A Study Comparing Pre- and Post-Change Teclistamab in Participants With Relapsed or Refractory Multiple Myeloma

NCT ID: NCT06425991

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

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-07

Study Completion Date

2027-03-03

Brief Summary

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The purpose of this study is to compare the pharmacokinetics (processes by which drugs are absorbed, distributed in the body, and excreted) between teclistamab made from the current commercial manufacturing process (pre-change) and the new manufacturing process (post-change).

Detailed Description

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Conditions

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Relapsed or Refractory Multiple Myeloma

Keywords

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1-3 prior lines

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A: Pre-change Teclistamab

Participants will receive teclistamab monotherapy (made from the pre-change manufacturing process) for all step-up and treatment doses until confirmed progressive disease, death, intolerable toxicity, withdrawal of consent to treatment, or end of the study, whichever occurs first.

Group Type EXPERIMENTAL

Teclistamab

Intervention Type DRUG

Teclistamab will be administered subcutaneously.

Arm B: Post-change Teclistamab

Participants will receive teclistamab monotherapy (made from the post-change manufacturing process) for all step-up and treatment doses until confirmed progressive disease, death, intolerable toxicity, withdrawal of consent to treatment, or end of the study, whichever occurs first.

Group Type EXPERIMENTAL

Teclistamab

Intervention Type DRUG

Teclistamab will be administered subcutaneously.

Interventions

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Teclistamab

Teclistamab will be administered subcutaneously.

Intervention Type DRUG

Other Intervention Names

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JNJ-64007957

Eligibility Criteria

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Inclusion Criteria

* Documented diagnosis of multiple myeloma as defined by the criteria below: (a) Multiple myeloma diagnosis according to International Myeloma Working Group (IMWG) diagnostic criteria (b) Measurable disease at screening as defined by any of the following: (1) Serum M-protein level greater than or equal to (\>=) 0.5 grams per deciliter (g/dL) (central laboratory); or (2) Urine M-protein level \>=200 milligrams (mg)/24 hours (central laboratory); or (3) Serum immunoglobulin free light chain \>=10 milligrams per deciliter (mg/dL) (central laboratory) and abnormal serum immunoglobulin kappa lambda free light chain ratio
* Received 1 to 3 prior lines of antimyeloma therapy, including a minimum of 2 consecutive cycles each of a protease inhibitor (PI), lenalidomide, and an anti-cluster of differentiation 38 (CD38) monoclonal antibody (or minimum of 6 doses if anti CD38 monoclonal antibody was only part of a maintenance regimen) in any prior line
* Documented evidence of progressive disease or failure to achieve a response to last line of therapy based on investigator's determination of response by IMWG criteria
* Have an eastern cooperative oncology group (ECOG) performance status score of 0 to 2
* A female participant of childbearing potential must have a negative highly sensitive serum pregnancy test at screening and within 24 hours of the start of study treatment and must agree to further serum or urine pregnancy tests during the study

Exclusion Criteria

* Received any bispecific antibody and/or chimeric antigen receptor T cell (CAR-T) cell therapy
* Contraindications or life-threatening allergies, hypersensitivity, or intolerance to any study drug or its excipients
* Received a live, attenuated vaccine within 4 weeks before the first dose of study drug. Non-live or non-replicating vaccines authorized for emergency use by local health authorities are allowed
* Central nervous system involvement or clinical signs of meningeal involvement of multiple myeloma. If either is suspected, negative whole brain magnetic resonance imaging (MRI) and lumbar cytology may be required
* Participant had major surgery or had significant traumatic injury within 2 weeks prior to randomization, or will not have fully recovered from surgery, or has major surgery planned during the time the participant is expected to be treated in the study
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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Banner MD Anderson Cancer Center

Gilbert, Arizona, United States

Site Status

Colorado Blood Cancer Institute

Denver, Colorado, United States

Site Status

Cleveland Clinic Florida

Weston, Florida, United States

Site Status

Augusta University- Georgia Cancer Center

Augusta, Georgia, United States

Site Status

St Francis Hospital & Health Centers Indiana Blood and Marrow Transplantation Franciscan Health

Indianapolis, Indiana, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Baylor University Medical Center

Dallas, Texas, United States

Site Status

Flinders Medical Centre

Bedford Park, , Australia

Site Status

Box Hill Hospital

Box Hill, , Australia

Site Status

Royal Prince Alfred Hospital

Camperdown, , Australia

Site Status

Epworth Healthcare

Richmond, , Australia

Site Status

Cross Cancer Institute

Edmonton, Alberta, Canada

Site Status

Princess Margaret Cancer Centre University Health Network

Toronto, Ontario, Canada

Site Status

CHRU de Lille Hopital Claude Huriez

Lille, , France

Site Status

CHU Nantes

Nantes, , France

Site Status

CHU de Bordeaux - Hospital Haut-Leveque

Pessac, , France

Site Status

CHU Lyon Sud

Pierre-Bénite, , France

Site Status

Klinikum Chemnitz gGmbH

Chemnitz, , Germany

Site Status

Universitaetsklinikum Hamburg Eppendorf

Hamburg, , Germany

Site Status

Universitaetsklinikum Heidelberg

Heidelberg, , Germany

Site Status

Universitatsklinikum Wurzburg

Würzburg, , Germany

Site Status

Carmel Medical Center

Haifa, , Israel

Site Status

Hadassah University Hospita Ein Kerem

Jerusalem, , Israel

Site Status

Sheba Medical Center

Ramat Gan, , Israel

Site Status

Sourasky Medical Center

Tel Aviv, , Israel

Site Status

Ospedali Riuniti Di Ancona

Ancona, , Italy

Site Status

ASST Papa Giovanni XXIII Bergamo

Bergamo, , Italy

Site Status

Azienda Ospedaliera Spedali Civili di Brescia

Brescia, , Italy

Site Status

Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori

Meldola, , Italy

Site Status

Ospedale Santa Chiara AO Universitaria Pisana

Pisa, , Italy

Site Status

Policlinico Universitario Agostino Gemelli

Rome, , Italy

Site Status

Wojewodzki Szpital Specjalistyczny

Biała Podlaska, , Poland

Site Status

Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status

Pratia Onkologia Katowice

Katowice, , Poland

Site Status

Swietokrzyskie Centrum Onkologii SPZOZ w Kielcach

Kielce, , Poland

Site Status

Centrum Onkologii Ziemi Lubelskiej im sw Jana z Dukli

Lublin, , Poland

Site Status

Dolnoslaskie Centrum Onkologii

Wroclaw, , Poland

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Severance Hospital Yonsei University Health System

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

The Catholic University of Korea Seoul St Mary s Hospital

Seoul, , South Korea

Site Status

Hosp Clinic de Barcelona

Barcelona, , Spain

Site Status

ICO L'Hospitalet - Hospital Duran i Reynals

Barcelona, , Spain

Site Status

Hosp. Univ. 12 de Octubre

Madrid, , Spain

Site Status

Clinica Univ. de Navarra

Pamplona, , Spain

Site Status

Hosp. Quiron Madrid Pozuelo

Pozuelo de Alarcón, , Spain

Site Status

Hosp Clinico Univ de Salamanca

Salamanca, , Spain

Site Status

Hosp. Univ. Marques de Valdecilla

Santander, , Spain

Site Status

Hammersmith Hospital

London, , United Kingdom

Site Status

The Christie NHS Foundation Trust Christie Hospital

Manchester, , United Kingdom

Site Status

Norfolk & Norwich University Hospital

Norwich, , United Kingdom

Site Status

Derriford Hospital

Plymouth, , United Kingdom

Site Status

Countries

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United States Australia Canada France Germany Israel Italy Poland South Korea Spain United Kingdom

Other Identifiers

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64007957MMY1008

Identifier Type: OTHER

Identifier Source: secondary_id

2023-508426-10-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

64007957MMY1008

Identifier Type: -

Identifier Source: org_study_id