The efficacy of TALVEY® as a single agent was evaluated in 219 patients with RRMM in the single-arm, open-label, multicenter, phase 1/2 MonumenTAL-1 trial1,2
Patients naïve to T-cell redirection therapy* were randomized to receive TALVEY® Q2W or QW1
(n=87)
(n=100)
Patients exposed to T-cell redirection therapy* received TALVEY® QW1
Patients exposed to T-cell redirection therapy* received TALVEY® QW1
(n=32)
*T-cell redirection therapy refers to both CAR-T and bispecific antibody therapy.
- Received ≥3 prior systemic therapies, including a proteasome inhibitor, an immunomodulatory agent, and an anti-CD38 monoclonal antibody
- ECOG PS of 0–2 included
- No T-cell redirection therapy* within 3 months
- No prior Grade 3 or higher CRS related to any T-cell redirection therapy*
- No autologous stem cell transplant within the past 12 weeks
- No stroke, seizure, or allogeneic stem cell transplant within the past 6 months
- No CNS involvement or clinical signs of meningeal involvement of MM or plasma cell leukemia
- No active or documented history of autoimmune disease, with the exception of vitiligo, resolved childhood atopic dermatitis, or resolved Graves' disease that is euthyroid based on clinical and laboratory testing
Primary endpoint4: ORR
Key secondary endpoints4: DOR and TTR
Clinical trial dosing4
Following the step-up dosing schedule, patients received TALVEY® Q2W (0.8 mg/kg) or QW (0.4 mg/kg) as a subcutaneous injection until disease progression or unacceptable toxicity.
*T-cell redirection therapy refers to both CAR-T and bispecific antibody therapy.
Patients with a range of characteristics, including those with high-risk features, were studied in MonumenTAL-11
In patients naïve to T-cell redirection therapy,* 22% had ISS stage 3 disease, 29% had high-risk cytogenetics, 22% had extramedullary disease, and 73% were triple-class refractory. In patients exposed to T-cell redirection therapy,* 81% had prior CAR-T and 25% had prior bispecific antibody therapy.
*T-cell redirection therapy refers to both CAR-T and bispecific antibody therapy.
†Baseline cytogenetic data were not available in 11% of patients.
*T-cell redirection therapy refers to both CAR-T and bispecific antibody therapy.
†These demographic data were reported in the longer-term follow-up analysis of MonumenTAL-1. Due to rounding, calculations may not be exact.
*T-cell redirection therapy refers to both CAR-T and bispecific antibody therapy.
ADC, antibody-drug conjugate; BCMA, B-cell maturation antigen; BMI, body mass index; CAR-T, chimeric antigen receptor T-cell; CD, cluster of differentiation; CNS, central nervous system; CRS, cytokine release syndrome; ECOG PS, Eastern Cooperative Oncology Group performance status; ISS, International Staging System; mDOR, median duration of response; MM, multiple myeloma; ORR, overall response rate; QW, once weekly; Q2W, every 2 weeks; RRMM, relapsed or refractory multiple myeloma; SC, subcutaneous; TTR, time to response.

