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Trial Title: A Study to Evaluate Preventive Treatments for Talquetamab-related Oral Toxicity

NCT ID: NCT06500884

Condition: Relapse Multiple Myeloma
Refractory Multiple Myeloma

Conditions: Official terms:
Multiple Myeloma
Neoplasms, Plasma Cell

Study type: Interventional

Study phase: Phase 2

Overall status: Active, not recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Talquetamab
Description: Talquetamab will be administered subcutaneously.
Arm group label: Cohort A: Talquetamab
Arm group label: Cohort B: Prophylaxis A and Talquetamab
Arm group label: Cohort C: Prophylaxis B and Talquetamab
Arm group label: Cohort D: Prophylaxis C and Talquetamab

Other name: JNJ-64407564

Intervention type: Drug
Intervention name: Prophylaxis A
Description: Prophylaxis A will be administered orally.
Arm group label: Cohort B: Prophylaxis A and Talquetamab

Intervention type: Drug
Intervention name: Prophylaxis B
Description: Prophylaxis B will be administered orally.
Arm group label: Cohort C: Prophylaxis B and Talquetamab

Intervention type: Drug
Intervention name: Prophylaxis C
Description: Prophylaxis C will be administered orally.
Arm group label: Cohort D: Prophylaxis C and Talquetamab

Summary: The purpose of this study is to identify preventive treatments that can minimize the occurrence, severity, and duration of talquetamab-related distorted taste (dysgeusia), during the prophylaxis (preventive) treatment phase, and to better characterize the signs or symptoms of talquetamab-related distorted taste.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Multiple myeloma (MM) according to IMWG diagnostic criteria - Were triple-class exposed (received prior treatment with a PI, an IMiD, and anti CD38 mAb) - Documented evidence of progressive disease based on investigator's determination of response by IMWG criteria on or after their last regimen - Have an Eastern Cooperative Oncology Group-performance status (ECOG-PS) of 0 or 1 at screening. Participants with ECOG-PS 2 or 3 are eligible for the study if the ECOG-PS score is related to stable physical limitations (e.g., wheelchair-bound due to prior spinal cord injury) and not related to multiple myeloma or associated therapy - Be willing and able to adhere to the lifestyle restrictions specified in the protocol Exclusion Criteria: - Contraindications or life-threatening known allergies, hypersensitivity, or intolerance to any study drug or its excipients - Stroke, transient ischemic attack, or seizure within 6 months prior to enrollment - Any of the following within 6 months prior to the first dose of study treatment: severe or unstable angina, myocardial infarction; major thromboembolytic event (e.g., pulmonary embolism, cerebrovascular accident), clinically significant ventricular arrythmia or heart failure New York Heart Association functional classification Class III or IV. Uncomplicated deep vein thrombosis is not considered exclusionary - 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 WETT score suggesting severe dysgeusia at screening. Also unresolved/severe dysgeusia referred by the participant or a finding in the physical examination/oral cavity inspection. Some examples include leukoplakia, prior mouth cancers, extensive dental caries, severe periodontitis, active oral infections, candidiasis, parotic gland removal, or radiotherapy with resultant xerostomia

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Icahn School of Medicine at Mt. Sinai

Address:
City: New York
Zip: 10029
Country: United States

Facility:
Name: Instituto D Or de Pesquisa e Ensino IDOR

Address:
City: Sao Paulo
Zip: 04543-000
Country: Brazil

Facility:
Name: Seoul National University Hospital

Address:
City: Seoul
Zip: 03080
Country: Korea, Republic of

Facility:
Name: The Catholic University of Korea Seoul St Mary s Hospital

Address:
City: Seoul
Zip: 06591
Country: Korea, Republic of

Facility:
Name: Samsung Medical Center

Address:
City: Seoul
Zip: 135-230
Country: Korea, Republic of

Facility:
Name: Hospital Espanol Auxilio Mutuo Auxilio Mutuo Cancer Center

Address:
City: San Juan
Zip: 00918
Country: Puerto Rico

Facility:
Name: Hosp. Univ. Ramon Y Cajal

Address:
City: Madrid
Zip: 28034
Country: Spain

Start date: August 26, 2024

Completion date: January 15, 2027

Lead sponsor:
Agency: Janssen Research & Development, LLC
Agency class: Industry

Source: Janssen Research & Development, LLC

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06500884

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