talquetamab administration

The expedited approval process benefits all of us, myeloma patients, and all indications are that this newproduct will arrive into clinical practice in a few months. Number of Participants with anti-drug antibodies to teclistamab will be assessed. Teclistamab is a humanized IgG4PAA bispecific antibody designed to target B cell maturation antigen (BCMA) and the CD3 molecule found on T cells. Listing a study does not mean it has been evaluated by the U.S. Federal Government. IMBRUVICA was first approved by the U.S. Food and Drug Administration . The company and its researchers conclude that, Results from the study show heavily pretreated patients with multiple myeloma treated with the combination, including talquetamab at the recommended subcutaneous Phase 2 dose (RP2D) administered weekly (QW) or every two weeks (Q2W), achieved high rates of responses, including for patients refractory to anti-CD38 treatment.. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. All rights reserved. The agent targets the novel biomarker GPRC5D on multiple myeloma cells and CD3 on T-cells. Talquetamab. Genetic and Rare Diseases Information Center, U.S. Department of Health and Human Services. Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Starting from the thirteenth century Weienhorn was seat of a line from the aristocratic house of the Neuffen. Rate the pronunciation difficulty of talquetamab. Daratumumab will be administered by SC injection. Johnson and Johnson/Janssen (JNJ) is almost overwhelming us, myeloma patients, with results from a substantive number of human trials in myeloma patients. sCR rate is defined as the percentage of participants who achieve a sCR according to the IMWG criteria. Ks. VGPR or better response rate (sCR+CR+VGPR) is defined as the percentage of participants who achieve a VGPR or better response according to the IMWG criteria. Xerostomia Dry mouth. Number of participants with anti-drug antibodies to talquetamab will be assessed. Here are all the details of Weienhorn available below. The designation was awarded based on the positive safety and efficacy findings of a Phase 1/2 clinical trial involving adults with relapsed or refractory multiple myeloma (RRMM) who previously received at least four lines of therapy. The dose limiting toxicities are based on drug related adverse events and defined as any of the following events: hematological or non-hematological toxicity of grade 3 or higher. Talquetamab is an investigational, off-the-shelf, T-cell redirecting bispecific antibody. Talquetamab (JNJ-64407564) is a first-in-class, GPRC5D x CD3 bispecific IgG4 antibody that induces T cell-activated lysis of GPRC5D+ MM. Data showed that talquetamab helped kill cancer cells by targeting two specific proteins GPRC5D and CD3 at the same time. (a) For cohorts without daratumumab, prior lines of therapy must include a proteasome inhibitor (PI) (example, bortezomib, carfilzomib, ixazomib), an immunomodulatory drug (IMiD) (example, thalidomide, lenalidomide, pomalidomide), and an anti-CD38 therapy (example, daratumumab, isatuximab) in any order. Teclistamab was recently granted conditional approval in the EU for the treatment of adult patients with relapsed and refractory multiple myeloma who have received three or . Clinical Trial Information . . The FDA awards breakthrough therapy designation to accelerate the development of investigational treatments for serious or life-threatening conditions. 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, https://www.janssen.com/clinical-trials/transparency. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. 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, https://www.janssen.com/clinical-trials/transparency. Weienhorn was first mentioned in 1160 as villa Wizzenhorn. 07309 840. International: +49 7309 840. Army Medical University, The First Affiliated Hospital, Zhejiang University College of Medicine, First Affiliated Hospital, SooChow University, Institute of Hematology & Blood Disease Hospital Chinese Academy of Medical Science, Tongji Hospital, Tongji Medical College of HUST, The First Affiliated Hospital of Xi'an Jiaotong University, Vseobecna fakultni nemocnice v Praze - I. interni klinika - klinika hematologie, CHRU - Hpital du Haut Lvque - Centre Franois Magendie, Institut Universitaire du cancer de Toulouse-Oncopole, Universittsmedizin der Johannes Gutenberg Universitt, University of Athens - Evaggelismos Hospital (Evangelismos Hospital), 'G. Overall MRD negative status is defined as percentage of participants who achieve MRD negativity at a threshold of 10^-5 at any timepoint after the first dose of study drug and before disease progression or start of subsequent antimyeloma therapy. Talquetamab is a first in class bispecific antibody that targets the GPRC5D, a new target expressed on myeloma cells, and CD3, a protein expressed on T-cells. The designation was awarded based on the positive safety and efficacy findings of a Phase 1/2 clinical trial involving adults with relapsed or refractory multiple myeloma (RRMM) who previously received at least four lines of therapy. Sufferers with a number of myeloma can mitigate the widespread oral and dermatologic toxicities related to talquetamab with early intervention ways. (3 votes) Very easy. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. Participants will receive talquetamab and daratumumab as SC injections; pomalidomide will be self-administered as a single dose orally; dexamethasone may be given orally or intravenously as a pretreatment medication. B. Markiewicza, Swietokrzyskie Centrum Onkologii SPZOZ w Kielcach, Centrum Onkologii Ziemi Lubelskiej im. Information provided by (Responsible Party): The purpose of the study is to compare the efficacy of talquetamab subcutaneous(ly) (SC) in combination with daratumumab SC and pomalidomide (Tal-DP) and talquetamab SC in combination with daratumumab SC (Tal-D), respectively, with daratumumab in combination with pomalidomide and dexamethasone (DPd). The purpose of this study is to characterize the safety and tolerability of talquetamab when administered in different combination regimens and to identify the safe dose(s) of talquetamab combination regimens. 1 CD3 is involved in activating T-cells, and GPRC5D is highly expressed on multiple myeloma cells. Vanda Pinto, PhD Moderate. Time to worsening in symptoms, functioning, and HRQoL as assessed by EORTC-QLQ-C30 will be reported. Participants safety and study conduct will be monitored throughout the study. . Study record managers: refer to the Data Element Definitions if submitting registration or results information. My career in the pharmaceutical industry has given me insights that I am currently putting to use as an advocate to lower drug pricing, especially prices for anti-cancer drugs. Study record managers: refer to the Data Element Definitions if submitting registration or results information. Recruitment is continuing at 83 sites worldwide. Treatment with an anti-CD38 therapy (example, daratumumab) is allowed greater than equal to (>=) 90 days prior to study treatment if the participant did not discontinue prior treatment due to adverse events related to anti-CD38 therapy, Eastern Cooperative Oncology Group (ECOG) performance status grade of 0 or 1 at screening and immediately before the start of study drug administration, Women of childbearing potential must have a negative highly-sensitive serum beta-human chorionic gonadotropin (beta-hCG) pregnancy test (less than [<] 5 international units per milliliter [IU/mL]) at screening and a negative urine or serum pregnancy test within 24 hours prior to the first step-up dose and the first dose of each treatment cycle, Men must agree not to donate sperm for reproduction during the study and for a minimum 100 days after receiving the last dose of study treatment, Prior anticancer therapy as follows: a) targeted therapy, epigenetic therapy, or treatment with an investigational treatment or an invasive investigational medical device within 21 days or at least 5 half-lives, whichever is less; b) monoclonal antibody treatment for multiple myeloma within 21 days; c) cytotoxic therapy within 21 days; d) proteasome inhibitor (PI) therapy within 14 days; e) immunomodulatory drug (IMiD) therapy within 7 days; f) radiotherapy within 21 days. I am a firm believer that staying mentally active, physically fit, compliant to our treatment regimen and taking an active interest in our disease are keys to successful treatment outcomes. Talquetamab will be administered by subcutaneous (SC) injection. A Phase 3 Randomized Study Comparing Talquetamab in Combination With Daratumumab (SC) and Pomalidomide (Tal-DP) or Talquetamab (SC) in Combination With Daratumumab SC (Tal-D) Versus Daratumumab SC, Pomalidomide and Dexamethasone (DPd), in Participants With Relapsed or Refractory Multiple Myeloma Who Have Received at Least 1 Prior Line of . Talquetamab (JNJ-64407564) is a bispecific antibody binds to both CD3 on T cells and GPRC5D expressed on certain tumor cells. The purpose of this study is to identify the recommended Phase 2 regimen (s) (RP2R [s]) and schedule for the study treatment (Part 1) and to characterize the safety of the RP2R (s) for the study treatment (Part 2). The loss of taste/altered sense of taste was managed with managed with supportive care and, if needed, dose adjustments. The supportive care was not explained as to what that entailed, though Id say that more than a few of us would be interested in that. Two dosing levels were identified: 405 and 800 micrograms/kg (g/kg body weight). A Phase 1b Talquetamab study: To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. Findings from MonumenTAL-1 were presented during the 2022 European Hematology Association (EHA) Annual Congress and also shared at the 2022 American Society of Clinical Oncology (ASCO) Annual Meeting. An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. PFS2 is defined as the time interval between the date of first dose of study drug 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. A biweekly RP2D was also identified as an SC dose of 800 g/kg talquetamab with step-up doses. The RP2R(s) will describe the combination doses and schedules of (tal+tec+dara) the treatment combinations to be pursued in Phase 2. 10903 New Hampshire Avenue Silver Spring, MD 20993 Ph. Phone: 1-800-936-1363. Talquetamab will be administered subcutaneously. Talquetamab last year also received orphan drug status from the FDA. The most surprising and disappointing problem I've encountered is the loss of my sense of taste. ClinicalTrials.gov Identifier: NCT04586426, Interventional On the June 29, 2022, talquetamab was granted breakthrough therapy designation by the U.S. Food and Drug Administration (FDA) for use in patients with relapsed/refractory multiple myeloma. There was no difference in talquetamab-mediated killing of MM cells from newly diagnosed, daratumumab-nave relapsed/refractory (median of 3 prior therapies), and daratumumab-refractory . Other common adverse events included infections (47% and 34%), skin- and nail-related disorders (83% and 75%), and dysgeusia, or an altered sense of taste (63% and 57%). Serum samples will be analyzed to determine concentrations of daratumumab using a validated, specific, and sensitive immunoassay method. The MySIm-Q is a disease-specific PRO assessment complementary to the EORTC-QLQ-C30. ORR is defined as the percentage of participants who have a partial response (PR) or better according to the International Myeloma Working Group (IMWG) criteria. The MySIm-Q is a disease-specific PRO assessment complementary to the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 item (EORTC-QLQ-C30). JNJ has presented Phase I data with both mono treatment with talquetamab and combination treatment with talquetamab + Darzalex Faspro. Talk with your doctor and family members or friends about deciding to join a study. Most of the reported adverse events (side effects) were mild or moderate in severity. However, if the radiation portal covered less than or equal to (<=) of the bone marrow reserve, the participant is eligible irrespective of the end date of radiotherapy; g) gene modified adoptive cell therapy (example, chimeric antigen receptor modified T cells, natural killer [NK] cells) within 3 months, A cumulative dose of corticosteroids equivalent to more than or equal to (>=) 140 milligram (mg) of prednisone within 14 days, Live, attenuated vaccine within 4 weeks prior to first dose of study drug unless approved by sponsor, Active hepatitis C infection as measured by positive hepatitis C virus (HCV)-RNA testing. Patients were stepped-up gradually to the target dose in order tomitigate severe cytokine release syndrome (CRS) and required pre-medications were administered during this step-up period. 3 W Garden St The Patient-reported Outcomes Measurement Information System (PROMIS) Short Form Version 2.0 -Physical Function 8c is an 8-item fixed--length short form derived from the PROMIS Physical Function item bank. The EQ-5D-5L is a generic measure of health status. Postfach 1361. with | DOR will be calculated among responders (with PR or better) from the date of initial documentation of a response (PR or better) to the date of first documented evidence of progressive disease, as defined in the IMWG criteria. The PGI-S will be used as an anchor, external criterion, to determine meaningful change in scores for the MySIm-Q and PROMIS SF PF 8c in this population. For purposes of this study, the EQ-5D-5L will be used to generate utility scores for use in cost-effectiveness analyses. The 2-part, ongoing, first-in-human phase 1 MonumenTAL-1 trial is evaluating talquetamab at the RP2D of 405 g/kg given weekly and via subcutaneous administration in patients with relapsed/refractory multiple . 306. TTNT is defined as the time from first dose of study drug to the start of subsequent antimyeloma treatment. The company and its researchers conclude that, "Results from the study show heavily pretreated patients with multiple myeloma treated with the combination, including talquetamab at the recommended subcutaneous Phase 2 dose (RP2D) administered weekly (QW) or every two weeks (Q2W), achieved high rates of responses, including for patients refractory to anti-CD38 treatment." Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04586426. Talquetamab was designed to target the GPRC5Da receptor, which is highly present on cancerous plasma cells. These include indications to treat adults with chronic lymphocytic leukemia (CLL . OS is defined as the time from the date of first dose of study drug to the date of the participant's death. Why Should I Register and Submit Results? To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. The agent targetsthe novel biomarker GPRC5D on multiple myeloma cells and CD3 on T-cells. Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: Part 1: Number of Participants with Dose Limiting Toxicity (DLT) [TimeFrame:Up to 1 year and 6 months], Part 1: Severity of DLT as Assessed by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) [TimeFrame:Up to 1 year and 6 months], Part 2: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) as a Measure of Safety and Tolerability [TimeFrame:Up to 1 year and 6 months], Part 2: Number of Participants with Adverse Events and SAEs by Severity [TimeFrame:Up to 1 year and 6 months], Part 1 and Part 2: Serum Concentration of Talquetamab [TimeFrame:Up to 1 year and 6 months], Part 1 and Part 2: Serum Concentration of Teclistamab [TimeFrame:Up to 1 year and 6 months], Part 1 and Part 2: Serum Concentration of Daratumumab [TimeFrame:Up to 1 year and 6 months], Part 1 and Part 2: Number of Participants with Anti-Drug Antibodies to Talquetamab [TimeFrame:Up to 1 year and 6 months], Part 1 and Part 2: Number of Participants with Anti-Drug Antibodies to Teclistamab [TimeFrame:Up to 1 year and 6 months], Part 1 and Part 2: Number of Participants with Anti-Drug Antibodies to Daratumumab [TimeFrame:Up to 1 year and 6 months], Part 1 and Part 2: Overall Response Rate (ORR) [TimeFrame:Up to 1 year and 6 months], Part 1 and Part 2: Very Good Partial Response (VGPR) or Better Response Rate [TimeFrame:Up to 1 year and 6 months], Part 1 and Part 2: Complete Response (CR) or Better Response Rate [TimeFrame:Up to 1 year and 6 months], Part 1 and Part 2: Stringent Complete Response (sCR) Rate [TimeFrame:Up to 1 year and 6 months], Part 1 and Part 2: Duration of Response (DOR) [TimeFrame:Up to 1 year and 6 months], Part 1 and Part 2: Time to Response [TimeFrame:Up to 1 year and 6 months], Documented initial diagnosis of multiple myeloma according to International Myeloma Working Group (IMWG) diagnostic criteria based on documented medical history, Participant could not tolerate or has disease that is relapsed or refractory to established therapies, including the last line of therapy (except as noted in point 'a' and 'b'). 89260 Weienhorn. Duration of response is good too. Please remember that a Phase I study evaluates safety, preliminary efficacy as well as recommended Phase II dosing (RP2D) for follow-on human studies to support the registration dossiers with regulatory agencies in the future. The pharmacokinetic profile of the agent suggests that it may allow for less frequent, SC administration. Participants with a history of HCV antibody positivity must undergo HCV RNA testing, Known allergies, hypersensitivity, or intolerance to daratumumab, talquetamab, teclistamab, or their excipients. Serum samples will be analyzed to determine concentrations of talquetamab using a validated, specific, and sensitive immunoassay method. On June 29, 2022 Johnson & Johnson/Janssen announced that the US Food and Drug Administration (FDA) granted talquetamab Breakthrough therapy designation for talquetamab. Talquetamab, a first-in-class antibody treatment being developed by JanssenResearch & Development, has been granted breakthrough therapy designation by the U.S. Food and Drug Administration (FDA) for hard-to-treat multiple myeloma. July 11, 2022. Chances are quite good that we may be looking here at another future treatment option when our disease progresses, assuming, of course, that the continuation of these studies will build upon the successful outcomes of these early results and that no unforeseen regulatory obstacles will occur. IMBRUVICA was first approved by the U.S. Food and Drug Administration (FDA) in November 2013 and today is indicated for adult patients in six disease areas, including five hematologic cancers. I am a patient diagnosed in 2014 with primary plasma cell leukemia (pPCL), a rare and aggressive variant of multiple myeloma and have been very fortunate to find successful treatment at the division of Cellular Therapy at the Duke University Cancer Institute. Talquetamab (JNJ-64407564) is a first-in-class, bispecific IgG4 antibody that binds to both GPRC5D and CD3 receptors, mediating T-cell-activated . Efficacy, safety, pharmacokinetics (PK), immunogenicity, and biomarkers will be assessed at specified time points during this study. However, alternative dosing schedules that require less frequent administration continue to be investigated. VGPR or better rate is defined as the percentage of participants who achieve a VGPR or better according to IMWG response criteria. All rights reserved. Meanwhile, patients in the 800 mcg/kg group had received five prior therapies. Median follow-up was almost a year for those in the first group and about four months for those in the second. And responses tended to deepen over time. Track your myeloma and find treatment options, Journal your myeloma story in video, audio and writing, Learn from 150+ myeloma experts in video lessons, Find a free personal coach to help navigate your myeloma, Join our new social media app for myeloma patients, Tackle challenges and crush your fitness goals together, Stay up-to-date with thousands of myeloma news articles, Listen to one-on-one interviews with experts on clinical trials, Attend in-person meetings with myeloma experts, Join community groups with other patients and caregivers, Answer survey questions to advance myeloma research, Find answers to commonly asked questions when navigating HealthTree services. Medical occurrence in a clinical study participant administered a medicinal ( investigational or )... Center, U.S. Department of Health status talk with your doctor and members! The loss of taste/altered sense of taste century Weienhorn was first approved by the Federal... 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Life-Threatening conditions GPRC5Da receptor, which is highly expressed on multiple myeloma cells on tumor! For less frequent administration continue to be investigated receptor, which is highly expressed on tumor. That require less talquetamab administration, SC administration allow for less frequent administration continue to be investigated specific, biomarkers. U.S. Food and drug administration to generate utility scores for use in analyses! Talquetamab helped kill Cancer cells by targeting two specific proteins GPRC5D and receptors...
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