An Investigational Immuno-Therapy Study to Determine the Safety and Effectiveness of Nivolumab and Daratumumab in Patients With Multiple Myeloma

NCT ID: NCT01592370

Last Updated: 2025-10-22

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-02

Study Completion Date

2024-07-09

Brief Summary

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The purpose of this study is to determine the side effects of treatment of the combination of nivolumab and daratumumab in participants with relapsed/refractory multiple myeloma.

Detailed Description

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NOTE: Currently, this study is only open to nivolumab+daratumumab vs daratumumab monotherapy in multiple myeloma patients.

Conditions

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Non-Hodgkin's Lymphoma Hodgkin Lymphoma Multiple Myeloma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Nivolumab monotherapy (Dose Escalation)

Nivolumab solution intravenously as specified

Non-randomized

Enrollment is closed for this cohort

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Administered by intravenous (IV) infusion

Nivolumab + Ipilimumab

Nivolumab and Ipilimumab solution intravenously as specified

Non-randomized

Enrollment is closed for this cohort

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Administered by intravenous (IV) infusion

Ipilimumab

Intervention Type BIOLOGICAL

Administered by IV infusion

Nivolumab + Lirilumab

Non-randomized

Nivolumab: 3 mg/kg given every 2 weeks Lirilumab: 3 mg/kg given every 4 weeks

Enrollment is closed for this cohort

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Administered by intravenous (IV) infusion

Lirilumab

Intervention Type BIOLOGICAL

Administered by IV infusion

Nivo + Dara + Pom + Dexa vs. Nivo + Dara

Randomized

Nivolumab:

Cycle 1: 240 mg Day 15 Cycle 2-6: 240 mg Days 1, 15 Cycle 7 \& beyond: 480 mg Day 1

Daratumumab:

Cycle 1-2: 16 mg/kg Days 1, 8, 15, 22 Cycle 3-6: 16 mg/kg Days 1, 15 Cycle 7 \& beyond: 16 mg/kg Day 1

Pomalidomide:

4 mg po (by mouth) daily on Days 1 - 21 of each 28-day cycle

Dexamethasone:

Weeks without daratumumab dosing:

* 40 mg po daily (Days 1, 8, 15, 22) of each 28-day cycle for participants ≤ 75 years old
* 20 mg po daily (Days 1, 8, 15, 22) of each 28-day cycle for participants \> 75 years old

Weeks with daratumumab dosing:

* 20 mg iv before the daratumumab infusion and 20 mg po after the daratumumab infusion in participants ≤ 75 years old
* 16 mg iv before the daratumumab infusion and 4 mg po after the daratumumab infusion in participants \> 75 years old

Enrollment is closed for this cohort

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Administered by intravenous (IV) infusion

Daratumumab

Intervention Type BIOLOGICAL

Administered by IV infusion

Pomalidomide

Intervention Type DRUG

Administered PO

Dexamethasone

Intervention Type DRUG

Administered PO and by IV infusion

Daratumumab vs. Nivolumab + Daratumumab

Randomized

Nivolumab:

Cycle 1: 240 mg Day 15 Cycle 2 \& beyond: 480 mg Day 1

Daratumumab:

Cycle 1-2: 16 mg/kg Days 1, 8, 15, 22 Cycle 3-6: 16 mg/kg Days 1, 15 Cycle 7 \& beyond: 16 mg/kg Day 1

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Administered by intravenous (IV) infusion

Daratumumab

Intervention Type BIOLOGICAL

Administered by IV infusion

Interventions

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Nivolumab

Administered by intravenous (IV) infusion

Intervention Type BIOLOGICAL

Ipilimumab

Administered by IV infusion

Intervention Type BIOLOGICAL

Lirilumab

Administered by IV infusion

Intervention Type BIOLOGICAL

Daratumumab

Administered by IV infusion

Intervention Type BIOLOGICAL

Pomalidomide

Administered PO

Intervention Type DRUG

Dexamethasone

Administered PO and by IV infusion

Intervention Type DRUG

Other Intervention Names

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BMS-936558 Opdivo Yervoy BMS-734016 MDX010 BMS-986015 Darzalex Pomalyst Intensol

Eligibility Criteria

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Inclusion Criteria

* Have received at least 3 prior lines of therapy, including a proteasome inhibitor \[PI\] and an immunomodulatory agent \[IMiD\] OR have disease that is double refractory to a PI and IMiD
* More than 12 weeks post-transplant of your own blood forming stem cells (autologous transplant)
* Have detectable disease measured by a specific protein in your blood and/or urine
* Must consent to bone marrow aspirate or biopsy.

Exclusion Criteria

* Solitary bone or extramedullary plasmacytoma as the only evidence of plasma cell dyscrasia, or monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), primary amyloidosis, Waldenstrom's macroglobulinemia, POEMS syndrome or active plasma cell leukemia
* Prior therapy with anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, anti CTLA 4, or anti-CD38 antibody, or allogeneic stem cell transplantation
* Seropositive for human immunodeficiency virus (HIV), Hepatitis B surface antigen or Hepatitis C antibody positive (except if HCV-RNA negative), or history of active chronic hepatitis B or C
* History of central nervous system involvement or symptoms suggestive of central nervous system involvement by multiple myeloma
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen, LP

INDUSTRY

Sponsor Role collaborator

Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Local Institution - 0035

Clovis, California, United States

Site Status

Division Of Hematology & Oncology Ctr. For Health Sciences

Los Angeles, California, United States

Site Status

Local Institution - 0012

Los Angeles, California, United States

Site Status

Local Institution - 0017

Aurora, Colorado, United States

Site Status

Local Institution - 013

New Haven, Connecticut, United States

Site Status

Local Institution - 0023

Orlando, Florida, United States

Site Status

Local Institution - 0037

Skokie, Illinois, United States

Site Status

Local Institution - 0019

Indianapolis, Indiana, United States

Site Status

Local Institution - 0018

Westwood, Kansas, United States

Site Status

Local Institution - 0003

Baltimore, Maryland, United States

Site Status

The Sidney Kimmel Comprehensive Cancer Center

Baltimore, Maryland, United States

Site Status

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Local Institution - 0009

Boston, Massachusetts, United States

Site Status

Local Institution - 0015

Boston, Massachusetts, United States

Site Status

Local Institution - 0011

Ann Arbor, Michigan, United States

Site Status

University Of Michigan Health System

Ann Arbor, Michigan, United States

Site Status

Local Institution - 0002

Rochester, Minnesota, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Local Institution - 0033

Omaha, Nebraska, United States

Site Status

John Theurer Cancer Center

Hackensack, New Jersey, United States

Site Status

Local Institution - 0014

Hackensack, New Jersey, United States

Site Status

Local Institution - 0001

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Local Institution - 0028

Columbus, Ohio, United States

Site Status

Local Institution - 0006

Portland, Oregon, United States

Site Status

OHSU Center for Hematologic Malignancies

Portland, Oregon, United States

Site Status

Abramson Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Local Institution - 0007

Philadelphia, Pennsylvania, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Local Institution - 0004

Philadelphia, Pennsylvania, United States

Site Status

Huntsman Cancer Institute At The Univ. Of Utah

Salt Lake City, Utah, United States

Site Status

Local Institution - 0005

Salt Lake City, Utah, United States

Site Status

Local Institution - 0045

Ghent, , Belgium

Site Status

Local Institution - 0047

Sint-Niklaas, , Belgium

Site Status

Local Institution

Yvoir, , Belgium

Site Status

Local Institution - 0043

Poitiers, Vienne, France

Site Status

Local Institution - 0044

Nantes, , France

Site Status

Local Institution - 0039

Athens, , Greece

Site Status

Local Institution

Bologna, , Italy

Site Status

Local Institution

Chorzów, , Poland

Site Status

Local Institution - 0040

Poznan, , Poland

Site Status

Local Institution - 0049

Warsaw, , Poland

Site Status

Local Institution - 0042

Wroclaw, , Poland

Site Status

Countries

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United States Belgium France Greece Italy Poland

References

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Lesokhin AM, Ansell SM, Armand P, Scott EC, Halwani A, Gutierrez M, Millenson MM, Cohen AD, Schuster SJ, Lebovic D, Dhodapkar M, Avigan D, Chapuy B, Ligon AH, Freeman GJ, Rodig SJ, Cattry D, Zhu L, Grosso JF, Bradley Garelik MB, Shipp MA, Borrello I, Timmerman J. Nivolumab in Patients With Relapsed or Refractory Hematologic Malignancy: Preliminary Results of a Phase Ib Study. J Clin Oncol. 2016 Aug 10;34(23):2698-704. doi: 10.1200/JCO.2015.65.9789. Epub 2016 Jun 6.

Reference Type DERIVED
PMID: 27269947 (View on PubMed)

Ansell SM, Lesokhin AM, Borrello I, Halwani A, Scott EC, Gutierrez M, Schuster SJ, Millenson MM, Cattry D, Freeman GJ, Rodig SJ, Chapuy B, Ligon AH, Zhu L, Grosso JF, Kim SY, Timmerman JM, Shipp MA, Armand P. PD-1 blockade with nivolumab in relapsed or refractory Hodgkin's lymphoma. N Engl J Med. 2015 Jan 22;372(4):311-9. doi: 10.1056/NEJMoa1411087. Epub 2014 Dec 6.

Reference Type DERIVED
PMID: 25482239 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2018-001030-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CA209-039

Identifier Type: -

Identifier Source: org_study_id

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