A Study of VELCADE (Bortezomib) Melphalan-Prednisone (VMP) Compared to Daratumumab in Combination With VMP (D-VMP), in Participants With Previously Untreated Multiple Myeloma Who Are Ineligible for High-Dose Therapy (Asia Pacific Region)
Multiple Myeloma
About this trial
This is an interventional treatment trial for Multiple Myeloma
Eligibility Criteria
Inclusion Criteria:
- Documented multiple myeloma satisfying the calcium elevation, renal insufficiency, anemia, and bone abnormalities (CRAB) diagnostic criteria, monoclonal plasma cells in the bone marrow greater than or equal to (>=) 10 percent (%) or presence of a biopsy proven plasmacytomas, and measurable secretory disease, as assessed by the central laboratory, and defined in protocol
- Newly diagnosed and not considered candidate for high-dose chemotherapy with stem cell transplantation (SCT) due to: being age >= 65 years, or in participants less than (<) 65 years: presence of important comorbid conditions likely to have a negative impact on tolerability of high dose chemotherapy with stem cell transplantation
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1, or 2
- Meet the clinical laboratory criteria as specified in the protocol
- A woman of childbearing potential must have a negative serum or urine pregnancy tests at screening within 14 days prior to randomization
Exclusion Criteria:
- Primary amyloidosis, monoclonal gammopathy of undetermined significance, or smoldering multiple myeloma
- Waldenstrom's disease, or other conditions in which Immunoglobulin M (IgM) M-protein is present in the absence of a clonal plasma cell infiltration with lytic bone lesions
- 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 milligram per day (mg/day) for 4 days) of corticosteroids before treatment
- 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 4.03
- History of malignancy (other than multiple myeloma) within 3 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 3 years)
- Radiation therapy within 14 days of randomization
- Seropositive for hepatitis B (defined by a positive test for hepatitis B surface antigen [HBsAg]). Participants with resolved infection (that is, participants who are HBsAg negative but positive for antibodies to hepatitis B core antigen [Anti-HBc] and/or antibodies to hepatitis B surface antigen [Anti-HBs]) must be screened using real-time polymerase chain reaction (PCR) measurement of hepatitis B virus (HBV) deoxyribonucleic acid (DNA) levels. Those who are PCR positive will be excluded. EXCEPTION: Participants with serologic findings suggestive of HBV vaccination (Anti-HBs positivity as the only serologic marker) AND a known history of prior HBV vaccination, do not need to be tested for HBV DNA by PCR
Sites / Locations
- Beijing Chaoyang Hospital
- Peking Union Medical College Hospital
- Peking University First Hospital
- Beijing Chaoyang Hospital
- Peking University Third Hospital
- The First Hospital of Jilin University
- The Third Xiangya Hospital, Central South University
- West China Hospital, Si Chuan University
- Second Affiliated Hospital of Army Medical University
- Fujian Meidical University Union Hospital
- Guangdong Provincial People's Hospital
- The First Affiliated Hospital, Sun Yat-sen University
- Nanfang Hospital
- First affiliated Hospital of Zhejiang University
- First Affiliated Hospital, Medical School of Zhejiang University
- Harbin medical university cancer hospital
- Nanjing Drum Tower Hospital
- Zhongda Hospital,Southeast University
- Jiangsu Province Hospital
- Shanghai Changzheng Hospital
- Ruijin Hospital, Shanghai Jiao Tong University
- Shanghai Zhongshan Hospital
- Renji Hospital, Shanghai Jiaotong University School of Medicine
- First Affiliated Hospital, SooChow University
- Tianjin cancer hospital
- Institute of Hematology & Blood Diseases Hospital
- The First Affiliated Hospital of Wenzhou Medical University
- Tongji Hospital, Tongji Medical College of HUST
- Tangdu Hospital
- Henan Cancer Hospital
- Queen Mary Hospital, University of Hong Kong
- Inje University Busan Paik Hospital
- Seoul National University Bundang Hospital
- Gachon University Gil Medical Center
- Chonnam National University Hwasun Hospital
- Samsung Medical Center
- The Catholic University of Korea Seoul St. Mary's Hospital
- Ulsan University Hospital
- Hospital Ampang
- Hospital Pulau Pinang
- Hospital Queen Elizabeth
- National Taiwan University Hospital
- Taipei Veterans General Hospital
- Chang Gung Memorial Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Treatment A: VMP Alone
Treatment B: D-VMP
Participants will receive Velcade (bortezomib) 1.3 milligram per square meter (mg/m^2) as subcutaneous (SC) injection, twice weekly at Weeks 1, 2, 4 and 5 in Cycle 1 followed by once weekly at Weeks 1, 2, 4 and 5 in Cycles 2 to 9, melphalan 9 mg/m^2 (if serum creatine is greater than [>]2 milligram per deciliter [mg/dL] at baseline, participants must be administrated 4.5 mg/m^2 of melphalan, instead of 9 mg/m^2) orally, once daily (on Days 1 to 4) and prednisone 60 mg/m^2, orally, once daily on Days 1 to 4 of each cycle up to Cycle 9.
Participants will receive Velcade 1.3 mg/m^2 as SC injection, twice weekly at Weeks 1, 2, 4 and 5 in Cycle 1 followed by once weekly at Weeks 1, 2, 4 and 5 in Cycles 2 to 9, melphalan 9 mg/m^2 (if serum creatine is >2 mg/dL at baseline, participants must be administrated 4.5 mg/m^2 of melphalan, instead of 9 mg/m^2), orally, once daily (on Days 1-4) and prednisone 60 mg/m^2, orally, once daily, on Days 1 to 4 of each cycle up to Cycle 9. In addition participants will also receive daratumumab 16 milligram per kilogram (mg/kg) as intravenous (IV) infusion or daratumumab Subcutaneously (SC) at the discretion of the investigator, once weekly, for 6 weeks in Cycle 1 and then every 3 weeks, in Cycles 2 to 9 and thereafter, once every 4 weeks until documented progression, unacceptable toxicity, or the end of study. Participants will receive pre-infusion medications before each daratumumab infusion.