Study Stopped
Business Decision
A Study of Comparing Talquetamab to Belantamab Mafodotin in Participants With Relapsed/Refractory Multiple Myeloma
MonumenTAL-5
A Phase 3 Study Comparing Talquetamab to Belantamab Mafodotin in Participants With Relapsed/Refractory Multiple Myeloma Who Have Received at Least 4 Prior Therapies Including an Immunomodulatory Drug, a Proteasome Inhibitor, and an Anti-CD38 Antibody
3 other identifiers
interventional
N/A
2 countries
2
Brief Summary
The purpose of this study is to compare the efficacy of talquetamab versus belantamab mafodotin in terms of overall response rate (ORR) or progression-free survival (PFS).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Oct 2022
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 13, 2022
CompletedFirst Posted
Study publicly available on registry
July 18, 2022
CompletedStudy Start
First participant enrolled
October 20, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 15, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
October 31, 2024
CompletedAugust 15, 2025
August 1, 2025
26 days
July 13, 2022
August 14, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
Overall Response Rate (ORR)
ORR is defined as percentage of participants with confirmed best overall response of partial response (PR) or better according to international myeloma working group (IMWG) criteria.
Up to 1 year 3 months
Progression-free Survival (PFS)
PFS is defined as the duration from the date of randomization to either progressive disease or death, whichever comes first.
Up to 1 year 3 months
Secondary Outcomes (16)
Very Good Partial Response (VGPR) or Better Response Rate
Up to 4 years
Complete Response (CR) or Better Response Rate
Up to 4 years
Overall Survival (OS)
Up to 4 years
Time to Progression on the First Subsequent Line of Therapy or Death, Whichever Comes First (PFS2)
Up to 4 years
Number of Participants with Adverse Events (AEs)
Up to 4 years
- +11 more secondary outcomes
Study Arms (2)
Arm A: Talquetamab
EXPERIMENTALParticipants will receive talquetamab subcutaneously (SC).
Arm B: Belantamab Mafodotin
ACTIVE COMPARATORParticipants will receive belantamab intravenously (IV).
Interventions
Talquetamab will be administered as subcutaneous injection.
Belantamab Mafodotin will be administered as intravenous infusion.
Eligibility Criteria
You may qualify if:
- Documented multiple myeloma as defined by the criteria: a) multiple myeloma according to international myeloma working group (IMWG) diagnostic criteria b) measurable disease at screening, as assessed by central laboratory, defined by any of the following i) serum M-protein level greater than or equal to (\>=) 1.0 gram per deciliter (g/dL) ii) urine M-protein level \>=200 milligram (mg)/24 hours iii) Light chain multiple myeloma without measurable M-protein in the serum or the urine: serum free light chain (sFLC) \>=10 milligram per deciliter (mg/dL) (central laboratory) and abnormal serum immunoglobulin kappa lambda free light chain (FLC) ratio
- Received at least 4 prior antimyeloma therapies including an anti-cluster of differentiation 38 (CD38) monoclonal antibody (mAb) (alone or in combination) and is refractory per IMWG criteria to at least one proteasome inhibitor (PI), and one immunomodulatory drug (IMiD)
- Documented evidence of progressive disease based on investigator's determination of response by IMWG criteria on or after their last regimen
- Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 at screening
- A female participant of childbearing potential must have a negative serum pregnancy test at screening, and must agree to further serum or urine pregnancy tests during the study and within 6 months after receiving the last dose of study treatment
You may not qualify if:
- Contraindications or life-threatening known allergies, hypersensitivity, or intolerance to any study drug or its excipients
- Stroke or seizure within 6 months prior to signing informed consent form (ICF)
- Prior or concurrent exposure to belantamab mafodotin
- Current corneal epithelial disease except mild punctate keratopathy
- Known active central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of multiple myeloma. If either is suspected, negative whole brain magnetic resonance imaging (MRI) and lumbar cytology are required
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205, United States
Swietokrzyskie Centrum Onkologii SPZOZ w Kielcach
Kielce, 25 734, Poland
MeSH Terms
Interventions
Study Officials
- STUDY DIRECTOR
Janssen Research & Development, LLC Clinical Trial
Janssen Research & Development, LLC
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
- Expanded Access
- Yes
Study Record Dates
First Submitted
July 13, 2022
First Posted
July 18, 2022
Study Start
October 20, 2022
Primary Completion
November 15, 2022
Study Completion
October 31, 2024
Last Updated
August 15, 2025
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will share
The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu