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临床试验/NCT07518186
NCT07518186招募中3 期

A Phase 3 Randomized Study Comparing JNJ-79635322 Versus Teclistamab in Participants With Relapsed or Refractory Multiple Myeloma After 1 to 3 Prior Lines of Therapy, Including an Anti-CD38 Antibody and Lenalidomide

Janssen Research & Development, LLC152 个研究点 分布在 8 个国家目标入组 700 人开始时间: 2026年5月31日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
招募中
入组人数
700
试验地点
152
主要终点
Complete Response (CR) or Better

研究概览

简要总结

The purpose of this study is to evaluate how well JNJ-79635322 works when compared with teclistamab.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Documented diagnosis of multiple myeloma (MM) as defined by the criteria below: a. MM diagnosis according to the international myeloma working group (IMWG) diagnostic criteria, b. Measurable disease at screening as assessed by central laboratory
  • Received 1 to 3 prior lines of antimyeloma therapy, including an anti-cluster of differentiation (CD) 38 antibody and lenalidomide
  • Have an eastern cooperative oncology group (ECOG) performance status of 0 to 2 at screening and immediately before the first dose of study medication
  • Have clinical laboratory values meeting the criteria specified in the protocol during the screening and within 1 day of the start of administration of study treatment

排除标准

  • Major surgery, (for example, requiring general anesthesia) or significant traumatic injury within 2 weeks prior to first dose, or will not have fully recovered from surgery, or has surgery planned during the time the participant is expected to participate in the study
  • Suspected or known allergies, hypersensitivity, intolerance or other contraindications to the use of JNJ-79635322 or teclistamab or their excipients
  • Presence of any of the following: i. Any ongoing myelodysplastic syndrome or B-cell malignancy (other than MM); ii. Any history of malignancy, other than MM, that is considered at high risk of recurrence requiring systemic therapy; iii. Any active malignancy (that is, progressing or requiring treatment change in the last 24 months) other than MM
  • Known active or prior central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of MM. If either is suspected, negative whole brain magnetic resonance imaging (MRI) and lumbar cytology are required

研究组 & 干预措施

Arm A: JNJ-79635322

Experimental

Participants will receive subcutaneous (SC) dose of JNJ-79635322 treatment of a finite duration or intolerable toxicity (whichever is first).

干预措施: JNJ-79635322 (Drug)

Arm B: Teclistamab

Active Comparator

Participants will receive teclistamab as a SC injection until PD or intolerable toxicity.

干预措施: Teclistamab (Drug)

结局指标

主要结局

Complete Response (CR) or Better

时间窗: Up to approximately 41 months

CR or better is defined as the percentage of participants achieving CR or stringent complete response (sCR) prior to subsequent antimyeloma therapy in accordance with the international myeloma working group (IMWG) criteria during or after the study treatment.

Progression-Free Survival (PFS)

时间窗: Up to approximately 41 months

PFS is defined as the duration from the date of randomization to either progressive disease (PD) or death, whichever comes first. Disease progression will be determined according to the IMWG response criteria.

次要结局

  • Overall Response Rate (ORR)(Up to approximately 41 months)
  • Very Good Partial Response (VGPR) or Better(Up to approximately 41 months)
  • Duration of Response (DoR)(Up to approximately 41 months)
  • Minimal Residual Disease (MRD)-negative CR(Up to approximately 41 months)
  • MRD-negative CR at 1 Year(At 1 Year)
  • MRD-negative CR at 5 Years(At 5 Years)
  • Progression-Free Survival on the First Subsequent Line of Antimyeloma Therapy (PFS2)(Up to approximately 41 months)
  • Overall Survival (OS)(Up to approximately 41 months)
  • Time To Next Line of Therapy (TTNT)(Up to approximately 41 months)
  • Number of Participants With Treatment-Emergent Adverse Event (TEAE) by Severity(Up to approximately 41 months)
  • Number of Participants with Abnormalities in Laboratory Parameters(Up to approximately 41 months)
  • Change from Baseline in Health-related Quality of Life (HRQoL), Symptoms and Functioning using the Multiple Myeloma Symptom and Impact Questionnaire (MySIm-Q) Scale Scores(From Baseline up to approximately 41 months)
  • Change from Baseline in HRQoL, Symptoms and Functioning Using the European Organization for Research and Treatment of Cancer Quality of life Questionnaire Core 30 (EORTC-QLQ-C30) Scale Scores(From Baseline up to approximately 41 months)
  • Change from Baseline in HRQoL, Symptoms and Functioning Using the European Quality of Life 5-Dimensions 5-Level Version (EQ-5D-5L) Scale Scores(From Baseline up to approximately 41 months)
  • Time to Worsening in HRQoL, Symptoms and Functioning Using the MySIm-Q Scale Scores(Up to approximately 41 months)
  • Time to Worsening in HRQoL, Symptoms and Functioning Using the EORTC-QLQ-C30 Scale Scores(Up to approximately 41 months)
  • Time to Worsening in HRQoL, Symptoms and Functioning using the EQ-5D-5L Scale Scores(Up to approximately 41 months)
  • Percentage of Participants With Meaningful Improvement in HRQoL, Symptoms and Functioning Using the MySIm-Q Scale Scores(Up to approximately 41 months)
  • Percentage of Participants With Meaningful Improvement in HRQoL, Symptoms and Functioning Using the EORTC-QLQ-C30 Scale Scores(Up to approximately 41 months)
  • Percentage of Participants With Meaningful Improvement in HRQoL, Symptoms and Functioning Using the EQ-5D-5L Scale Scores(Up to approximately 41 months)
  • Percentage of Participants who Report Side Effects Burden on the European Organization for Research and Treatment of Cancer Item List (EORTC IL) 46(Up to approximately 41 months)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (152)

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