A Phase 1b/2 Study of the Combination of Talquetamab and Teclistamab in Participants with Relapsed or Refractory Multiple Myeloma

2023-503439-16-00 Protocol 64007957MMY1003 Phase I and Phase II (Integrated) - Other Ongoing, recruitment ended

Start 29 Dec 2020 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 8 sites · Protocol 64007957MMY1003

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ongoing, recruitment ended
Participants planned 228
Countries 1
Sites 8

Multiple Myeloma

Part 1: To identify the RP2R(s) and schedule for the study treatment Part 2: To characterize the safety of the RP2R(s) for the study treatment Part 3: To evaluate the anticancer activity of tal+tec in participants with relapsed or refractory multiple myeloma and EMD

Key facts

Sponsor
Janssen - Cilag International
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Hemic and Lymphatic Diseases [C15]
Trial duration
29 Dec 2020 → ongoing
Decision date (initial)
2024-08-14
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2023-503439-16-00
EudraCT number
2019-004124-38

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Others, Dose response, Pharmacodynamic, Efficacy, Pharmacokinetic

Part 1: To identify the RP2R(s) and schedule for the study treatment
Part 2: To characterize the safety of the RP2R(s) for the study treatment
Part 3: To evaluate the anticancer activity of tal+tec in participants with relapsed or refractory multiple myeloma and EMD

Conditions and MedDRA coding

Multiple Myeloma

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Documented initial diagnosis of multiple myeloma according to International Myeloma Working Group (IMWG) diagnostic criteria
  2. 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
  3. 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 4

  1. 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
  2. All Parts: Allogeneic stem cell transplant within 6 months before the first dose of study treatment.
  3. All Parts: Central nervous system involvement or clinical signs of meningeal involvement of multiple myeloma.
  4. 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

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Part 1 and Part 2 •Incidence and severity of DLTs •Incidence and severity of AEs and SAEs
  2. Part 3 •ORR as evaluated by IRC

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 4

JNJ-64407564

PRD10381753 · Product

Active substance
Talquetamab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Authorisation status
Not Authorised
MA holder
JANSSEN-CILAG INTERNATIONAL N.V.
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/21/2486

JNJ-64407564

PRD10381752 · Product

Active substance
Talquetamab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Authorisation status
Not Authorised
MA holder
JANSSEN-CILAG INTERNATIONAL N.V.
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/21/2486

teclistamab

PRD9936206 · Product

Active substance
Teclistamab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Authorisation status
Not Authorised
MA holder
JANSSEN-CILAG INTERNATIONAL N.V.
Paediatric formulation
No
Orphan designation
No

teclistamab

PRD9936207 · Product

Active substance
Teclistamab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Authorisation status
Not Authorised
MA holder
JANSSEN-CILAG INTERNATIONAL N.V.
Paediatric formulation
No
Orphan designation
No

Auxiliary 1

DARZALEX 1800 mg solution for injection

PRD8157846 · Product

Active substance
Daratumumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Authorisation status
Authorised
ATC code
L01FC01 — -
Marketing authorisation
EU/1/16/1101/004
MA holder
JANSSEN-CILAG INTERNATIONAL NV
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/13/1153
Modified vs. Marketing Authorisation
Yes
Modification description
repackaged and relabeled

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Janssen - Cilag International

Sponsor organisation
Janssen - Cilag International
Address
Turnhoutseweg 30
City
Beerse
Postcode
2340
Country
Belgium

Scientific contact point

Organisation
Janssen - Cilag International
Contact name
CTIS Point of Contact

Public contact point

Organisation
Janssen - Cilag International
Contact name
CTIS Point of Contact

Third parties 12

OrganisationCity, countryDuties
Ancillare LP
ORG-100044089
Horsham, United States Other
Navigate Biopharma Services Inc.
ORG-100032721
Carlsbad, United States Other
Perceptive Eclinical Limited
ORG-100041144
Nottingham, United Kingdom Other
Labcorp Central Laboratory Services SARL
ORG-100011524
Meyrin, Switzerland Laboratory analysis
Signant Health Global LLC
ORG-100040604
Blue Bell, United States Other
Parexel International Corp.
ORG-100007310
Durham, United States Data management
Adaptive Biotechnologies Corp.
ORG-100044428
Seattle, United States Other
Hematogenix Laboratory Services LLC
ORG-100040020
Tinley Park, United States Laboratory analysis
SGS Belgium
ORG-100007917
Mechelen, Belgium Data management
Cellcarta Biosciences Inc.
ORG-100042227
Montreal, Canada Other
Labcorp Central Laboratory Services LP
ORG-100032236
Indianapolis, United States Laboratory analysis
Fisher Clinical Services UK Limited
ORG-100012049
Horsham, United Kingdom Other

Locations

1 EU/EEA country · 8 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruitment ended 51 8
Rest of world
Canada, United States, Israel, Korea, Republic of, Australia
177

Investigational sites

Spain

8 sites · Ongoing, recruitment ended
Hospital Universitario Marques De Valdecilla
Hematología, Avenida Valdecilla Sn, 39008, Santander
Institut Catala D'oncologia
Hematology Department and Hematopoietic Stem Cell Transplant Programme, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital Universitario Fundacion Jimenez Diaz
Hematology, Avenida De Los Reyes Catolicos 2, 28040, Madrid
Hospital Universitario 12 De Octubre
Hematología, Bloque D, Avenida De Cordoba Sn, Madrid
Hospital Universitario De Salamanca
Hematología y Hemoterapia, Paseo De San Vicente 58-182, 37007, Salamanca
Institut Catala D'oncologia
Hematología Clínica, Carretera Canyet S/n, 08916, Badalona
Clinica Universidad De Navarra
Hematology, Pio XII Etorbidea 36, 31008, Pamplona
Hospital Clinic De Barcelona
Hematología, Calle Villarroel 170, 08036, Barcelona

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2020-12-29 2020-12-29 2024-10-27

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 9 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) REDACTED_D1_Protocol 2023-503439-16 AM10
Recruitment arrangements (for publication) REDACTED_K1_Recruitment Arrangements_ES_SPA_2023-503439-16 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Master Dara Tecli Talque_ES_SPA_2023-503439-16 8
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Master Part 3_ES_SPA_2023-503439-16 8
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Master Tecli Talque_ES_SPA_2023-503439-16 16
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Pregnant Partner_ES_SPA_2023-503439-16 2
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Pregnant Patient_ES_SPA_2023-503439-16 1
Subject information and informed consent form (for publication) REDACTED_L1_SIS and ICF Withdrawal_ES_SPA_2023-503439-16 2
Synopsis of the protocol (for publication) REDACTED_D1_Protocol Synopsis_ES_SPA_2023-503439-16 AM10

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-08 Spain Acceptable with conditions
2024-08-14
2024-08-14
2 SUBSTANTIAL MODIFICATION SM-2 2025-01-21 Spain Acceptable
2025-03-10
2025-03-10
3 SUBSTANTIAL MODIFICATION SM-4 2025-12-16 Spain Acceptable
2026-04-13
2026-04-20