A Study Comparing Talquetamab in Combination With Daratumumab or in Combination With Daratumumab and Pomalidomide Versus Daratumumab in Combination With Pomalidomide and Dexamethasone in Participants With Multiple Myeloma That Returns After Treatment or is Resistant to Treatment (MonumenTAL-3)
Relapsed or Refractory Multiple Myeloma
About this trial
This is an interventional treatment trial for Relapsed or Refractory Multiple Myeloma
Eligibility Criteria
Inclusion Criteria:
- Documented multiple myeloma as defined: a) Multiple myeloma diagnosis according to the International Myeloma Working Group (IMWG) diagnostic criteria and b) Measurable disease at screening as defined by any of the following: i) Serum M-protein level greater than or equal to (>=) 0.5 grams per deciliter (g/dL) (central laboratory); ii) Urine M-protein level >= 200 milligram (mg)/24 hours (central laboratory); iii) Light chain multiple myeloma without measurable M-protein in the serum or the urine: serum immunoglobulin free light chain >= 10 milligram per deciliter (mg/dL) (central laboratory), and abnormal serum immunoglobulin kappa lambda free light chain ratio
- Relapsed or refractory disease as defined: a) Relapsed disease is defined as an initial response to prior treatment, followed by confirmed progressive disease by IMWG criteria greater than (>) 60 days after cessation of treatment; b) Refractory disease is defined as less than (<) 25 percent (%) reduction in monoclonal paraprotein (M-protein) or confirmed progressive disease by IMWG criteria during previous treatment or less than or equal to (=<) 60 days after cessation of treatment
- Received at least 1 prior line of antimyeloma therapy including a proteasome inhibitor (PI) and lenalidomide. Participants who have received only 1 prior line of antimyeloma therapy must be considered lenalidomide-refractory (that is, have demonstrated progressive disease by IMWG criteria on or within 60 days of completion of lenalidomide-containing regimen). Participants who have received >=2 prior lines of antimyeloma therapy must be considered lenalidomide exposed
- Documented evidence of progressive disease based on investigator's determination of response by the 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 immediately prior to the start of administration of study treatment
Exclusion Criteria:
- Contraindications or life-threatening allergies, hypersensitivity, or intolerance to study drug excipients
- Disease is considered refractory to an anti-cluster of differentiation 38 (CD38) monoclonal antibody as defined per IMWG consensus guidelines (progression during treatment or within 60 days of completing therapy with an anti-CD38 monoclonal antibody)
- A maximum cumulative dose of corticosteroids to >=140 milligrams (mg) of prednisone or equivalent within 14-day period before the first dose of study drug
- Known active central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of multiple myeloma. If either is suspected, negative whole brain magnetic resonance imaging (MRI) and lumbar cytology are required
- Plasma cell leukemia at the time of screening, Waldenström's macroglobulinemia, polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes (POEMS syndrome), or primary amyloid light chain amyloidosis
Sites / Locations
- The University of Arizona Cancer CenterRecruiting
- University of Arkansas for Medical SciencesRecruiting
- Norwalk Hospital-oncologyRecruiting
- MedStar Georgetown University HospitalRecruiting
- George Washington UniversityRecruiting
- Memorial Healthcare SystemRecruiting
- University of Miami Health SystemRecruiting
- University Of IllinoisRecruiting
- University of KansasRecruiting
- Tulane University Hospital & ClinicsRecruiting
- Ochsner Health SystemRecruiting
- Johns Hopkins UniversityRecruiting
- Massachusetts GeneralRecruiting
- Boston University Medical CenterRecruiting
- University of Massachusetts Medical SchoolRecruiting
- University of Michigan Health SystemRecruiting
- University Of MinnesotaRecruiting
- University of Mississippi Medical CenterRecruiting
- Washington University School of MedicineRecruiting
- Rutgers Cancer Institute of New JerseyRecruiting
- NYU Langone HealthRecruiting
- SUNY Upstate Medical UniversityRecruiting
- University of North CarolinaRecruiting
- Levine Cancer Institute, Carolinas HealthCare SystemRecruiting
- Wake Forest Baptist Medical CenterRecruiting
- University Hospitals Cleveland Medical CenterRecruiting
- The Ohio State University Wexner Medical Center - James Cancer HospitalRecruiting
- OhioHealthRecruiting
- Thomas Jefferson UniversityRecruiting
- Baptist Cancer CenterRecruiting
- Houston Methodist HospitalRecruiting
- MD Anderson Cancer CenterRecruiting
- Huntsman Cancer InstituteRecruiting
- University of VirginiaRecruiting
- Virginia Commonwealth University - Massey Cancer CenterRecruiting
- Fred Hutchinson Cancer Research CenterRecruiting
- UZ BrusselRecruiting
- UZARecruiting
- Virga Jessa ZiekenhuisRecruiting
- CHC MontLegiaRecruiting
- Clinique Saint PierreRecruiting
- UCL Mont GodinneRecruiting
- Fundacao Pio XIIRecruiting
- Santa Casa de Misericordia de Belo HorizonteRecruiting
- Hospitais Integradaos da Gavea S/A - DF StarRecruiting
- Fundacao Universidade de Caxias do SulRecruiting
- Liga Paranaense de Combate ao CancerRecruiting
- Liga Norte Riograndense Contra O CancerRecruiting
- Irmandade Santa Casa de Misericordia de Porto AlegreRecruiting
- Hospital das Clínicas da Faculdade de Medicina de RPUSP - HCRPRecruiting
- Instituto de Educacao, Pesquisa e Gestao em Saude Instituto Americas (COI)Recruiting
- Hospital Sao RafaelRecruiting
- Hospital PaulistanoRecruiting
- Fundacao Antonio Prudente - A.C. Camargo Cancer CenterRecruiting
- Sociedade Beneficente de Senhoras - Hospital Sírio LibanêsRecruiting
- Real e Benemérita Associação Portuguesa de BeneficênciaRecruiting
- Clinica Sao GermanoRecruiting
- Instituto D'Or de Pesquisa e Ensino (IDOR)Recruiting
- Peking Union Medical College HospitalRecruiting
- Beijing Chaoyang HospitalRecruiting
- Peking University First HospitalRecruiting
- The First Hospital of Jilin UniversityRecruiting
- The second Xiangya Hospital of Central South UniversityRecruiting
- Sichuan Academy of Medical Science Sichuan Provincial People's HospitalRecruiting
- Fujian Medical University Union HospitalRecruiting
- Sun Yat-Sen University Cancer CenterRecruiting
- Guangdong Provincial People's HospitalRecruiting
- The First Affiliated Hospital, Zhejiang University College of MedicineRecruiting
- Nanjing Drum Tower HospitalRecruiting
- Tongji Hospital of Tongji UniversityRecruiting
- Shanghai Fourth People's HospitalRecruiting
- Peking University Shenzhen HospitalRecruiting
- First Affiliated Hospital, SooChow UniversityRecruiting
- Tianjin cancer hospitalRecruiting
- Institute of Hematology & Blood Disease Hospital Chinese Academy of Medical ScienceRecruiting
- Tongji Hospital, Tongji Medical College of HUSTRecruiting
- Henan Cancer HospitalRecruiting
- Fakultni nemocnice BrnoRecruiting
- Fakultni nemocnice Hradec KraloveRecruiting
- Fakultní nemocnice OlomoucRecruiting
- Fakultni nemocnice OstravaRecruiting
- Fakultni nemocnice Kralovske VinohradyRecruiting
- Vseobecna fakultni nemocnice v Praze - I. interni klinika - klinika hematologieRecruiting
- APHP - Hopital Henri MondorRecruiting
- CHU DijonRecruiting
- Centre Leon BérardRecruiting
- CHU de Montpellier - Hopital Saint-EloiRecruiting
- CHU de Nantes hotel-DieuRecruiting
- CHU HOPITAL DE L'ARCHET - HematologyRecruiting
- CHU Hopital Saint AntoineRecruiting
- CHRU - Hôpital du Haut Lévêque - Centre François MagendieRecruiting
- Institut Universitaire du cancer de Toulouse-OncopoleRecruiting
- Charite Campus Benjamin FranklinRecruiting
- Asklepios Klinik AltonaRecruiting
- Universitaetsklinikum HeidelbergRecruiting
- Universitaetsklinikum KoelntRecruiting
- Universitaetsklinikum LeipzigRecruiting
- Universitätsmedizin der Johannes Gutenberg UniversitätRecruiting
- Universitaetsklinikum WuerzburgRecruiting
- Alexandra General Hospital of AthensRecruiting
- 'G. Papanikolaou' Hospital of ThessalonikiRecruiting
- Anticancer Hospital of Thessaloniki 'Theageneio'Recruiting
- Ha'Emek Medical CenterRecruiting
- Bnai Zion Medical CenterRecruiting
- Rambam Medical CenterRecruiting
- Carmel Medical CenterRecruiting
- Shaare Zedek Medical CenterRecruiting
- Galilee Medical CenterRecruiting
- Beilinson medical centerRecruiting
- Sheba Medical CenterRecruiting
- Ziv Medical CenterRecruiting
- Sourasky (Ichilov) Medical CenterRecruiting
- A.O. Universitaria Ospedali Riuniti di AnconaRecruiting
- Policlinico di BariRecruiting
- Azienda Ospedaliera Policlinico S. Orsola-MalpighiRecruiting
- Azienda Ospedaliera Spedali Civili di BresciaRecruiting
- PO G.Rodolico, AOU Policlinico-Vittorio Emanuele CataniaRecruiting
- Fondazione IRCCS Istituto Nazionale dei TumoriRecruiting
- ASST Grande Ospedale Metropolitano NiguardaRecruiting
- Ospedale Villa Sofia-CervelloRecruiting
- Fondazione IRCCS Policlinico San MatteoRecruiting
- Arcispedale Santa Maria Nuova - IRCCSRecruiting
- Presidio Ospedaliero Santo Spirito in SassiaRecruiting
- IRCCS Ospedale Casa Sollievo della SofferenzaRecruiting
- A.O.U. Città della Salute e della ScienzaRecruiting
- Chiba Cancer CenterRecruiting
- Fukuoka University HospitalRecruiting
- Ogaki Municipal HospitalRecruiting
- Gunma University HospitalRecruiting
- Kansai Medical University HospitalRecruiting
- Japanese Red Cross Society Himeji HospitalRecruiting
- Hyogo Medical University HospitalRecruiting
- Shonan Kamakura General HospitalRecruiting
- National Cancer Center Hospital EastRecruiting
- Dokkyo Medical University Saitama Medical CenterRecruiting
- Kumamoto University HospitalRecruiting
- Kyoto Kuramaguchi Medical CenterRecruiting
- National Hospital Organization Matsumoto Medical CenterRecruiting
- Niigata Cancer Center HospitalRecruiting
- Hiroshima West Medical CenterRecruiting
- Hokkaido University HospitalRecruiting
- Tohoku University HospitalRecruiting
- Iwate Medical University HospitalRecruiting
- Osaka University HospitalRecruiting
- The Cancer Institute Hospital of JFCRRecruiting
- Dong-A University HospitalRecruiting
- National Cancer CenterRecruiting
- Gachon University Gil Medical CenterRecruiting
- Chonnam National University Hwasun HospitalRecruiting
- Jeonbuk National University HospitalRecruiting
- Seoul National University HospitalRecruiting
- Severance Hospital, Yonsei University Health SystemRecruiting
- Asan Medical CenterRecruiting
- Samsung Medical CenterRecruiting
- The Catholic University of Korea Seoul St. Mary's HospitalRecruiting
- Albert Schweitzer ziekenhuis-lokatie DordwijkRecruiting
- Maxima Medisch CentrumRecruiting
- Szpital Specjalistyczny w Brzozowie Podkarpacki Osrodek Onkologiczny im. Ks. B. MarkiewiczaRecruiting
- Uniwersyteckie Centrum KliniczneRecruiting
- Pratia Onkologia KatowiceRecruiting
- Swietokrzyskie Centrum Onkologii SPZOZ w KielcachRecruiting
- Szpital Uniwersytecki w KrakowieRecruiting
- Centrum Onkologii Ziemi Lubelskiej im. św. Jana z DukliRecruiting
- SP ZOZ MSWiA z Warmińsko-Mazurskim Centrum Onkologii w Olsztynie, Oddział HematologiiRecruiting
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut BadawczyRecruiting
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we WroclawiuRecruiting
- Hosp. Univ. Germans Trias I PujolRecruiting
- Hosp. de La Santa Creu I Sant PauRecruiting
- Hosp. Univ. Vall D HebronRecruiting
- Hosp. Clinic I Provincial de BarcelonaRecruiting
- Hosp. Univ. Virgen de La ArrixacaRecruiting
- Hosp. de Jerez de La FronteraRecruiting
- Hosp. de LeonRecruiting
- Hosp. Univ. de La PrincesaRecruiting
- Hosp. Univ. 12 de OctubreRecruiting
- Hosp. Univ. Hm SanchinarroRecruiting
- Hosp. Virgen de La VictoriaRecruiting
- Clinica Univ. de NavarraRecruiting
- Hosp. Clinico Univ. de SalamancaRecruiting
- Hosp. Univ. de CanariasRecruiting
- Hosp. Univ. Dr. PesetRecruiting
- Kaohsiung Medical University Chung-Ho Memorial HospitalRecruiting
- Kaohsiung Chang Gung Memorial HospitalRecruiting
- China Medical University HospitalRecruiting
- National Cheng Kung University HospitalRecruiting
- National Taiwan University HospitalRecruiting
- Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Hematology UnitRecruiting
- Ankara University Medical FacultyRecruiting
- Medipol Mega University HospitalRecruiting
- Istanbul University Istanbul Medical Faculty
- Istanbul University Cerrahpasa Medical FacultyRecruiting
- Dokuz Eylul University Medical FacultyRecruiting
- On Dokuz Mayıs University Medical FacultyRecruiting
- Blackpool Victoria HospitalRecruiting
- Ninewells Hospital & Medical SchoolRecruiting
- Imperial College HealthcareRecruiting
- Newcastle Freeman HospitalRecruiting
- Nottingham City HospitalRecruiting
- University Hospitals Plymouth NHS TrustRecruiting
- New Cross HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Arm A: Talquetamab Subcutaneous (SC) in Combination With Daratumumab SC and Pomalidomide (Tal-DP)
Arm B: Daratumumab in Combination With Pomalidomide and Dexamethasone (DPd)
Arm C: Talquetamab SC in Combination With Daratumumab SC (Tal-D)
Participants will receive talquetamab and daratumumab as SC injections; pomalidomide will be self-administered as a single dose orally; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug.
Participants will receive daratumumab as SC injection; pomalidomide will be self-administered as a single dose orally; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug.
Participants will receive talquetamab and daratumumab as SC injection; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug.