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A Study to Access of Daratumumab Combined With VRD in the Treatment of Patients With Standard-risk Newly Diagnosed MM

Primary Purpose

Newly Diagnosed Multiple Myeloma

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Daratumumab
Sponsored by
The First Affiliated Hospital of Soochow University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Newly Diagnosed Multiple Myeloma

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria

  1. Age ≥ 18 years and ≤ 70 years, male or female;
  2. Newly diagnosed multiple myeloma (NDMM) ;
  3. Transplant-eligible;
  4. Non-17p-, t(4;14) , t(14;16);
  5. Expected survival ≥12 weeks;
  6. Eastern Cooperative Oncology Group (ECOG) scores 0 - 2.
  7. Subjects should have adequate hemostatic and liver and kidney meet the following examination criteria: (without ongoing supportive treatments):

    1. Complete blood count (CBC) results: absolute neutrophil count(ANC) ≥ 1.0 × 109/L, platelet count ≥ 75 × 109/L (if the proportion of plasma cells in the bone marrow is > 50%, subjects with platelets ≥ 50 × 109/L will be eligible), Hb ≥ 70 g/L.
    2. Blood biochemistry: creatinine clearance ≥ 30 mL/min, alanine aminotransferase (ALT) ≤ 2.5 × upper limit normal (ULN),aspartate aminotransferase (AST) ≤ 2.5 × ULN, total bilirubin ≤ 1.5 × ULN. Serum calcium ≤14.0 mg/dL (≤3.5 mmol/L);
  8. Normal cardiopulmonary function;
  9. The patient agrees to join the clinical trial and signs an informed consent form.

Exclusion Criteria

  1. Poor hypertension control;
  2. Have received ASCT or anti-tumor systemic therapy;
  3. Peripheral neuropathy or neuralgia of grade 2 or higher;
  4. During pregnancy or lactation or planning to become pregnant;
  5. History of other malignant tumors within 5 years;
  6. Subjects positive for any following tests: human immunodeficiency virus (HIV) antibody, Treponema pallidum (syphilis) antibody, hepatitis C virus (HCV) antibody, hepatitis B virus (HBV) surface antigen (HBsAg) and HBV DNA.
  7. Participating in other clinical trials;
  8. Allergic to the drugs in the treatment plan;
  9. Receiving any other experimental drugs or experimental medical devices;
  10. The investigator believes that the patient has other conditions that are not suitable for participating in this study.
  11. Patients with R-ISS Phase III

    -

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    D-VRD

    Arm Description

    treatment with D-VRD in NDMM

    Outcomes

    Primary Outcome Measures

    rate of minimal residual disease negativity
    rate of minimal residual disease negativity

    Secondary Outcome Measures

    Full Information

    First Posted
    September 11, 2021
    Last Updated
    October 10, 2021
    Sponsor
    The First Affiliated Hospital of Soochow University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05088330
    Brief Title
    A Study to Access of Daratumumab Combined With VRD in the Treatment of Patients With Standard-risk Newly Diagnosed MM
    Official Title
    A Prospective Study of Daratumumab Combined With VRD in the Treatment of Patients With Newly Diagnosed Standard-risk Multiple Myeloma : a Single-center, Single-arm Clinical Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2021
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    December 1, 2021 (Anticipated)
    Primary Completion Date
    May 30, 2023 (Anticipated)
    Study Completion Date
    December 31, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    The First Affiliated Hospital of Soochow University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    This is an open-label, single arm study to access the effect of treatment with D-VRD in patients with newly diagnosed standard risk multiple myeloma.
    Detailed Description
    Research object:Newly diagnosed standard-risk multiple myeloma (NDMM) diagnosed according to the International Myeloma Working Group (IMWG) standards and who have been assessed to receive Autologous Stem Cell Transplantation (ASCT) but actively refused.Objective: To explore the therapeutic options of daratumamab (D) combined with bortezomib (V), lenalidomide (R) and dexamethasone ( d) for objective assessment of patients who can receive ASCT but not to receive transplantation.Main indicators:negative rate of minimal residual disease (MRD) upon completion of cycle 8 (24 weeks).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Newly Diagnosed Multiple Myeloma

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Model Description
    D-VRD
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    76 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    D-VRD
    Arm Type
    Experimental
    Arm Description
    treatment with D-VRD in NDMM
    Intervention Type
    Drug
    Intervention Name(s)
    Daratumumab
    Other Intervention Name(s)
    DARA
    Intervention Description
    treatment with D-VRD in NDMM
    Primary Outcome Measure Information:
    Title
    rate of minimal residual disease negativity
    Description
    rate of minimal residual disease negativity
    Time Frame
    end of 8 cycles

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria Age ≥ 18 years and ≤ 70 years, male or female; Newly diagnosed multiple myeloma (NDMM) ; Transplant-eligible; Non-17p-, t(4;14) , t(14;16); Expected survival ≥12 weeks; Eastern Cooperative Oncology Group (ECOG) scores 0 - 2. Subjects should have adequate hemostatic and liver and kidney meet the following examination criteria: (without ongoing supportive treatments): Complete blood count (CBC) results: absolute neutrophil count(ANC) ≥ 1.0 × 109/L, platelet count ≥ 75 × 109/L (if the proportion of plasma cells in the bone marrow is > 50%, subjects with platelets ≥ 50 × 109/L will be eligible), Hb ≥ 70 g/L. Blood biochemistry: creatinine clearance ≥ 30 mL/min, alanine aminotransferase (ALT) ≤ 2.5 × upper limit normal (ULN),aspartate aminotransferase (AST) ≤ 2.5 × ULN, total bilirubin ≤ 1.5 × ULN. Serum calcium ≤14.0 mg/dL (≤3.5 mmol/L); Normal cardiopulmonary function; The patient agrees to join the clinical trial and signs an informed consent form. Exclusion Criteria Poor hypertension control; Have received ASCT or anti-tumor systemic therapy; Peripheral neuropathy or neuralgia of grade 2 or higher; During pregnancy or lactation or planning to become pregnant; History of other malignant tumors within 5 years; Subjects positive for any following tests: human immunodeficiency virus (HIV) antibody, Treponema pallidum (syphilis) antibody, hepatitis C virus (HCV) antibody, hepatitis B virus (HBV) surface antigen (HBsAg) and HBV DNA. Participating in other clinical trials; Allergic to the drugs in the treatment plan; Receiving any other experimental drugs or experimental medical devices; The investigator believes that the patient has other conditions that are not suitable for participating in this study. Patients with R-ISS Phase III -

    12. IPD Sharing Statement

    Learn more about this trial

    A Study to Access of Daratumumab Combined With VRD in the Treatment of Patients With Standard-risk Newly Diagnosed MM

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