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NCT Number: NCT04634552

A Study of Talquetamab in Participants With Relapsed or Refractory Multiple Myeloma

The purpose of this study is to evaluate the efficacy and safety of talquetamab in participants with relapsed or refractory multiple myeloma at the recommended Phase 2 dose(s) (RP2Ds) (Part 3).

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Documented initial diagnosis of multiple myeloma according to international myeloma working group (IMWG) diagnostic criteria
  • Part 3: Measurable disease cohort A, cohort B, cohort C and cohort D: multiple myeloma must be measurable by central laboratory assessment; Cohort E: Multiple myeloma must be measurable by local laboratory assessment
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2
  • Women of childbearing potential must have a negative pregnancy test at screening and prior to the first dose of study drug using a highly sensitive pregnancy test either serum (beta human chorionic gonadotropin [hCG]) or urine
  • Willing and able to adhere to the prohibitions and restrictions specified in this protocol

Exclusion criteria

  • Part 3 only: Cohort A and Cohort C only: exposed to a CAR-T or T cell redirection therapy at any time. Cohort B, Cohort D and Cohort E: T cell redirection therapy within 3 months
  • Toxicities from previous anticancer therapies should have resolved to baseline levels or to Grade 1 or less except for alopecia or peripheral neuropathy
  • Received a cumulative dose of corticosteroids equivalent to >= 140 milligram (mg) of prednisone within the 14-day period before the first dose of study drug (does not include pretreatment medication)
  • Stroke or seizure within 6 months prior to signing the informed consent form (ICF)

Treatment and study plan

Talquetamab

Drug

Talquetamab will be administered SC until disease progression.

Other names: JNJ-64407564

Primary outcomes

  1. Overall Response Rate (ORR)

    Time frame: Up to 2 years and 10 months

    ORR is defined as the proportion of participants who have a partial response (PR) or better according to the international myeloma working group (IMWG) criteria.

Secondary outcomes

  1. Duration of Response (DOR)

    Time frame: Up to 2 years and 10 months

    DOR is defined as time from date of initial documentation of a response (PR or better) to date of first documented evidence of progressive disease (PD), per IMWG criteria, or death due to PD, whichever occurs first.

  2. Very Good Partial Response (VGPR) or Better Rate

    Time frame: Up to 2 years and 10 months

    VGPR or better rate is defined as the percentage of patients who achieve a VGPR or better according to IMWG response criteria.

  3. Complete Response (CR) or Better Rate

    Time frame: Up to 2 years and 10 months

    CR or better rate is defined as the percentage of patients who achieve CR or better according to IMWG response criteria.

  4. Stringent Complete Response (sCR) Rate

    Time frame: Up to 2 years and 10 months

    sCR rate is defined as the percentage of patients who achieve sCR according to IMWG response criteria.

  5. Time to Response (TTR)

    Time frame: Up to 2 years and 10 months

    TTR is defined as the time between date of first dose of study drug and the first efficacy evaluation that the participant has met all criteria for PR or better.

  6. Progression-Free Survival (PFS)

    Time frame: Up to 2 years and 10 months

    PFS is defined as time from date of first dose of study drug to date of first documented PD, per IMWG criteria, or death due to any cause, whichever occurs first.

  7. Overall Survival (OS)

    Time frame: Up to 2 years and 10 months

    OS is defined as the time from the date of first dose of study drug to the date of the participant's death.

  8. Minimal Residual Disease (MRD) Negative Rate

    Time frame: Up to 2 years and 10 months

    MRD negativity rate is measured only for participants who achieve at least a CR but is reported based on all treated similar to the other response data.

  9. Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability

    Time frame: Up to 2 years and 10 months

    An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.

  10. Number of Participants with Serious Adverse Events (SAEs) as a Measure of Safety and Tolerability

    Time frame: Up to 2 years and 10 months

    An SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above.

  11. Number of Participants with AEs by Severity

    Time frame: Up to 2 years and 10 months

    Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE). Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening, and Grade 5= Death related to adverse event.

  12. Number of Participants with Abnormalities in Clinical Laboratory Values

    Time frame: Up to 2 years and 10 months

    Number of participants with abnormalities in clinical laboratory values (such as hematology, serum chemistry and coagulation) will be reported.

  13. Serum Concentration of Talquetamab

    Time frame: Up to 2 years and 10 months

    Serum samples will be analyzed to determine concentrations of talquetamab.

  14. Number of Participants with Talquetamab Antibodies

    Time frame: Up to 2 years and 10 months

    Antibodies to talquetamab will be assessed to evaluate potential immunogenicity.

  15. Change from Baseline in Health-Related Quality of Life (HRQoL) as Assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 item (EORTC QLQ-C30)

    Time frame: Baseline up to 2 years and 10 months

    The EORTC- QLQ-Core-30 includes 30 items that make up 5 functional scales (physical, role, emotional, cognitive, and social), 1 global health status scale, 3 symptom scales (pain, fatigue, and nausea/vomiting), and 6 single symptom items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). The recall period is 1 week ("past week") and responses are reported using a verbal and numeric rating scales. The item and scale scores are transformed to a 0 to 100 scale. A higher score represents greater HRQoL, better functioning, and more (worse) symptoms.

  16. Change from Baseline in HRQoL as Assessed by EuroQol Five Dimension Five Level Questionnaire (EQ-5D-5L)

    Time frame: Baseline up to 2 years and 10 months

    The EQ-5D-5L is a generic measure of health status. The EQ-5D-5L is a 5-item questionnaire that assesses 5 domains including mobility, self-care, usual activities, pain/discomfort and anxiety/depression plus a visual analog scale rating "health today" with anchors ranging from 0 (worst imaginable health state) to 100 (best imaginable health state). The scores for the 5 separate questions are categorical and cannot be analyzed as cardinal numbers.

  17. Change from Baseline in HRQoL as Assessed by Patient Global Impression of Severity (PGIS)

    Time frame: Baseline up to 2 years and 10 months

    The PGIS is a single item that assesses severity of the participant's health state, on a 5-point verbal rating scale. Score ranges from 1 (None) to 5 (Very Severe).

  18. Overall Response Rate (ORR) in Participants with High-risk Molecular Features

    Time frame: Up to 2 years and 10 months

    ORR in participants with high risk is defined as the overall response rate among the high risk molecular subgroups or other high-risk molecular subtypes.

Study contacts

Contact information is provided by the study sponsor or research team.

Study Contact

CONTACT

[email protected]

844-434-4210

Sponsors and collaborators

Lead sponsor

Janssen Research & Development, LLC

Industry

Registry information

Official study title

A Phase 1/2, First-in-Human, Open-Label, Dose Escalation Study of Talquetamab, a Humanized GPRC5D x CD3 Bispecific Antibody, in Subjects With Relapsed or Refractory Multiple Myeloma

Acronym: MonumenTAL-1

Important dates

Study start
2021
Primary completion
2027
Study completion
2029
First posted
Nov 18, 2020
Registry last updated
Jul 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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