
Al-Ola A Abdallah: A Summary Table Between JNJ-5322 Trispecific Study vs Redirect Trial
Al-Ola A Abdallah, Associate Professor and Plasma Cell Disorder Program Director of the Division of HMCT at the University of Kansas Medical Center, shared a post on X:
“A Quick Look at JNJ-5322 Trispecific Antibody Study (Baseline Data): Both sides Good and Bad!
Phase 1 trial investigates JNJ-5322, a trispecific antibody targeting BCMA, GPRC5D, and CD3 for relapsed/refractory
‘Double lock-down’ strategy binds two myeloma antigens to boost T-cell–mediated killing.
Baseline Characteristics (N=147)
- Triple-class exposed: 100%
- Penta-drug exposed: 83%
- Prior BCMA: 22%
- Prior GPRC5D: 14%
- Extramedullary disease: 27%
- Median prior LOTs: 4
- Median age: 64
Safety: Treatment-Emergent AEs
Hematologic (Grade 3/4, RP2D):
- Neutropenia: 31%
- Anemia: 14%
- Lymphopenia: 28%
Infections:
- Any grade: 81%
- Grade 3/4: 33%
- Hypogammaglobulinemia: 50%
- 2 infection-related deaths
(Adenoviral encephalitis, Pneumonia)
CRS: 22% (all Grade 1–2)
No Grade ≥3 CRS or ICANS reported.
Most Common Infections
- URTI: 39%
- Pneumonia: 17% (Grade 3/4: 11%)
- COVID-19: 14%
- IVIG support: 47%
Other: Nasopharyngitis (11%), UTIs (14%)
Taste & Skin-Related Side Effects: similar to Talquetamab
Taste-related:
– RP2D: 68%
– All: 58%
– Mostly low grade
Skin (non-rash):
– RP2D: 64%
– All: 51%
Nail-related:
– RP2D: 33%
– All: 30%
Closer look at efficacy
ORR;
In BCMA/GPRC5D-naive patients:
– ORR: 100%
– VGPR or better: 93%
– CR/sCR: 75%
In BCMA/GPRC5D-exposed patients:
– ORR: 55%
– CR/sCR: 15%
Median time to response: 1.4 mo
Median follow-up: 12.2 mo
PFS (Progression-Free Survival)
In BCMA/GPRC5D-naive patients:
– 12-month PFS:
95.0% at RP2D
74.1% across all doses
A Summary table (not a direct Comparison) between JNJ-5322 trispecific (GPRC5D/BCMA/CD3) Study vs Redirect trial (Teclistamab/Talquetamab).”
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