A Study of Teclistamab With Other Anticancer Therapies in Participants With Multiple Myeloma

NCT ID: NCT04722146

Last Updated: 2025-11-10

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-12

Study Completion Date

2027-10-05

Brief Summary

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The purpose of this study is to characterize the safety and tolerability of teclistamab when administered in different combination regimen and to identify the optimal dose(s) of teclistamab combination regimens.

Detailed Description

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Conditions

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Multiple Myeloma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment Regimen A: Teclistamab + Daratumumab + Pomalidomide

Participants will receive teclistamab plus daratumumab plus pomalidomide.

Group Type EXPERIMENTAL

Teclistamab

Intervention Type DRUG

Participants will receive teclistamab.

Daratumumab

Intervention Type DRUG

Participants will receive daratumumab.

Pomalidomide

Intervention Type DRUG

Participants will receive pomalidomide.

Treatment Regimen B: Teclistamab + Daratumumab + Lenalidomide + Bortezomib (21-day Cycles)

Participants will receive teclistamab plus daratumumab plus lenalidomide plus bortezomib in 21-day cycles.

Group Type EXPERIMENTAL

Teclistamab

Intervention Type DRUG

Participants will receive teclistamab.

Daratumumab

Intervention Type DRUG

Participants will receive daratumumab.

Lenalidomide

Intervention Type DRUG

Participants will receive lenalidomide.

Bortezomib

Intervention Type DRUG

Participants will receive bortezomib.

Treatment Regimen C: Teclistamab + Nirogacestat

Participants will receive teclistamab plus nirogacestat.

Group Type EXPERIMENTAL

Teclistamab

Intervention Type DRUG

Participants will receive teclistamab.

Nirogacestat

Intervention Type DRUG

Participants will receive nirogacestat.

Treatment Regimen D: Teclistamab + Lenalidomide

Participants will receive teclistamab plus lenalidomide.

Group Type EXPERIMENTAL

Teclistamab

Intervention Type DRUG

Participants will receive teclistamab.

Lenalidomide

Intervention Type DRUG

Participants will receive lenalidomide.

Treatment Regimen E: Teclistamab + Daratumumab + Lenalidomide

Participants will receive teclistamab plus daratumumab plus lenalidomide.

Group Type EXPERIMENTAL

Teclistamab

Intervention Type DRUG

Participants will receive teclistamab.

Daratumumab

Intervention Type DRUG

Participants will receive daratumumab.

Lenalidomide

Intervention Type DRUG

Participants will receive lenalidomide.

Treatment Regimen F: Teclistamab + Daratumumab + Lenalidomide + Bortezomib (28-day Cycles)

Participants will receive teclistamab plus daratumumab plus lenalidomide plus bortezomib in 28-day cycles.

Group Type EXPERIMENTAL

Teclistamab

Intervention Type DRUG

Participants will receive teclistamab.

Daratumumab

Intervention Type DRUG

Participants will receive daratumumab.

Lenalidomide

Intervention Type DRUG

Participants will receive lenalidomide.

Bortezomib

Intervention Type DRUG

Participants will receive bortezomib.

Interventions

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Teclistamab

Participants will receive teclistamab.

Intervention Type DRUG

Daratumumab

Participants will receive daratumumab.

Intervention Type DRUG

Pomalidomide

Participants will receive pomalidomide.

Intervention Type DRUG

Lenalidomide

Participants will receive lenalidomide.

Intervention Type DRUG

Bortezomib

Participants will receive bortezomib.

Intervention Type DRUG

Nirogacestat

Participants will receive nirogacestat.

Intervention Type DRUG

Other Intervention Names

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JNJ-64007957

Eligibility Criteria

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Inclusion Criteria

* Have documented initial diagnosis of multiple myeloma according to international myeloma working group (IMWG) diagnostic criteria
* Meet treatment regimen-specific requirements as follows: Treatment Regimen A (teclistamab \[tec\]-daratumumab \[dara\]-pomalidomide \[pom\]) only: Participant has relapsed or refractory multiple myeloma and has received 1 to 3 prior lines of therapy, including exposure to a proteasome inhibitor (PI) and lenalidomide; Treatment Regimen B (tec-dara-lenalidomide \[len\]-bortezomib \[bor\]) only: Participant has newly diagnosed or relapsed/refractory multiple myeloma and is naive to treatment with lenalidomide; Treatment Regimen C (tec-nirogacestat \[niro\]) only: Participant has relapsed or refractory multiple myeloma and has 1) received 3 or more prior lines of therapy or 2) is double refractory to a PI and an immunomodulatory drug (IMiD) and triple exposed to a PI, an IMiD, and an anti-cluster of differentiation (CD)38 monoclonal antibody (mAb); Treatment Regimen D (tec-len) only: Participant has multiple myeloma and has received greater than or equal to (\>=) 2 prior lines of therapy, including exposure to a PI, an IMiD, and an anti-CD38 mAb; Treatment Regimen E (tec-dara-len) only: Participant has newly diagnosed multiple myeloma or if previously treated has received 1 to 3 prior lines of therapy, including exposure to a PI and an IMiD; Treatment Regimen F (tec-dara-len-bor) only: Participant has newly diagnosed multiple myeloma
* Have measurable disease at screening as defined by at least one of the following: serum M-protein level \>= 1.0 gram/deciliter (g/dL); or urine M-protein level \>= 200 milligrams (mg)/24 hours; or light chain multiple myeloma: serum immunoglobulin (Ig) free light chain (FLC) \>= 10 milligram/deciliter (mg/dL) and abnormal serum Ig kappa lambda FLC ratio
* A woman of childbearing potential must have a negative serum (beta human chorionic gonadotropin \[hCG\]) pregnancy test at screening and a negative urine or serum pregnancy test within 24 hours before the start of study treatment administration and must agree to further serum or urine pregnancy tests during the study
* A woman must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for at least 6 months after the last dose of study treatment

Exclusion Criteria

* Prior treatment with any therapy that targets B-cell maturation antigen (BCMA): This exclusion does not apply to Treatment Regimen C
* Live, attenuated vaccine within 30 days before the first dose of study treatment
* Received a cumulative dose of corticosteroids equivalent to \>= 140 mg of prednisone within the 14-day period before the start of study treatment administration
* Active central nervous system (CNS) involvement or exhibition of clinical signs of meningeal involvement of multiple myeloma. If either is suspected, brain magnetic resonance imaging (MRI) and lumbar cytology are required
* Known to be seropositive for human immunodeficiency virus
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 and Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research and Development LLC

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

University of California San Francisco

San Francisco, California, United States

Site Status

Colorado Blood Cancer Institute

Denver, Colorado, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Indiana University Melvin and Bren Simon Cancer Center

Indianapolis, Indiana, United States

Site Status

Washington University School Of Medicine

St Louis, Missouri, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

Memorial Sloan-Kettering Cancer Center

New York, New York, United States

Site Status

Weill Cornell Medical College

New York, New York, United States

Site Status

Levine Cancer Institute

Charlotte, North Carolina, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Tennessee Oncology

Nashville, Tennessee, United States

Site Status

Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status

Medical College Of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

St Vincents Hospital Melbourne

Fitzroy, , Australia

Site Status

Alfred Health

Melbourne, , Australia

Site Status

Calvary Mater Newcastle Hospital

Waratah, , Australia

Site Status

UZA

Edegem, , Belgium

Site Status

UZ Gent

Ghent, , Belgium

Site Status

Centre Leon Berard

Lyon, , France

Site Status

CHU Nantes

Nantes, , France

Site Status

CHU de Bordeaux - Hospital Haut-Leveque

Pessac, , France

Site Status

Chu Rennes Hopital Pontchaillou

Rennes, , France

Site Status

Institut Universitaire du cancer de Toulouse-Oncopole

Toulouse, , France

Site Status

University College Hospital

London, , United Kingdom

Site Status

The Christie Nhs Foundation Trust

Manchester, , United Kingdom

Site Status

The Royal Marsden NHS Trust Sutton

Surrey, , United Kingdom

Site Status

Countries

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United States Australia Belgium France United Kingdom

Other Identifiers

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64007957MMY1004

Identifier Type: OTHER

Identifier Source: secondary_id

2020-004404-33

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2023-503440-14-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

CR108927

Identifier Type: -

Identifier Source: org_study_id