Clinical trial • Phase I/II • Haematology

TECLISTAMAB for Relapsed/refractory multiple myeloma

Phase I/II trial of TECLISTAMAB for Relapsed/refractory multiple myeloma. open-label, adaptive. 231 participants.

Overview

Trial Therapeutic Area
Haematology
Trial Disease
Relapsed/refractory multiple myeloma
Trial Stage
Phase I/II
Drug Modality
Bispecific antibody|Other antibody

Key dates

Initial CTIS Submission Date
29-05-2024
First CTIS Authorization Date
31-07-2024

Trial design

open-label, adaptive Phase I/II trial across 22 sites in Belgium, France, Germany and others.

Open Label
Yes
Adaptive
True - First-in-human dose-escalation design to identify proposed RP2D(s) and schedule; Part 1 dose escalation assesses frequency and type of DLTs to determine RP2D(s). Specific escalation algorithm/rules not provided in the available summary.
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
231

Eligibility

Recruits 231 Vulnerable population selected (isVulnerablePopulationSelected: true). Informed consent obtained using subject information sheets and informed consent forms; multiple country/language ICFs are provided (documents include ICFs and SIS in French, Spanish, Dutch, Swedish, German, Italian, etc.). Specific ICFs are available for pregnant patients and pregnant partners. No assent procedures for minors are mentioned in the available documents..

Pregnancy Exclusion
A female participant of childbearing potential must have a negative pregnancy test at screening
Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected: true). Informed consent obtained using subject information sheets and informed consent forms; multiple country/language ICFs are provided (documents include ICFs and SIS in French, Spanish, Dutch, Swedish, German, Italian, etc.). Specific ICFs are available for pregnant patients and pregnant partners. No assent procedures for minors are mentioned in the available documents.

Inclusion criteria

  • {"criterion_text":"-Documented diagnosis of multiple myeloma according to IMWG diagnostic criteria"}
  • {"criterion_text":"-Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1"}
  • {"criterion_text":"-Measurable disease: Cohort A and Cohort C: Multiple myeloma must be measurable by central laboratory assessment"}
  • {"criterion_text":"-A female participant of childbearing potential must have a negative pregnancy test at screening"}
  • {"criterion_text":"-Willing and able to adhere to the prohibitions and restrictions specified in this protocol"}
  • {"criterion_text":"-Cohorts A: received at least 3 prior MM treatment lines of therapy. Prior therapy must include an IMiD, PI, and anti-CD38 monoclonal antibody; Cohort C: received ≥ 3 prior lines of therapy that included a PI, an IMiD, an anti-CD38 monoclonal antibody, and an anti-B cell maturation antigen (BCMA) treatment (with CART-T cells or an antibody drug conjugate (ADC)"}

Exclusion criteria

  • {"criterion_text":"-Plasma cell leukemia, Waldenström's macroglobulinemia, POEMS syndrome, or primary amyloid light-chain amyloidosis"}
  • {"criterion_text":"-Prior autologous stem cell transplant ≤ 12 weeks"}
  • {"criterion_text":"-Live, attenuated vaccine within 4 weeks prior to the first dose of teclistamab"}
  • {"criterion_text":"-The following medical conditions: Pulmonary compromise requiring supplemental oxygen use to maintain adequate oxygenation, human immunodeficiency virus (HIV) infection, hepatitis B or C infection, stroke or seizure less than or equal to (≤) 6 m, autoimmune disease, uncontrolled systemic infection, cardiac conditions (Myocardial Infarction ≤ 6 m, stage III-IV congestive heart failure, etc)"}
  • {"criterion_text":"-Received any therapy that is targeted to BCMA, with the exception of Cohort C in Part 3"}
  • {"criterion_text":"-Prior antitumor therapy, within 21 days (PI or radiotherapy within 14 days, IMiDs within 7 days, Gene modified adoptive cell therapy within 3 months) prior to first dose of study drug"}
  • {"criterion_text":"-Toxicities from previous anticancer therapies that have not resolved to baseline or to ≤ grade 1 (except for alopecia or peripheral neuropathy)"}
  • {"criterion_text":"-Received a cumulative dose of corticosteroids equivalent to ≥ 140 mg of prednisone within the 14-day period before the first dose of study drug (does not include pretreatment medication)"}
  • {"criterion_text":"-Known active central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of multiple myeloma (MM)"}
  • {"criterion_text":"-Myelodysplastic syndrome or active malignancies other than relapsed/refractory multiple myeloma with exceptions are: 1) Non-muscle invasive bladder cancer treated within the last 24 months that is considered completely cured 2) Skin cancer (non-melanoma or melanoma) treated within the last 24 months that is considered completely cured. 3) Noninvasive cervical cancer treated within the last 24 months that is considered completely cured. 4) Localized prostate cancer (N0M0) 5) Breast cancer: Adequately treated lobular carcinoma in situ or ductal carcinoma in situ, or history of localized breast cancer and receiving antihormonal agents and considered to have a very low risk of recurrence. 6) Malignancy that is considered cured with minimal risk of recurrence"}
  • {"criterion_text":"-Prior allogenic stem cell transplant ≤ 6 months"}

Endpoints

Primary endpoints

  • {"endpoint_text":"-Part 1 (Dose Escalation): Frequency and type of DLT; Part 2 (Dose Expansion): Occurrence and severity of adverse events, serious adverse events, and laboratory values; Part 3 (Phase 2): ORR (PR or better) as defined by the IMWG criteria","definition_or_measurement_approach":"Part 1: frequency and type of dose-limiting toxicities (DLTs); Part 2: occurrence and severity of adverse events (AEs), serious adverse events (SAEs), and laboratory values; Part 3: Overall Response Rate (ORR; partial response [PR] or better) measured per IMWG criteria (as stated)"}

Recruitment

Planned Sample Size
231
Recruitment Window Months
122
Consent Approach
Informed consent is obtained using subject information sheets and informed consent forms. Multiple country-specific ICF documents and translations are provided (examples: French, Spanish, Dutch, Swedish, German, Italian). There are specific ICFs for pregnant patients and pregnant partners. Consent is obtained from participants (no mention of assent or minor-specific consent documents).

Geography

Total Number Of Sites
22
Total Number Of Participants
267

Belgium

Earliest CTIS Part Ii Submission Date
13-06-2024
Latest Decision Or Authorization Date
01-08-2024
Processing Time Days
49
Number Of Sites
2
Number Of Participants
5

Sites

Site Name
Universitair Ziekenhuis Gent
Department Name
Hematologie
Principal Investigator Name
Fritz Offner
Principal Investigator Email
fritz.offner@uzgent.be
Contact Person Name
Fritz Offner
Contact Person Email
fritz.offner@uzgent.be
Site Name
UZ Leuven
Department Name
Hematologie
Principal Investigator Name
Michel Delforge
Principal Investigator Email
michel.delforge@uzleuven.be
Contact Person Name
Michel Delforge
Contact Person Email
michel.delforge@uzleuven.be

France

Earliest CTIS Part Ii Submission Date
13-06-2024
Latest Decision Or Authorization Date
28-01-2026
Processing Time Days
594
Number Of Sites
6
Number Of Participants
98

Sites

Site Name
Centre Hospitalier Universitaire De Poitiers
Department Name
Service d'Hématologie et Thérapie Cellulaire
Principal Investigator Name
Xavier LELEU
Principal Investigator Email
xavier.leleu@chu-poitiers.fr
Contact Person Name
Xavier LELEU
Contact Person Email
xavier.leleu@chu-poitiers.fr
Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
Service d'hématologie
Principal Investigator Name
Aurore PERROT
Principal Investigator Email
Perrot.Aurore@iuct-oncopole.fr
Contact Person Name
Aurore PERROT
Contact Person Email
Perrot.Aurore@iuct-oncopole.fr
Site Name
Centre Hospitalier Universitaire De Nantes
Department Name
Service d'hématologie clinique
Principal Investigator Name
Philippe MOREAU
Principal Investigator Email
philippe.moreau@chu-nantes.fr
Contact Person Name
Philippe MOREAU
Contact Person Email
philippe.moreau@chu-nantes.fr
Site Name
Hospices Civils De Lyon
Department Name
Service d'Hématologie Clinique Pavillon 1F
Principal Investigator Name
Lionel KARLIN
Principal Investigator Email
lionel.karlin@chu-lyon.fr
Contact Person Name
Lionel KARLIN
Contact Person Email
lionel.karlin@chu-lyon.fr
Site Name
Centre Hospitalier Universitaire De Lille
Department Name
Service des maladies du sang
Principal Investigator Name
Salomon MANIER
Principal Investigator Email
salomon.manier@chru-lille.fr
Contact Person Name
Salomon MANIER
Contact Person Email
salomon.manier@chru-lille.fr
Site Name
Centre Hospitalier Regional Universitaire De Tours
Department Name
Service d'Hématologie et de Thérapie Cellulaire
Principal Investigator Name
Thomas CHALOPIN
Principal Investigator Email
t.chalopin@chu-tours.fr
Contact Person Name
Thomas CHALOPIN
Contact Person Email
t.chalopin@chu-tours.fr

Germany

Earliest CTIS Part Ii Submission Date
13-06-2024
Latest Decision Or Authorization Date
09-09-2025
Processing Time Days
453
Number Of Sites
2
Number Of Participants
7

Sites

Site Name
Universitaetsklinikum Tuebingen AöR
Department Name
Abt. f. Innere Medizin II, Haematologie/Onkologie/Rheumatologie
Principal Investigator Name
Britta Besemer
Principal Investigator Email
britta.besemer@med.uni-tuebingen.de
Contact Person Name
Britta Besemer
Site Name
Universitaet Leipzig
Department Name
Med. Klinik und Poliklinik I - Bereich Haematologie und Zelltherapie
Principal Investigator Name
Vladan Vucinic
Principal Investigator Email
vladan.vucinic@medizin.uni-leipzig.de
Contact Person Name
Vladan Vucinic

Italy

Earliest CTIS Part Ii Submission Date
13-06-2024
Latest Decision Or Authorization Date
30-01-2026
Processing Time Days
596
Number Of Sites
2
Number Of Participants
4

Sites

Site Name
Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII
Department Name
UO Ematologia
Principal Investigator Name
Monica Galli
Principal Investigator Email
monicagalli@asst-pg23.it
Contact Person Name
Monica Galli
Contact Person Email
monicagalli@asst-pg23.it
Site Name
Fondazione IRCCS Istituto Nazionale Dei Tumori
Department Name
SC Ematologia - Dipartimento di Oncologia Medica ed Ematologia
Principal Investigator Name
Paolo Corradini
Principal Investigator Email
paolo.corradini@unimi.it
Contact Person Name
Paolo Corradini
Contact Person Email
paolo.corradini@unimi.it

Spain

Earliest CTIS Part Ii Submission Date
13-06-2024
Latest Decision Or Authorization Date
29-01-2026
Processing Time Days
595
Number Of Sites
6
Number Of Participants
75

Sites

Site Name
Hospital Universitario Quironsalud Madrid
Department Name
Servicio de Hematología
Principal Investigator Name
Carmen Martinez-Chamorro
Principal Investigator Email
carmenmartinezchamorro@hotmail.com
Contact Person Name
Carmen Martinez-Chamorro
Site Name
Hospital Germans Trias I Pujol
Department Name
Servicio de Hematología
Principal Investigator Name
Albert Oriol Rocafiguera
Principal Investigator Email
aoriol@iconcologia.net
Contact Person Name
Albert Oriol Rocafiguera
Contact Person Email
aoriol@iconcologia.net
Site Name
Hospital Clinic De Barcelona
Department Name
Servicio de Hematología
Principal Investigator Name
Laura Rosiñol Dachs
Principal Investigator Email
LROSINOL@clinic.cat
Contact Person Name
Laura Rosiñol Dachs
Contact Person Email
LROSINOL@clinic.cat
Site Name
Hospital Universitario De Salamanca
Department Name
Servicio de Hematología
Principal Investigator Name
Maria Victoria Mateos Manteca
Principal Investigator Email
matemateos@saludcastillayleon.es
Contact Person Name
Maria Victoria Mateos Manteca
Site Name
Hospital Universitario 12 De Octubre
Department Name
Servicio de Hematología
Principal Investigator Name
Joaquin Martinez Lopez
Principal Investigator Email
jmarti01@med.ucm.es
Contact Person Name
Joaquin Martinez Lopez
Contact Person Email
jmarti01@med.ucm.es
Site Name
Clinica Universidad De Navarra
Department Name
Servicio de Hematología
Principal Investigator Name
Paula Rodríguez Otero
Principal Investigator Email
paurodriguez@unav.es
Contact Person Name
Paula Rodríguez Otero
Contact Person Email
paurodriguez@unav.es

Sweden

Earliest CTIS Part Ii Submission Date
13-06-2024
Latest Decision Or Authorization Date
29-01-2026
Processing Time Days
595
Number Of Sites
3
Number Of Participants
34

Sites

Site Name
Sahlgrenska University Hospital-Vaestra Goetalandsregionen
Department Name
Hematologkliniken
Principal Investigator Name
Cecilie Blimark
Principal Investigator Email
cecilie.blimark@vgregion.se
Contact Person Name
Cecilie Blimark
Contact Person Email
cecilie.blimark@vgregion.se
Site Name
Region Skane Skanes Universitetssjukhus
Department Name
Hematologimottagning Klinisk forskningsmottagning
Principal Investigator Name
Markus Hansson
Principal Investigator Email
markus.hansson@med.lu.se
Contact Person Name
Markus Hansson
Contact Person Email
markus.hansson@med.lu.se
Site Name
Karolinska University Hospital
Department Name
Hematologiskt Centrum
Principal Investigator Name
Katarina Uttervall
Principal Investigator Email
katarina.uttervall@regionstockholm.se
Contact Person Name
Katarina Uttervall

Netherlands

Earliest CTIS Part Ii Submission Date
13-06-2024
Latest Decision Or Authorization Date
02-02-2026
Processing Time Days
599
Number Of Sites
1
Number Of Participants
44

Sites

Site Name
Amsterdam UMC Stichting
Department Name
Hematology
Principal Investigator Name
Niels van de Donk
Principal Investigator Email
hematology@amsterdamumc.nl
Contact Person Name
Niels van de Donk
Contact Person Email
hematology@amsterdamumc.nl

Sponsor

Primary sponsor

Full Name
Janssen - Cilag International
Organisation Type
Pharmaceutical company
Country Of Registered Address
Belgium

Contract research organisations

Name
Signant Health Global LLC
Responsibilities
code: 3
Name
Fisher Clinical Services GmbH
Responsibilities
code: 14
Name
Navigate Biopharma Services Inc.
Responsibilities
code: 4
Name
Arup Laboratories Inc.
Responsibilities
code: 4
Name
Frontage Laboratories Inc.
Responsibilities
code: 4
Name
Labcorp Central Laboratory Services LP
Responsibilities
code: 4
Name
Medidata Solutions Inc.
Responsibilities
code: 6
Name
Adaptive Biotechnologies Corp.
Responsibilities
code: 4
Name
Cellcarta Biosciences Inc.
Responsibilities
code: 4
Name
SGS Belgium
Responsibilities
code: 6
Name
Parexel International Corp.
Responsibilities
code: 6
Name
Venn Life Sciences Ed B.V.
Responsibilities
code: 4
Name
Q Squared Solutions Holdings LLC
Responsibilities
code: 4

Third parties

  • {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"code: 3","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"Fisher Clinical Services GmbH","duties_or_roles":"code: 14","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Navigate Biopharma Services Inc.","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Arup Laboratories Inc.","duties_or_roles":"code: 4","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Frontage Laboratories Inc.","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"code: 6","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Fisher Clinical Services Inc.","duties_or_roles":"code: 14","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Adaptive Biotechnologies Corp.","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"Canada","full_name":"Cellcarta Biosciences Inc.","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"SGS Belgium","duties_or_roles":"code: 6","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Parexel International Corp.","duties_or_roles":"code: 6","organisation_type":"Pharmaceutical company"}
  • {"country":"Netherlands","full_name":"Venn Life Sciences Ed B.V.","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Q Squared Solutions Holdings LLC","duties_or_roles":"code: 4","organisation_type":"Laboratory/Research/Testing facility"}

Investigational products

Investigational Product Name
teclistamab
Active Substance
TECLISTAMAB
Modality
Bispecific antibody
Routes Of Administration
Subcutaneous use
Route
Subcutaneous
Authorisation Status
prodAuthStatus: 1
First In Human
Yes

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