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Brief Title: Comparison of Pomalidomide and Dexamethasone With or Without Daratumumab in Subjects With Relapsed or Refractory Multiple Myeloma Previously Treated With Lenalidomide and a Proteasome InhibitorDaratumumab/Pomalidomide/Dexamethasone vs Pomalidomide/Dexamethasone
Official Title: A Phase 3 Study Comparing Pomalidomide and Dexamethasone With or Without Daratumumab in Subjects With Relapsed or Refractory Multiple Myeloma Who Have Received at Least One Prior Line of Therapy With Both Lenalidomide and a Proteasome Inhibitor.
Study ID: NCT03180736
Brief Summary: The purpose of this study is to evaluate the effects of the addition of daratumumab to pomalidomide and dexamethasone in terms of progression-free survival in subjects with relapsed or refractory Multiple Myeloma.
Detailed Description: This is a multicenter, Phase 3, randomized, open-label study comparing daratumumab, pomalidomide and low-dose dexamethasone (DaraPomDex) with pomalidomide and low-dose dexamethasone (PomDex) in subjects with relapsed or refractory Multiple Myeloma who have received at least 1 prior treatment regimen with both lenalidomide and a proteasome inhibitor and have demonstrated disease progression. Subjects will be randomized in a 1:1 ratio to receive either DaraPomDex or PomDex. The original design of this study was to treat subjects with daratumumab for intravenous (IV) infusion (Dara IV); however, as of Amendment 1, all new subjects will be dosed subcutaneously with daratumumab co-formulated with recombinant human hyaluronidase rHuPH20 (hereafter referred to as Dara SC). Subjects who already began treatment with Dara IV (ie, prior to Amendment 1) will have the option to switch to Dara SC on Day 1 of any cycle starting with Cycle 3 or later for the remainder of their participation in the study, and they will be counted toward the total of 302 subjects. Subjects will receive treatment until disease progression or unacceptable toxicity. Drug administration and follow-up visits will occur more frequently for early cycles (e.g., weekly or bi-weekly). Disease evaluations will occur every cycle and consist mainly of measurements of myeloma proteins. Subject safety will be assessed throughout the study. The primary endpoint will be progression-free survival (PFS). Study end is anticipated at approximately 5 years after the last subject is randomized.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Antwerpen, Antwerpen, , Belgium
Brussel, Brussel, , Belgium
UZ Gent, Gent, , Belgium
Yvoir, Yvoir, , Belgium
Brno, Brno, , Czechia
Ostrava, Ostrava, , Czechia
Praha 2, Praha, , Czechia
Odense, Odense, , Denmark
Vejle, Vejle, , Denmark
Freiburg, Freiburg, , Germany
Hamburg, Hamburg, , Germany
Heidelberg, Heidelberg, , Germany
Kiel, Kiel, , Germany
Schwerin, Schwerin, , Germany
Tübingen, Tübingen, , Germany
Würzburg, Würzburg, , Germany
General Hospital of Athens "Evangelismos", Athens, , Greece
University of Athens School of Medicine, Athens, , Greece
General University Hospital of Patras, Patra, , Greece
Anticancer Hospital of Thessaloniki "Theageneio", Thessaloníki, , Greece
Ancona, Ancona, , Italy
Bologna, Bologna, , Italy
Brescia, Brescia, , Italy
Milano, Milano, , Italy
Roma, Roma, , Italy
Torino, Torino, , Italy
VU MC, Amsterdam, , Netherlands
Erasmus MC, Rotterdam, , Netherlands
Belgrade, Belgrade, , Serbia
Badalona, Badalona, , Spain
Barcelona, Barcelona, , Spain
Hospital Quirón Salud Madrid, Madrid, , Spain
Hospital Universitario de la Princesa, Madrid, , Spain
Salamanca University Hospital, Salamanca, , Spain
Doctor Peset University Hospital Medical Centre, Valencia, , Spain
Cebeci, Cebeci, , Turkey
Gaziantep, Gaziantep, , Turkey
Izmir, İzmir, , Turkey
Kayseri, Kayseri, , Turkey
Capa, Çapa, , Turkey
Name: Evangelos Terpos, Prof
Affiliation: Department of Clinical Therapeutics, University of Athens, School of Medicine, Athens, Greece
Role: PRINCIPAL_INVESTIGATOR