New hope for Hard-to-Treat myeloma: teclistamab trial in japan
NCT ID NCT04696809
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested teclistamab, a drug that helps the immune system find and attack myeloma cells, in 40 Japanese patients whose multiple myeloma had returned or stopped responding to treatment. The goal was to check safety and find the right dose in phase 1, then see how well it works in phase 2. The trial is now complete.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Teclistamab (a bispecific antibody that helps immune cells attack myeloma cells)
- What this could lead to
- If successful, this could provide a new treatment option for Japanese patients with multiple myeloma that has returned or not responded to other therapies.
- What could go wrong
- This is an early-phase trial with only 40 participants, so results may not apply to all patients. Side effects like cytokine release syndrome and other immune reactions are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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40 people
The number who actually took part.
- Started
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Feb 2021
- Finished
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Apr 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria: * Documented diagnosis of multiple myeloma (MM) according to International Myeloma Working Group (IMWG) diagnostic criteria * Participant must have measurable disease defined by any of the following: Serum M-protein level greater than or equal to (\>=) 1.0 gram per deciliter (g/dL); Urine M-protein level \>= 200 milligrams per 24 hours (mg/24 hours); or Light chain MM, for participants without measurable disease in the serum or urine: serum Ig-free light chain (FLC) \>=10 milligrams per deciliter (mg/dL) and abnormal serum Ig kappa-lambda FLC ratio; or if central laboratory assessments are not available, relevant local laboratory measurements must exceed the minimum required level by at least 25 percent (%) * Participant must be relapsed or refractory to established therapies with known clinical benefit in relapsed/refractory MM or be intolerant to established MM therapies and a candidate for teclistamab treatment in the opinion of the treating physician. Prior lines of therapy must include a proteasome inhibitors (PI), an immunomodulatory drug (IMiD), and an anti-CD38 antibody in any order during the course of treatment. Participants who could not tolerate PI, immunomodulatory drugs, or anti-CD38 antibody are allowed * Eastern Cooperative Oncology Group (ECOG) performance status grade of 0 or 1 at screening and immediately before the start of study treatment administration * Woman of childbearing potential must have a negative pregnancy test at screening and within 24 hours prior to the first dose of study treatment using highly sensitive pregnancy test either serum (beta-human chorionic gonadotropin \[beta-hCG\]) or urine Exclusion criteria: * Prior treatment with any B cell maturation antigen (BCMA)-targeted therapy * Toxicities from previous anticancer therapies that have not resolved to baseline levels or to less than or equal to (\<=) Grade 1 except for alopecia or peripheral neuropathy * Received a cumulative dose of corticosteroids equivalent to \>=140 mg of prednisone within the 14-day period before the first step-up dose of study treatment (does not include pretreatment medication) * Stem cell transplantation: An allogeneic stem cell transplant within 6 months. Participants who received an allogeneic transplant must be off all immunosuppressive medications for 6 weeks without signs of graft-versus-host disease; Received an autologous stem cell transplant less than or equal (\<=) 12 weeks before the first step-up dose of study treatment * Central nervous system involvement or clinical signs of meningeal involvement of MM. If either is suspected, whole brain magnetic resonance imaging (MRI) and lumbar cytology are required during screening
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Japanese Red Cross Medical Center
Shibuya City, 150-8935, Japan
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Japanese Red Cross Osaka Hospital
Osaka, 543-8555, Japan
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Kameda Medical Center
Chiba, 296-8602, Japan
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Kobe City Medical Center General Hospital
Kobe, 650 0047, Japan
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Kurume University Hospital
Kurume, 830-0011, Japan
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Kyoto Kuramaguchi Medical Center
Kyoto, 603-8151, Japan
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Nagoya City University Hospital
Nagoya, 467 8602, Japan
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National Hospital Organization Hiroshima-Nishi Medical Center
Ōtake, 739-0696, Japan
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National Hospital Organization Kumamoto Medical Center
Kumamoto, 860-0008, Japan
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National Hospital Organization Matsumoto Medical Center
Matsumoto, 399-8701, Japan
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National Hospital Organization Mito Medical Center
Higashiibaraki-gun, 311-3193, Japan
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National Hospital Organization Okayama Medical Center
Okayama, 701-1192, Japan
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Niigata Cancer Center Hospital
Niigata, 951-8566, Japan
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Ogaki Municipal Hospital
Gifu, 503-8502, Japan
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Osaka International Cancer Institute
Osaka, 541 8567, Japan
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- 10,000 DNA samples could reveal hidden genetic triggers for leukemia and lymphoma