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A Study of Teclistamab in Combination with Daratumumab and Lenalidomide (Tec-DR) and Talquetamab in Combination with Daratumumab and Lenalidomide (Tal-DR) in Participants with Newly Diagnosed Multiple Myeloma

Phase 3
Conditions
Multiple Myeloma
Cancer
Registration Number
ISRCTN72661732
Lead Sponsor
Janssen-Cilag International NV
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
1030
Inclusion Criteria

Current inclusion criteria as of 03/01/2024:

1. Sex: All
2. Gender-Based: No
3. Aged 18 years old and over
4. Have a diagnosis of multiple myeloma according to the International Myeloma Working Group (IMWG) diagnostic criteria
5. Be newly diagnosed and not considered a candidate for high-dose chemotherapy with autologous stem cell transplant (ASCT) due to: ineligible due to advanced age OR; ineligible due to the presence of comorbid condition(s) likely to have a negative impact on tolerability of high-dose chemotherapy with ASCT OR; deferral of high-dose chemotherapy with ASCT as initial treatment
6. Have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2
7. A participant must agree not to be pregnant, breastfeeding, or planning to become pregnant while enrolled in this study or within 6 months after the last dose of study treatment
8. A participant must agree not to plan to father a child while enrolled in this study or within 100 days after the last dose of study treatment

_____

Previous inclusion criteria from 14/09/2023 to 03/01/2024:

1. Sex: All
2. Gender-Based: No
3. Aged 18 years old and over
4. Have a diagnosis of multiple myeloma according to the International Myeloma Working Group (IMWG) diagnostic criteria
5. Be newly diagnosed and not considered a candidate for high-dose chemotherapy with autologous stem cell transplant (ASCT) due to: ineligible due to advanced age OR; ineligible due to the presence of comorbid condition(s) likely to have a negative impact on tolerability of high-dose chemotherapy with ASCT OR; deferral of high-dose chemotherapy with ASCT as initial treatment
6. Have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2
7. A participant must agree not to be pregnant, breastfeeding, or planning to become pregnant while enrolled in this study or within 6 months after the last dose of study treatment
8. A participant must agree not to plan to father a child while enrolled in this study or within 3 months after the last dose of study treatment.

_____

Previous inclusion criteria:

1. Sex: All
2. Gender-Based: No
3. Aged 18 years old and over
4. Diagnosis of multiple myeloma according to the International Myeloma Working Group (IMWG) diagnostic criteria
5. Be newly diagnosed and not considered a candidate for high-dose chemotherapy with autologous stem cell transplant (ASCT) due to:
5.1. Advanced age OR
5.2. Presence of comorbid condition(s) likely to have a negative impact on the tolerability of high-dose chemotherapy with ASCT OR
5.3. Deferral of high-dose chemotherapy with ASCT as initial treatment
6. Have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2
7. A female participant must agree not to be pregnant, breastfeeding, or planning to become pregnant while enrolled in this study or within 3 months after the last dose of study treatment
8. A male participant must agree not to plan to father a child while enrolled in this study or within 3 months after the last dose of study treatment

Exclusion Criteria

Current exclusion criteria as of 14/09/2023:

1. Received any prior therapy for multiple myeloma or smouldering myeloma other than a short course of corticosteroids (not to exceed 40 milligrams [mg] of dexamethasone, or equivalent per day for a maximum of 4 days, total of 160 mg dexamethasone or equivalent). In addition, received a cumulative dose of systemic corticosteroids equivalent to greater than or equals to (>=)20 mg of dexamethasone during the Screening Phase
2. Had plasmapheresis within 28 days of randomisation
3. Had a stroke, transient ischaemic attack, or seizure within 6 months prior to randomisation
4. Known allergies, hypersensitivity, or intolerance to teclistamab or talquetamab excipients
5. Known contraindications to the use of daratumumab or lenalidomide per local prescribing information
6. Myeloma Frailty Index of >=2 with the exception of participants who have a score of 2 based on age alone

____

Previous exclusion criteria:

1. Received a cumulative dose of systemic corticosteroids equivalent to greater than or equal to (>=) 20 milligrams (mg) of dexamethasone within 14 days before randomisation
2. Had plasmapheresis within 28 days of randomisation
3. Had a stroke, transient ischemic attack, or seizure within 6 months prior to randomisation
4. Known allergies, hypersensitivity, or intolerance to teclistamab excipients
5. Known contraindications to the use of daratumumab or lenalidomide per local prescribing information

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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