Trial document
This study has been imported from ClinicalTrials.gov without additional data checks.
DRKS00007830
Trial Description
Title
A Phase 3 Study Comparing Daratumumab, Lenalidomide, and Dexamethasone (DRd) vs Lenalidomide and Dexamethasone (Rd) in Subjects With Previously Untreated Multiple Myeloma Who Are Ineligible for High Dose Therapy
Trial Acronym
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URL of the Trial
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Brief Summary in Lay Language
The purpose of this study is to compare the efficacy of daratumumab in combination with
lenalidomide and dexamethasone to that of lenalidomide and dexamethasone in terms of
progression-free survival (PFS) in participants with newly diagnosed multiple myeloma (a
blood cancer of plasma cells) who are not candidates for high dose chemotherapy (treatment
of disease, usually cancer, by chemical agents) and autologous stem cell transplant (ASCT).
Brief Summary in Scientific Language
This is a Phase 3, randomized (study drug assigned by chance), open-label (participants and
researchers are aware about the treatment, participants are receiving), active-controlled
(study in which the experimental treatment or procedure is compared to a standard treatment
or procedure), parallel-group (each group of participants will be treated at the same time),
and multicenter (when more than one hospital or medical school team work on a medical
research study) study in participants with newly diagnosed multiple myeloma and who are not
candidates for high dose chemotherapy and ASCT. All the eligible participants will be
randomly assigned to receive either daratumumab in combination with lenalidomide and
dexamethasone (DRd) or lenalidomide and dexamethasone (Rd). Daratumumab (16 milligram per
kilogram [mg/kg]) will be administered weekly for first 8 weeks (Cycles 1 to 2) of treatment
and then every other week for 16 weeks (Cycles 3 to 6), then every 4 weeks (from Cycle 7 and
beyond) until progression of disease or unacceptable toxicity. Lenalidomide will be
administered at a dose of 25 mg orally on Days 1 through 21 of each 28-day cycle, and
dexamethasone will be administered at a dose of 40 mg once a week for both treatment arms.
Participants in the DRd arm will receive lenalidomide/dexamethasone for a maximum of 2 years
(participants will continue to receive dexamethasone as a premedication for daratumumab
administration even after the lenalidomide/dexamethasone treatment is discontinued); those
in the Rd arm will continue lenalidomide/dexamethasone until disease progression or
unacceptable toxicity.The study consists of 3 phases: Screening Phase (within 21 days prior
to the first dose administration on Day 1), Treatment Phase (Day 1 up to discontinuation of
all study treatment), and Follow-up Phase (from discontinuation of all study treatment up to
death, lost to follow up, consent withdrawal, or study end, whichever occurs first). The
maximum duration of study will be 5 years after last participant is randomized. Efficacy
will primarily be evaluated by PFS. Participants' safety will be monitored throughout the
study.
Do you plan to share individual participant data with other researchers?
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Description IPD sharing plan:
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Organizational Data
- DRKS00007830
- 2015/10/21
- 2014/08/11
- no
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Secondary IDs
- 2014-002273-11
- NCT02252172 (ClinicalTrials.gov)
- CR104762 (Janssen Research & Development, LLC)
- 54767414MMY3008
- 2014-002273-11
Health Condition or Problem studied
- Multiple Myeloma
- C90.0 - Multiple myeloma
Interventions/Observational Groups
- Drug: Daratumumab
- Drug: Lenalidomide
- Drug: Dexamethasone
- Drug: Lenalidomide
- Drug: Dexamethasone
Characteristics
- Interventional
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- Randomized controlled trial
- Open (masking not used)
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- Active control (effective treament of control group)
- Treatment
- Parallel
- III
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Primary Outcome
- Progression-Free Survival (PFS) Time; time frame: From baseline for the duration of disease follow-up, with an expected average of 40 months; The PFS is defined as time from date of randomization to either progressive disease (PD), or death, whichever occurs first. PD will be determined according to International Myeloma Working Group (IMWG) criteria.
Secondary Outcome
- Time to Disease Progression (TTP); time frame: From baseline for the duration of disease follow-up, with an expected average of 40 months; The TTP is defined as time from date of randomization to date of first documented evidence of PD, as defined by IMWG criteria.
- Percentage of Participants With Stringent Complete Response (sCR); time frame: From baseline for the duration of disease follow-up, with an expected average of 40 months; Percentage of participants with sCR, as defined by the IMWG criteria, will be reported.
- Percentage of Participants With Complete response (CR); time frame: From baseline for the duration of disease follow-up, with an expected average of 40 months; Percentage of participants with CR, as defined by the IMWG criteria, will be reported.
- Progression-Free Survival on Next Line of Therapy (PFS2); time frame: From baseline for the duration of disease follow-up, with an expected average of 40 months; The PFS2 is defined as time from randomization to progression on next line of treatment or death, whichever occur first. Disease progression will be based on Investigator judgment.
- Percentage of Participants With Negative Minimal Residual Disease (MRD); time frame: From baseline up to 18 months after confirmed CR, with an expected average of 24 months; The MRD assessment will be done by next-generation sequencing (NGS) in both blood and bone marrow aspirate in participants who achieve CR/sCR, at 6, 12 and 18 months after confirmed CR.
- Time To Next Treatment; time frame: From baseline for the duration of disease follow-up, with an expected average of 40 months; Time to next treatment is defined as the time from randomization to the start of next-line treatment.
- Percentage of Participants With Overall Response (OR); time frame: From baseline for the duration of disease follow-up, with an expected average of 40 months; Overall response (OR) is defined as achieving CR or partial response (PR), according to the IMWG criteria.
- Percentage of Participants With Very Good Partial Response (VGPR) or Better Response; time frame: From baseline for the duration of disease follow-up, with an expected average of 40 months; Percentage of participants with VGPR or better response (who achieve VGPR and CR [including a sCR]) according to IMWG criteria will be reported.
- Duration of Response (DR); time frame: From baseline for the duration of disease follow-up, with an expected average of 40 months; The DR is time from date of initial documentation of response (CR or PR) to date of first documented PD, as defined by IMWG criteria.
- Overall Survival (OS) Time; time frame: Baseline up to 5 years after last participant is randomized; The OS is the time from date of randomization to date of participant's death.
- European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Score; time frame: From baseline up to 16 weeks after disease progression, with an expected average of 44 months; The EORTC QLQ-C30 includes 30 items resulting in 5 functional scales (physical, role, cognitive, emotional, and social), 1 global health status scale, 3 symptom scales (fatigue, pain, nausea/vomiting) and 6 single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties).
- Euro Quality of Life (EQ-5D-5L) Health State Profile Utility Score; time frame: From baseline up to 16 weeks after disease progression, with an expected average of 44 months; Participant rated questionnaire to assess health-related quality of life in terms of a single utility score. EQ-5D-5L assesses level of current health by assessing 5 domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression plus a visual analog scale rating "health today".
Countries of Recruitment
- United States
- Australia
- Austria
- Canada
- Denmark
- France
- Germany
- Ireland
- Israel
- Netherlands
- New Zealand
- Sweden
- United Kingdom
Locations of Recruitment
Recruitment
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- 2015/02/27
- 730
- Multicenter trial
- International
Inclusion Criteria
- Both, male and female
- 18 Years
- no maximum age
Additional Inclusion Criteria
- Participant must have documented multiple myeloma and measurable disease defined as:
1) monoclonal plasma cells in the bone marrow greater than or equal to (>=) 10
percent (%) or presence of a biopsy proven plasmacytoma; 2) measurable disease as
defined by any of the following: (a) immunoglobulin (Ig) G myeloma (serum monoclonal
paraprotein [M-protein] level >=1.0 gram/deciliter [g/dL] or urine M-protein level
>=200 milligram[mg]/24 hours[hrs]; or (b) IgA, IgM, IgD, or IgE multiple myeloma
(serum M-protein level >=0.5 g/dL or urine M-protein level >=200 mg/24 hrs); or (c)
light chain multiple myeloma (serum immunoglobulin free light chain >=10 mg/dL and
abnormal serum immunoglobulin kappa lambda free light chain ratio)
- Participant must have an Eastern Cooperative Oncology Group (ECOG) performance status
score of 0, 1, or 2
- Participants who are newly diagnosed and not considered for high-dose chemotherapy
due to: being age >=65 years; or participants less than (<) 65 years with presence of
important comorbid condition(s) likely to have a negative impact on tolerability of
high dose chemotherapy with stem cell transplantation. Sponsor review and approval of
participants below 65 years of age is required before randomization
- Women of childbearing potential must commit to either abstain continuously from
sexual intercourse or to use 2 methods of reliable birth control simultaneously as
deemed appropriate by the Investigator. Contraception must begin 4 weeks prior to
dosing
- Man, who is sexually active with a woman of child-bearing potential and has not had a
vasectomy, must agree to use an adequate contraception method as deemed appropriate
by the Investigator, and must also agree to not donate sperm during the study and for
4 weeks after last dose of lenalidomide and 4 months after last dose of daratumumab
Exclusion Criteria
- Participant has a diagnosis of primary amyloidosis, monoclonal gammopathy of
undetermined significance (presence of serum M-protein <3 g/dL; absence of lytic bone
lesions, anemia, hypercalcemia, and renal insufficiency related to the M-protein), or
smoldering multiple myeloma (asymptomatic multiple myeloma with absence of related
organ or tissue impairment end organ damage)
- Participant has a diagnosis of Waldenström's disease, or other conditions in which
IgM M protein is present in the absence of a clonal plasma cell infiltration with
lytic bone lesions
- Participant has a history of malignancy (other than multiple myeloma) within 5 years
before the date of randomization (exceptions are squamous and basal cell carcinomas
of the skin and carcinoma in situ of the cervix, or malignancy that in the opinion of
the Investigator, with concurrence with the Sponsor's medical monitor, is considered
cured with minimal risk of recurrence within 5 years)
- Participant has prior or current systemic therapy or SCT for multiple myeloma, with
the exception of an emergency use of a short course (equivalent of dexamethasone 40
mg/day for a maximum 4 days) of corticosteroids before treatment
- Participant has had radiation therapy within 14 days of randomization
- Participant has known chronic obstructive pulmonary disease (COPD) (defined as a
forced expiratory volume in 1 second [FEV1] <60% of predicted normal), persistent
asthma, or a history of asthma within the last 2 years (intermittent asthma is
allowed). Participants with known or suspected COPD or asthma must have a FEV1 test
during Screening
- Participant is known to be seropositive for history of human immunodeficiency virus
(HIV) or known to have active hepatitis B or hepatitis C
Addresses
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- Janssen Research & Development, LLC
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- Janssen Research & Development, LLC
- Janssen Research & Development, LLC Clinical Trial
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- Use link at the bottom of the page to see if you qualify for an enrolling site (see list). If you still have questions:
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- JNJ.CT at sylogent.com
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Sources of Monetary or Material Support
-
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- Bitte wenden Sie sich an den Sponsor / Please refer to primary sponsor
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Status
- Recruiting ongoing
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Trial Publications, Results and other Documents
- 2
- 2015/08/05