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| Name | Class |
|---|---|
| Janssen Scientific Affairs, LLC | INDUSTRY |
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This is a single-center, non-randomized, phase 2 study in which patients will receive daratumumab (subcutaneous, SC) in combination with clarithromycin/pomalidomide/dexamethasone (D-ClaPd) until progressive disease (PD) or unacceptable toxicity. This study will test the hypothesis that in patients with previous daratumumab exposure, combination therapy of clarithromycin/pomalidomide/dexamethasone with daratumumab SC (D-ClaPd) will yield higher Very Good Partial Response (VGPR) rates in relapsed/refractory multiple myeloma patients than historical pomalidomide/dexamethasone treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| daratumumab/clarithromycin/pomalidomide/dexamethasone | Experimental | Induction Phase: 8 cycles (cycle length of 28 days)
Maintenance Phase (Cycle 9+): Up to 24 cycles (cycle length of 28 days)
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Daratumumab SC | Drug | Given as 1800mg via injection |
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| Measure | Description | Time Frame |
|---|---|---|
| Very Good Partial Response Rate or Better Within 8 Cycles of Induction Therapy | Very Good Partial Response or better defined as the number of participants with a documented Very Good Partial Response (VGPR) or better as best response per International Myeloma Working Group (IMWG) criteria, measured from date of enrollment through the end of the 8th induction cycle. | up to end of 8th induction cycle (up to approximately 224 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Progression-Free Survival | Progression-Free Survival (PFS) is measured in months from the date of enrollment to the date of disease progression and/or death. Median estimate is calculated using the Kaplan-Meier methodology. | Approximately 3 years |
| Complete Response Rate or Better |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mateo Mejia Saldarriaga, MD | Weill Medical College of Cornell University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Weill Cornell Medicine - Multiple Myeloma Center | New York | New York | 10065 | United States |
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1 participant withdrew consent prior to receiving the intervention and 1 participant was a screen fail
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| ID | Title | Description |
|---|---|---|
| FG000 | Daratumumab/Clarithromycin/Pomalidomide/Dexamethasone | Induction Phase: 8 cycles (cycle length of 28 days)
Maintenance Phase (Cycle 9+): Up to 24 cycles (cycle length of 28 days)
Daratumumab SC: Given as 1800mg via injection Clarithromycin: Given as 500mg oral capsule Pomalidomide: Given as 4mg oral capsule Dexamethasone: Given as 20mg IV and 20mg or 40mg oral tablets |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 26, 2026 |
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| Clarithromycin | Drug | Given as 500mg oral capsule |
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| Pomalidomide | Drug | Given as 4mg oral capsule |
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| Dexamethasone | Drug | Given as 20mg IV and 20mg or 40mg oral tablets |
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The number of participants with a documented Complete Response (CR) or better, per International Myeloma Working Group (IMWG) criteria. |
| Approximately 1 year |
| Time to Progression | Measured in months between the date of enrollment and the first efficacy evaluation at which the participant has met the criteria for Progressive Disease | Approximately 3 years |
| Time to Next Therapy | Measured in months from the date of enrollment to the start date of subsequent treatment for relapsed/refractory multiple myeloma | Approximately 3 years |
| Duration of Response | Duration of Response (DoR) is defined as the time between the date of initial documentation of best response to the date of first documented evidence of disease progression. | Approximately 3 years |
| Rate of Minimal Residual Disease (MRD) Negativity | Defined as a number of MRD negative participants | Approximately 8 months |
| Rate of Improvement in Response During Maintenance Therapy | Percentage of patients that achieved an improved response during maintenance compared to end of induction. | Approximately 3 years |
| Time to Best Response | Measured in months between the date of enrollment and the first efficacy evaluation at which the participant has met criteria for best response per International Myeloma Working Group (IMWG) criteria. | Approximately 9.5 months |
| Overall Response Rate | The number of participants with a documented Overall Response (Partial Response or better), per International Myeloma Working Group (IMWG) criteria. | Approximately 1 year |
| Very Good Partial Response (VGPR) Rate or Better | The number of participants with a documented Very Good Partial Response (VGPR) Rate or better, per International Myeloma Working Group (IMWG) criteria. | Approximately 1 year |
| Overall Survival | Overall Survival (OS) is measured in months from the date of enrollment to the date of the participant's death. Greenwood's formula will be used to calculate 95% confidence intervals for the Kaplan-Meier survival estimates. | Approximately 5 years |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Daratumumab/Clarithromycin/Pomalidomide/Dexamethasone | Induction Phase: 8 cycles (cycle length of 28 days)
Maintenance Phase (Cycle 9+): Up to 24 cycles (cycle length of 28 days)
Daratumumab SC: Given as 1800mg via injection Clarithromycin: Given as 500mg oral capsule Pomalidomide: Given as 4mg oral capsule Dexamethasone: Given as 20mg IV and 20mg or 40mg oral tablets |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Immunoglobulin Isotype | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Very Good Partial Response Rate or Better Within 8 Cycles of Induction Therapy | Very Good Partial Response or better defined as the number of participants with a documented Very Good Partial Response (VGPR) or better as best response per International Myeloma Working Group (IMWG) criteria, measured from date of enrollment through the end of the 8th induction cycle. | Posted | Count of Participants | Participants | up to end of 8th induction cycle (up to approximately 224 days) |
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| Secondary | Progression-Free Survival | Progression-Free Survival (PFS) is measured in months from the date of enrollment to the date of disease progression and/or death. Median estimate is calculated using the Kaplan-Meier methodology. | Not Posted | Approximately 3 years | Participants | |||||||||||||||||||||||||||||||
| Secondary | Complete Response Rate or Better | The number of participants with a documented Complete Response (CR) or better, per International Myeloma Working Group (IMWG) criteria. | Posted | Count of Participants | Participants | Approximately 1 year |
|
| ||||||||||||||||||||||||||||
| Secondary | Time to Progression | Measured in months between the date of enrollment and the first efficacy evaluation at which the participant has met the criteria for Progressive Disease | Not Posted | Approximately 3 years | Participants | |||||||||||||||||||||||||||||||
| Secondary | Time to Next Therapy | Measured in months from the date of enrollment to the start date of subsequent treatment for relapsed/refractory multiple myeloma | Not Posted | Approximately 3 years | Participants | |||||||||||||||||||||||||||||||
| Secondary | Duration of Response | Duration of Response (DoR) is defined as the time between the date of initial documentation of best response to the date of first documented evidence of disease progression. | Not Posted | Approximately 3 years | Participants | |||||||||||||||||||||||||||||||
| Secondary | Rate of Minimal Residual Disease (MRD) Negativity | Defined as a number of MRD negative participants | Posted | Count of Participants | Participants | Approximately 8 months |
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| Secondary | Rate of Improvement in Response During Maintenance Therapy | Percentage of patients that achieved an improved response during maintenance compared to end of induction. | Not Posted | Approximately 3 years | Participants | |||||||||||||||||||||||||||||||
| Secondary | Time to Best Response | Measured in months between the date of enrollment and the first efficacy evaluation at which the participant has met criteria for best response per International Myeloma Working Group (IMWG) criteria. | Posted | Median | Full Range | months | Approximately 9.5 months |
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| Secondary | Overall Response Rate | The number of participants with a documented Overall Response (Partial Response or better), per International Myeloma Working Group (IMWG) criteria. | Posted | Count of Participants | Participants | Approximately 1 year |
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| Secondary | Very Good Partial Response (VGPR) Rate or Better | The number of participants with a documented Very Good Partial Response (VGPR) Rate or better, per International Myeloma Working Group (IMWG) criteria. | Posted | Count of Participants | Participants | Approximately 1 year |
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| Secondary | Overall Survival | Overall Survival (OS) is measured in months from the date of enrollment to the date of the participant's death. Greenwood's formula will be used to calculate 95% confidence intervals for the Kaplan-Meier survival estimates. | Not Posted | Approximately 5 years | Participants |
Adverse events were collected from the time of informed consent until 30 days of last treatment, up to 3 years
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Daratumumab/Clarithromycin/Pomalidomide/Dexamethasone | Induction Phase: 8 cycles (cycle length of 28 days)
Maintenance Phase (Cycle 9+): Up to 24 cycles (cycle length of 28 days)
Daratumumab SC: Given as 1800mg via injection Clarithromycin: Given as 500mg oral capsule Pomalidomide: Given as 4mg oral capsule Dexamethasone: Given as 20mg IV and 20mg or 40mg oral tablets | 1 | 9 | 6 | 9 | 9 | 9 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pneumonitis | Infections and infestations | CTCAE (4.0) | Non-systematic Assessment | COVID |
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| Hypercalcemia | Metabolism and nutrition disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Respiratory infection | Infections and infestations | CTCAE (4.0) | Non-systematic Assessment |
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| Small bowel obstruction | Gastrointestinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Hyperkalemia | Metabolism and nutrition disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Atrial Fibrillation | Cardiac disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Hypotension | Vascular disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Squamous Cell Carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | CTCAE (4.0) | Non-systematic Assessment |
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| Perforated Diverticulitis | Gastrointestinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Lung infection | Respiratory, thoracic and mediastinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Strangulated Inguinal hernia | Gastrointestinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal distension | Gastrointestinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Agitation | Psychiatric disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Anemia | Blood and lymphatic system disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Anorexia | Metabolism and nutrition disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Anxiety | Psychiatric disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Atrial fibrillation | Cardiac disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Blurred vision | Eye disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Chills | General disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Cognitive disturbance | Nervous system disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Confusion | Psychiatric disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Constipation | Gastrointestinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Respiratory infection | Infections and infestations | CTCAE (4.0) | Non-systematic Assessment | Covid 19 |
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| Diarrhea | Gastrointestinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Dizziness | Nervous system disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Eczema | Skin and subcutaneous tissue disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Eye pain | Eye disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Face edema | General disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Fatigue | General disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Fever | General disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Gastroenteritis | Gastrointestinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Hiccups | Respiratory, thoracic and mediastinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Hyperglycemia | Metabolism and nutrition disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Hypokalemia | Metabolism and nutrition disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Hyponatremia | Metabolism and nutrition disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Hypotension | Cardiac disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Insomnia | Psychiatric disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Pain in extremitiy | Musculoskeletal and connective tissue disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Lethargy | Nervous system disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Lower back pain | Musculoskeletal and connective tissue disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Lymphocyte count decreased | Investigations | CTCAE (4.0) | Non-systematic Assessment |
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| Rash maculo papular | Skin and subcutaneous tissue disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Malaise | General disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Nasal congestion | Respiratory, thoracic and mediastinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Neutrophil count decreased | Investigations | CTCAE (4.0) | Non-systematic Assessment |
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| Non cardiac chest pain | General disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Peripheral neuropathy | Nervous system disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Pharyngitis | Respiratory, thoracic and mediastinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Platelet count decreased | Investigations | CTCAE (4.0) | Non-systematic Assessment |
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| Productive cough | Respiratory, thoracic and mediastinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Pruritus | Skin and subcutaneous tissue disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Retinal detachment | Eye disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Rhinovirus | Infections and infestations | CTCAE (4.0) | Non-systematic Assessment |
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| Skin infection | Infections and infestations | CTCAE (4.0) | Non-systematic Assessment |
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| Sore throat | Respiratory, thoracic and mediastinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Tinnitus | Ear and labyrinth disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Upper respiratory infection | Infections and infestations | CTCAE (4.0) | Non-systematic Assessment |
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| Urinary frequency | Renal and urinary disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Urinary tract infection | Renal and urinary disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Vomiting | Gastrointestinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Wheezing | Respiratory, thoracic and mediastinal disorders | CTCAE (4.0) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Mateo Mejia Saldarriaga,M.D | Weill Cornell Medicine | 6469626500 | mam9823@med.cornell.edu |
| Mar 27, 2026 |
| Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D020141 | Hemostatic Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D008232 | Lymphoproliferative Disorders |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D017291 | Clarithromycin |
| C467566 | pomalidomide |
| D003907 | Dexamethasone |
| ID | Term |
|---|---|
| D004917 | Erythromycin |
| D018942 | Macrolides |
| D061065 | Polyketides |
| D007783 | Lactones |
| D009930 | Organic Chemicals |
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |
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| Unknown or Not Reported |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| IgA Lambda |
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| IgA Kappa |
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| IgD Kappa |
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| Kappa Free light Chain |
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| Lambda Free light Chain |
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