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Teclistamab

Phase 3

Relapsed or Refractory Multiple Myeloma | Small molecule | Oncology |Johnson & Johnson|Last Updated: Apr 13, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment722
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05572515A Study Comparing Teclistamab Monotherapy Versus Pomalidomide, Bortezomib, Dexamethasone (PVd) or Carfilzomib, Dexamethasone (Kd) in Participants With Relapsed or Refractory Multiple MyelomaPHASE3 ACTIVE NOT_RECRUITING 614Mar 29, 2023Aug 31, 2031Apr 13, 2026211 United States, Australia +22
NCT06425991A Study Comparing Pre- and Post-Change Teclistamab in Participants With Relapsed or Refractory Multiple MyelomaPHASE1 ACTIVE NOT_RECRUITING 108Jun 7, 2024Mar 3, 2027Apr 13, 202653 United States, Australia +9
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Study Endpoints
Primary Endpoints
Part 1: Progression-free Survival (PFS)
Up to 9 years

PFS is defined as the time from the date of randomization to the date of first documented disease progression, as defined in the International myeloma working group (IMWG) 2016 response criteria, or death due to any cause, whichever occurs first.

Part 2: Number of Participants Reporting Cytokine Release Syndrome (CRS) Cases by Severity
Up to 9 years

Severity for CRS will be graded as follows: Grade 1: Fever (Temperature greater than or equal to \[\>=\] 38°C); Grade 2: Fever (Temperature \>=38°C) with either: hypotension and/or hypoxia requiring low-flow nasal cannula or blow-by; Grade 3: Fever (Temperature \>=38°C) with either: hypotension and/or hypoxia requiring high-flow nasal cannula, facemask, nonrebreather mask, or Venturi mask; Grade 4: Fever (Temperature \>=38°C) with either: hypotension requiring multiple vasopressors (excluding vasopressin), and/or hypoxia requiring positive pressure and Grade 5: Death.

Maximum Observed Serum Concentration (Cmax) of First Treatment Dose of Teclistamab
Cycle 1 (28 days cycle): Predose to Day 7 postdose

Cmax is defined as the maximum observed serum concentration of teclistamab (after first treatment dose).

Area Under Serum Concentration Versus Time Curve (AUCtau) of Teclistamab First Treatment Dose
Cycle 1 (28 days cycle): Predose to Day 7 postdose

AUCtau is defined as area under the concentration-time curve during dosing interval of teclistamab (after first treatment dose).

Observed Serum Concentration Immediately Prior to the Next Study Treatment Administration (Ctrough) on Cycle 3 Day 1
Cycle 3 (28 days cycle): Day 1

Ctrough is defined as observed serum concentration immediately prior to the next study treatment administration.

Secondary Endpoints
Part 1 and 2: Overall Response (Partial Response [PR] or Better)
Up to 9 years
Part 1 and 2: Very Good Partial Response (VGPR) or Better Response
Up to 9 years
Part 1 and 2: Complete Response (CR) or Better Response
Up to 9 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TeclistamabEXPERIMENTALParticipants will receive teclistamab monotherapy in Part 1 and an alternative dosing regimen of teclistamab in Part 2.
Pomalidomide, Bortezomib and Dexamethasone (PVd) or Carfilzomib and Dexamethasone (Kd)EXPERIMENTALParticipants will receive either PVd or Kd based on principal investigator's choice during Part 1 of the study.
Arm A: Pre-change TeclistamabEXPERIMENTALParticipants will receive teclistamab monotherapy (made from the pre-change manufacturing process) for all step-up and treatment doses until confirmed progressive disease, death, intolerable toxicity, withdrawal of consent to treatment, or end of the study, whichever occurs first.
Arm B: Post-change TeclistamabEXPERIMENTALParticipants will receive teclistamab monotherapy (made from the post-change manufacturing process) for all step-up and treatment doses until confirmed progressive disease, death, intolerable toxicity, withdrawal of consent to treatment, or end of the study, whichever occurs first.
Interventions
NameTypeDescription
TeclistamabDRUGTeclistamab will be administered subcutaneously.
PomalidomideDRUGPomalidomide will be administered orally.
BortezomibDRUGBortezomib will be administered subcutaneously.
DexamethasoneDRUGDexamethasone will be administered orally in PVd and intravenously or orally in Kd.
CarfilzomibDRUGCarfilzomib will be administered intravenously.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites211

Inclusion Criteria: * Documented diagnosis of multiple myeloma as defined by the criteria below: (a)Multiple myeloma diagnosis according to International Myeloma Working Group (IMWG) diagnostic criteria (b) Measurable disease at screening as defined by any of the following: (1) Serum M-protein leve...

Countries:United StatesAustraliaAustriaBelgiumBrazilCanadaChinaCzechiaDenmarkFranceGermanyGreeceIndiaIsraelItalyJapanMalaysiaNetherlandsPolandPortugalSpainSwedenTurkey (Türkiye)United KingdomSouth Korea
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Competitive Landscape -Multiple Myeloma 228 trials
CompanyTickerTrialsLead PhaseDrugs
Johnson & JohnsonJNJ30PHASE3Daratumumab, Lenalidomide, Bortezomib, Dexamethasone, Cilta-cel
AbbVie, Inc.ABBV16PHASE3Pomalidomide, Dexamethasone, Venetoclax, Etentamig, Carfilzomib
Bristol-Myers Squibb CompanyBMY19PHASE3Mezigdomide, Carfilzomib, Dexamethasone, Daratumumab, Bortezomib
Takeda Pharmaceutical Co. Ltd. Sponsored ADRTAK5PHASE3IGI, 10%, Clarithromycin, Dexamethasone, Ixazomib, Pomalidomide
GSK plc Sponsored ADRGSK17PHASE3Belantamab mafodotin, Pomalidomide, Dexamethasone, Bortezomib, Daratumumab
Regeneron Pharmaceuticals, Inc.REGN12PHASE3Linvoseltamab, Daratumumab, Carfilzomib, Dexamethasone, Pomalidomide
Pfizer Inc.PFE12PHASE3Elranatamab, Lenalidomide, Elotuzumab, Pomalidomide, Dexamethasone
Sanofi SA Sponsored ADRSNY18PHASE3Isatuximab, Dexamethasone, Pomalidomide, Montelukast, Paracetamol / Acetaminophen
AstraZeneca PLCAZN5PHASE3AZD0120, Daratumumab, Carfilzomib, Dexamethasone, Bortezomib
Gilead Sciences, Inc.GILD3PHASE3Anitocabtagene Autoleucel, Cyclophosphamide, Fludarabine, Pomalidomide, Bortezomib
Karyopharm Therapeutics, Inc.KPTI6PHASE3Selinexor, Elotuzumab, Pomalidomide, Dexamethasone, Bortezomib
Grifols, S.A. Sponsored ADR Class BGRFS1PHASE3Xembify
BioLineRX Ltd. Sponsored ADRBLRX1PHASE3BL-8040 /kg + G-CSF
C4 Therapeutics, Inc.CCCC3PHASE2Cemsidomide, Dexamethasone, cemsidomide, Elranatamab
Cellectar Biosciences, Inc.CLRB1PHASE2Iopofosine I 131 single dose, Iopofosine I 131 fractionated dose
GeoVax Labs, Inc.GOVX1PHASE2COVID-19 Vaccine, Synthetic MVA-based SARS-CoV-2 Vaccine GEO-CM04S1
Autolus Therapeutics Plc Sponsored ADRAUTL1PHASE2AUTO CAR T cell therapy
Incyte CorporationINCY2PHASE1Ruxolitinib, Lenalidomide, Methylprednisolone
Eli Lilly and CompanyLLY1PHASE1LOXO-338, Pirtobrutinib
Moderna, Inc.MRNA2PHASE1mRNA-2808
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06425991primaryCompletionDate: changed
LOWMay 26, 2026NCT05572515primaryCompletionDate: changed
LOWMay 24, 2026NCT06425991studyFirstPostDate: changed
LOWMay 24, 2026NCT05572515studyFirstPostDate: changed