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Clinical Trial NCT04634552 (MonumenTAL-1) for Hematological Malignancies is recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here.
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A Study of Talquetamab in Participants With Relapsed or Refractory Multiple Myeloma (MonumenTAL-1) Phase 2 510

Recruiting
Clinical Trial NCT04634552 (MonumenTAL-1) is designed to study Treatment for Hematological Malignancies. It is a Phase 2 interventional study that is recruiting, having started on 1 February 2021, with plans to enroll 510 participants. Led by Janssen Research & Development, LLC, it is expected to complete by 30 March 2029. The latest data from ClinicalTrials.gov was last updated on 17 March 2026.
Brief Summary
The purpose of this study is to evaluate the efficacy and safety of talquetamab in participants with relapsed or refractory multiple myeloma at the recommended Phase 2 dose(s) (RP2Ds) (Part 3).
Official Title

A Phase 1/2, First-in-Human, Open-Label, Dose Escalation Study of Talquetamab, a Humanized GPRC5D x CD3 Bispecific Antibody, in Subjects With Relapsed or Refractory Multiple Myeloma

Conditions
Hematological Malignancies
Publications
Scientific articles and research papers published about this clinical trial:
Other Study IDs
  • MonumenTAL-1
  • CR108920
  • TALMMY1001-PT3 (Other Identifier) (Janssen Research & Development, LLC)
  • 2017-002400-26 (EudraCT Number)
  • 2023-504581-29-00 (Registry Identifier) (EUCT number)
NCT ID Number
Start Date (Actual)
2021-02-01
Last Update Posted
2026-03-17
Completion Date (Estimated)
2029-03-30
Enrollment (Estimated)
510
Study Type
Interventional
PHASE
Phase 2
Status
Recruiting
Keywords
Multiple Myeloma
Primary Purpose
Treatment
Design Allocation
Non-Randomized
Interventional Model
Parallel
Masking
None (Open Label)
Arms / Interventions
Participant Group/ArmIntervention/Treatment
ExperimentalPart 3: Cohort A (Talquetamab)
Cohort A will enroll participants with multiple myeloma who have previously received greater than or equal to (\>=) 3 prior lines of therapy and have not been exposed to T cell redirection therapies. Participants will receive talquetamab subcutaneously (SC) at a recommended Phase 2 dose (RP2D) selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. All participant...Show More
Talquetamab
Talquetamab will be administered SC until disease progression.
ExperimentalPart 3: Cohort B (Talquetamab)
Cohort B will enroll participants with multiple myeloma who have previously received \>= 3 prior lines of therapy and have been exposed to T cell redirection therapies. Participants will receive talquetamab subcutaneously (SC) at a recommended Phase 2 dose (RP2D) selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. All participants (ongoing and those who are in...Show More
Talquetamab
Talquetamab will be administered SC until disease progression.
ExperimentalPart 3: Cohort C (Talquetamab)
Cohort C will enroll participants with multiple myeloma who have previously received \>= 3 prior lines of therapy and have not been exposed to T cell redirection therapies. Participants will receive talquetamab SC biweekly at a RP2D selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. All participants (ongoing and those who are in follow-up) will transition to ...Show More
Talquetamab
Talquetamab will be administered SC until disease progression.
ExperimentalPart 3: Cohort D (Talquetamab)
Cohort D will enroll participants with multiple myeloma who have previously received \>= 3 prior lines of therapy. Participants will receive talquetamab SC biweekly at a RP2D selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. Participants in this cohort will receive tocilizumab prophylaxis for cytokine release syndrome (CRS) including all outpatient dosing. P...Show More
Talquetamab
Talquetamab will be administered SC until disease progression.
ExperimentalPart 3: Cohort E (Talquetamab)
Cohort E will enroll participants with multiple myeloma who have previously received at least 1 proteasome inhibitor (PI), 1 immunomodulatory imide drug (IMiD), and 1 anti-cluster of differentiation 38 (CD38) monoclonal antibody. Participants will receive talquetamab SC biweekly at a RP2D selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. Participants will r...Show More
Talquetamab
Talquetamab will be administered SC until disease progression.
Primary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Overall Response Rate (ORR)
ORR is defined as the proportion of participants who have a partial response (PR) or better according to the international myeloma working group (IMWG) criteria.
Up to 2 years and 10 months
Secondary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Duration of Response (DOR)
DOR is defined as time from date of initial documentation of a response (PR or better) to date of first documented evidence of progressive disease (PD), per IMWG criteria, or death due to PD, whichever occurs first.
Up to 2 years and 10 months
Very Good Partial Response (VGPR) or Better Rate
VGPR or better rate is defined as the percentage of patients who achieve a VGPR or better according to IMWG response criteria.
Up to 2 years and 10 months
Complete Response (CR) or Better Rate
CR or better rate is defined as the percentage of patients who achieve CR or better according to IMWG response criteria.
Up to 2 years and 10 months
Stringent Complete Response (sCR) Rate
sCR rate is defined as the percentage of patients who achieve sCR according to IMWG response criteria.
Up to 2 years and 10 months
Time to Response (TTR)
TTR is defined as the time between date of first dose of study drug and the first efficacy evaluation that the participant has met all criteria for PR or better.
Up to 2 years and 10 months
Progression-Free Survival (PFS)
PFS is defined as time from date of first dose of study drug to date of first documented PD, per IMWG criteria, or death due to any cause, whichever occurs first.
Up to 2 years and 10 months
Overall Survival (OS)
OS is defined as the time from the date of first dose of study drug to the date of the participant's death.
Up to 2 years and 10 months
Minimal Residual Disease (MRD) Negative Rate
MRD negativity rate is measured only for participants who achieve at least a CR but is reported based on all treated similar to the other response data.
Up to 2 years and 10 months
Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.
Up to 2 years and 10 months
Number of Participants with Serious Adverse Events (SAEs) as a Measure of Safety and Tolerability
An SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above.
Up to 2 years and 10 months
Number of Participants with AEs by Severity
Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE). Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening, and Grade 5= Death related to adverse event.
Up to 2 years and 10 months
Number of Participants with Abnormalities in Clinical Laboratory Values
Number of participants with abnormalities in clinical laboratory values (such as hematology, serum chemistry and coagulation) will be reported.
Up to 2 years and 10 months
Serum Concentration of Talquetamab
Serum samples will be analyzed to determine concentrations of talquetamab.
Up to 2 years and 10 months
Number of Participants with Talquetamab Antibodies
Antibodies to talquetamab will be assessed to evaluate potential immunogenicity.
Up to 2 years and 10 months
Change from Baseline in Health-Related Quality of Life (HRQoL) as Assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 item (EORTC QLQ-C30)
The EORTC- QLQ-Core-30 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/vomiting), and 6 single symptom items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). The recall period is 1 week ("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 higher score represents greater HRQoL, better functioning, and more (worse) symptoms.
Baseline up to 2 years and 10 months
Change from Baseline in HRQoL as Assessed by EuroQol Five Dimension Five Level Questionnaire (EQ-5D-5L)
The EQ-5D-5L is a generic measure of health status. 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" with anchors ranging from 0 (worst imaginable health state) to 100 (best imaginable health state). The scores for the 5 separate questions are categorical and cannot be analyzed as cardinal numbers.
Baseline up to 2 years and 10 months
Change from Baseline in HRQoL as Assessed by Patient Global Impression of Severity (PGIS)
The PGIS is a single item that assesses severity of the participant's health state, on a 5-point verbal rating scale. Score ranges from 1 (None) to 5 (Very Severe).
Baseline up to 2 years and 10 months
Overall Response Rate (ORR) in Participants with High-risk Molecular Features
ORR in participants with high risk is defined as the overall response rate among the high risk molecular subgroups or other high-risk molecular subtypes.
Up to 2 years and 10 months
Participation Assistant
Eligibility Criteria

Eligible Ages
Adult, Older Adult
Minimum Age
18 Years
Eligible Sexes
All
  • Documented initial diagnosis of multiple myeloma according to international myeloma working group (IMWG) diagnostic criteria
  • Part 3: Measurable disease cohort A, cohort B, cohort C and cohort D: multiple myeloma must be measurable by central laboratory assessment; Cohort E: Multiple myeloma must be measurable by local laboratory assessment
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2
  • Women of childbearing potential must have a negative pregnancy test at screening and prior to the first dose of study drug using a highly sensitive pregnancy test either serum (beta human chorionic gonadotropin \[hCG\]) or urine
  • Willing and able to adhere to the prohibitions and restrictions specified in this protocol

  • Part 3 only: Cohort A and Cohort C only: exposed to a CAR-T or T cell redirection therapy at any time. Cohort B, Cohort D and Cohort E: T cell redirection therapy within 3 months
  • Toxicities from previous anticancer therapies should have resolved to baseline levels or to Grade 1 or less except for alopecia or peripheral neuropathy
  • Received a cumulative dose of corticosteroids equivalent to >= 140 milligram (mg) of prednisone within the 14-day period before the first dose of study drug (does not include pretreatment medication)
  • Stroke or seizure within 6 months prior to signing the informed consent form (ICF)
Janssen Research & Development, LLC logoJanssen Research & Development, LLC
Study Central Contact
Contact: Study Contact, 844-434-4210, [email protected]
77 Study Locations in 11 Countries

Alabama

University of Alabama Birmingham, Birmingham, Alabama, 35294, United States
Recruiting

Arkansas

University of Arkansas for Medical Sciences, Little Rock, Arkansas, 72205, United States
Recruiting

California

City of Hope, Duarte, California, 91010, United States
Completed

Florida

Memorial Healthcare System, Hollywood, Florida, 33021, United States
Recruiting

Georgia

Emory University Winship Cancer Institute, Atlanta, Georgia, 30322, United States
Recruiting

Illinois

University of Chicago, Chicago, Illinois, 60637, United States
Recruiting

Kentucky

Norton Cancer Institute, Louisville, Kentucky, 40207, United States
Recruiting

Michigan

University of Michigan Health System, Ann Arbor, Michigan, 48109, United States
Recruiting

Missouri

Washington University School Of Medicine, St Louis, Missouri, 63110, United States
Recruiting

New York

NYU Langone Health, New York, New York, 10016, United States
Recruiting
Mount Sinai Medical Center, New York, New York, 10023, United States
Recruiting
University of Rochester Medical Center, Rochester, New York, 14642, United States
Recruiting

Oregon

Providence Portland Medical Center, Portland, Oregon, 97213, United States
Completed

Tennessee

Tennessee Oncology, Nashville, Tennessee, 37203, United States
Completed
UZ Antwerpen, Edegem, 2650, Belgium
Active, not recruiting
UZ Leuven, Leuven, 3000, Belgium
Active, not recruiting
CHU de Liège - Domaine Universitaire du Sart Tilman, Liège, 4000, Belgium
Recruiting
UCL - Saint Luc, Woluwe-Saint-Lambert, 1200, Belgium
Completed
Peking University Third Hospital, Beijing, 100191, China
Active, not recruiting
Sun Yat Sen University Cancer Center, Guangzhou, 510060, China
Active, not recruiting
The 1St Affiliated Hospital of Medical College Zhejiang University, Hangzhou, 310003, China
Active, not recruiting
First Affiliated Hospital SooChow University, Suzhou, 215006, China
Active, not recruiting
Institute of Hematology & Blood Disease Hospital Chinese Academy of Medical Science, Tianjin, 300320, China
Active, not recruiting
The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China
Completed
The First Affiliated Hospital of Xian Jiaotong University, Xi'an, 710063, China
Active, not recruiting
CHU Henri Mondor, Créteil, 94000, France
Recruiting
Hospices Civils de Lyon HCL, Lyon, 69002, France
Recruiting
CHU de Montpellier Hopital Saint Eloi, Montpellier, 34295, France
Recruiting
C.H.U. Hotel Dieu - France, Nantes, 44093, France
Recruiting
CHU de Bordeaux - Hospital Haut-Leveque, Pessac, 33604, France
Recruiting
Pôle IUC Oncopole CHU, Toulouse, 31059, France
Recruiting
Charite Campus Benjamin Franklin, Berlin, 12203, Germany
Active, not recruiting
Universitaetsklinikum Heidelberg, Heidelberg, 69120, Germany
Active, not recruiting
Universitaetsklinikum Muenster, Münster, 48149, Germany
Completed
Universitatsklinikum Wurzburg, Würzburg, 97080, Germany
Active, not recruiting
Rambam Medical Center, Haifa, 31096, Israel
Recruiting
Carmel Medical Center, Haifa, 3436212, Israel
Recruiting
Hadassah Medical Center, Jerusalem, 91120, Israel
Recruiting
Sheba Medical Center, Ramat Gan, 52621, Israel
Recruiting
Tel Aviv Sourasky Medical Center, Tel Aviv, 64239, Israel
Recruiting
Kameda Medical Center, Chiba, 296-8602, Japan
Active, not recruiting
Fukuoka University Hospital, Fukuoka, 814-0180, Japan
Active, not recruiting
Ogaki Municipal Hospital, Gifu, 503-8502, Japan
Active, not recruiting
Teine Keijinkai Hospital, Hokkaido, 006-8555, Japan
Completed
Kobe City Medical Center General Hospital, Kobe, 650 0047, Japan
Active, not recruiting
Dokkyo Medical University Saitama Medical Center, Koshigaya, 343-8555, Japan
Active, not recruiting
Kumamoto University Hospital, Kumamoto, 860-8556, Japan
Active, not recruiting
Kurashiki Central Hospital, Kurashiki, 710-8602, Japan
Active, not recruiting
National Hospital Organization Matsumoto Medical Center, Matsumoto, 399-8701, Japan
Active, not recruiting
National Hospital Organization Okayama Medical Center, Okayama, 701-1192, Japan
Active, not recruiting
Japanese Red Cross Osaka Hospital, Osaka, 543 8555, Japan
Active, not recruiting
National Hospital Organization Hiroshima-Nishi Medical Center, Ōtake, 739-0696, Japan
Active, not recruiting
Iwate Medical University Hospital, Shiwa-gun, 028-3695, Japan
Active, not recruiting
VU Medisch Centrum, Amsterdam, 1081 HV, Netherlands
Completed
UMCU, Utrecht, 3584 CX, Netherlands
Completed
Uniwersyteckie Centrum Kliniczne, Gdansk, 80 214, Poland
Active, not recruiting
Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut BadawczyOddz w Gliwicach, Gliwice, 44102, Poland
Completed
Uniwersytecki Szpital Kliniczny w Poznaniu, Poznan, 60-569, Poland
Active, not recruiting
Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy, Warsaw, 02-781, Poland
Completed
Uniwersytecki Szpital Kliniczny im Jana Mikulicza Radeckiego we Wroclawiu, Wroclaw, 50 367, Poland
Active, not recruiting
Chonnam National University Hwasun Hospital, Jeollanam-do, 58128, South Korea
Completed
Seoul National University Hospital, Seoul, 03080, South Korea
Completed
Severance Hospital Yonsei University Health System, Seoul, 03722, South Korea
Completed
Asan Medical Center, Seoul, 05505, South Korea
Completed
Samsung Medical Center, Seoul, 06351, South Korea
Completed
The Catholic University of Korea Seoul St Marys Hospital, Seoul, 06591, South Korea
Completed
Hosp. Univ. Germans Trias I Pujol, Badalona, 08916, Spain
Completed
Hosp Univ Vall D Hebron, Barcelona, 08035, Spain
Recruiting
Inst. Cat. Doncologia-H Duran I Reynals, Barcelona, 8908, Spain
Active, not recruiting
Hosp Univ Fund Jimenez Diaz, Madrid, 28040, Spain
Completed
Hosp. Univ. 12 de Octubre, Madrid, 28041, Spain
Active, not recruiting
Hosp. Univ. Virgen de La Arrixaca, Murcia, 30120, Spain
Active, not recruiting
Clinica Univ. de Navarra, Pamplona, 31008, Spain
Recruiting
Hosp. Quiron Madrid Pozuelo, Pozuelo de Alarcón, 28223, Spain
Active, not recruiting
Hosp Clinico Univ de Salamanca, Salamanca, 37007, Spain
Recruiting
Hosp. Univ. Marques de Valdecilla, Santander, 39008, Spain
Recruiting
Hosp. Virgen Del Rocio, Seville, 41013, Spain
Recruiting