(teclistamab-cqyv)
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Last Updated: 12/09/2025
| Characteristic | Safety Analysis Set (N=165) |
|---|---|
| Age (years), median (range) | 64.0 (33-84) |
| Age ≥75 years, n (%) | 24 (14.5) |
| Male, n (%) | 96 (58.2) |
| Race, n (%) | |
| White | 134 (81.2) |
| African American/Black | 21 (12.7) |
| Othera | 10 (6.1) |
| Bone marrow plasma cells ≥60%b | 18 (11.3) |
| Extramedullary plasmacytomas ≥1c | 28 (17.0) |
| High cytogenetic riskd | 38 (25.9) |
| ISS stagee | |
| I | 85 (52.5) |
| II | 57 (35.2) |
| III | 20 (12.3) |
| Baseline renal function, n (%) | |
| <60 mL/min/1.73 m2 | 44 (26.7) |
| ≥60 mL/min/1.73 m2 | 121 (73.3) |
| Time since diagnosis (years), median (range) | 6.0 (0.8-22.7) |
| Prior lines of therapy, median (range) | 5.0 (2-14) |
| Prior stem cell transplantation, n (%) | 135 (81.8) |
| Exposure status, n (%) | |
| Triple-class exposedf | 165 (100) |
| Penta-drug exposedg | 116 (70.3) |
| Selinexor | 6 (3.6) |
| Refractory status, n (%) | |
| Triple-class refractoryf | 128 (77.6) |
| Penta-drug refractoryg | 50 (30.3) |
| Refractory to last line of therapy | 148 (89.7) |
| Abbreviations: CD, cluster of differentiation; ISS, international Staging System; mAb, monoclonal antibody. a bPercentages calculated from n=160; includes bone marrow biopsy and aspirate. cSoft-tissue plasmacytomas not associated with the bone were included. ddel(17p), t(4:14), and/or t(14;16) (n=147). eAt baseline, percentages calculated from n=162. f≥1 proteasome inhibitor, ≥1 immunomodulatory drug, and ≥1 anti-CD38 mAb. g≥2 proteasome inhibitors, ≥2 immunomodulatory drugs, and ≥1 anti-CD38 mAb. | |
| Response Rate, % | Efficacy Analysis Subset (N=150)a |
|---|---|
| ORR | 62.0 |
| sCR | 21.3 |
| VGPR | 29.3 |
| PR | 4.0 |
| ≥CR | 28.7 |
| ≥VGPR | 58.0 |
| Abbreviations: CR, complete response; ORR, overall response rate; PR, partial response; sCR, stringent complete response; VGPR, very good partial response. aIncludes all patients who received their first dose on or before March 18, 2021. | |
| AE, n (%) | Safety Analysis Set (N=165) | |
|---|---|---|
| Any Grade | Grade 3/4 | |
| Hematologic | ||
| Neutropenia | 108 (65.5) | 94 (57.0) |
| Anemia | 82 (49.7) | 57 (34.5) |
| Thrombocytopenia | 63 (38.2) | 35 (21.2) |
| Lymphopenia | 56 (33.9) | 53 (32.1) |
| Nonhematologic | ||
| CRS | 118 (71.5) | 1 (0.6) |
| Injection site erythema | 42 (25.5) | 0 (0) |
| Fatigue | 41 (24.8) | 3 (1.8) |
| Nausea | 40 (24.2) | 1 (0.6) |
| Headache | 36 (21.8) | 1 (0.6) |
| Diarrhea | 34 (20.6) | 4 (2.4) |
| Abbreviation: AE, adverse event; CRS, cytokine release syndrome. | ||
| Parameter | Safety Analysis Set (N=165) |
|---|---|
| Patients with CRS, n (%) | 118 (77.5) |
| Patients with ≥2 CRS events, n (%) | 54 (32.7) |
| Time to onset (days), median (range) | 2 (1-6) |
| Duration (days), median (range) | 2 (1-9) |
| Patients who received supportive measuresa, n (%) | 109 (66.1) |
| Tocilizumab | 60 (36.4) |
| Low-flow oxygen by nasal cannulab | 21 (12.7) |
| Steroids | 13 (7.9) |
| Single vasopressor | 1 (0.6) |
| Abbreviation: CRS, cytokine release syndrome. aA patient could receive >1 supportive therapy. b≤6 L/min. | |
| Parameter | Safety Analysis Set (N=165) |
|---|---|
| Patients with neurotoxicity, n (%) | 21 (12.7) |
| Headache, n (%) | 14 (8.5) |
| ICANS, n (%) | 5 (3.0) |
| Encephalopathy, n (%) | 2 (1.2) |
| Tremor, n (%) | 2 (1.2) |
| Time to onset, median (range), days | 2.5 (1-7) |
| Duration, median (range), days | 3.0 (1-37) |
| Patients requiring supportive measures, n (%) | 12 (7.3) |
| Tocilizumab | 3 (1.8) |
| Dexamethasone | 3 (1.8) |
| Levetiracetam | 1 (0.6) |
| Abbreviation: ICANS, immune effector cell-associated neurotoxicity syndrome. | |
Moreau et al (2022)3,17, van de Donk et al (2023)4,5
| N=165 | |
|---|---|
| ORRa,b | 104 (63.0) |
| sCR, % | 38.8 |
| CR, % | 7.3 |
| VGPR, % | 13.3 |
| PR, % | 3.6 |
| ≥CRb, % | 46.1 |
| ≥VGPR, % | 59.4 |
| Abbreviations: CR, complete response; ORR, overall response rate; PR, partial response; sCR, stringent complete response; USPI, United States Prescribing Information; VGPR, very good partial response. aResponse assessed by an independent review committee. bAt the 30-month follow-up of the phase 2 efficacy population (patients enrolled in Cohort A on or before March 18, 2021; n=110 patients supporting the USPI): ORR, 61.8% (n=68); ≥CR, 46.4% (n=51). | |
| DOR | PFS | OS | ||||
|---|---|---|---|---|---|---|
| mDOR, Months (95% CI) | 30-Month DOR Rate, % (95% CI) | mPFS, Months (95% CI) | 30-Month PFS Rate, % (95% CI) | mOS, Months (95% CI) | 30-Month OS Rate, % (95% CI) | |
| All RP2D (N=165) | 24.0 (17.0-NE) | 45.0 (34.8-54.7) | 11.4 (8.8-16.4) | 30.1 (22.9-37.7) | 22.2 (15.1-29.9) | 41.9 (33.9-49.6) |
| ≥CR (n=76) | NR (26.7-NE) | 60.8 (48.7-71.0) | NR (26.9-NE) | 61.0 (48.9-71.1) | NR (35.5-NE) | 74.2 (61.9-83.1) |
| ≥VGPR (n=98) | 25.6 (18.1-NE) | 48.7 (38.3-58.3) | 26.7 (19.4-NE) | 48.8 (38.5-58.4) | NR (31.0-NE) | 62.4 (51.5-71.6) |
| MRD-negative (n=48) | NR (19.2-NE) | 53.0 (37.8-66.1) | NR (21.0-NE) | 53.1 (38.0-66.2) | NR (29.9-NE) | 67.2 (50.0-79.6) |
| MRD-negative for ≥6 months (n=23) | NR (NE-NE) | 82.0 (58.8-92.8) | NR (NE-NE) | 82.2 (59.2-92.2) | NR (NE-NE) | 80.9 (50.6-93.7) |
| MRD-negative for ≥12 months (n=14) | NR (NE-NE) | 92.9 (59.1-99.0) | NR (NE-NE) | 92.9 (59.1-99.0) | NR (29.9-NE) | 80.0 (20.4-96.9) |
| ≤3 prior LOT (n=43) | 24.0 (14.0-NE) | - | 21.7 (13.8-NE) | - | NR (18.3-NE) | - |
| >3 prior LOT (n=122) | 22.4 (14.9-NE) | - | 9.7 (6.4-13.1) | - | 17.7 (12.2-29.7) | - |
| Phase 2 efficacy (n=110)a | 22.4b (14.9-NE) | 44.4b (31.4-56.7) | 10.8 (7.4-16.4) | 28.9 (20.0-38.4) | 21.7 (12.7-29.9) | 39.8 (30.0-49.5) |
| ≥CR (n=51) | NR (21.6-NE) | 61.9 (47.0-73.8) | NR (22.8-NE) | 62.0 (47.1-73.9) | NR (NE-NE) | 68.1 (50.8-80.5) |
| Abbreviations: CI, confidence interval; CR, complete response; DOR, duration of response; LOT, lines of therapy; mDOR, median duration of response; mOS, median overall survival; mPFS, median progression-free survival; MRD, minimal residual disease; NE, not estimable; NR, not reached; OS, overall survival; PFS, progression-free survival; RP2D, recommended phase 2 dose; USPI, United States Prescribing Information; VGPR, very good partial response. aIncludes patients enrolled in Cohort A on or before March 18, 2021; these data reflect the 30-month follow-up of n=110 patients that supported the USPI. bn=68 for DOR for the Phase 2 efficacy population. | ||||||
| TEAEs, n (%) | N=165 | |
|---|---|---|
| Any Grade | Grade 3/4 | |
| Any TEAE | 165 (100) | 156 (94.5) |
| Hematologic | ||
| Neutropenia | 118 (71.5) | 108 (65.5) |
| Anemia | 91 (55.2) | 62 (37.6) |
| Thrombocytopenia | 69 (41.8) | 38 (23.0) |
| Lymphopenia | 60 (36.4) | 57 (34.5) |
| Leukopenia | 33 (20.0) | 15 (9.1) |
| Nonhematologic | ||
| Infections | 130 (78.8) | 91 (55.2) |
| COVID-19 | 48 (29.1) | 35 (21.2) |
| CRS | 119 (72.1) | 1 (0.6) |
| Diarrhea | 57 (34.5) | 6 (3.6) |
| Pyrexia | 51 (30.9) | 1 (0.6) |
| Fatigue | 50 (30.3) | 4 (2.4) |
| Cough | 46 (27.9) | 0 |
| Nausea | 45 (27.3) | 1 (0.6) |
| Injection site erythema | 44 (26.7) | 0 |
| Arthralgia | 42 (25.5) | 2 (1.2) |
| Headache | 40 (24.2) | 1 (0.6) |
| Constipation | 37 (22.4) | 0 |
| Hypogammaglobulinemia | 36 (21.8) | 3 (1.8) |
| Back pain | 33 (20.0) | 4 (2.4) |
| Abbreviations: COVID-19, coronavirus disease 2019; CRS, cytokine release syndrome; TEAE, treatment-emergent adverse event. | ||
| (N=63) | |
|---|---|
| Median age, years (range) | 64 (40-82) |
| Male, n (%) | 36 (57.1) |
| Race, n (%) | |
| White | 55 (87.3) |
| Black/African American | 6 (9.5) |
| Asian | 1 (1.6) |
| Not reported | 1 (1.6) |
| Extramedullary plasmacytomasa, n (%) | 5 (7.9) |
| High-risk cytogenetics, n/N (%) | 14/58 (24.1) |
| ISS stage, n (%) | |
| I | 43 (68.3) |
| II | 17 (27.0) |
| III | 3 (4.8) |
| Time since diagnosis (years), median (range) | 5.9 (1.1-20.5) |
| Number of prior LOT, median (range) | 4 (2-14) |
| Refractory status, n (%) | |
| Triple-classb | 47 (74.6) |
| Penta-drugc | 22 (34.9) |
| Abbreviations: CD, cluster of differentiation; ISS, International Staging System; LOT, lines of therapy; mAb, monoclonal antibody; Q2W, every other week; Q4W, every 4 weeks. aIncludes patients who had ≥1 soft tissue plasmacytoma not associated with bone. b≥1 proteasome inhibitor, ≥1 immunomodulatory drug, 1 anti-CD38 mAb. c≥2 proteasome inhibitors, ≥2 immunomodulatory drugs, 1 anti-CD38 mAb. | |
A literature search of Ovid MEDLINE®
1. Moreau P, Usmani SZ, Garfall AL, et al. Updated results from MajesTEC-1: phase 1/2 study of teclistamab, a B-cell maturation antigen x CD3 bispecific antibody, in relapsed/refractory multiple myeloma. Oral presentation presented at: 63rd American Society of Hematology (ASH) Meeting & Exposition; December 11-14, 2021; Atlanta, GA/Virtual Meeting.
2. Usmani SZ, Garfall AL, van de Donk NWCJ, et al. Teclistamab, a B-cell maturation antigen × CD3 bispecific antibody, in patients with relapsed or refractory multiple myeloma (MajesTEC-1): a multicentre, open-label, single-arm, phase 1 study. Lancet. 2021;398(10301):665-674.
3. Moreau P, Garfall AL, van de Donk NWCJ, et al. Teclistamab in relapsed or refractory multiple myeloma. N Engl J Med. 2022;387(6):495-505.
4. van de Donk NWCJ, Moreau P, Garfall AL, et al. Long-term follow-up from MajesTEC-1 of teclistamab, a B-cell maturation antigen (BCMA) x CD3 bispecific antibody, in patients with relapsed/refractory multiple myeloma (RRMM). Poster presented at: 2023 American Society of Clinical Oncology (ASCO) Annual Meeting; June 2-6, 2023; Chicago, IL, USA & Virtual.
5. van de Donk NWCJ, Moreau P, Garfall AL, et al. Long-term follow-up from MajesTEC-1 of teclistamab, a BCMA×CD3 bispecific antibody, in patients with relapsed/refractory multiple myeloma. Poster presented at: 11th Annual Meeting of the Society of Hematologic Oncology (SOHO); September 6-9, 2023; Houston, TX, USA.
6. Garfall AL, Nooka AK, van de Donk NWCJ, et al. Long-term follow-up from the phase 1/2 MajesTEC-1 trial of teclistamab in patients with relapsed/refractory multiple myeloma. Oral Presentation presented at: The 2024 American Society of Clinical Oncology (ASCO) Annual Meeting; May 31-June 4, 2024; Chicago, IL.
7. Usmani SZ, Karlin L, Benboubker L, et al. Durability of responses with biweekly dosing of teclistamab in patients with relapsed/refractory multiple myeloma achieving a clinical response in the MajesTEC-1 study. Poster presented at: 2023 American Society of Clinical Oncology (ASCO) Annual Meeting; June 2-6, 2023; Chicago, IL, USA & Virtual.
8. Costa LJ, van de Donk NWCJ, Rosinal L, et al. Long-term follow-up from the phase 1/2 MajesTEC-1 trial of teclistamab in patients with relapsed/refractory multiple myeloma: subgroup analysis by lines of therapies. Poster presented at: HEMO 2024; October 23-26, 2024; Sao Paulo, Brazil.
9. Costa LJ, Bahlis NJ, Usmani SZ, et al. Efficacy and safety of teclistamab in patients with relapsed/refractory multiple myeloma with high-risk features: a subgroup analysis from the phase 1/2 MajesTEC-1 study. Poster presented at: European Hematology Association (EHA) 2024 Hybrid Congress; June 13-16, 2024; Madrid, Spain.
10. van de Donk NWCJ, Bahlis N, Costa LJ, et al. Impact of COVID-19 on outcomes with teclistamab in patients with relapsed/refractory multiple myeloma in the phase 1/2 MajesTEC-1 study. Blood Cancer J. 2024;14(1):186.
11. van de Donk NWCJ, Bahlis N, Costa LJ, et al. Impact of COVID-19 on outcomes with teclistamab in the phase 1/2 MajesTEC-1 study in patients with relapsed/refractory multiple myeloma. Poster presented at: 5th European Myeloma Network (EMN); April 18-20, 2024; Torino, Italy. Poster presented at: 5th European Myeloma Network (EMN); April 18-20, 2024; Torino, Italy.
12. Frerichs KA, Verkleij CPM, Mateos MV, et al. Teclistamab impairs humoral immunity in patients with heavily pretreated myeloma: importance of immunoglobulin supplementation. Blood Adv. 2024;8(1):194-206.
13. Martin TG, Moreau P, Usmani SZ, et al. Teclistamab improves patient-reported symptoms and health-related quality of life in relapsed or refractory multiple myeloma: results from the phase II MajesTEC-1 study. Clin Lymphoma Myeloma Leuk. 2024;24(3):194-202.
14. Matous J, van de Donk, NWCJ, Oriol A, et al. Higher teclistamab step-up dosing in patients with relapsed or refractory multiple myeloma (RRMM): results from the MajesTEC-1 trial. Poster presented at: 66th American Society of Hematology (ASH) Annual Meeting and Exposition; December 7-10, 2024; San Diego, CA.
15. Martin TG, Mateos MV, Nooka A, et al. Detailed overview of incidence and management of cytokine release syndrome observed with teclistamab in the MajesTEC-1 study of patients with relapsed/refractory multiple myeloma. Cancer. 2023;129(13):2035-2046.
16. Nooka AK, Rodriguez C, Mateos MV, et al. Incidence, timing, and management of infections in patients receiving teclistamab for the treatment of relapsed/refractory multiple myeloma in the MajesTEC‐1 study. Cancer. 2024;130(6):886-900. Cancer. 2024;130(6):886-900.
17. Moreau P, Garfall AL, van de Donk NWCJ, et al. Protocol to: Teclistamab in relapsed or refractory multiple myeloma. N Engl J Med. 2022;387(6):495-505.
18. Mateos MV. Long-term follow-up from MajesTEC-1 of teclistamab, a BCMA×CD3 bispecific antibody, in patients with relapsed/refractory multiple myeloma. Oral presentation presented at: Lymphoma Leukemia and Myeloma Congress; October 18-21, 2023; New York, NY.