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| Name | Class |
|---|---|
| Janssen Pharmaceutica | INDUSTRY |
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This is a multicenter, single arm, open-label, Phase 2 study in mutiple myeloma with newly diagnosed and treatment-naïve participants for whom high-dose therapy and autologous stem cell transplantation is part of the intended treatment plan. The study is evaluating a technique called Mass Spectrometry Minimal Residual Disease (MS-MRD) using blood samples and compares it with the minimal residual disease (MRD) technique using bone marrow samples.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| D-VRd + ASCT + DVRD | Experimental | Participants will receive daratumumab, bortezomib, lenalidomide and dexamethasone (DVRD) for 4 induction cycles prior to and 2 consolidation cycles following autologous stem cell transplantation. Daratumumab subcutaneously (SC), 1800 mg on days 1, 8, 15 and 22 of cycle 1 and 2, on days 1 and 15 of cycle 3-6 Bortezomib SC 1.3mg/m2 on days 1, 8, 15, 22 of cycle 1-6 Lenalidomide orally 25 mg once daily on days 1-21 of cycle 1-6 Dexamethasone 20 mg once daily on days 1, 2, 8, 9, 15, 16, 22 and 23 of cycle 1-6 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Daratumumab | Drug | Daratumumab will be administered via a subcutaneous injection (SC) |
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| Measure | Description | Time Frame |
|---|---|---|
| Proportion (%) of agreement and disagreement in the MRD measurements in BM (by NGS-MRD) and in the MRD measurements in peripheral blood (by MS-MRD) at post-consolidation. | The proportion (%) of agreement will be defined as the total number of concordant cases (i.e., MRD-positive by both techniques, MRD-negative by both techniques) versus the total number of cases with available results. | Up to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion (%) of agreement and disagreement in the MRD measurements in BM (by NGS-MRD) and in the MRD measurements in peripheral blood (by MS-MRD) at post-induction. | The proportion (%) of agreement will be defined as the total number of concordant cases (i.e., MRD-positive by both techniques, MRD-negative by both techniques) versus the total number of cases with available results. | Up to 4 months and 2 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rosita Ghiraw-Visser | Contact | +31 10 703 31 23 | rosita.ghiraw@emn.org |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Innsbruck Medical University | Not yet recruiting | Innsbruck | Austria |
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| Bortezomib | Drug | Bortezomib will be administered via a subcutaneous injection (SC) |
|
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| Lenalidomide | Drug | Lenalidomide will be administered orally |
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| Dexamethasone | Drug | Dexamethasone will be administered orally |
|
| Proportion (%) of agreement and disagreement in the MRD measurements in BM (by NGF-MRD) and in the MRD measurements in peripheral blood (by MS-MRD) at post-induction and post-consolidation. | The proportion (%) of agreement will be defined as the total number of concordant cases (i.e., MRD-positive by both techniques, MRD-negative by both techniques) versus the total number of cases with available results. | Up to 12 months |
| Proportion (%) of agreement and disagreement in the MRD measurements in BM by NGF-MRD and NGS-MRD at post-induction and post-consolidation. | The proportion (%) of agreement will be defined as the total number of concordant cases (i.e., MRD-positive by both techniques, MRD-negative by both techniques) versus the total number of cases with available results. | Up to 12 months |
| MRD negativity rate BM-MRD and PB-MRD | To evaluate the MRD negativity rate achieved at any time up to the end of consolidation with BM based MRD techniques and with the MS-MRD technique | Up to 12 months |
| ORR, VGPR or better, CR or better, sCR at post-induction, post-transplant, post-consolidation and overall. | ORR will be defined as the percentage of participants achieving confirmed PR or better (i.e., PR+VGPR+CR+sCR). The number and percentage of participants achieving ORR, VGPR or better, CR or better and sCR will be presented, post-induction, post-consolidation, post-transplant and overall. | Up to 12 months |
| Effect of cytogenetic abnormalities (presence or not), R-ISS (1, 2 or 3), CTCs (number of cells per ml) on likelihood to develop MRD-negative disease (with MS, NGS and NGF) and the agreement between the different techniques. | Binary logistic regression will be used to identify factors associated with post-induction and post-consolidation MRD status (negative or positive) (as defined with NGS-MRD; NGF-MRD; MS-MRD; the most conservative method), in the MRD-evaluable Analysis Set. Odds ratios and respective 95% CIs will be estimated from univariable and multivariable models. | Up to 12 months |
| Ordensklinikum Linz | Recruiting | Linz | Austria |
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| Clinic Ottakring | Not yet recruiting | Vienna | Austria |
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| Medical University of Vienna | Not yet recruiting | Vienna | Austria |
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| Universitätsklinikum Hamburg - Eppendorf | Recruiting | Hamburg | Germany |
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| Klinikum rechts der Isar (MRI) der Technischen Universität München Department of Internal Medicine III (Hematology/Oncology) Munchen | Not yet recruiting | München | Germany |
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| University Hospital of Alexandroupolis | Recruiting | Alexandroupoli | Greece |
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| Alexandra General Hospital -Department of Clinical Therapeutics N.K. Univ. of Athens | Recruiting | Athens | Greece |
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| St Savvas Cancer Hospital | Recruiting | Athens | Greece |
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| Theagenion Cancer Hospital | Recruiting | Thessaloniki | Greece |
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| AOU Ospedali Riuniti di Ancona | Recruiting | Ancona | Italy |
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| ASST Papa Giovanni XXIII Hospital | Recruiting | Bergamo | Italy |
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| A.O.U. di Bologna - Policlinico S. Orsola Malpighi | Not yet recruiting | Bologna | Italy |
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| A.O.Spedali Civili di Brescia | Recruiting | Brescia | Italy |
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| A.O.U. Careggi - Firenze | Recruiting | Florence | Italy |
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| A.O.U. Policlinico S. Martino - Ematologia | Not yet recruiting | Genova | Italy |
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| Novara Hospital | Recruiting | Novara | Italy |
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| Policlinico S. Matteo Fondazione IRCCS - Pavia | Recruiting | Pavia | Italy |
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| AUSL-IRCCS di Reggio Emilia Arcispedale S. Maria Nuova | Recruiting | Reggio Emilia | Italy |
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| Ospedale "Infermi" di Rimini | Recruiting | Rimini | Italy |
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| Ematologia IRCCS Casa Sollievo della Sofferenza San Giovanni Rotondo | Recruiting | San Giovanni Rotondo | Italy |
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| A.O. S. Santa Maria Hospital Institute of Oncohematology Terni | Not yet recruiting | Terni | Italy |
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| A.O.U. Città della Salute e della Scienza di Torino - SC Ematologia U | Recruiting | Torino | 10126 | Italy |
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| Ospedale S. Maria della Misericordia di Udine | Not yet recruiting | Udine | Italy |
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| Amsterdam Medical Center | Not yet recruiting | Amsterdam | Netherlands |
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| Rijnstate | Recruiting | Arnhem | Netherlands |
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| Amphia ziekenhuis | Not yet recruiting | Breda | Netherlands |
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| University Medical Center Groningen | Not yet recruiting | Groningen | Netherlands |
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| Dijklander ziekenhuis | Recruiting | Purmerend | Netherlands |
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| Erasmus University Medical Center Rotterdam | Not yet recruiting | Rotterdam | Netherlands |
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| Maasstad Ziekenhuis | Recruiting | Rotterdam | Netherlands |
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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 |
|---|---|
| C556306 | daratumumab |
| D000069286 | Bortezomib |
| D000077269 | Lenalidomide |
| D003907 | Dexamethasone |
| ID | Term |
|---|---|
| D001897 | Boronic Acids |
| D000148 | Acids, Noncarboxylic |
| D000143 | Acids |
| D007287 | Inorganic Chemicals |
| D001896 | Boron Compounds |
| D009930 | Organic Chemicals |
| D011719 | Pyrazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D010797 | Phthalimides |
| D010795 | Phthalic Acids |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D010881 | Piperidones |
| D010880 | Piperidines |
| D054833 | Isoindoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |
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