A Study to Evaluate Daratumumab in Transplant Eligible Participants With Previously Untreated Multiple Myeloma

NCT ID: NCT02541383

Last Updated: 2025-04-13

Study Results

Results available

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

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1085 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2023-09-01

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to evaluate if the addition of daratumumab to Bortezomib, Thalidomide and Dexamethasone will increase the stringent complete response rate after consolidation therapy and increase the progression free survival after daratumumab maintenance therapy in transplant eligible participants with previously untreated Multiple Myeloma.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This is a randomized, open-label (identity of assigned treatment will be known to participants and study staff), 2-arm (2 treatment groups), multicenter study of daratumumab in participants diagnosed with previously untreated Multiple Myeloma who are eligible for high dose chemotherapy and autologous stem cell transplantation (transplantation of own bone marrow). Participants will be randomized (assigned by chance) to one of 2 treatment groups to either receive daratumumab plus bortezomib, thalidomide and dexamethasone or bortezomib, thalidomide and dexamethasone for induction (before transplantation) and consolidation (after transplantation) treatment. All responders will then be re-randomized (assigned by chance) to one of 2 treatment groups to receive maintenance treatment with daratumumab only or observation (no treatment). The study will include a 28-Day Screening Phase, a Treatment Phase of 6 treatment cycles (each cycle is 4 weeks in duration for total period of 30 weeks), and a Follow up Phase of 2 years. The total duration for each participant in the study will be approximately 138 weeks. The end of the study will occur approximately 5 years after the last participant is randomized in the second phase of the study. Disease assessments will be performed every 4 weeks in the first phase of the study and then every 8 weeks in the second phase of the study. Safety will be monitored throughout the study.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Multiple Myeloma

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Arm A Part 1

Bortezomib (VELCADE), Thalidomide, and Dexamethasone (VTD)

Group Type OTHER

Bortezomib (VELCADE), Thalidomide, and Dexamethasone (VTD)

Intervention Type DRUG

Part 1: 4 Cycles of Bortezomib,Thalidomide and Dexamethasone induction therapy, followed by Autologous Stem Cell Transplantation, followed by 2 cycles of Bortezomib, Thalidomide and Dexamethasone consolidation

Arm B Part 1

Bortezomib (VELCADE), Thalidomide, and Dexamethasone (VTD) plus daratumumab

Group Type EXPERIMENTAL

Bortezomib, Thalidomide, Dexamethasone (VTD) + daratumumab

Intervention Type DRUG

Part 1: 4 Cycles of Bortezomib, Thalidomide and Dexamethasone plus daratumumab 16mg/kg induction therapy, followed by Autologous Stem Cell Transplantation, followed by 2 cycles of Bortezomib, Thalidomide and Dexamethasone plus daratumumab 16 mg/kg consolidation

Arm A Part 2

Observation

Group Type NO_INTERVENTION

No interventions assigned to this group

Arm B Part 2

daratumumab

Group Type EXPERIMENTAL

Daratumumab

Intervention Type DRUG

Daratumumab 16mg/kg every 8 weeks for 2 years

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Bortezomib (VELCADE), Thalidomide, and Dexamethasone (VTD)

Part 1: 4 Cycles of Bortezomib,Thalidomide and Dexamethasone induction therapy, followed by Autologous Stem Cell Transplantation, followed by 2 cycles of Bortezomib, Thalidomide and Dexamethasone consolidation

Intervention Type DRUG

Bortezomib, Thalidomide, Dexamethasone (VTD) + daratumumab

Part 1: 4 Cycles of Bortezomib, Thalidomide and Dexamethasone plus daratumumab 16mg/kg induction therapy, followed by Autologous Stem Cell Transplantation, followed by 2 cycles of Bortezomib, Thalidomide and Dexamethasone plus daratumumab 16 mg/kg consolidation

Intervention Type DRUG

Daratumumab

Daratumumab 16mg/kg every 8 weeks for 2 years

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Arm A Part 1 Arm B Part 1 Arm B Part 2

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Diagnosis of previously untreated multiple myeloma (MM)
* Have a confirmed diagnosis and eligible for high dose chemotherapy and autologous stem cell transplantation, and an Eastern Cooperative Oncology Group (ECOG) performance status score of 0,1 or 2

Exclusion Criteria

* previous treatment for Multiple Myeloma
* Primary amyloidosis, Plasma Cell Leukemia or Smoldering Multiple Myeloma
* Prior or concurrent exposure to systemic therapy or SCT (Stem Cell Transplantation) for any plasma cell dyscrasia, with the exception of an emergency use of a short course (equivalent of dexamethasone 40 mg/day for a maximum 4 days) of corticosteroids before treatment, or received an investigational drug or used an invasive investigational medical device within 4 weeks before Cycle 1, Day 1
* history of malignancy (other than Multiple Myeloma) within 10 years before the date of randomization, except for the following if treated and not active: basal cell or nonmetastatic squamous cell carcinoma of the skin, cervical carcinoma in situ, ductal carcinoma in situ of breast, or International Federation of Gynecology and Obstetrics (FIGO) Stage 1 carcinoma of the cervix
* known chronic obstructive pulmonary disease (COPD) or moderate to severe asthma
* any concurrent medical or psychiatric condition or disease (eg, autoimmune disease, active systemic disease, myelodysplasia) that is likely to interfere with the study procedures or results, or that in the opinion of the investigator, would constitute a hazard for participating in this study
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

HOVON - Dutch Haemato-Oncology Association

OTHER

Sponsor Role collaborator

Janssen Research & Development, LLC

INDUSTRY

Sponsor Role collaborator

Intergroupe Francophone du Myelome

NETWORK

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Philippe Moreau, Pr

Role: PRINCIPAL_INVESTIGATOR

CHU Nantes, France

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

BE-Antwerp-ZNA Stuivenberg

Antwerp, , Belgium

Site Status

AZ St Jan Brugge Oostende AV

Bruges, , Belgium

Site Status

Institut Jules Bordet

Brussels, , Belgium

Site Status

UCL Saint-Luc

Brussels, , Belgium

Site Status

UZ Brussel

Brussels, , Belgium

Site Status

GHDC

Charleroi, , Belgium

Site Status

UZ Gent

Ghent, , Belgium

Site Status

CH Jolimont

La Louvière, , Belgium

Site Status

University Hospital Leuven

Leuven, , Belgium

Site Status

Domaine Universitaire du Sart Tilman

Liège, , Belgium

Site Status

AZ Delta

Roeselare, , Belgium

Site Status

AZ Turnhout

Turnhout, , Belgium

Site Status

UCL Mont-Godinne

Yvoir, , Belgium

Site Status

CHU Amiens Sud

Amiens, , France

Site Status

CHRU-Hôpital du Bocage

Angers, , France

Site Status

Centre Hospitalier d'Argenteuil Victor Dupouy

Argenteuil, , France

Site Status

Centre Hospitalier H.Duffaut

Avignon, , France

Site Status

Centre hospitalier de la Côte Basque

Bayonne, , France

Site Status

Hôpital Jean Minjoz

Besançon, , France

Site Status

Hôpital Avicenne

Bobigny, , France

Site Status

Polyclinique Bordeaux Nord Acquitaine

Bordeaux, , France

Site Status

Hôpital de Fleyriat

Bourg-en-Bresse, , France

Site Status

CHRU Brest - Hôpital A. Morvan

Brest, , France

Site Status

CHU Caen - Côte de Nacre

Caen, , France

Site Status

Clinique du Parc

Castelnau-le-Lez, , France

Site Status

CH René Dubos

Cergy-Pontoise, , France

Site Status

Hôpital Privé Sévigné

Cesson-Sévigné, , France

Site Status

Centre Hospitalier William Morey

Chalon-sur-Saône, , France

Site Status

CH Chambéry

Chambéry, , France

Site Status

Hôpital d'Instruction des Armées Percy

Clamart, , France

Site Status

CHU d'Estaing

Clermont-Ferrand, , France

Site Status

Centre Hospitalier Sud Francilien

Corbeil-Essonnes, , France

Site Status

CHU Henri Mondor

Créteil, , France

Site Status

CHRU Dijon - Hôpital des Enfants

Dijon, , France

Site Status

Centre Hospitalier Général

Dunkirk, , France

Site Status

CHRU Hôpital A. Michallon

Grenoble, , France

Site Status

CHD Vendée

La Roche-sur-Yon, , France

Site Status

CHV André Mignot - Université de Versailles

Le Chesnay, , France

Site Status

CH de Chartres - Hôpital Louis Pasteur

Le Coudray, , France

Site Status

Centre Hospitalier

Le Mans, , France

Site Status

Clinique Victor Hugo

Le Mans, , France

Site Status

CHRU Hôpital Claude Huriez

Lille, , France

Site Status

GH de l'Institut Catholique Saint Vincent

Lille, , France

Site Status

Centre Hospitalier Universitaire (CHU) de Limoges

Limoges, , France

Site Status

Hôpital du Scorff

Lorient, , France

Site Status

Centre Léon Bérard

Lyon, , France

Site Status

Institut Paoli Calmettes

Marseille, , France

Site Status

CH Meaux

Meaux, , France

Site Status

Hôpital de Mercy (CHR Metz-Thionville)

Metz, , France

Site Status

Hopital Saint Eloi - CHU Montpellier

Montpellier, , France

Site Status

Hôpital E. Muller

Mulhouse, , France

Site Status

Centre Catherine de Sienne

Nantes, , France

Site Status

CHRU Hôtel Dieu

Nantes, , France

Site Status

Clinique de l'Archet

Nice, , France

Site Status

CHU Carémeau

Nîmes, , France

Site Status

CH La Source

Orléans, , France

Site Status

CHU Hôpital Saint Antoine

Paris, , France

Site Status

Hôpital Cochin

Paris, , France

Site Status

Hôpital Necker

Paris, , France

Site Status

Hôpital Saint Louis

Paris, , France

Site Status

Institut Curie

Paris, , France

Site Status

La Pitié

Paris, , France

Site Status

CH Saint Jean

Perpignan, , France

Site Status

CHRU - Hôpital du Haut Lévêque - Centre François Magendie

Pessac, , France

Site Status

Centre Hospitalier de Perigueux

Périgueux, , France

Site Status

Centre Hospitalier Lyon Sud

Pierre-Bénite, , France

Site Status

CHU Poitiers - Pôle régional de Cancérologie

Poitiers, , France

Site Status

Ch Annecy Genevois

Pringy, , France

Site Status

Hôpital Robert Debré

Reims, , France

Site Status

CHRU Hôpital de Pontchaillou

Rennes, , France

Site Status

Centre Henri Becquerel

Rouen, , France

Site Status

Centre Hospitalier Yves Le Foll

Saint-Brieuc, , France

Site Status

Institut de Cancérologie Lucien Neuwirth

Saint-Priest-en-Jarez, , France

Site Status

Centre Hospitalier

Saint-Quentin, , France

Site Status

CHU Strasbourg

Strasbourg, , France

Site Status

Strasbourg Oncologie Médicale

Strasbourg, , France

Site Status

Pôle IUCT Oncopole CHU

Toulouse, , France

Site Status

CHRU Hôpital Bretonneau

Tours, , France

Site Status

CHRU Hôpitaux de Brabois

Vandœuvre-lès-Nancy, , France

Site Status

CHBA

Vannes, , France

Site Status

MC Alkmaar

Alkmaar, , Netherlands

Site Status

Meander MC

Amersfoort, , Netherlands

Site Status

AMC

Amsterdam, , Netherlands

Site Status

OLVG

Amsterdam, , Netherlands

Site Status

Vumc

Amsterdam, , Netherlands

Site Status

Ziekenhuis Rijnstate

Arnhem, , Netherlands

Site Status

Amphia Hospital Breda

Breda, , Netherlands

Site Status

RdGG

Delft, , Netherlands

Site Status

Deventer zkh

Deventer, , Netherlands

Site Status

Albert Schweitzer zkh

Dordrecht, , Netherlands

Site Status

Maxima MC

Eindhoven, , Netherlands

Site Status

Medisch Spectrum Twente

Enschede, , Netherlands

Site Status

UMCG

Groningen, , Netherlands

Site Status

Atrium MC/Zuyderland MC

Heerlen, , Netherlands

Site Status

Tergooiziekenhuizen, location Hilversum

Hilversum, , Netherlands

Site Status

Spaarne Gasthuis

Hoofddorp, , Netherlands

Site Status

MC Leeuwarden

Leeuwarden, , Netherlands

Site Status

LUMC

Leiden, , Netherlands

Site Status

MUMC

Maastricht, , Netherlands

Site Status

Antonius zkh

Nieuwegein, , Netherlands

Site Status

Radboudumc

Nijmegen, , Netherlands

Site Status

Erasmus MC

Rotterdam, , Netherlands

Site Status

Maasstad Ziekenhuis

Rotterdam, , Netherlands

Site Status

Haga zkh

The Hague, , Netherlands

Site Status

Elisabeth zkh

Tilburg, , Netherlands

Site Status

UMCU

Utrecht, , Netherlands

Site Status

Isala Klinieken

Zwolle, , Netherlands

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Belgium France Netherlands

References

Explore related publications, articles, or registry entries linked to this study.

Moreau P, Attal M, Hulin C, Arnulf B, Belhadj K, Benboubker L, Bene MC, Broijl A, Caillon H, Caillot D, Corre J, Delforge M, Dejoie T, Doyen C, Facon T, Sonntag C, Fontan J, Garderet L, Jie KS, Karlin L, Kuhnowski F, Lambert J, Leleu X, Lenain P, Macro M, Mathiot C, Orsini-Piocelle F, Perrot A, Stoppa AM, van de Donk NW, Wuilleme S, Zweegman S, Kolb B, Touzeau C, Roussel M, Tiab M, Marolleau JP, Meuleman N, Vekemans MC, Westerman M, Klein SK, Levin MD, Fermand JP, Escoffre-Barbe M, Eveillard JR, Garidi R, Ahmadi T, Zhuang S, Chiu C, Pei L, de Boer C, Smith E, Deraedt W, Kampfenkel T, Schecter J, Vermeulen J, Avet-Loiseau H, Sonneveld P. Bortezomib, thalidomide, and dexamethasone with or without daratumumab before and after autologous stem-cell transplantation for newly diagnosed multiple myeloma (CASSIOPEIA): a randomised, open-label, phase 3 study. Lancet. 2019 Jul 6;394(10192):29-38. doi: 10.1016/S0140-6736(19)31240-1. Epub 2019 Jun 3.

Reference Type RESULT
PMID: 31171419 (View on PubMed)

Moreau P, Hulin C, Perrot A, Arnulf B, Belhadj K, Benboubker L, Bene MC, Zweegman S, Caillon H, Caillot D, Corre J, Delforge M, Dejoie T, Doyen C, Facon T, Sonntag C, Fontan J, Mohty M, Jie KS, Karlin L, Kuhnowski F, Lambert J, Leleu X, Macro M, Orsini-Piocelle F, Roussel M, Stoppa AM, van de Donk NWCJ, Wuilleme S, Broijl A, Touzeau C, Tiab M, Marolleau JP, Meuleman N, Vekemans MC, Westerman M, Klein SK, Levin MD, Offner F, Escoffre-Barbe M, Eveillard JR, Garidi R, Ahmadi T, Krevvata M, Zhang K, de Boer C, Vara S, Kampfenkel T, Vanquickelberghe V, Vermeulen J, Avet-Loiseau H, Sonneveld P. Maintenance with daratumumab or observation following treatment with bortezomib, thalidomide, and dexamethasone with or without daratumumab and autologous stem-cell transplant in patients with newly diagnosed multiple myeloma (CASSIOPEIA): an open-label, randomised, phase 3 trial. Lancet Oncol. 2021 Oct;22(10):1378-1390. doi: 10.1016/S1470-2045(21)00428-9. Epub 2021 Sep 13.

Reference Type RESULT
PMID: 34529931 (View on PubMed)

Moreau P, Hulin C, Perrot A, Arnulf B, Belhadj K, Benboubker L, Zweegman S, Caillon H, Caillot D, Avet-Loiseau H, Delforge M, Dejoie T, Facon T, Sonntag C, Fontan J, Mohty M, Jie KS, Karlin L, Kuhnowski F, Lambert J, Leleu X, Macro M, Orsini-Piocelle F, Roussel M, Schiano de Colella JM, van de Donk NW, Wuilleme S, Broijl A, Touzeau C, Tiab M, Marolleau JP, Meuleman N, Vekemans MC, Westerman M, Klein SK, Levin MD, Offner F, Escoffre-Barbe M, Eveillard JR, Garidi R, Hua W, Wang J, Tuozzo A, de Boer C, Rowe M, Vanquickelberghe V, Carson R, Vermeulen J, Corre J, Sonneveld P; Intergroupe Francophone du Myelome, the Dutch-Belgian Cooperative Trial Group for Hematology Oncology and the CASSIOPEIA Investigators. Bortezomib, thalidomide, and dexamethasone with or without daratumumab and followed by daratumumab maintenance or observation in transplant-eligible newly diagnosed multiple myeloma: long-term follow-up of the CASSIOPEIA randomised controlled phase 3 trial. Lancet Oncol. 2024 Aug;25(8):1003-1014. doi: 10.1016/S1470-2045(24)00282-1. Epub 2024 Jun 15.

Reference Type RESULT
PMID: 38889735 (View on PubMed)

Corre J, Vincent L, Moreau P, Hebraud B, Hulin C, Bene MC, Broijl A, Caillot D, Delforge M, Dejoie T, Facon T, Lambert J, Leleu X, Macro M, Perrot A, Zweegman S, Filleron T, Cabarrou B, van de Donk NWCJ, Maheo S, Hua W, Wang J, Krevvata M, Vanquickelberghe V, de Boer C, Tuozzo A, Borgsten F, Rowe M, Carson R, Wuilleme S, Sonneveld P. Daratumumab-bortezomib-thalidomide-dexamethasone for newly diagnosed myeloma: CASSIOPEIA minimal residual disease results. Blood. 2025 Aug 7;146(6):679-692. doi: 10.1182/blood.2024027620.

Reference Type DERIVED
PMID: 40127397 (View on PubMed)

Kraeber-Bodere F, Zweegman S, Perrot A, Hulin C, Caillot D, Facon T, Leleu X, Belhadj K, Itti E, Karlin L, Bailly C, Levin MD, Minnema MC, Jamet B, Bodet-Milin C, De Keizer B, Bene MC, Avet-Loiseau H, Sonneveld P, Pei L, Rigat F, De Boer C, Vermeulen J, Kampfenkel T, Lambert J, Moreau P. Prognostic value of positron emission tomography/computed tomography in transplant-eligible newly diagnosed multiple myeloma patients from CASSIOPEIA: the CASSIOPET study. Haematologica. 2023 Feb 1;108(2):621-626. doi: 10.3324/haematol.2021.280051. No abstract available.

Reference Type DERIVED
PMID: 36263839 (View on PubMed)

Alberge JB, Kraeber-Bodere F, Jamet B, Touzeau C, Caillon H, Wuilleme S, Bene MC, Kampfenkel T, Sonneveld P, van Duin M, Avet-Loiseau H, Corre J, Magrangeas F, Carlier T, Bodet-Milin C, Cherel M, Moreau P, Minvielle S, Bailly C. Molecular Signature of 18F-FDG PET Biomarkers in Newly Diagnosed Multiple Myeloma Patients: A Genome-Wide Transcriptome Analysis from the CASSIOPET Study. J Nucl Med. 2022 Jul;63(7):1008-1013. doi: 10.2967/jnumed.121.262884. Epub 2022 Jan 27.

Reference Type DERIVED
PMID: 35086897 (View on PubMed)

Hulin C, Offner F, Moreau P, Roussel M, Belhadj K, Benboubker L, Caillot D, Facon T, Garderet L, Kuhnowski F, Stoppa AM, Kolb B, Tiab M, Jie KS, Westerman M, Lambert J, Pei L, Vanquickelberghe V, De Boer C, Vermeulen J, Kampfenkel T, Sonneveld P, Van de Donk NWCJ. Stem cell yield and transplantation in transplant-eligible newly diagnosed multiple myeloma patients receiving daratumumab + bortezomib/thalidomide/dexamethasone in the phase 3 CASSIOPEIA study. Haematologica. 2021 Aug 1;106(8):2257-2260. doi: 10.3324/haematol.2020.261842. No abstract available.

Reference Type DERIVED
PMID: 33657786 (View on PubMed)

Roussel M, Moreau P, Hebraud B, Laribi K, Jaccard A, Dib M, Slama B, Dorvaux V, Royer B, Frenzel L, Zweegman S, Klein SK, Broijl A, Jie KS, Wang J, Vanquickelberghe V, de Boer C, Kampfenkel T, Gries KS, Fastenau J, Sonneveld P. Bortezomib, thalidomide, and dexamethasone with or without daratumumab for transplantation-eligible patients with newly diagnosed multiple myeloma (CASSIOPEIA): health-related quality of life outcomes of a randomised, open-label, phase 3 trial. Lancet Haematol. 2020 Dec;7(12):e874-e883. doi: 10.1016/S2352-3026(20)30356-2.

Reference Type DERIVED
PMID: 33242444 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

Access external resources that provide additional context or updates about the study.

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

HO131

Identifier Type: OTHER

Identifier Source: secondary_id

54767414MMY3006

Identifier Type: OTHER

Identifier Source: secondary_id

2014-004781-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

IFM 2015-01

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.