Carfilzomib, Daratumumab, Lenalidomide and Dexamethasone as First Line Treatment in Multiple Myeloma
- Conditions
- Multiple Myeloma
- Interventions
- Registration Number
- NCT04288765
- Lead Sponsor
- Grupo Cooperativo de Hemopatías Malignas
- Brief Summary
Carfilzomib in combination with lenalidomide, daratumumab and dexamethasone (KRDd) can induce profound clinical responses. The investigators want to observe the effectiveness of the quadruple therapy of carfilzomib, lenalidomide, daratumumab and dexamethasone on patients receiving 8 cycles of KRDd with autologous stem cell transplantation versus patients with 8 cycles of KRDd without autologous stem cell transplantation.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Patients with newly diagnosed and previously untreated multiple myeloma by the International Myeloma Working Group criteria that requires treatment based on: Presence of elevated calcium, renal failure, anemia and/or bone lesions (CRAB) Clonal bone marrow plasma cells ³ 60% Involved/uninvolved serum free light chain ratio ³ 100 >1 focal lesions on MRI studies (³5 mm in size)
- Age > 18 years
- Functional stage of 0 - 1 measured by the Eastern Cooperative Oncology Group (ECOG) scale.
- Capacity and willingness to provide a written informed consent.
- POEMS syndrome
- Systemic amyloidosis
- Plasma cells leukemia
- Radiotherapy on multiple sites on the period of 4 weeks before the initiation of treatment (1 week if it is one region)
- Improper liver function: total bilirubin > 1.5 x upper limit of normal (ULN) or > 3 x ULN in patients with Gilbert syndrome, alanine aminotransferase (ALT) and aspartate aminotransferase (AST) > 3.0 x ULN.
- Non-controlled systematic active infection (viral, bacterial and/or fungic).
- Patients with known infection by human immunodeficiency virus (HIV).
- Active infection by hepatitis B.
- Active infection by hepatitis C.
- Significant cardiovascular diseases as uncontrolled or symptomatic arrhythmias, congestive heart failure or acute myocardial infarction within 2 months prior to screening, or any New York Heart Association (NYHA) class 3 or 4 heart disease.
- Diagnosis of previous malignancies for 2 years, with exception of patients with basal or squamous cell carcinoma or "in situ" carcinoma of cervix or breast.
- History of allergic reaction or severe anaphylaxis to humanized or murine monoclonal antibodies.
- Pregnant or lactating women.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group A - Non transplant Daratumumab Only Product in Parenteral Dose Form Carfilzomib Lenalidomide Daratumumab Dexamethasone Group B - transplant Daratumumab Only Product in Parenteral Dose Form Carfilzomib Lenalidomide Daratumumab Dexamethasone Autologous stem cell transplantation (ASCT)
- Primary Outcome Measures
Name Time Method Complete response with negative minimal residual disease 10 months Complete response with MRD-negative disease measured by inmunophenotype with the International Myeloma Working Group response criteria
- Secondary Outcome Measures
Name Time Method Rate of Adverse Events 36 months Rate of adverse events rated grade ≥3 by CTCAE 5.0
Overall survival 36 months Overall survival measured on months on both study groups
Progression free survival 36 months Progression free survival measured on months from the time to the end of treatment to disease progression on both study groups
Trial Locations
- Locations (1)
Grupo Cooperativo de Hemopatías Malignas
🇲🇽Huixquilucan, Estado De México, Mexico