Study on Daratumumab and Lenalidomide vs. Lenalidomide Alone for Maintenance Treatment in Newly Diagnosed Multiple Myeloma Patients
Sponsor: Janssen Research & Development, LLC
ClinicalTrials ID:NCT03901963
This clinical trial is comparing two maintenance treatments for patients with newly diagnosed multiple myeloma who still have minimal residual disease after a stem cell transplant. The study aims to see if adding daratumumab to lenalidomide is more effective than using lenalidomide alone.
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Program Overview
The purpose of this study is to find out if adding the drug daratumumab to lenalidomide can help eliminate minimal residual disease (MRD) in patients with newly diagnosed multiple myeloma who have undergone a stem cell transplant. MRD is a small number of cancer cells that remain in the body after treatment. The study will compare the effectiveness of the combination treatment to lenalidomide alone in patients who have not previously received anti-CD38 treatments.
Eligibility Criteria
Inclusion Criteria
- Have newly diagnosed multiple myeloma and have completed at least 4 cycles of initial therapy.
- Have received high-dose therapy and a stem cell transplant within 12 months of starting initial therapy.
- Be within 6 months of the stem cell transplant at the time of joining the study.
- Show a very good partial response or better to treatment based on specific criteria.
- Have bone marrow samples collected before starting initial treatment or before the transplant, or have existing test results showing minimal residual disease.
- Have detectable minimal residual disease as determined by specific tests.
- Have a performance status score of 0, 1, or 2, indicating good overall health.
Exclusion Criteria
- Have a history of another cancer unless treatment was completed at least 2 years ago and there is no evidence of disease.
- Have not progressed on multiple myeloma therapy before joining the study.
- Have previously received treatment with daratumumab or similar therapies.
- Have received certain types of radiation therapy or plasmapheresis shortly before joining the study.
- Show signs of cancer affecting the brain or spinal cord.
- Have chronic obstructive pulmonary disease (COPD) with severely reduced lung function.
- Have moderate or severe asthma that is not well-controlled.
- Have certain viral infections, including HIV, active hepatitis B, or hepatitis C, unless successfully treated.
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