A Study Comparing Daratumumab, VELCADE (Bortezomib), Lenalidomide, and Dexamethasone (D-VRd) With VELCADE, Lenalidomide, and Dexamethasone (VRd) in Participants With Untreated Multiple Myeloma and for Whom Hematopoietic Stem Cell Transplant is Not Planned as Initial Therapy
The purpose of this study to determine if the addition of daratumumab to bortezomib + lenalidomide + dexamethasone (VRd) will improve overall minimal residual disease (MRD) negativity rate compared with VRd alone.
Inclusion Criteria
- Diagnosis of multiple myeloma as documented per International Myeloma Working Group (IMWG) criteria Monoclonal plasma cells in the bone marrow greater than or equal to (>=)10 percentage (%) or presence of a biopsy proven plasmacytoma and documented multiple myeloma satisfying at least one of the calcium, renal, anemia, bone (CRAB) criteria or biomarkers of malignancy criteria. CRAB criteria: Hypercalcemia: serum calcium greater than (>) 0.25 millimoles per liter (mmol/L) (>1 milligram per deciliter [mg/dL]) higher than upper limit of normal (ULN) or >2.75 mmol/L (>11 mg/dL); Renal insufficiency: creatinine clearance less than (<) 40 milliliter per minute (mL/min) or serum creatinine >177 micro millimoles per liter (umol/L) (>2 mg/dL); Anemia: hemoglobin >2 g/dL below the lower limit of normal or hemoglobin <10 g/dL; Bone lesions: one or more osteolytic lesions on skeletal radiography, computed tomography (CT), or positron emission tomography (PET)-CT. Biomarkers of Malignancy: Clonal bone marrow plasma cell percentage >=60%; Involved: uninvolved serum free light chain (FLC) ratio >=100; >1 focal lesion on magnetic resonance imaging (MRI) studies
- Must have measurable disease, as assessed by central laboratory
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1, or 2
- A woman of childbearing potential must have 2 negative serum or urine pregnancy tests at Screening, first within 10 to 14 days prior to dosing and the second within 24 hours prior to dosing
- A woman must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for a period of 3 months after receiving the last dose of any component of the treatment regimen
Exclusion Criteria
- Frailty index of >=2 according to Myeloma Geriatric Assessment score
- Prior therapy for multiple myeloma other than a short course of corticosteroids (not to exceed 40 mg of dexamethasone, or equivalent per day, total of 160 mg dexamethasone or equivalent)
- Prior or concurrent invasive malignancy (other than multiple myeloma) within 5 years of date of randomization (exceptions are adequately treated basal cell or squamous cell carcinoma of the skin, carcinoma in situ of the cervix or breast, or other non-invasive lesion that in the opinion of the investigator, with concurrence with the sponsor's medical monitor, is considered cured with minimal risk of recurrence within 3 years)
- Peripheral neuropathy or neuropathic pain Grade 2 or higher, as defined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5
- Focal radiation therapy within 14 days of randomization with the exception of palliative radiotherapy for symptomatic pain management. Radiotherapy within 14 days prior to randomization on measurable extramedullary plasmacytoma is not permitted even in the setting of palliation for symptomatic management
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT03652064.
Locations matching your search criteria
United States
Ohio
Columbus
Pennsylvania
Pittsburgh
This study will evaluate participants with newly diagnosed multiple myeloma (MM) for whom
hematopoietic stem cell transplant is not planned as initial therapy. The data available
from other available studies suggests that addition of daratumumab with Velcade
(bortezomib), lenalidomide, and dexamethasone [VRd] is anticipated to improve the
response rates and the depth of response and may lead to improved long-term outcomes in
newly diagnosed participants with MM. Daratumumab targets CD38, a protein expressed on
the surface of MM cells and other hematopoietic cells. Bortezomib is a proteasome
inhibitor, which plays a critical role in the pathogenesis of MM. Lenalidomide has
cytotoxic effects on myeloma cells and is capable of inducing apoptosis, or programmed
cell death and dexamethasone induces apoptosis in MM cells. The rationale for the study
is to utilize the subcutaneous (SC) formulation of daratumumab instead of the intravenous
(IV) formulation, which is expected to provide similar exposure and is expected to limit
additional toxicity to participants, treated with this quadruplet regimen. The study will
consist of 3 phases: Screening (up to 28 days before randomization), Treatment phase
(from Cycle 1 [21 days] Day 1 and continues until disease progression) and Follow up
(Postintervention). Efficacy evaluations will include measurements of tumor
burden/residual disease, myeloma proteins, bone marrow examinations, skeletal surveys,
extramedullary plasmacytomas, and serum calcium corrected for albumin. Participants will
undergo procedures like electrocardiogram (ECG), chest x-rays or full dose chest CT
scans, Pulmonary function test (PFT), spirometry etc. during the course of study.
Participants will also be monitored closely for adverse events (AEs), laboratory
abnormalities, and clinical response. The duration of the study will be approximately 6.5
years.
Trial PhasePhase III
Trial Typetreatment
Lead OrganizationJanssen Research & Development, LLC
- Primary IDCR108529
- Secondary IDsNCI-2019-00201, 2018-001545-13, 2023-507312-13-00, 54767414MMY3019
- ClinicalTrials.gov IDNCT03652064