A Study Comparing JNJ-79635322 and an Anti-B-cell Maturation Antigen (BCMA)xCD3 Bispecific Antibody in Participants With Relapsed or Refractory Multiple Myeloma
TRIlogy-4
A Phase 3 Randomized Study Comparing JNJ-79635322 and an Anti-BCMAxCD3 Bispecific Antibody in Participants With Relapsed or Refractory Multiple Myeloma Who Have Received at Least 3 Prior Lines of Therapy Including a PI, an IMiD, and an Anti CD38 Antibody
2 other identifiers
interventional
400
5 countries
39
Brief Summary
The purpose of this study is to evaluate how well JNJ-79635322 works when compared with an anti-B-cell maturation antigen (BCMA)xCD3 bispecific antibody.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 multiple-myeloma
Started Feb 2026
39 active sites
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
First Submitted
Initial submission to the registry
November 21, 2025
CompletedFirst Posted
Study publicly available on registry
December 2, 2025
CompletedStudy Start
First participant enrolled
February 4, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 12, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2031
April 13, 2026
April 1, 2026
2.9 years
November 21, 2025
April 9, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Overall Response Rate (ORR)
ORR is defined as the percentage of participants who achieve partial response (PR) or better, according to the international myeloma working group (IMWG) response criteria.
Up to 5 years and 4 months
Progression-Free Survival (PFS)
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.
Up to 5 years and 4 months
Secondary Outcomes (24)
Very Good Partial Response (VGPR) or Better
Up to 5 years and 4 months
Complete Response (CR) or Better
Up to 5 years and 4 months
Duration of Response (DoR)
Up to 5 years and 4 months
Minimal Residual Disease (MRD)-negative CR
Up to 5 years and 4 months
MRD-negative CR at 9 months
9 months
- +19 more secondary outcomes
Study Arms (2)
JNJ-79635322
EXPERIMENTALParticipants will receive subcutaneous (SC) dose of JNJ-79635322 until progressive disease (PD) or intolerable toxicity.
Anti BCMAxCD3 Bispecific Antibody
ACTIVE COMPARATORParticipants will receive teclistamab (an Anti BCMAxCD3 bispecific anitbody) as a SC injection until PD or intolerable toxicity.
Interventions
Eligibility Criteria
You may qualify if:
- Documented diagnosis of multiple myeloma (MM) as defined by the criteria below:
- MM diagnosis according to the international myeloma working group (IMWG) diagnostic criteria
- Measurable disease at screening as assessed by central laboratory
- Received at least 3 prior lines of antimyeloma therapy including a proteasome inhibitor (PI), an immunomodulatory drug (IMiD), and an anti-cluster of differentiation (CD)38 antibody
- Documented evidence of progressive disease (PD) or failure to achieve a response (that is partial response \[PR\] or better) to the last line of therapy based on investigator's determination of response by IMWG criteria
- Have discontinued concurrent use of any other anticancer treatment (including nonpalliative radiotherapy) or investigational agent
- Have an eastern cooperative oncology group (ECOG) performance status of 0 to 2 at screening and immediately before the start of study treatment administration
You may not qualify if:
- Active hepatitis of infectious origin
- Known active or prior central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of MM
- Suspected or known allergies, hypersensitivity, or intolerance to the excipients of JNJ-79635322 and Teclistamab
- Major surgery , (example, requiring general anesthesia) within 2 weeks before 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
- Received or plans to receive any live, attenuated vaccine within 4 weeks before the first dose of study treatment, during, or within 90 days after the last dose of study treatment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (39)
USC Norris Comprehensive Cancer Center
Los Angeles, California, 90033, United States
University of Connecticut Health Center
Farmington, Connecticut, 06030, United States
Yale Cancer Center
New Haven, Connecticut, 06510, United States
Florida Cancer Specialists & Research Institute
Fort Myers, Florida, 33901, United States
Emory University
Atlanta, Georgia, 30322, United States
University of Iowa Hospital and Clinics
Iowa City, Iowa, 52242, United States
Mission Cancer Blood
Waukee, Iowa, 50263, United States
Norton Cancer Institute
Louisville, Kentucky, 40207, United States
Mount Sinai Brooklyn
Brooklyn, New York, 11234, United States
Mount Sinai Chelsea
New York, New York, 10011, United States
Icahn School of Medicine at Mount Sinai
New York, New York, 10029, United States
Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
Durham VAMC
Durham, North Carolina, 27705, United States
Oregon Health And Science University
Portland, Oregon, 97239, United States
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107, United States
Box Hill Hospital
Box Hill, 3128, Australia
Mater Misericordiae Ltd
Brisbane, 4101, Australia
Monash Medical Centre
Clayton, 3168, Australia
St Vincents Hospital Melbourne
Fitzroy, 3065, Australia
The Alfred Hospital
Melbourne, 3004, Australia
Fiona Stanley Hospital
Murdoch, 6150, Australia
Gold Coast University Hospital
Southport, 4215, Australia
Hospital De Clinicas De Porto Alegre
Porto Alegre, 90035 903, Brazil
Soroka Medical Center
Beersheba, 8457108, Israel
Bnai Zion Medical Center
Haifa, 31048, Israel
Rambam Medical Center
Haifa, 3109601, Israel
Carmel Medical Center
Haifa, 34362, Israel
Shaare Zedek MC
Jerusalem, 9103102, Israel
Sheba Medical Center
Ramat Gan, 52621, Israel
Baruch Padeh MC
Ramat Poriya, 1520800, Israel
Assuta MC
Tel Aviv, 69710, Israel
Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital
Bunkyō City, 113 8677, Japan
Chiba Cancer Center
Chiba, 260 0801, Japan
Shonan Kamakura General Hospital
Kamakura-shi, 247-8533, Japan
Kameda Medical Center
Kamogawa, 296-8602, Japan
Yamanashi Prefectural Central Hospital
Kofu, 400-0027, Japan
The Jikei University Hospital
Minato, 105-8471, Japan
Japanese Red Cross Medical Center
Shibuya City, 150-8935, Japan
Kanagawa Cancer Center
Yokohama, 241 8515, Japan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 21, 2025
First Posted
December 2, 2025
Study Start
February 4, 2026
Primary Completion (Estimated)
December 12, 2028
Study Completion (Estimated)
September 30, 2031
Last Updated
April 13, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share
The data sharing policy of Johnson \& Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/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