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A study of Teclistamab Monotherapy versus Pomalidomide, Bortezomib, Dexamethasone or Carfilzomib, Dexamethasone in Participants with Relapsed or Refractory Multiple Myeloma.

Phase 3
Conditions
Health Condition 1: D758- Other specified diseases of bloodand blood-forming organs
Registration Number
CTRI/2023/08/056613
Lead Sponsor
Johnson and Johnson Private Limited
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Be =18 years of age (or the legal age of consent in the jurisdiction in which the study is taking place) at the time of informed consent.

2. Documented diagnosis of multiple myeloma according to the IMWG diagnostic criteria.

3. Measurable disease at Screening as defined by any of the following:

a)Serum M-protein level =0.5 g/dL (central laboratory); or

b) Urine M-protein level =200 mg/24 hours (central laboratory); or

c) Serum immunoglobulin free light chain =10 mg/dL (central laboratory) and

abnormal serum immunoglobulin kappa lambda free light chain ratio

5. Have an ECOG performance status score of 0 to 2

6. Have clinical laboratory values meeting the protocol required criteria during the Screening Phase

7. Relapsed or refractory disease as defined below:

a. Relapsed disease is defined as an initial response to previous treatment, followed by confirmed progressive disease by IMWG criteria >60 days after cessation of treatment.

b. Refractory disease is defined as failure to achieve a response or confirmed progressive disease by IMWG criteria during previous treatment or =60 days after cessation of treatment.

8. Received 1 to 3 prior lines of antimyeloma therapy including a minimum of 2 consecutive cycles of an anti-CD38 monoclonal antibody at the approved dosing regimen in any prior line and 2 consecutive cycles of lenalidomide in any prior line.

Exclusion Criteria

1.Received any prior BCMA-directed therapy, pomalidomide therapy, carfilzomib therapy.

2.Does not meet criteria for bortezomib retreatment

3. Grade 1 peripheral neuropathy with pain or Grade =2 peripheral neuropathy as defined by NCI-CTCAE Version 5.0

4. Received a strong CYP3A4 inducer within 5 half-lives prior to randomization.

5. CNS involvement or clinical signs of meningeal involvement of multiple myeloma. If either is suspected, negative whole brain MRI and lumbar cytology are required.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Progression-Free Survival (PFS) according to IMWG.Timepoint: 12 Months
Secondary Outcome Measures
NameTimeMethod
Complete responseTimepoint: 12 Months;Duration of responseTimepoint: 12 Months;MRD negativityTimepoint: 12 months;Overall responseTimepoint: 12 Months;Overall survivalTimepoint: 12 Months;Time to next treatmentTimepoint: 12 Months;Time to worsening of symptomsTimepoint: 12 Months
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