A Study of JNJ-68284528, a Chimeric Antigen Receptor T Cell (CAR-T) Therapy Directed Against B-cell Maturation Antigen (BCMA) in Participants With Multiple Myeloma

Last updated: March 16, 2026
Sponsor: Janssen Research & Development, LLC
Overall Status: Active - Not Recruiting

Phase

2

Condition

Multiple Myeloma

Cancer

Lymphoproliferative Disorders

Treatment

JNJ-68284528

Bortezomib

Dexamethasone

Clinical Study ID

NCT04133636
CR108581
2023-506587-13-00
68284528MMY2003
2018-004124-10
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to evaluate the overall minimal residual disease (MRD) negative rate of participants who receive JNJ-68284528.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Cohort A: Received a minimum of 1 to a maximum of 3 prior lines of therapy includinga proteasome inhibitor (PI) and immunomodulatory therapy (IMiD), and lenalidomiderefractory per International Myeloma Working Group (IMWG) guidelines

  • Cohort B: Received one line of prior therapy including a PI and an IMiD, and diseaseprogression per IMWG criteria less than or equal to (<=) 12 months after treatmentwith autologous stem cell transplantation (ASCT) or <=12 months from the start ofanti-myeloma therapy for participants who have not had an ASCT

  • Cohort C: Previously treated with a PI, an IMiD, an anti-CD38 monoclonal antibodyand B-cell maturation antigen (BCMA)-directed therapy

  • Cohort D: Newly diagnosed multiple myeloma per IMWG with a history of 4 to 8 totalcycles of initial therapy, including induction, high-dose therapy, and ASCT with orwithout consolidation

  • Cohort E: Have newly diagnosed multiple myeloma without prior therapy (one cycle ofprior therapy before enrollment is acceptable) and classified as high risk definedas either: 1) International Staging System (ISS) stage III criteria, Beta 2microglobulin greater than or equal to (>=) 5.5 milligrams per liter (mg/L) (vialocal or central laboratory assessment) or 2) high risk cytogenetic featuresdel(17/17p), t (14;16), t(14;20), 1q amplification (at least 4 total copies) in atleast 20 percent (%) of the total plasma cell population

  • Cohort F:

  • Participant must have a documented efficacy response of very good partial response (VGPR) or better, without progressive disease prior to enrollment, as assessed perIMWG 2016 criteria

  • Received initial therapy as specified below. The dose/schedule of cyclesadministered will be as per standard of care. It is acceptable for up to 1 cycle ofthe protocol-specified regimens to be missing one of the listed agents (example,held due to toxicity). Acceptable combinations include: At least 5 to 8 cycles ofinitial therapy with daratumumab, bortezomib, lenalidomide and dexamethasone (D-VRd). The dose/schedule of cycles administered will be as per standard of careor; at least 4 to 8 cycles of initial therapy with daratumumab, lenalidomide anddexamethasone (D-Rd) or; at least 4 to 8 cycles of initial therapy with acarfilzomib-based triplet or quadruplet regimen

  • Cohort G: Not considered for high-dose chemotherapy with autologous stem celltransplantation (ASCT) due to: a) Ineligibility due to advanced age; or b)Ineligibility due to presence of comorbid condition(s) likely to have a negativeimpact on tolerability of high-dose chemotherapy with ASCT; or c) Subject refusal ofhigh-dose chemotherapy with ASCT as initial treatment

  • Cohort H: Considered a candidate for high-dose chemotherapy with ASCT as initialtreatment

  • Cohorts A, B, C, E, G, H:

  • Serum monoclonal paraprotein (M-protein) level greater than or equal to (>=) 1.0gram per deciliter (g/dL) or urine M-protein level >=200 milligrams (mg)/24 hours

  • Light chain multiple myeloma in whom only measurable disease is by serum free lightchain (FLC) levels in the serum: Serum immunoglobulin FLC >=10 mg/dL and abnormalserum immunoglobulin kappa lambda FLC ratio

  • Cohort A: For participants with neither serum nor urine measurable disease, baselinepositron emission tomography/ computed tomography (PET/CT) or whole -body magneticresonance imaging (MRI) may be used to satisfy the measurable disease criteria. Aminimum of one lesion with a bi-dimensional measurement of at least 1 centimeter (cm)*1 cm is required

  • Cohorts B, C: For participants with neither serum nor urine measurable disease,baseline positron emission tomography/ computed tomography (PET/CT) or whole bodymagnetic resonance imaging (MRI) may be used to satisfy the measurable diseasecriteria

  • Cohorts A, B, C, D, E, F, G, H: Eastern Cooperative Oncology Group (ECOG)performance status grade of 0 or 1

Exclusion

Exclusion Criteria:

  • Cohorts A, B, D, F: Any therapy that is targeted to BCMA

  • Cohorts A, B, C, D, F: Prior treatment with chimeric antigen receptor T (CAR-T)therapy directed at any target

  • Cohorts A, B, C, D, F:

  • Ongoing toxicity from previous anticancer therapy must resolve to baseline levels orto Grade 1 or less except for alopecia or peripheral neuropathy

  • Received a cumulative dose of corticosteroids equivalent to >=70 mg of prednisonewithin the 7 days (Cohort A, B, C, F) or 14 days (Cohort D) prior to apheresis

  • Serious underlying medical condition, such as (a) evidence of active viral orbacterial infection requiring systemic antimicrobial therapy, or uncontrolledsystemic fungal infection; (b) active autoimmune disease or a history of autoimmunedisease within 3 years; (c) overt clinical evidence of dementia or altered mentalstatus; (d) any history of Parkinson's disease or other neurodegenerative disorder

  • Cohorts A, B, C, D, E, F: Known active, or prior history of central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of multiplemyeloma

  • Cohorts F, G, and H: Active malignancies (that is, progressing or requiringtreatment change in the last 24 months) other than the disease being treated understudy. The only allowed exceptions are: a) non-muscle invasive bladder cancertreated within the last 24 months that is considered completely cured; b) skincancer (non-melanoma or melanoma) treated within the last 24 months that isconsidered completely cured; c) non-invasive cervical cancer treated within the last 24 months that is considered completely cured; d) localized prostate cancer (N0M0):with a Gleason score of greater than or equal to (=>)6, treated within the last 24months or untreated and under surveillance, with a Gleason score of 3+4 that hasbeen treated more than 6 months prior to full study screening and considered to havea very low risk of recurrence, or history of localized prostate cancer and receivingandrogen deprivation therapy and considered to have a very low risk of recurrence,e) breast cancer: adequately treated lobular carcinoma in situ or ductal carcinomain situ, or history of localized breast cancer and receiving antihormonal agents andconsidered to have a very low risk of recurrence; f) malignancy that is consideredcured with minimal risk of recurrence

  • Cohorts E, G, and H: Frailty index of >= 2 according to Myeloma Geriatric Assessmentscore

Study Design

Total Participants: 210
Treatment Group(s): 5
Primary Treatment: JNJ-68284528
Phase: 2
Study Start date:
November 07, 2019
Estimated Completion Date:
September 03, 2029

Connect with a study center

  • Universitair Ziekenhuis - Antwerpen

    Antwerp, 2650
    Belgium

    Site Not Available

  • Institut Jules Bordet

    Brussel, 1000
    Belgium

    Site Not Available

  • UZ Gent

    Gent, 9000
    Belgium

    Site Not Available

  • UZ Gent

    Ghent, 9000
    Belgium

    Site Not Available

  • UZ Gent

    Ghent 2797656, 9000
    Belgium

    Site Not Available

  • UZ Leuven

    Leuven, 3000
    Belgium

    Site Not Available

  • UZ Leuven

    Leuven 2792482, 3000
    Belgium

    Site Not Available

  • CHRU de Lille - Hopital Claude Huriez

    Lille, 59037
    France

    Site Not Available

  • CHRU de Lille Hopital Claude Huriez

    Lille, 59037
    France

    Site Not Available

  • CHRU de Lille Hopital Claude Huriez

    Lille 2998324, 59037
    France

    Site Not Available

  • C.H.U. Hotel Dieu - France

    Nantes, 44093
    France

    Site Not Available

  • C.H.U. Hotel Dieu - France

    Nantes 2990969, 44093
    France

    Site Not Available

  • Hopital Saint Louis

    Paris, 75475
    France

    Site Not Available

  • Hopital Saint Louis

    Paris 2988507, 75475
    France

    Site Not Available

  • Hopital Saint Louis

    Paris cedex 10, 75475
    France

    Site Not Available

  • Hopital Saint-Louis

    Paris cedex 10, 75475
    France

    Site Not Available

  • Universitatsklinikum Carl Gustvav Carus Dresden an der Technischen Universitat Dresden

    Dresden, 01307
    Germany

    Site Not Available

  • Universitaetsklinikum Hamburg Eppendorf

    Hamburg, 20246
    Germany

    Site Not Available

  • Universitaetsklinikum Hamburg Eppendorf

    Hamburg 2911298, 20246
    Germany

    Site Not Available

  • Universitaetsklinikum Heidelberg

    Heidelberg, 69120
    Germany

    Site Not Available

  • Universitatsklinikum Leipzig

    Leipzig, 04103
    Germany

    Site Not Available

  • Klinikum der Eberhard-Karls-Universität/Abt. für innere Med. II/Hämatologie/Onkologie-Germany

    Tübingen, 72076
    Germany

    Site Not Available

  • Universitatsklinikum Wurzburg

    Wuerzburg, 97080
    Germany

    Site Not Available

  • Universitatsklinikum Wurzburg

    Würzburg, 97080
    Germany

    Site Not Available

  • Universitätsklinikum Würzburg

    Würzburg, 97080
    Germany

    Site Not Available

  • Universitatsklinikum Wurzburg

    Würzburg 2805615, 97080
    Germany

    Site Not Available

  • Sheba Medical Center Tel Hashomer

    Ramat Gan, 52621
    Israel

    Site Not Available

  • Sheba Medical Center Tel Hashomer

    Ramat Gan 293788, 52621
    Israel

    Site Not Available

  • Tel Aviv Sourasky Medical Center

    Tel Aviv, 64239
    Israel

    Site Not Available

  • Tel Aviv Sourasky Medical Center

    Tel Aviv 293397, 64239
    Israel

    Site Not Available

  • Tel Aviv Sourasky Medical Center

    Tel-Aviv, 64239
    Israel

    Site Not Available

  • Tel-Aviv Sourasky Medical Center

    Tel-Aviv, 64239
    Israel

    Site Not Available

  • VU Medisch Centrum

    Amsterdam, 1081 HV
    Netherlands

    Site Not Available

  • VU Medisch Centrum

    Amsterdam 2759794, 1081 HV
    Netherlands

    Site Not Available

  • University Medical Center Groningen

    Groningen, 9713 GZ
    Netherlands

    Site Not Available

  • University Medical Center Groningen

    Groningen 2755251, 9713 GZ
    Netherlands

    Site Not Available

  • King Faisal Specialist Hospital & Research Center

    Riyadh, 11211
    Saudi Arabia

    Site Not Available

  • King Faisal Specialist Hospital & Research Center

    Riyadh 108410, 11211
    Saudi Arabia

    Site Not Available

  • Parkway Cancer Center

    Singapore, 228510
    Singapore

    Site Not Available

  • Clinica Univ. de Navarra

    Pamplona, 31008
    Spain

    Site Not Available

  • Clinica Univ. de Navarra

    Pamplona 3114472, 31008
    Spain

    Site Not Available

  • Hosp Clinico Univ de Salamanca

    Salamanca, 37007
    Spain

    Site Not Available

  • Hosp. Clinico Univ. de Salamanca

    Salamanca, 37007
    Spain

    Site Not Available

  • Hosp Clinico Univ de Salamanca

    Salamanca 3111108, 37007
    Spain

    Site Not Available

  • City Of Hope Med Ctr

    Duarte, California 91010
    United States

    Site Not Available

  • University Of California San Diego

    San Diego, California 92037
    United States

    Site Not Available

  • University of California San Francisco

    San Francisco, California 94143
    United States

    Site Not Available

  • University of California, San Francisco

    San Francisco, California 94143
    United States

    Site Not Available

  • University Of California San Diego

    San Diego 5391811, California 5332921 92037
    United States

    Site Not Available

  • University of California San Francisco

    San Francisco 5391959, California 5332921 94143
    United States

    Site Not Available

  • Yale University School Of Medicine

    New Haven, Connecticut 06510
    United States

    Site Not Available

  • Yale University School Of Medicine

    New Haven 4839366, Connecticut 4831725 06510
    United States

    Site Not Available

  • Moffitt Cancer Center

    Tampa, Florida 33612
    United States

    Site Not Available

  • Moffitt Cancer Center

    Tampa 4174757, Florida 4155751 33612
    United States

    Site Not Available

  • Emory University

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • Emory University

    Atlanta 4180439, Georgia 4197000 30322
    United States

    Site Not Available

  • Northwestern University

    Chicago, Illinois 60611
    United States

    Site Not Available

  • University of Chicago

    Chicago, Illinois 60637
    United States

    Site Not Available

  • Northwestern University

    Chicago 4887398, Illinois 4896861 60611
    United States

    Site Not Available

  • University of Chicago

    Chicago 4887398, Illinois 4896861 60637
    United States

    Site Not Available

  • Indiana University

    Indianapolis, Indiana 46202
    United States

    Site Not Available

  • Indiana University

    Indianapolis 4259418, Indiana 4921868 46202
    United States

    Site Not Available

  • University of Iowa Hospitals & Clinics

    Iowa City, Iowa 52242
    United States

    Active - Recruiting

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa 52242
    United States

    Site Not Available

  • University of Iowa Hospitals and Clinics

    Iowa City 4862034, Iowa 4862182 52242
    United States

    Site Not Available

  • University of Kansas Cancer Center

    Westwood, Kansas 66205
    United States

    Site Not Available

  • University of Kansas Cancer Center

    Westwood 4281639, Kansas 4273857 66205
    United States

    Site Not Available

  • Norton Cancer Institute

    Louisville, Kentucky 40207
    United States

    Site Not Available

  • Norton Cancer Institute

    Louisville 4299276, Kentucky 6254925 40207
    United States

    Site Not Available

  • Johns Hopkins

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • Dana Farber Cancer Institute

    Boston, Massachusetts 02115
    United States

    Site Not Available

  • Dana-Farber Cancer Institute

    Boston, Massachusetts 02115
    United States

    Site Not Available

  • Dana Farber Cancer Institute

    Boston 4930956, Massachusetts 6254926 02115
    United States

    Site Not Available

  • Barbara Ann Karmanos Cancer Institute

    Detroit, Michigan 48201
    United States

    Site Not Available

  • Barbara Ann Karmanos Cancer Institute

    Detroit 4990729, Michigan 5001836 48201
    United States

    Site Not Available

  • Mayo Clinic Rochester

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Mayo Clinic Rochester

    Rochester 5043473, Minnesota 5037779 55905
    United States

    Site Not Available

  • Washington University School of Medicine

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Washington University School Of Medicine

    St Louis, Missouri 63108
    United States

    Site Not Available

  • Washington University School Of Medicine

    St Louis 4407066, Missouri 4398678 63110
    United States

    Site Not Available

  • Hackensack University Medical Center

    Hackensack, New Jersey 07601
    United States

    Site Not Available

  • Rutgers Cancer Institute of New Jersey

    New Brunswick, New Jersey 08903
    United States

    Site Not Available

  • Hackensack University Medical Center

    Hackensack 5098706, New Jersey 5101760 07601
    United States

    Site Not Available

  • Rutgers Cancer Institute of New Jersey

    New Brunswick 5101717, New Jersey 5101760 08903
    United States

    Site Not Available

  • Montefiore Medical Center

    Bronx, New York 10467
    United States

    Site Not Available

  • Roswell Park Cancer Institute

    Buffalo, New York 14263
    United States

    Site Not Available

  • Memorial Sloan-Kettering Cancer Center

    New York, New York 10065
    United States

    Site Not Available

  • Mount Sinai Medical Center

    New York, New York 10029
    United States

    Site Not Available

  • Montefiore Medical Center

    The Bronx, New York 10467
    United States

    Site Not Available

  • Roswell Park Cancer Institute

    Buffalo 5110629, New York 5128638 14263
    United States

    Site Not Available

  • Memorial Sloan-Kettering Cancer Center

    New York 5128581, New York 5128638 10065
    United States

    Site Not Available

  • Mount Sinai Medical Center

    New York 5128581, New York 5128638 10029
    United States

    Site Not Available

  • Montefiore Medical Center

    The Bronx 5110266, New York 5128638 10467
    United States

    Site Not Available

  • Levine Cancer Institute, Carolinas HealthCare System

    Charlotte, North Carolina 28204
    United States

    Site Not Available

  • Levine Cancer Institute, Carolinas HealthCare System

    Charlotte 4460243, North Carolina 4482348 28204
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland, Ohio 44195
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland 5150529, Ohio 5165418 44195
    United States

    Site Not Available

  • Oregon Health And Science University

    Portland, Oregon 97239
    United States

    Site Not Available

  • Oregon Health And Science University

    Portland 5746545, Oregon 5744337 97239
    United States

    Site Not Available

  • Thomas Jefferson University

    Philadelphia, Pennsylvania 19107
    United States

    Site Not Available

  • University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • University of Pittsburgh

    Pittsburgh, Pennsylvania 15232
    United States

    Site Not Available

  • Thomas Jefferson University

    Philadelphia 4560349, Pennsylvania 6254927 19107
    United States

    Site Not Available

  • University of Pennsylvania

    Philadelphia 4560349, Pennsylvania 6254927 19104
    United States

    Site Not Available

  • University of Pittsburgh

    Pittsburgh 5206379, Pennsylvania 6254927 15232
    United States

    Site Not Available

  • Baylor University Medical Center

    Dallas, Texas 75246
    United States

    Site Not Available

  • University of Texas Southwestern Medical Center

    Dallas, Texas 75390
    United States

    Site Not Available

  • University of Texas, MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • University of Texas Southwestern Medical Center

    Dallas 4684888, Texas 4736286 75390
    United States

    Site Not Available

  • University of Utah

    Salt Lake City, Utah 84112
    United States

    Site Not Available

  • University of Utah

    Salt Lake City 5780993, Utah 5549030 84112
    United States

    Site Not Available

  • University of Virginia

    Charlottesville, Virginia 22908
    United States

    Site Not Available

  • Virginia Commonwealth University - Massey Cancer Center

    Richmond, Virginia 23298
    United States

    Site Not Available

  • University of Virginia

    Charlottesville 4752031, Virginia 6254928 22908
    United States

    Site Not Available

  • Virginia Commonwealth University - Massey Cancer Center

    Richmond 4781708, Virginia 6254928 23298
    United States

    Site Not Available

  • Fred Hutchinson Cancer Center

    Seattle, Washington 98109
    United States

    Site Not Available

  • Fred Hutchinson Cancer Center

    Seattle 5809844, Washington 5815135 98109
    United States

    Site Not Available

  • University of Wisconsin Carbone Cancer Center

    Madison, Wisconsin 53705
    United States

    Site Not Available

  • University of Wisconsin Carbone Cancer Center

    Madison 5261457, Wisconsin 5279468 53705
    United States

    Site Not Available

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