NCT06353022

Brief Summary

This is a Phase 2 study, open-label, 2-cohort, multicenter, national, interventional in patients with newly diagnosed multiple myeloma. The study will investigate teclistamab (Tec) in combination with lenalidomide (Len) (Tec-Len; Cohort A) or in combination with talquetamab (Tal) (Tec-Tal; Cohort B), allocated based on minimal residual disease (MRD) status (MRD \[-\] \[standard-risk\] vs MRD \[+\] \[high-risk\] respectively). The patient population will consist of adults men and women at least 18 years to younger than 66 years of age, who meet eligibility criteria.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
103

participants targeted

Target at P75+ for phase_2 multiple-myeloma

Timeline
50mo left

Started Jun 2024

Typical duration for phase_2 multiple-myeloma

Geographic Reach
1 country

19 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress31%
Jun 2024Jun 2030

First Submitted

Initial submission to the registry

March 22, 2024

Completed
17 days until next milestone

First Posted

Study publicly available on registry

April 8, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

June 26, 2024

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 26, 2028

Expected
2.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 26, 2030

Last Updated

March 17, 2026

Status Verified

March 1, 2026

Enrollment Period

3.8 years

First QC Date

March 22, 2024

Last Update Submit

March 13, 2026

Conditions

Keywords

Multiple MyelomaNewly DiagnosedTeclistamabTalquetamab

Outcome Measures

Primary Outcomes (2)

  • Rate of sustained MRD negativity (NGS, 10^-5)

    38 months

  • Rate of conversion from positive MRD to negative MRD (NGS, 10^-5)

    38 months

Secondary Outcomes (9)

  • Number of adverse events

    50 months

  • Rate of sustained MRD negativity (NGS, 10^-6)

    38 months

  • Rate of conversion from positive MRD to negative MRD (NGS, 10^-6).

    38 months

  • Rate of conversion from positive MRD to negative MRD (NGS, 10^-5).

    23 months

  • Number of the death

    74 months

  • +4 more secondary outcomes

Other Outcomes (2)

  • Percentage of value of biological prognostic factors influencing outcome and response.

    38 months

  • Percentage of score of quality of life

    38 months

Study Arms (2)

Teclistamab and Lenalidomide

EXPERIMENTAL

Patients treated with Teclistamab and Lenalidomide for finite duration.

Drug: TeclistamabDrug: LenalidomideDrug: BortezomibDrug: DaratumumabDrug: Dexamethasone

Talquetamab andTeclistamab

EXPERIMENTAL

Patients treated with Teclistamab and Talquetamab for finite duration

Drug: TeclistamabDrug: TalquetamabDrug: LenalidomideDrug: BortezomibDrug: DaratumumabDrug: Dexamethasone

Interventions

Maintenance therapy wtih teclistamab (administered via SC injections) for finite duration. Teclistamab will be used in 28 day cycles following initial step up doses

Also known as: No more information
Talquetamab andTeclistamabTeclistamab and Lenalidomide

Maintenance therapy with talquetamab (administered via SC injections) for finite duration. Talquetamab will be used in 28 day cycles following initial step up doses

Also known as: No more information
Talquetamab andTeclistamab

Induction therapy with lenalidomide: Lenalidomide 25 mg/day oral from Day 1 to Day 21. Maintenance therapy lenalidomide (administered orally) for finite duration.

Also known as: No more information
Talquetamab andTeclistamabTeclistamab and Lenalidomide

Induction therapy with Borthezomib Cycle 1 to 6: Bortezomib 1.3 mg/m² SC twice a week on Days 1, 4, 8 and 11

Also known as: No more information
Talquetamab andTeclistamabTeclistamab and Lenalidomide

Induction therapy with Daratumumab Cycle 1 to 6 Daratumumab 1800 mg SC on Days 1, 8, 15, 22 of Cycle 1 and Cycle 2 and on Days 1 and 15 of Cycle 3

Also known as: No more information
Talquetamab andTeclistamabTeclistamab and Lenalidomide

Induction therapy with Dexamethasone: cycle 1 to 3 Dexamethasone 40 mg/day oral or IV on Days 1, 8, 15, 22 Cycle 4 to 6 --\> Dexamethasone 40 mg/day oral or IV on Days 1, 8, 15, 22

Also known as: No more information
Talquetamab andTeclistamabTeclistamab and Lenalidomide

Eligibility Criteria

Age18 Years - 65 Years
Sexall(Gender-based eligibility)
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Each potential patient must satisfy all of the following criteria to be enrolled in the study:
  • Age, Type of Patient, Disease Characteristics
  • Male or female patients must be at least 18 years of age at the time of consent younger than 66 years.
  • Documented multiple myeloma satisfying the calcium elevation, renal insufficiency, anemia, and bone lesions (CRAB) criteria and measurable disease (Source: Rajkumar 2014)
  • Newly diagnosed patients eligible for high dose therapy and autologous Stem cell therapy.
  • Have a Karnofsky performance status score ≥50% (Eastern Cooperative Oncology Group ECOG performance status ECOG score ≤2.
  • Have clinical laboratory values meeting the following criteria.
  • Sex and Contraceptive/Barrier Requirements
  • A female patient of childbearing potential must have a negative serum pregnancy test within 10 to 14 days prior to the start of study treatment and again either a serum or urine pregnancy test within 24 hours of the start of study treatment and must agree to further serum or urine pregnancy tests during the study and for a period of 6 months after the last dose of study treatments.
  • A female patient must be :
  • Not of childbearing potential, or
  • Of childbearing potential and 1) Practicing 2 reliable methods of contraception simultaneously including one highly effective method of contraception and one other effective method of contraception starting 4 weeks prior to dosing, throughout the study including during dose interruptions and for period of 6 months after the last dose of study treatments. For patients who are of childbearing potential.
  • A female patient must agree not to donate eggs or freeze for future use, for the purposes of assisted reproduction during the study and for a period of 6 months after the last dose of other study treatments. Female patients should consider preservation of eggs prior to study treatment as anti-cancer treatments may impair fertility.
  • A male patient must wear a condom (with spermicidal foam/gel/film/cream/suppository) when engaging in any activity that allows for passage of ejaculate to another person during the study and for a period of 6 months after the last dose of study treatments. If the male patient's partner is a female of childbearing potential, she must also be practicing a highly effective method of contraception.
  • A male patient must agree not to donate sperm for the purpose of reproduction during the study and for a period of 6 months after receiving the last dose of study. Male patients should consider preservation of sperm prior to study treatment as anti cancer treatments may impair fertility.
  • +51 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (19)

CH de la Côte Basque

Bayonne, 64109, France

Location

CHU Caen

Caen, 14033, France

Location

CHRU DIjon

Dijon, 21000, France

Location

Chd Vendee

La Roche-sur-Yon, 85925, France

Location

CHRU LILLE - Hôpital Claude Huriez

Lille, 59037, France

Location

CHU Limoges

Limoges, 87000, France

Location

CH Lyon Sud

Lyon, 69495, France

Location

IPC Marseille Institut Paoli Calmettes

Marseille, 13009, France

Location

CHU Montpellier

Montpellier, 34295, France

Location

CHU de Nantes

Nantes, 44093, France

Location

APHP Hôpital Saint-Antoine

Paris, 75012, France

Location

APHP Hôpital La Pitié Salpétrière

Paris, 75013, France

Location

CHU BORDEAUX - Hôpital du Haut Lévêque

Pessac, 33604, France

Location

CHU Poitiers

Poitiers, 86000, France

Location

CHRU Rennes - Hôpital de Pontchaillou

Rennes, 35033, France

Location

CHU de Strasbourg (HUS)

Strasbourg, 67200, France

Location

CHU Toulouse

Toulouse, 31059, France

Location

CHU Tours Hôpital Bretonneau

Tours, 37044, France

Location

CHRU Nancy - Hôpitaux de Brabois

Vandœuvre-lès-Nancy, 54511, France

Location

MeSH Terms

Conditions

Multiple Myeloma

Interventions

talquetamabLenalidomideBortezomibdaratumumabDexamethasone

Condition Hierarchy (Ancestors)

Neoplasms, Plasma CellNeoplasms by Histologic TypeNeoplasmsHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

PhthalimidesPhthalic AcidsAcids, CarbocyclicCarboxylic AcidsOrganic ChemicalsPiperidonesPiperidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsIsoindolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingBoronic AcidsAcids, NoncarboxylicAcidsInorganic ChemicalsBoron CompoundsPyrazinesPregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, Fluorinated

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 22, 2024

First Posted

April 8, 2024

Study Start

June 26, 2024

Primary Completion (Estimated)

April 26, 2028

Study Completion (Estimated)

June 26, 2030

Last Updated

March 17, 2026

Record last verified: 2026-03

Locations