The purpose of this study is to characterize the safety and tolerability of talquetamab when administered in different combination regimens and to identify the safe dose(s) of talquetamab combination regimens.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
166
Talquetamab will be administered subcutaneously.
Carfilzomib will be administered as an IV infusion.
Daratumumab will be administered subcutaneously.
Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
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.
Time frame: Up to 1 year and 10 months
Number of Participants with AEs by Severity
Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. 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 AE.
Time frame: Up to 1 year and 10 months
Number of Participants with Clinically Significant Abnormalities in Laboratory Parameters
Number of participants with clinically significant abnormalities in laboratory parameters such as hematology and serum chemistry will be reported.
Time frame: Up to 1 year and 6 months
Number of Participants with Dose Limiting Toxicity (DLT)
Number of participants with DLT will be reported. The DLTs are specific adverse events and are defined as any of the following: high grade non-hematologic toxicity of grade 3 or higher, clinical laboratory abnormalities, or hematologic toxicity.
Time frame: Up to 49 days
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) 2016 criteria. Response to treatment will be evaluated by the investigator based on IMWG criteria.
Time frame: Up to 1 year and 10 months
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Lenalidomide will be self-administered orally.
Pomalidomide will be self-administered orally.
University of Alabama Birmingham
Birmingham, Alabama, United States
University of California San Francisco
San Francisco, California, United States
Colorado Blood Cancer Institute
Denver, Colorado, United States
Emory University
Atlanta, Georgia, United States
Indiana University
Indianapolis, Indiana, United States
Hackensack University Medical Center
Hackensack, New Jersey, United States
Mt. Sinai School of Medicine
New York, New York, United States
Weill Cornell Medical College
New York, New York, United States
Levine Cancer Institute
Charlotte, North Carolina, United States
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States
...and 21 more locations
Very Good Partial Response (VGPR) or Better Response Rate
VGPR or better response rate is defined as the percentage of participants who achieve a VGPR or better response (stringent complete response \[sCR\] + complete response \[CR\] +VGPR) according to the IMWG 2016 criteria.
Time frame: Up to 1 year and 10 months
Complete Response (CR) or Better Response Rate
CR or better response rate is defined as the percentage of participants who achieve a CR or better response (sCR+CR) according to the IMWG 2016 criteria.
Time frame: Up to 1 year and 10 months
Stringent Complete Response (sCR)
sCR rate is defined as the percentage of participants who achieve an sCR according to the IMWG 2016 criteria.
Time frame: Up to 1 year and 10 months
Duration of Response
Duration of response is defined as time from the date of initial documentation of a response (PR or better) to the date of first documented evidence of progressive disease, as defined in the IMWG 2016 criteria, or death due to disease progression, whichever occurs first.
Time frame: Up to 1 year and 10 months
Time to Response
Time to response is defined as the time between date of first dose of study treatment and the first efficacy evaluation at which the participant has met all criteria for PR or better.
Time frame: Up to 1 year and 10 months
Serum Concentration of Talquetamab
Serum samples will be analyzed to determine concentrations of talquetamab.
Time frame: Up to 1 year and 10 months
Serum Concentration of Daratumumab
Serum samples will be analyzed to determine concentrations of daratumumab for treatment regimens B and D.
Time frame: Up to 1 year and 10 months
Number of Participants with Anti-Drug Antibodies to Talquetamab
Number of participants with anti-drug antibodies to talquetamab will be reported.
Time frame: Up to 1 year and 10 months
Number of Participants with Anti-Drug Antibodies to Daratumumab
Number of participants with anti-drug antibodies to daratumumab will be reported for treatment regimens B and D.
Time frame: Up to 1 year and 10 months
Number of Participants with Anti-Drug Antibodies to Recombinant Human Hyaluronidase PH20 Enzyme (rHuPH20)
Number of participants with anti-drug antibodies to rHuPH20 will be reported.
Time frame: Up to 1 year and 10 months