Teclistamab + Daratumumab in Relapsed or Refractory Multiple Myeloma

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Teclistamab plus Daratumumab in Relapsed or Refractory Multiple Myeloma

This presentation covers relapsed or refractory multiple myeloma overview, Teclistamab as BCMA x CD3 bispecific antibody, Daratumumab as anti-CD38 monoclonal antibody, their complementary mechanisms, efficacy from MajesTEC-007 trial with ORR 76% and CR 51%, safety profile including manageable CRS, and key takeaways for post-triple-class therapy.

May 5, 202613 slides
Slide 2 of 13

Slide 2 - Presentation Agenda

  • Multiple Myeloma Overview
  • Teclistamab
  • Daratumumab
  • Combination Rationale
  • Clinical Trial Results
  • Safety Profile
  • Conclusion

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Slide 2 - Presentation Agenda
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Slide 3 - Multiple Myeloma Overview

  • Malignancy of plasma cells in bone marrow
  • Leads to bone lesions, anemia, renal failure, infections
  • RRMM: Relapsed after ≥2 prior therapies or refractory to last regimen
  • Median OS in triple-class exposed RRMM: 11-13 months
  • Unmet need for effective post-triple-class therapies
Slide 3 - Multiple Myeloma Overview
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Slide 5 - Teclistamab: Key Facts

  • Bispecific antibody: BCMA (tumor) × CD3 (T-cell engager)
  • Subcutaneous administration: step-up doses then weekly
  • FDA approved Oct 2022 for RRMM after ≥4 lines incl. immunomodulators, PIs, anti-CD38
  • Majestec-1 trial: ORR 63% (n=165), CR 39%, median PFS 11.3 months
  • Manageable CRS (72%, mostly Gr1-2) with step-up dosing
Slide 5 - Teclistamab: Key Facts
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Slide 7 - Daratumumab

3

Daratumumab

Anti-CD38 Monoclonal Antibody

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Slide 7 - Daratumumab
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Slide 8 - Daratumumab Efficacy

  • ORR 31%: Monotherapy (GEN501)
  • ORR 83%: +Vd (CASTOR)
  • ORR 93%: +Rd (POLLUX)
  • SubQ: Approved 2020
Slide 8 - Daratumumab Efficacy
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Slide 9 - Combination Therapy

4

Teclistamab + Daratumumab

Synergistic Targeting in RRMM

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Slide 9 - Combination Therapy
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Slide 10 - Complementary Mechanisms

Teclistamab

  • BCMA × CD3 bispecific
  • T-cell redirection
  • Deep responses in heavily pretreated

Daratumumab

  • Anti-CD38 monoclonal
  • ADCC, complement, phagocytosis
  • Broad activity, immunomodulation
Slide 10 - Complementary Mechanisms
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Slide 11 - MajesTEC-007: Efficacy (Tecl + Dara)

  • ORR 76%: Overall Response
  • CR 51%: Complete Response
  • 89%: ≥VGPR
  • Ongoing: DOR/PFS
Slide 11 - MajesTEC-007: Efficacy (Tecl + Dara)
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Slide 12 - Safety and Tolerability

  • CRS: 74% all Gr (Gr3: 3%), median onset day 4
  • ICANS: 21% (all Gr1-2)
  • Infections: 69% (Gr3/4: 36%)
  • Hematologic AEs: Neutropenia 49% Gr3/4
  • Discontinuation: 8% due to AEs
  • Manageable with step-up and prophylaxis
Slide 12 - Safety and Tolerability
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Slide 13 - Key Takeaways

Teclistamab + Daratumumab delivers high ORR (76%) and CR rates (51%) in heavily pretreated RRMM Complementary mechanisms with manageable toxicity Promising for post-triple-class exposed patients Further data from ongoing trials awaited

Thank you! Questions?

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Slide 13 - Key Takeaways

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