A Study of Teclistamab in Combination With Daratumumab Subcutaneously (SC) (Tec-Dara) Versus Daratumumab SC, Pomalidomide, and Dexamethasone (DPd) or Daratumumab SC, Bortezomib, and Dexamethasone (DVd) in Participants With Relapsed or Refractory Multiple Myeloma (MajesTEC-3)
Multiple Myeloma
About this trial
This is an interventional treatment trial for Multiple Myeloma
Eligibility Criteria
Inclusion Criteria:
- Documented multiple myeloma as defined by the criteria: a. multiple myeloma diagnosis according to the International Myeloma Working Group (IMWG) diagnostic criteria, b. measurable disease at screening as defined by any of the following: 1) serum M-protein level greater than or equal to (>=) 0.5 gram per deciliter (g/dL); or 2) urine M-protein level >=200 milligrams (mg)/24 hours; or 3) serum immunoglobulin free light chain >=10 mg/dL and abnormal serum immunoglobulin kappa lambda free light chain ratio
- Received 1 to 3 prior line(s) of antimyeloma therapy including a proteasome inhibitor (PI) and lenalidomide; a. participants who have received only 1 line of prior line of antimyeloma therapy must be lenalidomide refractory. Stable disease or progression on or within 60 days of the last dose of lenalidomide given as maintenance will meet this criterion
- Documented evidence of progressive disease based on investigator's determination of response by IMWG criteria on or after their last regimen
- Have an eastern cooperative oncology group (ECOG) performance status score of 0, 1, or 2 at screening and prior to the start of administration of study treatment
- Have clinical laboratory values within the specified range
Exclusion Criteria:
Contraindications or life-threatening allergies, hypersensitivity, or intolerance to any study drug or its excipients. Additional exclusion criteria pertaining to specific study drugs include:
- A participant is not eligible to receive daratumumab subcutaneous (SC) in combination with pomalidomide and dexamethasone (DPd) as control therapy if any of the following are present: 1) Contraindications or life-threatening allergies, hypersensitivity, or intolerance to pomalidomide, 2) Disease that is considered refractory to pomalidomide per IMWG,
- A participant is not eligible to receive daratumumab SC in combination with bortezomib and dexamethasone (DVd) as control therapy if any of the following are present: 1) Contraindications or life-threatening allergies, hypersensitivity, or intolerance to bortezomib, 2) Grade 1 peripheral neuropathy with pain or Grade >= 2 peripheral neuropathy as defined by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0, 3) Disease that is considered refractory to bortezomib per IMWG, 4) Received a strong cytochromes P450 (CYP3A4) inducer within 5 half-lives prior to randomization
- Received any prior B cell maturation antigen (BCMA)-directed therapy
- Has disease that is considered refractory to an anti-cluster of differentiation 38 (CD38) monoclonal antibody per IMWG
- Received a cumulative dose of corticosteroids equivalent to >=140 mg of prednisone within 14 days before randomization
- Received a live, attenuated vaccine within 4 weeks before randomization
- Plasma cell leukemia at the time of screening, Waldenström's macroglobulinemia, POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes), or primary amyloid light chain amyloidosis
Sites / Locations
- University of Alabama Birmingham
- City of Hope
- Stanford University Medical Center
- Yale University
- Emory University - Winship Cancer Institute
- Tufts Medical Center
- Henry Ford Hospital
- Ascension Providence Hospital
- Cleveland Clinic
- West Penn Hospital
- University of Pittsburgh Medical Center
- Medical University of South Carolina
- Baptist Cancer Center
- Vanderbilt - Ingram Cancer Center
- University of Texas Southwestern Medical Center
- Huntsman Cancer Institute
- Seattle Cancer Care Alliance
- University of Wisconsin Carbone Cancer Center
- Hospital Aleman
- Hospital Italiano de Buenos Aires
- Hospital Privado - Centro Medico de Cordoba
- ZNA Cadix
- AZ St.-Jan Brugge-Oostende AV
- UZ Gent
- Hopital de Jolimont
- Az Groeninge
- UZ Leuven
- Algemeen Ziekenhuis Delta
- Hospitais Integradaos da Gavea S/A - DF Star
- Liga Paranaense de Combate ao Cancer
- Centro de Pesquisa e Ensino em Oncologia de Santa Catarina - CEPEN
- Liga Norte Riograndense Contra O Cancer
- Irmandade Santa Casa de Misericordia de Porto Alegre
- Instituto de Educacao, Pesquisa e Gestao em Saude Instituto Americas (COI)
- Hospital Sao Rafael
- Hospital Paulistano
- Clinica Sao Germano
- Real e Benemérita Associação Portuguesa de Beneficência
- Instituto D'Or de Pesquisa e Ensino (IDOR)
- Tom Baker Cancer Centre
- Cross Cancer Institute
- BC Cancer Agency - Vancouver BC
- QEII Health Sciences
- Princess Margaret Cancer Centre University Health Network
- Peking University First Hospital
- Peking University People's Hospital
- Peking University Third Hospital
- The First Hospital of Jilin University
- The Third Xiangya Hospital of Central Sourth University
- Beijing Chaoyang Hospital
- West China Hospital, Sichuan University
- Fujian Meidical University Union Hospital
- Sun Yat-Sen University Cancer Center
- First affiliated Hospital of Zhejiang University
- Zhongda Hospital,Southeast University
- First Affiliated Hospital of Guangxi Medical University
- Shanghai Zhongshan Hospital
- Shengjing Hospital of China Medical University
- Peking University Shenzhen Hospital
- Tianjin Medical University General Hospital
- Tianjin Medical University Cancer Institute and Hospital
- The Second Affiliated Hospital of Xi'an Jiaotong University
- The Affiliated Hospital of Xuzhou Medical University
- Henan Cancer Hospital
- Aalborg University Hospital
- Aarhus University Hospital
- Rigshospitalet
- Odense Universitets Hospital
- Vejle Hospital
- CHU Henri Mondor
- CHRU de Lille - Hopital Claude Huriez
- CHU de Limoges, Hopital Dupuytren
- C.H.U. Hotel Dieu - France
- Centre hospitalier Lyon-Sud
- CHU De Poitiers
- Institut de Cancerologie Strasbourg Europe (ICANS)
- Pôle IUC Oncopole CHU
- CHRU Hôpital Bretonneau
- Universitätsklinikum Carl-Gustav-Carus Dresden
- Heinrich-Heine -Universitaet Duesseldorf
- Evang. Krankenhaus Essen-Mitte gGmbH
- Universitatsklinikum Freiburg
- Universitaetsklinikum Hamburg Eppendorf
- St. Barbara-Klinik Hamm GmbH
- Universitaetsklinikum Heidelberg
- Universitaetsklinikum Schleswig-Holstein Campus Kiel
- Universitaetsklinikum Leipzig
- Universitaetsklinikum Tuebingen
- Alexandra General Hospital of Athens
- Anticancer Hospital of Thessaloniki 'Theageneio'
- G.Papanikolaou
- U.O. Ematologia con Trapianto- AOU Policlinico di Bari
- ASST Papa Giovanni XXIII - Bergamo
- Policlinico Sant'Orsola Malpighi
- Azienda Ospedaliera Universitaria Careggi
- Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
- IRCCS Policlinico San Matteo, Università degli studi di Pavi
- Università di Roma 'La Sapienza' - Ospedale Umberto 1°
- A.O.U. Citta della Salute e della Scienza di Torino - Presidio Molinette
- Fukuoka University Hospital
- Ogaki Municipal Hospital
- National Hospital Organization Mito Medical Center
- The Hospital of Hyogo College of Medicine
- Tokai University Hospital
- Shonan Kamakura General Hospital
- National Cancer Center Hospital East
- Dokkyo Medical University Saitama Medical Center
- Kumamoto University Hospital
- Kurume University Hospital
- National Hospital Organization Matsumoto Medical Center
- Nagoya City University Hospital
- National Hospital Organization Okayama Medical Center
- National Hospital Organization Hiroshima-Nishi Medical Center
- Hokkaido University Hospital
- National Hospital Organization Sendai Medical Center
- Tohoku University Hospital
- Japanese Red Cross Medical Center
- Iwate Medical University Hospital
- Kyungpook National University Hospital
- Gachon University Gil Medical Center
- Chonnam National University Hwasun Hospital
- Seoul National University Hospital
- Severance Hospital, Yonsei University Health System
- Samsung Medical Center
- The Catholic University of Korea Seoul St. Mary's Hospital
- VU Medisch Centrum
- Universitair Medisch Centrum Groningen
- Sint Antonius Ziekenhuis - Afd.Interne - INT
- Radboudumc
- Isala Kliniek
- Klinika Hematologii i Transplantologii, UCK
- Pratia Onkologia Katowice
- Swietokrzyskie Centrum Onkologii SPZOZ w Kielcach
- Centrum Onkologii Ziemi Lubelskiej im. św. Jana z Dukli
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy
- Specjalistyczny Szpital im. dra Alfreda Sokołowskiego w Wałbrzychu
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wroclawiu
- S.P. Botkin Moscow City Clinical Hospital
- Clinical Research Institute of Hematology and Transfusiology
- Inst. Cat. Doncologia-H Duran I Reynals
- Hosp. Univ. Vall D Hebron
- Hosp. de Cabuenes
- Hosp. Univ. de Gran Canaria Dr. Negrin
- Hosp. Gral. Univ. Gregorio Maranon
- Hosp. Univ. Ramon Y Cajal
- Hosp. Univ. 12 de Octubre
- Hosp. Univ. Son Espases
- Clinica Univ. de Navarra
- Hosp. Quiron Madrid Pozuelo
- Hosp. Clinico Univ. de Salamanca
- Hosp. Univ. Marques de Valdecilla
- Hosp. Clinico Univ. de Santiago
- Hosp. Virgen Del Rocio
- Hosp. Univ. I Politecni La Fe
- Falu Lasarett
- Sahlgrenska University Hospital
- Helsingborgs lasarett
- Sunderby Sjukhus
- Skanes universitetssjukhus
- Norrlands Universitetssjukhus
- Akademiska Sjukhuset
- China Medical University Hospital
- National Cheng Kung University Hospital
- Chang Gung Memorial Hospital
- Ankara University Medical Faculty
- Ondokuz Mayis University
- Medipol University Hospital
- Dokuz Eylul University Medical Faculty
- Blackpool Teaching Hospitals NHS Foundation Trust
- Ninewells Hospital & Medical School
- Kings College Hospital
- Oxford University Hospitals NHS Foundation Trust
- University Hospitals Plymouth NHS Trust
- Royal Marsden Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Arm A: Teclistamab-daratumumab (Tec-Dara)
Arm B: DPd or DVd
Participants will receive teclistamab and daratumumab by subcutaneous (SC) injection. Step-up doses of teclistamab will be given prior to the first full dose.
Participants will be randomized either to daratumumab, pomalidomide, dexamethasone (DPd) treatment to receive daratumumab SC injection; pomalidomide orally; dexamethasone orally or intravenously, or to Daratumumab, Bortezomib, Dexamethasone (DVd) treatment to receive daratumumab SC injection; bortezomib SC injection, and dexamethasone orally or intravenously.