talquetamab in Patients With Relapsed/Refractory Multiple Myeloma. Cancer Med. 2025 Oct;14(19):e71276. doi: 10.1002/cam4.71276.

Reference Type DERIVED
PMID: 41036677 (View on PubMed)

Schinke C, Rodriguez-Otero P, van de Donk NWCJ, Lipe B, Lavi N, Rasche L, Parekh S, Van Oekelen O, Vishwamitra D, Skerget S, Cortes-Selva D, Verona R, Hilder B, Masterson T, Campagna M, Khedkar S, Renaud T, Tolbert J, Kane C, Gray KS, Saber I, Heuck C, Chari A. Infections and parameters of humoral immunity with talquetamab in relapsed/refractory multiple myeloma in MonumenTAL-1. Blood Adv. 2025 Nov 25;9(22):5752-5762. doi: 10.1182/bloodadvances.2025016613.

Reference Type DERIVED
PMID: 40864183 (View on PubMed)

Schinke C, Touzeau C, Oriol A, Mateos MV, Stevens D, Rasche L, Qin X, Kato K, Bathija S, Katz EG, Gries KS, Campagna M, Masterson T, Hilder BW, Tolbert J, Renaud T, Heuck C, Tomlinson C, Moreau P, San-Miguel J, Rodriguez-Otero P, Chari A. Talquetamab improves patient-reported symptoms and health-related quality of life in relapsed or refractory multiple myeloma: Results from the phase 1/2 MonumenTAL-1 study. Cancer. 2025 Jul 15;131(14):e35927. doi: 10.1002/cncr.35927.

Reference Type DERIVED
PMID: 40631904 (View on PubMed)

Chari A, Touzeau C, Schinke C, Minnema MC, Berdeja JG, Oriol A, van de Donk NWCJ, Rodriguez-Otero P, Morillo D, Martinez-Chamorro C, Mateos MV, Costa LJ, Caers J, Rasche L, Krishnan A, Ye JC, Karlin L, Lipe B, Vishwamitra D, Skerget S, Verona R, Ma X, Qin X, Ludlage H, Campagna M, Masterson T, Hilder B, Tolbert J, Renaud T, Goldberg JD, Kane C, Heuck C, San-Miguel J, Moreau P. Safety and activity of talquetamab in patients with relapsed or refractory multiple myeloma (MonumenTAL-1): a multicentre, open-label, phase 1-2 study. Lancet Haematol. 2025 Apr;12(4):e269-e281. doi: 10.1016/S2352-3026(24)00385-5. Epub 2025 Mar 13.

Reference Type DERIVED
PMID: 40090350 (View on PubMed)

Einsele H, Moreau P, Bahlis N, Bhutani M, Vincent L, Karlin L, Perrot A, Goldschmidt H, van de Donk NWCJ, Ocio EM, Martinez-Lopez J, Rodriguez-Otero P, Dytfeld D, Diels J, Strulev V, Haddad I, Renaud T, Ammann E, Cabrieto J, Perualila N, Gan R, Zhang Y, Parekh T, Albrecht C, Weisel K, Mateos MV. Comparative Efficacy of Talquetamab vs. Current Treatments in the LocoMMotion and MoMMent Studies in Patients with Triple-Class-Exposed Relapsed/Refractory Multiple Myeloma. Adv Ther. 2024 Apr;41(4):1576-1593. doi: 10.1007/s12325-024-02797-x. Epub 2024 Feb 24.

Reference Type DERIVED
PMID: 38402374 (View on PubMed)

Related Links

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https://clinicaltrials.gov/ct2/show/NCT03399799

Dose Escalation Study of JNJ-64407564 in Participants With Relapsed or Refractory Multiple Myeloma

Other Identifiers

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CR108920

Identifier Type: -

Identifier Source: org_study_id

TALMMY1001-PT3

Identifier Type: OTHER

Identifier Source: secondary_id

2017-002400-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2023-504581-29-00

Identifier Type: REGISTRY

Identifier Source: secondary_id