Purpose

The purpose of this study is to compare the efficacy of teclistamab in combination with daratumumab and lenalidomide (Tec-DR) and talquetamab in combination with daratumumab and lenalidomide (Tal-DR) versus daratumumab, lenalidomide, dexamethasone (DRd).

Condition

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Have a diagnosis of multiple myeloma according to the International Myeloma Working Group (IMWG) diagnostic criteria - Be newly diagnosed and not considered a candidate for high-dose chemotherapy with autologous stem cell transplant (ASCT) due to: ineligible due to advanced age OR; ineligible due to the presence of comorbid condition(s) likely to have a negative impact on tolerability of high-dose chemotherapy with ASCT OR; deferral of high-dose chemotherapy with ASCT as initial treatment - Have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2 - A participant must agree not to be pregnant, breastfeeding, or planning to become pregnant while enrolled in this study or within 6 months after the last dose of study treatment - A participant must agree not to plan to father a child while enrolled in this study or within 100 days after the last dose of study treatment

Exclusion Criteria

  • Received any prior therapy for multiple myeloma or smoldering myeloma other than a short course of corticosteroids (not to exceed total of 160 milligrams [mg] dexamethasone or equivalent). In addition, received a cumulative dose of systemic corticosteroids equivalent to greater than or equals to (>=) 20 mg of dexamethasone within 14 days before randomization - Had plasmapheresis within 28 days of randomization - Had a stroke, transient ischemic attack, or seizure within 6 months prior to randomization - Known allergies, hypersensitivity, or intolerance to teclistamab or talquetamab excipients - Known contraindications to the use of daratumumab or lenalidomide per local prescribing information - Myeloma Frailty Index of >=2 with the exception of participants who have a score of 2 based on age alone

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Teclistamab, Daratumumab SC, and Lenalidomide (Tec-DR)
Participants will receive teclistamab as subcutaneous (SC) injection in combination with daratumumab and lenalidomide.
  • Drug: Teclistamab
    Teclistamab will be administered as SC injection.
    Other names:
    • JNJ-64007957
  • Drug: Daratumumab
    Daratumumab will be administered as SC injection.
  • Drug: Lenalidomide
    Lenalidomide will be administered orally.
Experimental
Talquetamab, Daratumumab SC, and Lenalidomide (Tal-DR)
Participants will receive talquetamab as SC injection in combination with daratumumab and lenalidomide.
  • Drug: Daratumumab
    Daratumumab will be administered as SC injection.
  • Drug: Lenalidomide
    Lenalidomide will be administered orally.
  • Drug: Talquetamab
    Talquetamab will be administered as SC injection.
    Other names:
    • JNJ-64407564
Active Comparator
Daratumumab SC, Lenalidomide, and Dexamethasone (DRd)
Participants will receive daratumumab as SC injection with lenalidomide and dexamethasone.
  • Drug: Daratumumab
    Daratumumab will be administered as SC injection.
  • Drug: Lenalidomide
    Lenalidomide will be administered orally.
  • Drug: Dexamethasone
    Dexamethasone will be administered either orally or intravenously (IV).

Recruiting Locations

Henry-Joyce Cancer Clinic
Nashville, Tennessee 37232

More Details

Status
Recruiting
Sponsor
Janssen Research & Development, LLC

Study Contact

Study Contact
844-434-4210
Participate-In-This-Study1@its.jnj.com

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.