Phase 3 Study of Teclistamab in Combination With Lenalidomide and Teclistamab Alone Versus Lenalidomide Alone in Participants With Newly Diagnosed Multiple Myeloma as Maintenance Therapy Following Autologous Stem Cell Transplantation - MajesTEC-4

ClinicalTrials.gov processed this data on November 19, 2024. Link to the current ClinicalTrials.gov record.

Recruitment Status

RECRUITING (See Contacts and Locations)
Verified November 2024 by Stichting European Myeloma Network, Janssen Pharmaceutica

Sponsor

Stichting European Myeloma Network

Information Provided by (Responsible Party)

Stichting European Myeloma Network

Clinicaltrials.gov Identifier

NCT05243797
Other Study ID Numbers: EMN30/64007957MMY3003
First Submitted: January 27, 2022
First Posted: February 17, 2022
Last Update Posted: November 20, 2024
Last Verified: November 2024
History of Changes

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Study Description

Not Provided
Condition or Disease Intervention/Treatment
  • Multiple Myeloma
  • Drug: Teclistamab
  • Drug: Lenalidomide

Study Design

Study TypeInterventional
Anticipated Enrollment1572 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingNone (Open Label)
Primary PurposeTreatment
Official TitlePhase 3 Study of Teclistamab in Combination With Lenalidomide and Teclistamab Alone Versus Lenalidomide Alone in Participants With Newly Diagnosed Multiple Myeloma as Maintenance Therapy Following Autologous Stem Cell Transplantation - MajesTEC-4
Study Start DateSeptember 8, 2022
Anticipated Primary Completion DateApril 2028
Anticipated Study Completion DateApril 2032

Groups and Cohorts

Group/ CohortIntervention/ Treatment
  • Arm A: Teclistamab-Lenalidomide (Tec-Len)
    • Teclistamab will be administered via a subcutaneous injection (SC)
  • Drug: Teclistamab
    • Teclistamab will be administered via a subcutaneous injection (SC)
  • Drug: Lenalidomide
    • Arm B Lenalidomide Alone (Len)
      • Lenalidomide orally.
    • Drug: Lenalidomide
      • Arm C Teclistamab-Alone (Tec)
        • Teclistamab will be administered via a subcutaneous injection (SC)
      • Drug: Teclistamab
        • Teclistamab will be administered via a subcutaneous injection (SC)

      Outcome Measures

      Primary Outcome Measures

      1. Progression Free Survival (PFS) [from randomization to the date of disease progression or death (approximately up to 8 years)]
        PFS is defined as the time from the date of randomization to the date of disease progression (as assessed by IMWG criteria) or death due to any cause, whichever occurs first.

      Secondary Outcome Measures

      1. Comparison of efficacy [from randomization to the date of disease progression or death (approximately up to 8 years)]
        Efficacy, assessed by rate of CR or better, MRD negative CR, sustained MRD negativity, CR and MRD negative conversion PFS after next line of therapy (PFS2), time to next treatment (TTNT), OS and also safety, PK and immunogenicity
      2. Overall Survival (OS) [from the date of from randomization to the date the subject's death, assessed up to 8 years]]
        Overall Survival (OS), measured from the date of from randomization to the date the subject's death
      3. Change in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire 30-item Core module (EORTC QLQ-C30) score and the difference between-treatment arms [baseline up to 8 years]
        The EORTC QLQ-C30 is a 30-item questionnaire containing both single and multi-item measures. These include five functional scales (Physical, Role, Cognitive, Emotional, and Social Functioning), three symptom scales (Fatigue, Pain, and Nausea/Vomiting), a Global Health Status/ Quality-of-Life (QoL) scale, and six single items (Constipation, Diarrhea, Insomnia, Dyspnea, Appetite Loss, and Financial Difficulties). The scores ranges from 0-100, a high score for functional scales and for Global Health Status/QoL represent better functioning ability or Health-Related Quality-of-Life (HRQoL), whereas a high score for symptom scales and single items represents significant symptomatology.
      4. EQ-5D-5L health utility values and the difference between-treatment arms [baseline up to 8 years]
        The EQ-5D-5L is a 5 item questionnaire that assesses 5 domains including mobility, self care, usual activities, pain/discomfort, and anxiety/depression plus a visual analog scale rating "health today"
      5. MySIm-Q Symptom and Impacts in Patients With Multiple Myeloma and the difference between treatment arms [baseline up to 8 years]
        The MySIm-Q is a disease-specific PRO assessment complementary to the EORTC-QLQ-C30. It includes 17 items resulting in a symptom subscale and an impact subscale. The recall period is the "past 7 days", and responses are reported on a 5-point verbal rating scale.
      6. PRO-CTCAE to evaluate symptomatic toxicities by self-report and the difference between treatment arms [baseline up to week 24]
        The PRO-CTCAE Measurement System characterizes the frequency, severity, interference, and presence/absence of symptomatic toxicities. The PRO-CTCAE Item Library includes 124 items representing 78 symptomatic toxicities drawn from the CTCAE
      7. PGIS to evaluate the patient global impression of severity of the Multiple Myeloma and the difference between treatment arms [baseline up to 8 years]
        PGIS is a 1 item questionnaire that evaluates patients' health and assesses if there has been an improvement or decline in clinical status

      Eligibility Criteria

      Ages Eligible for Study 18 Years and Older (Adult, Older Adult)
      Sexes Eligible for Study All
      Accepts Healthy Volunteers No
      Inclusion Criteria
      • Must have a new diagnosis of multiple myeloma according to IMWG criteria and have received induction +/- consolidation.
      • Must have received only one line of therapy and achieved at least a partial response (≥PR) as per IMWG 2016 response criteria (Kumar 2016) without evidence of progression at the time of first treatment dose.
      • Must not be intolerant to the starting dose of lenalidomide.
      • Must not have received any maintenance therapy.
      • Have an ECOG performance status score of 0, 1, or 2 at screening and immediately prior to the start of administration of study treatment
      • Have clinical laboratory values within prespecified range.
      Exclusion Criteria
      • Received any prior BCMA-directed therapy.
      • Any previous therapy with an immune cell redirecting agent or gene modified adoptive cell therapy (eg, chimeric antigen receptor modified T cells, NK cells).
      • Discontinued treatment due to any AE related to lenalidomide as determined by the investigator.
      • Progressed on multiple myeloma therapy at any time prior to screening.
      • Received a cumulative dose of corticosteroids equivalent to ≥140 mg of prednisone within the 14 days prior to first treatment dose.
      • Received a live, attenuated vaccine within 4 weeks before first treatment dose. Non-live vaccines or non-replicating authorized for emergency use (eg. COVID-19) are allowed.

      Contacts and Locations

      Sponsors and Collaborators Stichting European Myeloma Network, Janssen Pharmaceutica
      Janssen Pharmaceutica
      Locations
      • Flinders Medical Centre | Adelaide, Australia,
      • Concord Repatriation General Hospital | Concord, Australia,
      • Townsville University Hospital | Douglas, Australia,
      • Barwon Health University Hospital Geelong Andrew Love Cancer Centre | Geelong, Australia,
      • Alfred Hospital | Melbourne, Australia,
      • Austin Health | Melbourne, Australia,
      • Sunshine Coast Health | Sunshine Coast, Australia,
      • Royal North Shore Hospital | Sydney, Australia,
      • Calvary Mater Hospital | Waratah, Australia,
      • Vorarlberger Krankenhaus-Betriebsgesellschaft mbH | Feldkirch, Austria,
      • Medizinische Universitaet Innsbruck | Innsbruck, Austria,
      • Universitaetsklinikum Krems | Krems, Austria,
      • Steiermaerkische Krankenanstalten Ges.m.b.H. | Leoben, Austria,
      • Kepler Universitaetsklinikum GmbH | Linz, Austria,
      • Ordensklinikum Linz GmbH | Linz, Austria,
      • Gemeinnutzige Salzburger Landes kliniken Betriebsgesellschaft mbH | Salzburg, Austria,
      • Medical University Of Vienna | Vienna, Austria,
      • Stadt Wien Wiener Gesundheitsverbund | Vienna, Austria,
      • Jessa Ziekenhuis | Hasselt, Belgium,
      • Algemeen Ziekenhuis Delta | Leuven, Belgium,
      • University Hospital Leuven | Leuven, Belgium,
      • Centre hospitalier universitaire de Liege | Liège, Belgium,
      • Hospital Mãe de Deus - Centro Integrado de Oncologia | Porto Alegre, Brazil,
      • Hospital Santa Rita | Porto Alegre, Brazil,
      • IDOR- Instituto D'or de pesquisa. Av. São Rafael | Salvador, Brazil,
      • AC Camargo Cancer Center | São Paulo, Brazil,
      • Departamento de Oncologia Clínica AC Camargo Cancer Center | São Paulo, Brazil,
      • Hemocentro UNICAMP, Universidade Estadual de Campinas | São Paulo, Brazil,
      • Onco Star | São Paulo, Brazil,
      • Universidade Federal de São Paulo - Hospital São Paulo | São Paulo, Brazil,
      • QEII Health Sciences Centre | Halifax, Canada,
      • The Ottawa General Hospital | Ottawa, Canada,
      • "Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Universitaire de Sherbrooke (CIUSSS de l'Estrie - CHUS)" | Québec, Canada,
      • Saskatoon Cancer Center | Saskatoon, Canada,
      • Fakultni Nemocnice Brno | Brno, Czechia,
      • Fakultni Nemocnice Hradec Kralove | Hradec Králové, Czechia,
      • University Hospital Olomouc | Olomouc, Czechia,
      • Fakultni Nemocnice Ostrava | Ostrava, Czechia,
      • Fakultni Nemocnice Plzen | Plzen, Czechia,
      • Vseobecna Fakultni Nemocnice V Praze | Praha, Czechia,
      • Aarhus Universitetshospital | Aarhus, Denmark,
      • Rigshospitalet | Copenhagen, Denmark,
      • Odense University Hospital | Odense, Denmark,
      • Lillebaelt Hospital | Vejle, Denmark,
      • Centre Hospitalier Universitaire De Bordeaux | Bordeaux, France,
      • Institut Paoli Calmettes | Marseille, France,
      • Centre Hospitalier Universitaire De Montpellier | Montpellier, France,
      • Centre Hospitalier Universitaire De Nantes | Nantes, France,
      • Hopital Saint Louis | Paris, France,
      • Hôpital Saint-Antoine | Paris, France,
      • Centre Hospitalier Universitaire De Poitiers | Poitiers, France,
      • Centre Hospitalier Universitaire De Toulouse | Toulouse, France,
      • University Medical Center Hamburg-Eppendorf | Hamburg, Germany,
      • Universitaetsklinikum Heidelberg AöR | Heidelberg, Germany,
      • Universitaetsklinikum Jena KöR | Jena, Germany,
      • Universitaetsklinikum Schleswig-Holstein AöR | Lübeck, Germany,
      • Klinikum rechts der Isar der TU Muenchen AöR | München, Germany,
      • Klinikum Nuernberg | Nürnberg, Germany,
      • Universitaetsklinikum Tuebingen AöR | Tübingen, Germany,
      • University Hospital of Würzburg | Würzburg, Germany,
      • University General Hospital Of Alexandroupoli | Alexandroupolis, Greece,
      • Evaggelismos Hospital | Athens, Greece,
      • Regional General Hospital Alexandra | Athens, Greece,
      • Theageneio Cancer Hospital | Thessaloníki, Greece,
      • Cork University Hospital | Cork, Ireland,
      • Beaumont Hospital | Dublin, Ireland,
      • St James's Hospital | Dublin, Ireland,
      • St Vincent's University Hospital | Dublin, Ireland,
      • University Hospital Galway | Galway, Ireland,
      • University Hospital Limerick | Limerick, Ireland,
      • The Barzilai Medical Center | Ashkelon, Israel,
      • Health Care Campus | Haifa, Israel,
      • Hadassah Medical Center | Jerusalem, Israel,
      • Beilinson Hospital | Petah tikva, Israel,
      • Chaim Sheba Medical Center | Ramat Gan, Israel,
      • Tel-Aviv Sourasky Medical Center | Tel Aviv, Israel,
      • Azienda Sanitaria Locale Al Di Alessandria | Alessandria, Italy,
      • Azienda Ospedaliero Universitaria Ospedali Riuniti Umberto I G M Lancisi G Salesi | Ancona, Italy,
      • Policlinico di Bari Ospedale Giovanni XXIII | Bari, Italy,
      • A.O. Papa Giovanni XXIII | Bergamo, Italy,
      • A.O.U. di Bologna - Policlinico S. Orsola Malpighi | Bologna, Italy,
      • A.O.Spedali Civili di Brescia | Brescia, Italy,
      • Azienda Ospedaliera-Universitaria Di Cosenza | Cosenza, Italy,
      • Careggi University Hospital | Firenze, Italy,
      • IRCCS Ospedale Policlinico San Martino | Genova, Italy,
      • Azienda Ospedaliero Universitaria Di Modena | Modena, Italy,
      • Azienda Ospedaliera Di Rilievo Nazionale Antonio Cardarelli | Napoli, Italy,
      • Azienda Ospedaliero-Universitaria Maggiore Della Carita | Novara, Italy,
      • Fondazione IRCCS Policlinico San Matteo | Pavia, Italy,
      • Azienda Sanitaria Locale Di Pescara | Pescara, Italy,
      • Azienda Unita Sanitaria Locale Della Romagna | Ravenna, Italy,
      • Azienda USL IRCCS Di Reggio Emilia | Reggio, Italy,
      • Azienda Unita Sanitaria Locale Della Romagna | Rimini, Italy,
      • Casa Sollievo Della Sofferenza | San Giovanni Rotondo, Italy,
      • A.O.U. Città della Salute e della Scienza di Torino - SC Ematologia U | Torino, Italy, 10126
      • Azienda Sanitaria Universitaria Giuliano Isontina | Trieste, Italy,
      • Azienda Sanitaria Universitaria Friuli Centrale | Udine, Italy,
      • Chonnam National University Hwasun Hospital | Gwangju, Korea, Republic of,
      • Samsung Medical Center | Seoul, Korea, Republic of,
      • Seoul National University Hospital, Internal Medicine | Seoul, Korea, Republic of,
      • Severance Hospital | Seoul, Korea, Republic of,
      • St. Mary's Hospital | Seoul, Korea, Republic of,
      • Noordwest Ziekenhuisgroep Stichting | Alkmaar, Netherlands,
      • Amsterdam University Medical Center | Amsterdam, Netherlands,
      • Albert Schweitzer Ziekenhuis | Dordrecht, Netherlands,
      • Maxima Medisch Centrum | Eindhoven, Netherlands,
      • University Medical Center Groningen | Groningen, Netherlands,
      • Dijklander Ziekenhuis | Hoorn, Netherlands,
      • St. Antonius Ziekenhuis | Nieuwegein, Netherlands,
      • Erasmus University Medical Center Rotterdam | Rotterdam, Netherlands,
      • Maasstad Ziekenhuis | Rotterdam, Netherlands,
      • Oslo University Hospital | Oslo, Norway,
      • St. Olavs hospital HF | Trondheim, Norway,
      • University Clinical Center of Serbia | Belgrade, Serbia,
      • Clinical Centre of Kragujevac | Kragujevac, Serbia,
      • Clinical Centre of Nis | Niš, Serbia,
      • Clinical Centre of Vojvodina | Novi Sad, Serbia,
      • University Hospital Basel | Basel, Switzerland,
      • Inselspital | Bern, Switzerland,
      • Kantonsspital St. Gallen | Saint Gallen, Switzerland,
      • Ankara Liv Hospital | Ankara, Turkey,
      • Ankara University Hospital | Ankara, Turkey,
      • Florence Nightingale Hospital | Istanbul, Turkey,
      • Medipol Mega University Hospital | Istanbul, Turkey,
      • Ege University Medical faculty Hospital Internal Medicine Department Adult Hematology Unit | İzmir, Turkey,
      • Izmir Economy University, Medical Point Hospital | İzmir, Turkey,
      • Erciyes University Hospital | Kayseri, Turkey,
      • St James's University Hospital | Leeds, United Kingdom,
      • Hammersmith Hospital - Imperial College NHS Healthcare Trust | London, United Kingdom,
      • The Royal Marsden Hospital | London, United Kingdom,
      • University College London (UCL) | London, United Kingdom,
      Investigators
      • Principal Investigator: Niels van de Donk, Professor, Amsterdam UMC, Vrije Universiteit Amsterdam
      • Principal Investigator: Elena Zamagni, Professor, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli"

      More Information

      Additional Relevant MeSH Terms

      • Multiple Myeloma
      • Neoplasms, Plasma Cell
      • Neoplasms by Histologic Type
      • Neoplasms
      • Hemostatic Disorders
      • Vascular Diseases
      • Cardiovascular Diseases
      • Paraproteinemias
      • Blood Protein Disorders
      • Hematologic Diseases
      • Hemorrhagic Disorders
      • Lymphoproliferative Disorders
      • Immunoproliferative Disorders
      • Immune System Diseases