Multiple MyelomaPhase 3MonumenTAL-6NCT06208150
A Study Comparing Talquetamab Plus Pomalidomide, Talquetamab Plus Teclistamab, and Elotuzumab, Pomalidomide, and Dexamethasone or Pomalidomide, Bortezomib, and Dexamethasone in Participants With Relapsed or Refractory Myeloma Who Have Received an Anti-CD38 Antibody and Lenalidomide
A Phase 3 study testing Talquetamab, Pomalidomide and Teclistamab in people with Multiple Myeloma, run by Janssen Research & Development, LLC at 242 sites in 27 countries.
Trial summary
The purpose of this study is to compare the effectiveness of either talquetamab plus pomalidomide (Tal-P) or talquetamab plus teclistamab (Tal-Tec) with elotuzumab, pomalidomide, and dexamethasone (EPd) or pomalidomide, bortezomib, and dexamethasone (PVd). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Multiple Myeloma
- What is being tested?
- Talquetamab, Pomalidomide and Teclistamab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 838 participants
- Where
- 242 sitesin 27 countries
- Study dates
- 22 Jan 2024to 31 Mar 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Documented multiple myeloma as defined by the criteria below: (a) multiple myeloma diagnosis according to the international myeloma working group (IMWG) diagnostic criteria (b) measurable disease at screening as assessed by central laboratory, defined by any of the following: (i) serum M-protein level greater than or equal to (>=) 0.5 gram per deciliter (g/dL); or (ii) urine M-protein level >= 200 milligram (mg) per 24 hours; or (iii) light chain multiple myeloma without measurable M-protein in the serum or the urine: serum immunoglobulin (Ig) free light chain (FLC) >= 10 milligrams per deciliter (mg/dL) and abnormal serum Ig kappa lambda FLC ratio
- Relapsed or refractory disease as defined below: a) Relapsed disease is defined as an initial response to prior treatment, followed by confirmed progressive disease (PD) by IMWG criteria greater than (>) 60 days after cessation of treatment. b) Refractory disease is defined as less than (<) 25 percent (%) reduction in M-protein or confirmed PD by IMWG criteria during previous treatment or less than or equal to (<=) 60 days after cessation of treatment
- Documented evidence of PD or failure to achieve a minimal response to the last line of therapy 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 immediately prior to the start of administration of study treatment
- A participant must agree not to be pregnant, breastfeeding, or planning to become pregnant while enrolled in this study or within 6 months after the last dose of study treatment
Who cannot join
- Contraindications or life-threatening allergies, hypersensitivity, or intolerance to any study drug or its excipients
- Stroke, transient ischemic attack, or seizure within 6 months prior to signing informed consent form (ICF)
- Major surgery or had significant traumatic injury within 2 weeks prior to the start of administration of study treatment, or will not have fully recovered from surgery, or has major surgery planned during the time the participant is expected to be treated in the study or within 2 weeks after administration of the last dose of study treatment
- A maximum cumulative dose of corticosteroids of >=140 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
Trial locations and contacts
242 sites in 27 countries.
242 sites in 27 countries
United States49 sites
University of Michigan
Ann Arbor, Michigan, 48109
Luminis Health Center for Cancer and Blood Disorders
Annapolis, Maryland, 21401
Winship Cancer Institute Emory University
Atlanta, Georgia, 30322
University of Maryland School of Medicine
Baltimore, Maryland, 21201
The Sidney Kimmel Comprehensive Cancer Center at John Hopkins
Baltimore, Maryland, 21287
Our Lady of the Lake Hospital
Baton Rouge, Louisiana, 70808
Roswell Park Cancer Institute
Buffalo, New York, 14263
Gabrail Cancer Center
Canton, Ohio, 44718
Medical University of South Carolina
Charleston, South Carolina, 29425-8900
University of Virginia
Charlottesville, Virginia, 22903
Louis Stokes Cleveland VA Med Ctr
Cleveland, Ohio, 44106
Cleveland Clinic
Cleveland, Ohio, 44195
UCSF Fresno
Clovis, California, 93611
Kootenai Health
Coeur d'Alene, Idaho, 83814
UT Southwestern Parkland Hospital
Dallas, Texas, 75390
UT Southwestern
Dallas, Texas, 75390
Henry Ford Cancer Institute
Detroit, Michigan, 48202
Duke University Medical Center
Durham, North Carolina, 27705
Bon Secours Saint Francis Cancer Center
Greenville, South Carolina, 29607
John Theurer Cancer Center at Hackensack University Medical Center
Hackensack, New Jersey, 07601
Penn State Milton S Hershey Medical Ctr
Hershey, Pennsylvania, 17033
Memorial Healthcare System
Hollywood, Florida, 33021
Houston Methodist Neal Cancer Center at Texas Medical Center
Houston, Texas, 77030
Gundersen Health System
La Crosse, Wisconsin, 54601
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Norton Cancer Institute
Louisville, Kentucky, 40207
Loyola University Medical Center
Maywood, Illinois, 60153
Medical College Of Wisconsin
Milwaukee, Wisconsin, 53226
University Of Minnesota
Minneapolis, Minnesota, 55455
Yale University School Of Medicine
New Haven, Connecticut, 06519
Weill Cornell Medical College
New York, New York, 10065
Medical Oncology Hematology Consultants, PA
Newark, Delaware, 19713
City of Hope Cancer Center
Newnan, Georgia, 30265
University of Nebraska
Omaha, Nebraska, 68105
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107 4215
West Penn Hospital
Pittsburgh, Pennsylvania, 15224
University Of Pittsburgh Medical Center UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
Oregon Health And Science University
Portland, Oregon, 97239
Mayo Clinic Rochester
Rochester, Minnesota, 55905
Regions Hospital
Saint Paul, Minnesota, 55101
Huntsman Cancer Institute
Salt Lake City, Utah, 84112
UCLA
Santa Monica, California, 90404
Swedish Cancer Institute
Seattle, Washington, 98104
Fred Hutchinson Cancer Research Center
Seattle, Washington, 98109
Henry Ford Health Providence Southfield Hospital
Southfield, Michigan, 48075
SUNY Upstate Medical University
Syracuse, New York, 13210
NorthWest Medical Specialties, PLLC
Tacoma, Washington, 98405
Moffitt Cancer Center
Tampa, Florida, 33612
University of Iowa Health Care
Waukee, Iowa, 50263
China28 sites
Beijing Chaoyang Hospital
Beijing, 100020
Peking University First Hospital
Beijing, 100034
Peking University People's Hospital
Beijing, 101199
The Second Xiangya Hospital of Central South Hospital
Changsha, 410011
Changzhou No 2 Peoples Hospital
Changzhou, 213000
Sichuan Provincial Peoples Hospital
Chengdu, 610032
Fujian Meidical University Union Hospital
Fuzhou, 350001
The First Affiliated Hospital of Fujian Medical University
Fuzhou, 350005
Sun Yat Sen University Cancer Center
Guangzhou, 510060
Nanfang Hospital of Southern Medical Hospital
Guangzhou, 510515
First hospital affiliated of Zhejiang Medical university
Hangzhou, 310003
The Second Affiliated Hospital of Zhejiang University College of Medicine
Hangzhou, 310009
The Affiliated Hospital of Inner Mongolia Medical College
Hohhot, 010051
Qilu Hospital of Shandong University
Jinan, 250012
The First Affiliated Hospital of NanChang University
Nanchang, 330006
Nanjing Drum Tower Hospital
Nanjing, 210008
The First Affiliated Hospital of Guangxi Medical University
Nanning, 530021
Ruijing Hospital Affiliated To Shanghai Jiaotong University School Of Medicine
Shanghai, 200025
Tongji Hospital of Tongji University
Shanghai, 200065
Shanghai Fourth People s Hospital
Shanghai, 200434
Shengjing Hospital Of China Medical University
Shenyang, 110055
Peking University Shenzhen Hospital
Shenzhen, 518036
Shanxi Bethune Hospital
Taiyuan, 030032
Tianjin Medical University Cancer Institute and Hospital
Tianjin, 30060
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, 325000
Tongji Hospital, Tongji Medical College of HUST
Wuhan, 430030
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an, 710004
The first affiliated hospital of xiamen university
Xiamen, 361026
Japan20 sites
Juntendo University Hospital
Bunkyō City, 113 8431
Fukuoka University Hospital
Fukuoka, 814-0180
Hamamatsu University Hospital
Hamamatsu, 431 3192
Kanazawa University Hospital
Kanazawa, 920 8641
University Hospital Kyoto Prefectural University of Medicine
Kyoto, 602-8566
National Hospital Organization Nagasaki Medical Center
Nagasaki, 856-8562
Japanese Red Cross Narita Hospital
Narita, 286-8523
Niigata Cancer Center Hospital
Niigata, 951-8566
Hyogo Medical University Hospital
Nishinomiya Shi, 663 8501
Japanese Red Cross Osaka Hospital
Osaka, 543-8555
Sapporo City General Hospital
Sapporo, 060-8604
Tohoku University Hospital
Sendai, 980 8574
Japanese Red Cross Medical Center
Shibuya-ku, 150-8935
Iwate Medical University Hospital
Shiwa-gun, 028-3695
The University of Osaka Hospital
Suita, 565 0871
Shizuoka Cancer Center
Sunto Gun, 411 8777
The Cancer Institute Hospital of JFCR
Tokyo, 135 8550
Tottori University Hospital
Tottori, 683-0824
University of Tsukuba Hospital
Tsukuba, 305 8576
Kanagawa Cancer Center
Yokohama, 241 8515
Spain14 sites
Hosp. de Cabuenes
Asturias, 33394
Hosp Univ Vall D Hebron
Barcelona, 08035
Hosp. Univ. de Burgos
Burgos, 09003
Hosp. San Pedro de Alcantara
Cáceres, 10003
Hosp. Univ. Donostia
Donostia / San Sebastian, 20014
Hosp. Univ. Virgen de Las Nieves
Granada, 18014
Hosp. Univ. Lucus Augusti
Lugo, 27003
Hosp. Univ. La Paz
Madrid, 28046
Hosp. Univ. Son Espases
Palma de Mallorca, 07120
Clinica Univ. de Navarra
Pamplona, 31008
Complejo Hosp de Navarra - Hosp de Navarra
Pamplona, 31008
Hosp Clinico Univ de Salamanca
Salamanca, 37007
Hosp. Univ. Marques de Valdecilla
Santander, 39008
Hosp. Clinico Univ. de Santiago
Santiago de Compostela, 15706
Brazil13 sites
Cetus Oncologia
Belo Horizonte, 30110-022
IDOR - Regional Brasilia
Brasília, 70390 700
Fundacao Universidade de Caxias do Sul
Caxias do Sul, 95070 560
Hospital Erasto Gaertner- Liga Paranaense de Combate ao Cancer
Curitiba, 81520-060
Hospital De Clinicas De Porto Alegre
Porto Alegre, 90035-903
IDOR - Regional Pernambuco
Recife, 50070-480
Instituto de Educacao, Pesquisa e Gestao em Saude Instituto Americas (COI)
Rio de Janeiro, 22793-080
IDOR - Regional Bahia
Salvador, 41253-190
Funfarme Sjrp
São José do Rio Preto, 15090-000
Real e Benemerita Associacao Portuguesa de Beneficencia
São Paulo, 01323 001
IDOR - Regional Sao Paulo
São Paulo, 01401 002
Fundacao Antonio Prudente A C Camargo Cancer Center
São Paulo, 01509 900
Clinica Medica Sao Germano LTDA
São Paulo, 04537 081
Italy13 sites
Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo Alessandria
Alessandria, 15121
A O U Sant Orsola Malpighi
Bologna, 40138
Ospedale Perrino
Brindisi, 72100
ARNAS Garibaldi P O Nesima
Catania, 95122
Ospedale Policlinico San Martino IRCCS
Genova, 16132
Asst Ovest Milanese - Ospedale Di Legnano
Legnano, 20025
Fondazione IRCCS Ca Granda Ospedale Policlinico Di Milano
Milan, 20122
IRCCS Ospedale San Raffaele
Milan, 20132
Fondazione IRCCS Policlinico San Matteo
Pavia, 27100
Presidio Ospedaliero Pescara
Pescara, 65124
Ospedale S. Maria Delle Croci
Ravenna, 48121
Oncologia Medica-Città Della Salute E Della Scienza Di Torino
Torino, 10126
Azienda Ospedaliera Universitaria Integrata Verona
Verona, 37134
France10 sites
Hopital Claude Huriez
Lille, 59000
CHU de Limoges Hopital Dupuytren
Limoges, 87042
Hospices Civils de Lyon HCL
Lyon, 69002
Institut Paoli Calmettes
Marseille, 13009
CHU Nantes
Nantes, 44093
Hopital Saint Louis
Paris, 75010
CHU de Bordeaux - Hospital Haut-Leveque
Pessac, 33604
Institut de Cancerologie Strasbourg Europe ICANS
Strasbourg, 67200
Institut Universitaire du Cancer Toulouse Oncopole
Toulouse, 31100
CHRU Tours Hopital Bretonneau
Tours, 37044
United Kingdom8 sites
Blackpool Victoria Hospital
Blackpool, FY3 8NR
University Hospital of Wales
Cardiff, CF14 4HY
Ninewells Hospital
Dundee, DD1 9SY
St James University Hospital
Leeds, LS9 7TF
Kings College Hospital
London, SE5 9RS
Nottingham City Hospital
Nottingham, NG5 1PB
University Hospitals Plymouth NHS Trust
Plymouth, PL6 8DH
Queen Alexandra Hospital
Portsmouth, PO6 3LY
Australia7 sites
Royal Adelaide Hospital
Adelaide, 5000
Box Hill Hospital
Box Hill, 3128
St Vincents Hospital
Darlinghurst, 2010
St Vincents Hospital Melbourne
Fitzroy, 3065
Gold Coast University Hospital
Southport, 4215
Perth Blood Institute
West Perth, 6005
Wollongong Hospital
Wollongong, 2500
Canada7 sites
Arthur J E Child Comprehensive Cancer Centre
Calgary, Alberta, T2N 5G2
Nova Scotia Health Authority
Halifax, Nova Scotia, B3H 1V7
Juravinski Cancer Centre
Hamilton, Ontario, L8V5C2
CIUSSS de l Est de l Ile de Montreal Installation Hopital Maisonneuve Rosemont
Montreal, Quebec, H1T 2M4
Saskatoon Cancer Centre
Saskatoon, Saskatchewan, S7N 4H4
Princess Margaret Cancer Centre University Health Network
Toronto, Ontario, M5G2M9
British Columbia Cancer Agency
Vancouver, British Columbia, V5Z4E6
Germany7 sites
Klinikum Augsburg
Augsburg, 86156
Universitaetsklinikum Halle Saale
Halle, 06120
Universitaetsklinikum Heidelberg
Heidelberg, 69120
Universitaetsklinikum Magdeburg A.oe.R
Magdeburg, 39120
Klinikum rechts der Isar der TU Muenchen
München, 81675
Universitaetsklinikum Tuebingen
Tübingen, 72076
Universitaetsklinikum Wuerzburg
Würzburg, 97080
South Korea7 sites
Dong-A University Hospital
Busan, 49201
Pusan National University Hospital
Busan, 49241
Chonnam National University Hwasun Hospital
Jeollanam-do, 58128
Seoul National University Hospital
Seoul, 03080
Samsung Medical Center
Seoul, 06351
The Catholic University of Korea Seoul St Mary s Hospital
Seoul, 06591
Ulsan University Hospital
Ulsan, 44033
Poland6 sites
Wojewodzki Szpital Specjalistyczny
Biała Podlaska, 21 500
Szpital Specjalistyczny w Brzozowie Podkarpacki Osrodek Onkologiczny im Ks B Markiewicza
Brzozów, 36-200
Swietokrzyskie Centrum Onkologii SPZOZ w Kielcach
Kielce, 25 734
Centrum Onkologii Ziemii Lubelskiej
Lublin, 20-090
Uniwersytecki Szpital Kliniczny Nr 1 PUM im prof Tadeusza Sokolowskiego w Szczecinie
Szczecin, 71-252
Uniwersytecki Szpital Kliniczny im Jana Mikulicza Radeckiego we Wroclawiu
Wroclaw, 50 367
Hungary5 sites
Semmelweis Egyetem, Belgyogyaszati es Hematologiai Klinika
Budapest, 1088
Del Pesti Centrumkorhaz Orszagos Hematologiai es Infektologiai Intezet Szent Laszlo Telephely
Budapest, 1097
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
Szabolcs Szatmar Bereg Varmegyei Oktatokorhaz
Nyíregyháza, 4400
Pecsi Tudomanyegyetem Klinikai Kozpont
Pécs, 7624
Israel5 sites
Shamir Medical Center Assaf Harofeh
Be’er Ya‘aqov, 70300
Carmel Medical Center
Haifa, 3436212
Rabin Medical center - Petah-Tikva
Petah Tikva, 49100
Sheba Medical Center
Ramat Gan, 52621
Tel Aviv Sourasky Medical Center
Tel Aviv, 64239
Netherlands5 sites
Flevoziekenhuis
Almere Stad, 1315RA
Catharinaziekenhuis
Eindhoven, 5623 EJ
St. Antonius Ziekenhuis Nieuwegein
Nieuwegein, 3435 CM
Haga ziekenhuis
The Hague, 2545 CH
Isala Kliniek
Zwolle, 8025 AB
Turkey (Türkiye)5 sites
Ankara Universitesi Tip Fakultesi Cebeci Arastirma ve Uygulama Hastanesi
Ankara, 06620
Liv Hospital Ankara
Ankara, 06680
Pamukkale Universitesi Tip Fakultesi
Denizli, 20070
Medipol University Hospital
Istanbul, 34214
Ondokuz Mayis Universitesi Saglik Uygulama ve Arastirma Merkezi
Samsun, 55200
Belgium4 sites
Grand Hopital De Charleroi Site Les Viviers
Charleroi, 6060
Ziekenhuis Oost-Limburg
Genk, 3600
Ghent University Hospital
Ghent, 9000
AZ Nikolaas - Campus Sint-Niklaas Moerland
Sint-Niklaas, 9100
Czechia4 sites
Fakultni nemocnice Brno
Brno-Bohunice, 625 00
Fakultni nemocnice Hradec Kralove
Hradec Králové, 500 05
University Hospital Olomouc
Olomouc, 779 00
Fakultni Nemocnice Ostrava
Ostrava, 708 52
Sweden4 sites
Skanes universitetssjukhus
Lund, 221 85
Norrlands Universitetssjukhus
Umeå, 901 85
Akademiska Sjukhuset
Uppsala, 75185
Varberg Hospital
Varberg, 432 81
Argentina3 sites
Fundaleu
Buenos Aires, C1114AAN
Hospital Britanico de Buenos Aires
Buenos Aires, C1280AEB
Hospital Aleman
CABA, C1118AAT
Austria3 sites
LKH - Universitätsklinikum der PMU Salzburg
Salzburg, 05020
Klinik Ottakring
Vienna, 1160
Medical University Vienna MUV
Vienna, A-1090
Denmark3 sites
Aarhus University Hospital
Aarhus, 8200
Odense University Hospital
Odense C, 5000
Vejle Hospital
Vejle, 7100
Greece3 sites
251 Airforces Hospital
Athens, 115 25
Alexandra General Hospital of Athens
Athens, 115 28
Theageneio Cancer Hospital
Thessaloniki, 546 39
India3 sites
Fortis Memorial Research Institute
Gūrgaon, 122002
Sanjay Gandhi Postgraduate Institute of Medical Sciences
Lucknow, 226014
Deenanath Mangeshkar Hospital and Research Centre
Pune, 411004
Mexico3 sites
Centro de Quimioterapia e Investigacion
Guadalajara, 45645
Hematologica Alta Especialidad
Huixquilucan, 52787
Hospital Universitario Dr Jose Eleuterio Gonzalez
Monterrey, 64460
Saudi Arabia3 sites
King Abdullah International Medical Research Center (KAIMRC)
Riyadh, 11481
King Faisal Specialist Hospital & Research Center
Riyadh, 11564
King Fahad Medical City
Riyadh, 12231
About this study
Official title: 64407564MMY3009: A Phase 3 Randomized Study Comparing Talquetamab in Combination With Pomalidomide (Tal-P), Talquetamab in Combination With Teclistamab (Tal-Tec), and Investigator's Choice of Either Elotuzumab, Pomalidomide, and Dexamethasone (EPd) or Pom
The purpose of this study is to compare the effectiveness of either talquetamab plus pomalidomide (Tal-P) or talquetamab plus teclistamab (Tal-Tec) with elotuzumab, pomalidomide, and dexamethasone (EPd) or pomalidomide, bortezomib, and dexamethasone (PVd).
- Conditions
- Multiple Myeloma
- Being tested
- Talquetamab, Pomalidomide, Teclistamab, Elotuzumab, Dexamethasone
- Medical subject headings
- Multiple Myeloma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TalquetamabDrug
Also called JNJ-64407564, Talvey
Talquetamab will be administered as a SC injection.
PomalidomideDrug
Also called Pomalyst, Imnovid
Pomalidomide will be administered orally.
TeclistamabDrug
Also called JNJ-64007957, Tecvayli
Teclistamab will be administered as a SC injection.
ElotuzumabDrug
Also called Empliciti
Elotuzumab will be administered intravenously.
DexamethasoneDrug
Dexamethasone will be administered either orally or intravenously.
BortezomibDrug
Also called Velcade
Bortezomib will be administered as a SC injection.
| Study group | Role | What they receive |
|---|---|---|
| Arm A: Talquetamab + Pomalidomide (Tal-P) | Experimental | Participants will receive talquetamab as subcutaneous (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. Receives: Drug: Talquetamab; Drug: Pomalidomide; Drug: Dexamethasone |
| Arm B: Talquetamab + Teclistamab (Tal-Tec) | Experimental | Participants will receive teclistamab in combination with talquetamab both as SC injection; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug. Receives: Drug: Talquetamab; Drug: Teclistamab; Drug: Dexamethasone |
| Arm C: Elotuzumab+ Pomalidomide+Dexamethasone (EPd) or Pomalidomide+Bortezomib+Dexamethasone (PVd) | Active comparator | Participants will either receive elotuzumab intravenous (IV) injection in combination with pomalidomide and dexamethasone orally; or pomalidamide orally in combination with bortezomib SC injection and dexamethasone orally as per investigator choice. Dexamethasone will be administered as a pretreatment medication. Receives: Drug: Pomalidomide; Drug: Elotuzumab; Drug: Dexamethasone; Drug: Bortezomib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS)
PFS is defined as the duration from the date of randomization to either progressive disease or death, whichever comes first.
Measured: Up to 3 years 5 months
Secondary outcomes (21)
Overall Response Rate (ORR)
ORR is defined as the percentage of participants with best overall response of partial response (PR) or better according to international myeloma working group (IMWG) response criteria.
Measured: Up to 3 years 5 months
Complete Response (CR) or Better Rate
CR or better is defined as the percentage of participants with best overall response of CR or better according to IMWG response criteria.
Measured: Up to 3 years 5 months
Very Good Partial Response (VGPR) or Better Rate
VGPR or better is defined as the percentage of participants with best overall response of VGPR or better rate according to IMWG response criteria.
Measured: Up to 3 years 5 months
Minimal Residual Disease (MRD)-negative CR Rate
MRD-negative CR is defined as the percentage of participants who achieve both CR or better and MRD negativity at a threshold of 10^-5 at any timepoint after the date of randomization and before disease progression or start of subsequent antimyeloma therapy (SST).
Measured: Up to 3 years 5 months
Overall Survival (OS)
OS is defined as the time from randomization to the date of participant's death.
Measured: Up to 3 years 5 months
Progression Free Survival on Next-line Therapy (PFS2)
PFS2 is defined as time from randomization to progression on the next line of therapy or death, whichever comes first.
Measured: Up to 3 years 5 months
Time to Next Treatment (TTNT)
TTNT is defined as the time from randomization to the start of SST.
Measured: Up to 3 years 5 months
Serum Concentration of Talquetamab and Teclistamab
Serum concentration of talquetamab and teclistamab will be reported.
Measured: Up to 3 years 5 months
Number of Participants with Anti-drug Antibodies (ADAs) to Talquetamab and Teclistamab
Number of participants with ADAs to talquetamab and teclistamab will be reported.
Measured: Up to 3 years 5 months
Time to Sustained Worsening in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by Multiple Myeloma Symptom and Impact Questionnaire (MySIm-Q)
Time to sustained worsening in symptoms, functioning and HRQoL is defined as the interval from the date of randomization to the start date of meaningful change. The MySIm-Q is a disease-specific patient-reported outcome (PRO) assessment complementary to the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 item (EORTC-QLQ-C30). It includes 17 items resulting in a symptom subscale and an impact subscale.
Measured: Up to 3 years 5 months
Time to Sustained Worsening in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by EORTC-QLQ-C30
Time to sustained worsening in symptoms, functioning and HRQoL is defined as the interval from the date of randomization to the start date of meaningful change. EORTC-QLQ-C30 Version 3 includes 30 items that make up 5 functional scales (physical role, emotional, cognitive, and social), 1 global health status scale, 3 symptom scales (pain, fatigue, and nausea or vomiting), and 5 single symptom items (dyspnea, insomnia, appetite loss, constipation, and diarrhea) and a single impact item (financial difficulties). The recall period is 7 days ("past week"), and responses are reported using a verbal and numeric rating scales. The item and scale scores are transformed to a 0 to 100 scale. A high scale score represents a higher response level.
Measured: Up to 3 years 5 months
Time to Sustained Worsening in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by EuroQol Five Dimension Questionnaire 5-Level (EQ-5D-5L)
Time to sustained worsening in symptoms, functioning and HRQoL is defined as the interval from the date of randomization to the start date of meaningful change. The EQ-5D-5L is a 5-item questionnaire that assesses 5 domains including mobility, self-care, usual activities, pain or discomfort, and anxiety or depression plus a visual analog scale rating "health today" with anchors ranging from 0 (worst imaginable health state) to 100 (best imaginable health state).
Measured: Up to 3 years 5 months
Time to Sustained Worsening in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by Patient Global Impression -Severity (PGI-S)
Time to sustained worsening in symptoms, functioning and HRQoL is defined as the interval from the date of randomization to the start date of meaningful change. The PGI-S will be used as an anchor, external criterion, to determine meaningful change in scores for the MySIm-Q and EORTC-QLQ-C30 in this population. The response options are presented as a 5-point verbal rating scale from "none" to "very severe."
Measured: Up to 3 years 5 months
Time to Sustained Worsening in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by Epstein Taste Survey
Time to sustained worsening in symptoms, functioning and HRQoL is defined as the interval from the date of randomization to the start date of meaningful change. The epstein taste survey consists of 17 items from the full 71 item PRO instrument, specific to taste changes developed for use in patients with head and neck cancer as a composite of the Vanderbilt Head and Neck Symptom Survey.
Measured: Up to 3 years 5 months
Change from Baseline in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by MySIm-Q
Change from baseline in symptoms, functioning, and HRQoL as assessed by MySIm-Q will be reported. The MySIm-Q is a disease-specific patient-reported outcome (PRO) assessment complementary to the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 item (EORTC-QLQ-C30). It includes 17 items resulting in a symptom subscale and an impact subscale.
Measured: Up to 3 years 5 months
Change from Baseline in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by EORTC-QLQ-C30
Change from baseline in symptoms, functioning, and HRQoL as assessed by EORTC-QLQ-C30 will be reported. The EORTC-QLQ-C30 Version 3 includes 30 items that make up 5 functional scales (physical, role, emotional, cognitive, and social), 1 global health status scale, 3 symptom scales (pain, fatigue, and nausea or vomiting), and 5 single symptom items (dyspnea, insomnia, appetite loss, constipation, and diarrhea) and a single impact item (financial difficulties). The recall period is 7 days ("past week"), and responses are reported using a verbal and numeric rating scales. The item and scale scores are transformed to a 0 to 100 scale. A high scale score represents a higher response level. Thus, a high score for a functional scale represents a high or healthy level of functioning and a high score for the global health status represents high HRQoL, but a high score for a symptom scale or item represents a high level of symptomatology or problems.
Measured: Up to 3 years 5 months
Change from Baseline in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by EQ-5D-5L
Change from baseline in symptoms, functioning, and HRQoL as assessed by EQ-5D-5L will be reported. The EQ-5D-5L is a 5-item questionnaire that assesses 5 domains including mobility, self-care, usual activities, pain or discomfort, and anxiety or depression plus a visual analog scale rating "health today" with anchors ranging from 0 (worst imaginable health state) to 100 (best imaginable health state).
Measured: Up to 3 years 5 months
Change from Baseline in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by PGI-S
Change from baseline in symptoms, functioning, and HRQoL as assessed by PGI-S will be reported. The PGI-S will be used as an anchor, external criterion, to determine meaningful change in scores for the MySIm-Q and EORTC-QLQ-C30 in this population. The response options are presented as a 5-point verbal rating scale from "none" to "very severe."
Measured: Up to 3 years 5 months
Change from Baseline in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by Epstein Taste Survey
Change from baseline in symptoms, functioning, and HRQoL as assessed by epstein taste survey will be reported. The epstein taste survey consists of 17 items from the full 71 item PRO instrument, specific to taste changes. developed for use in patients with head and neck cancer as a composite of the Vanderbilt Head and Neck Symptom Survey.
Measured: Up to 3 years 5 months
Percentage of Participants With Meaningful Improvement in HRQoL as Assessed by EORTC-QLQ-C30
Percentage of participants with meaningful improvement in HRQol as assessed by EORTC-QLQ-C30 will be reported. The EORTC-QLQ-C30 Version 3 includes 30 items that make up 5 functional scales (physical, role, emotional, cognitive, and social), 1 global health status scale, 3 symptom scales (pain, fatigue, and nausea or vomiting), and 5 single symptom items (dyspnea, insomnia, appetite loss, constipation, and diarrhea) and a single impact item (financial difficulties). The recall period is 7 days ("past week"), and responses are reported using a verbal and numeric rating scales. The item and scale scores are transformed to a 0 to 100 scale. A high scale score represents a higher response level. Thus, a high score for a functional scale represents a high or healthy level of functioning and a high score for the global health status represents high HRQoL, but a high score for a symptom scale or item represents a high level of symptomatology or problems.
Measured: Up to 3 years 5 months
Number of Participants with Adverse Events (AEs) by Severity
An AE is any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non investigational) product. An AE does not necessarily have a causal relationship with the treatment. Severity of AEs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0. by using standard grades as follows: Grade 1: Mild; asymptomatic or mild symptoms; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; Grade 3: Severe but not immediately life threatening; hospitalization or prolongation of hospitalization indicated; Grade 4: Life-threatening consequences; and Grade 5: Death related to AE.
Measured: Up to 3 years 5 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jan 2024
- Study start22 Jan 2024
- Primary completion1 Apr 2026
- Study completion31 Mar 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple MyelomaStudies of the same condition, open and under way.
- More trials run by Janssen Research & Development, LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 838 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Research & Development, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Research & Development, LLC Clinical Trial, Study director, Janssen Research & Development, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06208150
- Sponsor's protocol ID
- 64407564MMY3009
- Other IDs
- 64407564MMY3009, 2022-502446-27-00
- Acronym
- MonumenTAL-6
- Status last verified
- Nov 2026
- First submitted
- 5 Jan 2024
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 64407564MMY3009: A Phase 3 Randomized Study Comparing Talquetamab in Combination With Pomalidomide (Tal-P), Talquetamab in Combination With Teclistamab (Tal-Tec), and Investigator's Choice of Either Elotuzumab, Pomalidomide, and Dexamethasone (EPd) or Pom
- ClinicalTrials.gov ID
- NCT06208150
- Acronym / sponsor ID
- MonumenTAL-6 / 64407564MMY3009
- Conditions
- Multiple Myeloma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 838 participants (actual)
- Lead sponsor
- Janssen Research & Development, LLCIndustry (pharma, biotech, devices)
- Study start
- 22 Jan 2024 (actual)
- Primary completion
- 1 Apr 2026 (actual)
- Study completion
- 31 Mar 2028 (estimated)
- First posted
- 17 Jan 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare the effectiveness of either talquetamab plus pomalidomide (Tal-P) or talquetamab plus teclistamab (Tal-Tec) with elotuzumab, pomalidomide, and dexamethasone (EPd) or pomalidomide, bortezomib, and dexamethasone (PVd).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm A: Talquetamab + Pomalidomide (Tal-P) | Experimental | Drug: Talquetamab, Drug: Pomalidomide, Drug: DexamethasoneParticipants will receive talquetamab as subcutaneous (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. |
| Arm B: Talquetamab + Teclistamab (Tal-Tec) | Experimental | Drug: Talquetamab, Drug: Teclistamab, Drug: DexamethasoneParticipants will receive teclistamab in combination with talquetamab both as SC injection; dexamethasone may be given orally or intravenously as a pretreatment medication and study drug. |
| Arm C: Elotuzumab+ Pomalidomide+Dexamethasone (EPd) or Pomalidomide+Bortezomib+Dexamethasone (PVd) | Active comparator | Drug: Pomalidomide, Drug: Elotuzumab, Drug: Dexamethasone, Drug: BortezomibParticipants will either receive elotuzumab intravenous (IV) injection in combination with pomalidomide and dexamethasone orally; or pomalidamide orally in combination with bortezomib SC injection and dexamethasone orally as per investigator choice. Dexamethasone will be administered as a pretreatment medication. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Documented multiple myeloma as defined by the criteria below: (a) multiple myeloma diagnosis according to the international myeloma working group (IMWG) diagnostic criteria (b) measurable disease at screening as assessed by central laboratory, defined by any of the following: (i) serum M-protein level greater than or equal to (>=) 0.5 gram per deciliter (g/dL); or (ii) urine M-protein level >= 200 milligram (mg) per 24 hours; or (iii) light chain multiple myeloma without measurable M-protein in the serum or the urine: serum immunoglobulin (Ig) free light chain (FLC) >= 10 milligrams per deciliter (mg/dL) and abnormal serum Ig kappa lambda FLC ratio
- Relapsed or refractory disease as defined below: a) Relapsed disease is defined as an initial response to prior treatment, followed by confirmed progressive disease (PD) by IMWG criteria greater than (>) 60 days after cessation of treatment. b) Refractory disease is defined as less than (<) 25 percent (%) reduction in M-protein or confirmed PD by IMWG criteria during previous treatment or less than or equal to (<=) 60 days after cessation of treatment
- Documented evidence of PD or failure to achieve a minimal response to the last line of therapy 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 immediately prior to the start of administration of study treatment
- A participant must agree not to be pregnant, breastfeeding, or planning to become pregnant while enrolled in this study or within 6 months after the last dose of study treatment
Key exclusion criteria (5 listed)
- Contraindications or life-threatening allergies, hypersensitivity, or intolerance to any study drug or its excipients
- Stroke, transient ischemic attack, or seizure within 6 months prior to signing informed consent form (ICF)
- Major surgery or had significant traumatic injury within 2 weeks prior to the start of administration of study treatment, or will not have fully recovered from surgery, or has major surgery planned during the time the participant is expected to be treated in the study or within 2 weeks after administration of the last dose of study treatment
- A maximum cumulative dose of corticosteroids of >=140 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TalquetamabAlso: JNJ-64407564, TalveyTalquetamab will be administered as a SC injection. | Drug | Arm A: Talquetamab + Pomalidomide (Tal-P), Arm B: Talquetamab + Teclistamab (Tal-Tec) |
| PomalidomideAlso: Pomalyst, ImnovidPomalidomide will be administered orally. | Drug | Arm A: Talquetamab + Pomalidomide (Tal-P), Arm C: Elotuzumab+ Pomalidomide+Dexamethasone (EPd) or Pomalidomide+Bortezomib+Dexamethasone (PVd) |
| TeclistamabAlso: JNJ-64007957, TecvayliTeclistamab will be administered as a SC injection. | Drug | Arm B: Talquetamab + Teclistamab (Tal-Tec) |
| ElotuzumabAlso: EmplicitiElotuzumab will be administered intravenously. | Drug | Arm C: Elotuzumab+ Pomalidomide+Dexamethasone (EPd) or Pomalidomide+Bortezomib+Dexamethasone (PVd) |
| DexamethasoneDexamethasone will be administered either orally or intravenously. | Drug | Arm A: Talquetamab + Pomalidomide (Tal-P), Arm B: Talquetamab + Teclistamab (Tal-Tec), Arm C: Elotuzumab+ Pomalidomide+Dexamethasone (EPd) or Pomalidomide+Bortezomib+Dexamethasone (PVd) |
| BortezomibAlso: VelcadeBortezomib will be administered as a SC injection. | Drug | Arm C: Elotuzumab+ Pomalidomide+Dexamethasone (EPd) or Pomalidomide+Bortezomib+Dexamethasone (PVd) |
Primary outcome
Progression Free Survival (PFS)
Time frame: Up to 3 years 5 months
PFS is defined as the duration from the date of randomization to either progressive disease or death, whichever comes first.
21 secondary outcomes
Overall Response Rate (ORR)
Time frame: Up to 3 years 5 months
Complete Response (CR) or Better Rate
Time frame: Up to 3 years 5 months
Very Good Partial Response (VGPR) or Better Rate
Time frame: Up to 3 years 5 months
Minimal Residual Disease (MRD)-negative CR Rate
Time frame: Up to 3 years 5 months
Overall Survival (OS)
Time frame: Up to 3 years 5 months
Progression Free Survival on Next-line Therapy (PFS2)
Time frame: Up to 3 years 5 months
Time to Next Treatment (TTNT)
Time frame: Up to 3 years 5 months
Serum Concentration of Talquetamab and Teclistamab
Time frame: Up to 3 years 5 months
Number of Participants with Anti-drug Antibodies (ADAs) to Talquetamab and Teclistamab
Time frame: Up to 3 years 5 months
Time to Sustained Worsening in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by Multiple Myeloma Symptom and Impact Questionnaire (MySIm-Q)
Time frame: Up to 3 years 5 months
Time to Sustained Worsening in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by EORTC-QLQ-C30
Time frame: Up to 3 years 5 months
Time to Sustained Worsening in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by EuroQol Five Dimension Questionnaire 5-Level (EQ-5D-5L)
Time frame: Up to 3 years 5 months
Time to Sustained Worsening in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by Patient Global Impression -Severity (PGI-S)
Time frame: Up to 3 years 5 months
Time to Sustained Worsening in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by Epstein Taste Survey
Time frame: Up to 3 years 5 months
Change from Baseline in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by MySIm-Q
Time frame: Up to 3 years 5 months
Change from Baseline in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by EORTC-QLQ-C30
Time frame: Up to 3 years 5 months
Change from Baseline in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by EQ-5D-5L
Time frame: Up to 3 years 5 months
Change from Baseline in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by PGI-S
Time frame: Up to 3 years 5 months
Change from Baseline in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by Epstein Taste Survey
Time frame: Up to 3 years 5 months
Percentage of Participants With Meaningful Improvement in HRQoL as Assessed by EORTC-QLQ-C30
Time frame: Up to 3 years 5 months
Number of Participants with Adverse Events (AEs) by Severity
Time frame: Up to 3 years 5 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- Individual participant dataSharing planned: Yes. The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Janssen Research & Development, LLC Clinical Trial study director
Janssen Research & Development, LLC
242 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Talquetamab, Pomalidomide and Teclistamab in people with Multiple Myeloma, run by Janssen Research & Development, LLC at 242 sites in 27 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 242 sites in United States, China, Japan, Spain, Brazil and 22 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression Free Survival (PFS) (time frame: Up to 3 years 5 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.