Multiple MyelomaPhase 3TRIlogy-4NCT07258511
A Study Comparing JNJ-79635322 and an Anti-B-cell Maturation Antigen (BCMA)xCD3 Bispecific Antibody in Participants With Relapsed or Refractory Multiple Myeloma
A Phase 3 study testing JNJ-79635322 and Teclistamab in people with Multiple Myeloma, run by Janssen Research & Development, LLC at 150 sites in 15 countries.
Trial summary
The purpose of this study is to evaluate how well JNJ-79635322 works when compared with an anti-B-cell maturation antigen (BCMA)xCD3 bispecific antibody. 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?
- JNJ-79635322 and Teclistamab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 400 participants
- Where
- 150 sitesin 15 countries
- Study dates
- 4 Feb 2026to 30 Sep 2031
- 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 diagnosis of multiple myeloma (MM) as defined by the criteria below:
- MM diagnosis according to the international myeloma working group (IMWG) diagnostic criteria
- Measurable disease at screening as assessed by central laboratory
- Received at least 3 prior lines of antimyeloma therapy including a proteasome inhibitor (PI), an immunomodulatory drug (IMiD), and an anti-cluster of differentiation (CD)38 antibody
- Documented evidence of progressive disease (PD) or failure to achieve a response to the last line of therapy based on investigator's determination of response by IMWG criteria
- Toxicity related to previous anticancer therapy must have resolved to Grade 1 or better
- Have an eastern cooperative oncology group (ECOG) performance status of 0 to 2 at screening and immediately before the start of study treatment administration
Who cannot join
- Active hepatitis of infectious origin
- Known active or prior central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of MM
- Suspected or known allergies, hypersensitivity, or intolerance to the excipients of JNJ-79635322 and Teclistamab
- Major surgery, (example, requiring general anesthesia) within 2 weeks before first dose, or will not have fully recovered from surgery, or has surgery planned during the time the participant is expected to participate in the study
- Received or plans to receive any live, attenuated vaccine within 4 weeks before the first dose of study treatment, or during study treatment
Trial locations and contacts
150 sites in 15 countries. Contact the study team or a site near you to ask about taking part.
150 sites in 15 countries
United States42 sites, 42 recruiting
- Recruiting
Emory University
Atlanta, Georgia, 30322
- Recruiting
St. David's South Austin Medical Center
Austin, Texas, 78704
- Recruiting
University of Maryland School of Medicine
Baltimore, Maryland, 21201
- Recruiting
Dana Farber Cancer Institute
Boston, Massachusetts, 02115
- Recruiting
Boston University Medical Center
Boston, Massachusetts, 02118
- Recruiting
Mount Sinai Brooklyn
Brooklyn, New York, 11234
- Recruiting
University of North Carolina
Chapel Hill, North Carolina, 27514
- Recruiting
Baylor University Medical Center
Dallas, Texas, 75246
- Recruiting
UT Southwestern Medical Center
Dallas, Texas, 75390
- Recruiting
Colorado Blood Cancer Institute
Denver, Colorado, 80218
- Recruiting
City of Hope Duarte
Duarte, California, 91010
- Recruiting
Durham VAMC
Durham, North Carolina, 27705
- Recruiting
University of Connecticut Health Center
Farmington, Connecticut, 06030
- Recruiting
Florida Cancer Specialists & Research Institute
Fort Myers, Florida, 33901
- Recruiting
MD Anderson Cancer Center
Houston, Texas, 77030
- Recruiting
University of Iowa Hospital and Clinics
Iowa City, Iowa, 52242
- Recruiting
City of Hope Orange County Lennar Foundation Cancer Center
Irvine, California, 92618
- Recruiting
Mayo Clinic Jacksonville
Jacksonville, Florida, 32224
- Recruiting
University of Kansas Cancer Center
Kansas City, Kansas, 66160
- Recruiting
UAMS
Little Rock, Arkansas, 72205
- Recruiting
USC Norris Comprehensive Cancer Center
Los Angeles, California, 90033
- Recruiting
Norton Cancer Institute
Louisville, Kentucky, 40207
- Recruiting
Medical College Of Wisconsin
Milwaukee, Wisconsin, 53226
- Recruiting
NYU Winthrop
Mineola, New York, 11501
- Recruiting
SCRI Oncology Partners
Nashville, Tennessee, 37203
- Recruiting
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
- Recruiting
Yale Cancer Center
New Haven, Connecticut, 06510
- Recruiting
Mount Sinai Chelsea
New York, New York, 10011
- Recruiting
Laura and Isaac Perlmutter Cancer Center NYU ACC
New York, New York, 10016
- Recruiting
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
- Recruiting
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
- Recruiting
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107
- Recruiting
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
- Recruiting
Mayo Clinic Phoenix
Phoenix, Arizona, 85054
- Recruiting
Oregon Health And Science University
Portland, Oregon, 97239
- Recruiting
Mayo Clinic Rochester
Rochester, Minnesota, 55905
- Recruiting
Huntsman Cancer Institute
Salt Lake City, Utah, 84112
- Recruiting
Texas Transplant Institute
San Antonio, Texas, 78229
- Recruiting
University of California San Francisco
San Francisco, California, 94122
- Recruiting
Moffit Cancer center
Tampa, Florida, 33612
- Recruiting
Mission Cancer Blood
Waukee, Iowa, 50263
- Recruiting
City of Hope Chicago
Zion, Illinois, 60099
Brazil11 sites, 11 recruiting
- Recruiting
Hospital das Clinicas da Universidade Estadual de Campinas UNICAMP
Campinas, 13083-888
- Recruiting
Fundacao Universidade de Caxias do Sul
Caxias do Sul, 95070 560
- Recruiting
Hospital Erasto Gaertner- Liga Paranaense de Combate ao Cancer
Curitiba, 81520-060
- Recruiting
Grupo ELORA Centro de Pesquisa e Ensino em Saude de Santa Catarina
Florianópolis, 88020 210
- Recruiting
Instituto de Educacao, Pesquisa e Gestao em Saude Instituto Americas (COI)
Rio de Janeiro, 22775 001
- Recruiting
IDOR - Regional Bahia
Salvador, 41253-190
- Recruiting
Funfarme Sjrp
São José do Rio Preto, 15090-000
- Recruiting
IDOR - Regional Sao Paulo
São Paulo, 01401 002
- Recruiting
Fundacao Antonio Prudente A C Camargo Cancer Center
São Paulo, 01509 900
- Recruiting
Clinica Medica Sao Germano LTDA
São Paulo, 04537 081
- Recruiting
Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein
São Paulo, 05652 900
China11 sites, 11 recruiting
- Recruiting
Peking University First Hospital
Beijing, 100034
- Recruiting
Peking University People's Hospital
Beijing, 100044
- Recruiting
Sichuan Provincial Peoples Hospital
Chengdu, 610032
- Recruiting
Sun Yat Sen University Cancer Center
Guangzhou, 510060
- Recruiting
First affiliated Hospital of Zhejiang University
Hangzhou, 310003
- Recruiting
Nanjing Drum Tower Hospital
Nanjing, 210008
- Recruiting
The First Affiliated Hospital of Guangxi Medical University
Nanning, 530021
- Recruiting
Shanghai Fourth People s Hospital
Shanghai, 200434
- Recruiting
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, 325000
- Recruiting
Wuhan Tongji Hospital Tongji Medical College
Wuhan, 430032
- Recruiting
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an, 710006
Italy11 sites, 11 recruiting
- Recruiting
A.O.U. SS. Antonio e Biagio e Cesare Arrigo
Alessandria, 15121
- Recruiting
Spedali Civili di Brescia
Brescia, 25123
- Recruiting
Fondazione IRCCS Ca Granda Ospedale Policlinico Di Milano
Milan, 20122
- Recruiting
Ospedale Santa Chiara AO Universitaria Pisana
Pisa, 56126
- Recruiting
Arcispedale Santa Maria Nuova - IRCCS
Reggio Emilia, 42123
- Recruiting
Campus Bio Medico di Roma
Roma, 00128
- Recruiting
Fondazione Policlinico Universitario A Gemelli IRCCS
Roma, 00168
- Recruiting
Humanitas Hospital
Rozzano, 20089
- Recruiting
Casa Sollievo Della Sofferenza IRCCS
San Giovanni Rotondo, 71013
- Recruiting
A.O.U. Citta della Salute e della Scienza di Torino - Presidio Molinette
Turin, 10126
- Recruiting
U.O. Ematologia Ospedale San Bortolo
Vicenza, 36100
France10 sites, 10 recruiting
- Recruiting
CHRU de Lille Hopital Claude Huriez
Lille, 59000
- Recruiting
Hospices Civils de Lyon HCL
Lyon, 69002
- Recruiting
Centre Hospitalier Universitaire de Nancy - Hôpital Central
Nancy, 54000
- Recruiting
Hotel Dieu CHU de Nantes
Nantes, 44000
- Recruiting
Hopital Saint Louis APHP
Paris, 75010
- Recruiting
APHP
Paris, 75012
- Recruiting
CHU de Bordeaux - Hospital Haut-Leveque
Pessac, 33600
- Recruiting
CHU De Poitiers
Poitiers, 86021
- Recruiting
CHU Toulouse
Toulouse, 31300
- Recruiting
CHRU de Tours
Tours, 37000
Spain9 sites, 9 recruiting
- Recruiting
Hosp. Univ. Germans Trias I Pujol
Badalona, 08916
- Recruiting
H. Vall D'Hebron
Barcelona, 08035
- Recruiting
Hosp. Clinic de Barcelona
Barcelona, 08036
- Recruiting
Hosp. Univ. Virgen de Las Nieves
Granada, 18014
- Recruiting
Hosp. Univ. 12 de Octubre
Madrid, 28041
- Recruiting
Hosp. Quiron Madrid Pozuelo
Pozuelo de Alarcón, 28223
- Recruiting
Hosp Clinico Univ de Salamanca
Salamanca, 37007
- Recruiting
Hosp de Galdakao
Usansolo, 48960
- Recruiting
Hosp. Univ. I Politecni La Fe
Valencia, 46026
Australia8 sites, 8 recruiting
- Recruiting
Box Hill Hospital
Box Hill, 3128
- Recruiting
Mater Misericordiae Ltd
Brisbane, 4101
- Recruiting
Monash Medical Centre
Clayton, 3168
- Recruiting
St Vincents Hospital Melbourne
Fitzroy, 3065
- Recruiting
The Alfred Hospital
Melbourne, 3004
- Recruiting
Fiona Stanley Hospital
Murdoch, 6150
- Recruiting
Sir Charles Gairdner Hospital
Nedlands, 6009
- Recruiting
Gold Coast University Hospital
Southport, 4215
Israel8 sites, 8 recruiting
- Recruiting
Soroka Medical Center
Beersheba, 8457108
- Recruiting
Bnai Zion Medical Center
Haifa, 31048
- Recruiting
Rambam Medical Center
Haifa, 3109601
- Recruiting
Carmel Medical Center
Haifa, 34362
- Recruiting
Shaare Zedek MC
Jerusalem, 9103102
- Recruiting
Sheba Medical Center
Ramat Gan, 52621
- Recruiting
Baruch Padeh MC
Ramat Poriya, 1520800
- Recruiting
Assuta MC
Tel Aviv, 69710
Japan8 sites, 8 recruiting
- Recruiting
Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital
Bunkyō City, 113 8677
- Recruiting
Chiba Cancer Center
Chiba, 260 0801
- Recruiting
Shonan Kamakura General Hospital
Kamakura-shi, 247-8533
- Recruiting
Kameda Medical Center
Kamogawa, 296-8602
- Recruiting
Yamanashi Prefectural Central Hospital
Kofu, 400-0027
- Recruiting
The Jikei University Hospital
Minato, 105-8471
- Recruiting
Japanese Red Cross Medical Center
Shibuya City, 150-8935
- Recruiting
Kanagawa Cancer Center
Yokohama, 241 8515
Canada7 sites, 7 recruiting
- Recruiting
Arthur J E Child Comprehensive Cancer Centre
Calgary, Alberta, T2N 4N1
- Recruiting
Queen Elizabeth II Health Sciences Centre
Halifax, Nova Scotia, B3H 3A7
- Recruiting
Juravinski Cancer Centre
Hamilton, Ontario, L8V5C2
- Recruiting
London Health Sciences Centre
London, Ontario, N6A 5W9
- Recruiting
CIUSSS de l Est de l Ile de Montreal Installation Hopital Maisonneuve Rosemont
Montreal, Quebec, H1T 2M4
- Recruiting
University Health Network UHN Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
- Recruiting
British Columbia Cancer Agency
Vancouver, British Columbia, V5Z4E6
United Kingdom7 sites, 7 recruiting
- Recruiting
Kent and Canterbury Hospital
Canterbury, CT1 3NG
- Recruiting
Cardiff and Vale UHB - University Hospital of Wales
Cardiff, CF14 4XW
- Recruiting
Ninewells Hospital & Medical School
Dundee, DD1 9SY
- Recruiting
University College London Hospitals
London, NW1 2PG
- Recruiting
Nottingham City Hospital
Nottingham, NG5 1PB
- Recruiting
Queen Alexandra Hospital
Portsmouth, PO6 3LY
- Recruiting
Royal Marsden Hospital
Sutton, SM2 5PT
Netherlands6 sites, 6 recruiting
- Recruiting
VU Medisch Centrum
Amsterdam, 1081 HV
- Recruiting
Universitair Medisch Centrum Groningen
Groningen, 9713 GZ
- Recruiting
St. Antonius Ziekenhuis Nieuwegein
Nieuwegein, 3435 CM
- Recruiting
Radboud Umcn
Nijmegen, 6525 GA
- Recruiting
Erasmus MC
Rotterdam, 3015
- Recruiting
Haga ziekenhuis
The Hague, 2545 AA
Germany4 sites, 4 recruiting
- Recruiting
Marien Hospital Dusseldorf
Düsseldorf, 40479
- Recruiting
Universitaetsklinikum Heidelberg
Heidelberg, 69120
- Recruiting
Universitatsklinikum Jena
Jena, 07747
- Recruiting
Universitaetsklinikum Wuerzburg
Würzburg, 97080
Greece4 sites, 4 recruiting
- Recruiting
Evangelismos S A
Athens, 106 76
- Recruiting
Alexandra General Hospital of Athens
Athens, 11528
- Recruiting
Theageneio Cancer Hospital
Thessaloniki, 546 39
- Recruiting
Geniko Nosokomeio Thessalonikis George Papanikolaou
Thessaloniki, 570 10
Norway4 sites, 4 recruiting
- Recruiting
Akershus Universitetssykehus
Lorenskog, 1478
- Recruiting
Oslo University Hospital HF Ulleval sykehus
Oslo, 0450
- Recruiting
Stavanger University Hospital Ullandhaug
Stavanger, 4021
- Recruiting
St. Olavs Hospital
Trondheim, 7030
About this study
Official title: A Phase 3 Randomized Study Comparing JNJ-79635322 and an Anti-BCMAxCD3 Bispecific Antibody in Participants With Relapsed or Refractory Multiple Myeloma Who Have Received at Least 3 Prior Lines of Therapy Including a PI, an IMiD, and an Anti CD38 Antibody
The purpose of this study is to evaluate how well JNJ-79635322 works when compared with an anti-B-cell maturation antigen (BCMA)xCD3 bispecific antibody.
- Conditions
- Multiple Myeloma
- Being tested
- JNJ-79635322, Teclistamab
- Medical subject headings
- Multiple Myeloma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
JNJ-79635322Drug
JNJ-79635322 will be administered as SC injection.
TeclistamabDrug
Teclistamab will be administered as SC injection.
| Study group | Role | What they receive |
|---|---|---|
| JNJ-79635322 | Experimental | Participants will receive subcutaneous (SC) dose of JNJ-79635322 until progressive disease (PD) or intolerable toxicity. Receives: Drug: JNJ-79635322 |
| Anti BCMAxCD3 Bispecific Antibody | Active comparator | Participants will receive teclistamab (an Anti BCMAxCD3 bispecific anitbody) as a SC injection until PD or intolerable toxicity. Receives: Drug: Teclistamab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Response
Overall response is defined as having achieved partial response (PR) or better, according to the international myeloma working group (IMWG) response criteria, as assessed any time after first administration of study treatment, but prior to progression of disease (PD) or subsequent antimyeloma therapy.
Measured: Up to 5 years and 7 months
Progression-Free Survival (PFS)
PFS is defined as the duration from the date of randomization to either progressive disease (PD) or death, whichever comes first. Disease progression will be determined according to the IMWG response criteria.
Measured: Up to 5 years and 7 months
Secondary outcomes (24)
Very Good Partial Response (VGPR) or Better
VGPR or better is defined as achieving VGPR, complete response (CR), or stringent complete response (sCR) in accordance with the IMWG criteria during or after the study treatment but prior to subsequent antimyeloma therapy.
Measured: Up to 5 years and 7 months
Complete Response (CR) or Better
CR or better is defined as achieving CR or sCR in accordance with the IMWG criteria during or after the study treatment but prior to subsequent antimyeloma therapy.
Measured: Up to 5 years and 7 months
Duration of Response (DoR)
DoR is defined as the time interval between the date of initial documentation of a response (partial response [PR] or better) to the date of first documented evidence of progressive disease according to the IMWG response criteria or death due to any cause, whichever occurs first.
Measured: Up to 5 years and 7 months
Minimal Residual Disease (MRD)-negative CR
MRD-negative CR is defined as the participants who achieve MRD-negative status, as determined by next-generation flow cytometry (NGF), at any time point after the date of randomization and prior to PD or subsequent antimyeloma therapy. Additionally, participants must achieve CR or better, according to IMWG response criteria at any time from the date of randomization and within 3 months after achieving MRD negative status, prior to PD or subsequent antimyeloma therapy.
Measured: Up to 5 years and 7 months
MRD-Negative CR at 12 months
MRD-negative CR at 12 months is defined as the participants who achieve MRD-negative status at the analysis time window of 12 months (+/-3 months) from the date of randomization, as determined by NGF prior to PD or subsequent anti-myeloma therapy. Additionally, participants must also achieve CR or better, according to IMWG criteria at any time from the date of randomization up to and including 12 months (+/-3 months), prior to PD or subsequent antimyeloma therapy.
Measured: 12 months
Sustained MRD-negative CR
Sustained MRD-negative CR is defined as participants who achieve MRD-negative CR status, as determined by NGF, for at least 12 months without any examination showing MRD-positive status and prior to PD or subsequent anti-myeloma therapy.
Measured: Up to 5 years and 7 months
Progression-Free Survival on the First Subsequent Line of Antimyeloma Therapy (PFS2)
PFS2 is defined as the time interval between the date of randomization and date of event, which is defined as progressive disease as assessed by investigator on the first subsequent line of antimyeloma therapy, or death from any cause, whichever occurs first. Those who are alive and for whom a second disease progression has not been observed are censored at the last date of follow-up.
Measured: Up to 5 years and 7 months
Overall Survival (OS)
OS is defined as the time from the date of randomization to the date of the participant's death due to any cause.
Measured: Up to 5 years and 7 months
Time to Subsequent Anti-Myeloma Therapy
Time to subsequent anti-myeloma therapy is defined as the time from randomization to the start of subsequent antimyeloma treatment. Death due to progressive disease without the start of any subsequent antimyeloma therapy will be considered as an event.
Measured: Up to 5 years and 7 months
Number of Participants With Treatment-Emergent Adverse Events (TEAE) 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. Any new or worsening AE occurring at or after the initial administration of study treatment through the day of last dose plus 30 days or prior to the start of subsequent anticancer therapy, whichever is earlier, or any follow-up AE with onset date and time beyond 30 days after the last dose of study treatment but prior to the start of subsequent therapy or any AE that is considered treatment-related regardless of the start date of the event is considered to be treatment-emergent. TEAEs will be graded according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 6.0. Severity scale ranges from Grade 1= mild, Grade 2= moderate, Grade 3= severe, Grade 4= life-threatening, to Grade 5= death related to adverse event.
Measured: Up to 5 years and 7 months
Number of Participants with Abnormalities in Clinical Laboratories Results
Number of participants with abnormalities in clinical laboratories results (serum chemistry and hematology) will be reported.
Measured: Up to 5 years and 7 months
Change from Baseline in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by Multiple Myeloma Symptom and Impact Questionnaire (MySIm-Q) Score
Change from baseline in symptoms, functioning, and health-related quality of life (HRQoL) as assessed by multiple myeloma symptom and impact questionnaire (MySIm-Q) score will be reported. The MySIm-Q is a disease-specific patient-reported outcome (PRO) assessment with established content validity for participants with relapsed or refractory multiple myeloma (RRMM) and newly diagnosed MM.
Measured: Baseline up to 5 years and 7 months
Change from Baseline in Symptoms, Functioning, and HRQoL as Assessed by European Organization for Research and Treatment of Cancer Quality of life Questionnaire Core 30 (EORTC-QLQ-C30) Score
Change from baseline in symptoms, functioning, and HRQoL as assessed by european organization for research and treatment of cancer quality of life questionnaire core 30 (EORTC-QLQ-C30) score will be reported.
Measured: Baseline up to 5 years and 7 months
Change from Baseline in Symptoms, Functioning, and HRQoL as Assessed by European Quality of Life 5-Dimensions 5-Level Version (EQ-5D-5L) Score
The EQ-5D-5L is a generic measure of health status that contains 5-item questionnaire that assesses 5 domains (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). The scores for the 5 dimensions are used to compute a single utility score, ranging from zero (0.0) to 1 (1.0), representing the general health status of the individual.
Measured: Baseline up to 5 years and 7 months
Time to Worsening in Symptoms, Functioning, and HRQoL as Assessed by MySIm-Q Score
Time to worsening in symptoms, functioning, and HRQoL as assessed by MySIm-Q score will be reported. The MySIm-Q is a disease-specific PRO assessment with established content validity for participants with RRMM and newly diagnosed MM.
Measured: Up to 5 years and 7 months
Time to Worsening in Symptoms, Functioning, and HRQoL as Assessed by EORTC-QLQ-C30 Score
Time to worsening in symptoms, functioning, and HRQoL as assessed by EORTC-QLQ-C30 score will be reported.
Measured: Up to 5 years and 7 months
Time to Worsening in Symptoms, Functioning, and HRQoL as Assessed by EQ-5D-5L Score
The EQ-5D-5L is a generic measure of health status that contains 5-item questionnaire that assesses 5 domains (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). The scores for the 5 dimensions are used to compute a single utility score, ranging from zero (0.0) to 1 (1.0), representing the general health status of the individual.
Measured: Up to 5 years and 7 months
Percentage of Participants With Meaningful Improvement in Symptoms, Functioning, and HRQoL as Assessed by MySIm-Q Score
The MySIm-Q is a disease-specific PRO assessment with established content validity for participants with RRMM and newly diagnosed MM. It is included to be 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.
Measured: Up to 5 years and 7 months
Percentage of Participants With Meaningful Improvement in Symptoms, Functioning, and HRQoL as Assessed by EORTC-QLQ-C30 Score
Percentage of participants with meaningful improvement in symptoms, functioning, and HRQoL as assessed by EORTC-QLQ-C30 score will be reported.
Measured: Up to 5 years and 7 months
Percentage of Participants With Meaningful Improvement in Symptoms, Functioning, and HRQoL as Assessed by EQ-5D-5L Score
The EQ-5D-5L is a generic measure of health status that contains 5-item questionnaire that assesses 5 domains (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). The scores for the 5 dimensions are used to compute a single utility score, ranging from zero (0.0) to 1 (1.0), representing the general health status of the individual.
Measured: Up to 5 years and 7 months
Percentage of Participants With Side Effects Burden on the European Organization for Research and Treatment of Cancer Item List 46 (EORTC IL46)
Percentage of participants with side effects burden on the EORTC IL46 will be reported. The EORTC IL46 measures the global impression of burden due to treatment-related symptoms.
Measured: Up to 5 years and 7 months
Serum Concentrations for JNJ-79635322
Serum concentrations of JNJ-79635322 will be reported.
Measured: Up to 5 years and 7 months
Number of Participants With Anti-drug Antibodies (ADA) to JNJ-79635322
Serum samples will be analyzed for the detection of ADA to JNJ-79635322 using a validated assay method.
Measured: Up to 5 years and 7 months
Number of Participants With Neutralizing Antibodies (NAb) to JNJ-79635322
Number of participants who are ADA-positive will be assessed for the presence of NAbs.
Measured: Up to 5 years and 7 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Dec 2025
- Study start4 Feb 2026
- Primary completion12 Dec 2028 (estimated)
- Study completion30 Sep 2031 (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
- 400 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Janssen Research & Development, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07258511
- Sponsor's protocol ID
- 79635322MMY3001
- Other IDs
- 2025-522007-18-00, 2025
- Acronym
- TRIlogy-4
- Status last verified
- Sep 2026
- First submitted
- 21 Nov 2025
- Last updated
- 25 Sep 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 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 25 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized Study Comparing JNJ-79635322 and an Anti-BCMAxCD3 Bispecific Antibody in Participants With Relapsed or Refractory Multiple Myeloma Who Have Received at Least 3 Prior Lines of Therapy Including a PI, an IMiD, and an Anti CD38 Antibody
- ClinicalTrials.gov ID
- NCT07258511
- Acronym / sponsor ID
- TRIlogy-4 / 79635322MMY3001
- Conditions
- Multiple Myeloma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 400 participants (estimated)
- Lead sponsor
- Janssen Research & Development, LLCIndustry (pharma, biotech, devices)
- Study start
- 4 Feb 2026 (actual)
- Primary completion
- 12 Dec 2028 (estimated)
- Study completion
- 30 Sep 2031 (estimated)
- First posted
- 2 Dec 2025 (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 evaluate how well JNJ-79635322 works when compared with an anti-B-cell maturation antigen (BCMA)xCD3 bispecific antibody.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| JNJ-79635322 | Experimental | Drug: JNJ-79635322Participants will receive subcutaneous (SC) dose of JNJ-79635322 until progressive disease (PD) or intolerable toxicity. |
| Anti BCMAxCD3 Bispecific Antibody | Active comparator | Drug: TeclistamabParticipants will receive teclistamab (an Anti BCMAxCD3 bispecific anitbody) as a SC injection until PD or intolerable toxicity. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Documented diagnosis of multiple myeloma (MM) as defined by the criteria below:
- Received at least 3 prior lines of antimyeloma therapy including a proteasome inhibitor (PI), an immunomodulatory drug (IMiD), and an anti-cluster of differentiation (CD)38 antibody
- Documented evidence of progressive disease (PD) or failure to achieve a response to the last line of therapy based on investigator's determination of response by IMWG criteria
- Toxicity related to previous anticancer therapy must have resolved to Grade 1 or better
- Have an eastern cooperative oncology group (ECOG) performance status of 0 to 2 at screening and immediately before the start of study treatment administration
Key exclusion criteria (5 listed)
- Active hepatitis of infectious origin
- Known active or prior central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of MM
- Suspected or known allergies, hypersensitivity, or intolerance to the excipients of JNJ-79635322 and Teclistamab
- Major surgery, (example, requiring general anesthesia) within 2 weeks before first dose, or will not have fully recovered from surgery, or has surgery planned during the time the participant is expected to participate in the study
- Received or plans to receive any live, attenuated vaccine within 4 weeks before the first dose of study treatment, or during study treatment
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 |
|---|---|---|
| JNJ-79635322JNJ-79635322 will be administered as SC injection. | Drug | JNJ-79635322 |
| TeclistamabTeclistamab will be administered as SC injection. | Drug | Anti BCMAxCD3 Bispecific Antibody |
Primary outcome
Overall Response
Time frame: Up to 5 years and 7 months
Overall response is defined as having achieved partial response (PR) or better, according to the international myeloma working group (IMWG) response criteria, as assessed any time after first administration of study treatment, but prior to progression of disease (PD) or subsequent antimyeloma therapy.
Progression-Free Survival (PFS)
Time frame: Up to 5 years and 7 months
PFS is defined as the duration from the date of randomization to either progressive disease (PD) or death, whichever comes first. Disease progression will be determined according to the IMWG response criteria.
24 secondary outcomes
Very Good Partial Response (VGPR) or Better
Time frame: Up to 5 years and 7 months
Complete Response (CR) or Better
Time frame: Up to 5 years and 7 months
Duration of Response (DoR)
Time frame: Up to 5 years and 7 months
Minimal Residual Disease (MRD)-negative CR
Time frame: Up to 5 years and 7 months
MRD-Negative CR at 12 months
Time frame: 12 months
Sustained MRD-negative CR
Time frame: Up to 5 years and 7 months
Progression-Free Survival on the First Subsequent Line of Antimyeloma Therapy (PFS2)
Time frame: Up to 5 years and 7 months
Overall Survival (OS)
Time frame: Up to 5 years and 7 months
Time to Subsequent Anti-Myeloma Therapy
Time frame: Up to 5 years and 7 months
Number of Participants With Treatment-Emergent Adverse Events (TEAE) by Severity
Time frame: Up to 5 years and 7 months
Number of Participants with Abnormalities in Clinical Laboratories Results
Time frame: Up to 5 years and 7 months
Change from Baseline in Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by Multiple Myeloma Symptom and Impact Questionnaire (MySIm-Q) Score
Time frame: Baseline up to 5 years and 7 months
Change from Baseline in Symptoms, Functioning, and HRQoL as Assessed by European Organization for Research and Treatment of Cancer Quality of life Questionnaire Core 30 (EORTC-QLQ-C30) Score
Time frame: Baseline up to 5 years and 7 months
Change from Baseline in Symptoms, Functioning, and HRQoL as Assessed by European Quality of Life 5-Dimensions 5-Level Version (EQ-5D-5L) Score
Time frame: Baseline up to 5 years and 7 months
Time to Worsening in Symptoms, Functioning, and HRQoL as Assessed by MySIm-Q Score
Time frame: Up to 5 years and 7 months
Time to Worsening in Symptoms, Functioning, and HRQoL as Assessed by EORTC-QLQ-C30 Score
Time frame: Up to 5 years and 7 months
Time to Worsening in Symptoms, Functioning, and HRQoL as Assessed by EQ-5D-5L Score
Time frame: Up to 5 years and 7 months
Percentage of Participants With Meaningful Improvement in Symptoms, Functioning, and HRQoL as Assessed by MySIm-Q Score
Time frame: Up to 5 years and 7 months
Percentage of Participants With Meaningful Improvement in Symptoms, Functioning, and HRQoL as Assessed by EORTC-QLQ-C30 Score
Time frame: Up to 5 years and 7 months
Percentage of Participants With Meaningful Improvement in Symptoms, Functioning, and HRQoL as Assessed by EQ-5D-5L Score
Time frame: Up to 5 years and 7 months
Percentage of Participants With Side Effects Burden on the European Organization for Research and Treatment of Cancer Item List 46 (EORTC IL46)
Time frame: Up to 5 years and 7 months
Serum Concentrations for JNJ-79635322
Time frame: Up to 5 years and 7 months
Number of Participants With Anti-drug Antibodies (ADA) to JNJ-79635322
Time frame: Up to 5 years and 7 months
Number of Participants With Neutralizing Antibodies (NAb) to JNJ-79635322
Time frame: Up to 5 years and 7 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 25 Sep 2026.
- Individual participant dataSharing planned: Yes. The data sharing policy of Johnson \& Johnson Innovative Medicine is available at 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.
150 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing JNJ-79635322 and Teclistamab in people with Multiple Myeloma, run by Janssen Research & Development, LLC at 150 sites in 15 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 7 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: looking for participants now, as of the sponsor's last update on 25 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 150 sites in United States, Brazil, China, Italy, France and 10 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?
Contact Study Contact (844-434-4210, Participate-In-This-Study1@its.jnj.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Response (time frame: Up to 5 years and 7 months). The study lists 2 primary outcomes in all. 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 25 Sep 2026.