Trial Outcomes & Findings for Daratumumab in Treatment of PGNMID and C3 GN (NCT NCT03095118)

NCT ID: NCT03095118

Last Updated: 2022-08-31

Results Overview

Number of treatment-emergent adverse events as defined as major infection (defined as the development of pneumonia, severe urinary tract infection/pyelonephritis, sepsis, meningitis), grade 3 or 4 anemia, leukopenia, or thrombocytopenia.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

12 participants

Primary outcome timeframe

1 year

Results posted on

2022-08-31

Participant Flow

Participant milestones

Participant milestones
Measure
Daratumumab
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Overall Study
STARTED
12
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Daratumumab
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Overall Study
Adverse Event
1
Overall Study
Diagnosis not associated with monoclonal gammopathy
1

Baseline Characteristics

Daratumumab in Treatment of PGNMID and C3 GN

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Daratumumab
n=12 Participants
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Age, Continuous
51.3 years
STANDARD_DEVIATION 20.6 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
11 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
12 participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 year

Number of treatment-emergent adverse events as defined as major infection (defined as the development of pneumonia, severe urinary tract infection/pyelonephritis, sepsis, meningitis), grade 3 or 4 anemia, leukopenia, or thrombocytopenia.

Outcome measures

Outcome measures
Measure
Daratumumab
n=12 Participants
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Number of Treatment-Emergent Adverse Events
5 Serious Adverse Events

SECONDARY outcome

Timeframe: 6 months

The number of subjects to reach either complete remission or partial remission at 6 months after infusion.

Outcome measures

Outcome measures
Measure
Daratumumab
n=10 Participants
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Remission Status at 6 Months
8 Participants

SECONDARY outcome

Timeframe: 12 months

The number of subjects to reach either complete remission or partial remission at 12 months after infusion.

Outcome measures

Outcome measures
Measure
Daratumumab
n=10 Participants
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Remission Status at 12 Months
9 Participants

SECONDARY outcome

Timeframe: Baseline

Measured using 24 hour urine collection reported in mg/24h

Outcome measures

Outcome measures
Measure
Daratumumab
n=10 Participants
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Proteinuria at Baseline
4346 mg/24h
Interval 3245.0 to 7943.0

SECONDARY outcome

Timeframe: 6 months

Measured using 24 hour urine collection reported in mg/24 h

Outcome measures

Outcome measures
Measure
Daratumumab
n=10 Participants
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Proteinuria at 6 Months
702 mg/24h
Interval 435.0 to 3057.0

SECONDARY outcome

Timeframe: 12 months

Measured using 24 hour urine collection reported in mg/24h

Outcome measures

Outcome measures
Measure
Daratumumab
n=10 Participants
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Proteinuria at 12 Months
1264 mg/24h
Interval 463.0 to 3645.0

SECONDARY outcome

Timeframe: Baseline

Blood serum collected and reported in mg/dL

Outcome measures

Outcome measures
Measure
Daratumumab
n=10 Participants
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Serum Creatinine at Baseline
1.36 mg/dL
Standard Deviation 0.57

SECONDARY outcome

Timeframe: 6 months

Blood serum collected and reported in mg/dL

Outcome measures

Outcome measures
Measure
Daratumumab
n=10 Participants
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Serum Creatinine at 6 Months
1.25 mg/dL
Standard Deviation 0.44

SECONDARY outcome

Timeframe: 12 months

Blood serum collected and reported in mg/dL

Outcome measures

Outcome measures
Measure
Daratumumab
n=10 Participants
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Serum Creatinine at 12 Months
1.25 mg/dL
Standard Deviation 0.52

Adverse Events

Daratumumab

Serious events: 3 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Daratumumab
n=12 participants at risk
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Eye disorders
Eye Chemosis
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Nervous system disorders
Headache
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Eye disorders
Acute Glaucoma
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Fever
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Infections and infestations
C. difficile infection
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.

Other adverse events

Other adverse events
Measure
Daratumumab
n=12 participants at risk
Subjects will receive daratumumab intravenously at a dose of 16 mg/kg once weekly for 8 weeks followed by once every 2 weeks for 8 additional doses Daratumumab: Intravenously (IV) at a dose of 16 mg/kg once weekly for 8 weeks, followed by once every 2 weeks for eight additional doses
Renal and urinary disorders
UTI
16.7%
2/12 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Infections and infestations
URI
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Respiratory, thoracic and mediastinal disorders
Cough
58.3%
7/12 • Number of events 16 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Respiratory, thoracic and mediastinal disorders
Congestion
58.3%
7/12 • Number of events 10 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Throat Irritation
50.0%
6/12 • Number of events 11 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Eye disorders
Blurred Vision
33.3%
4/12 • Number of events 4 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Nervous system disorders
Headache
25.0%
3/12 • Number of events 3 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Musculoskeletal and connective tissue disorders
Myalgia
25.0%
3/12 • Number of events 3 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Tingling in feet
25.0%
3/12 • Number of events 4 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Flushed
16.7%
2/12 • Number of events 3 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Eye disorders
Watery eyes
16.7%
2/12 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Itching
16.7%
2/12 • Number of events 3 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Sneezing
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Chest tightness
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Cardiac disorders
Vagal response
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Lip tingling
8.3%
1/12 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Skin and subcutaneous tissue disorders
Skin itchy at IV site
8.3%
1/12 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Hoarse voice
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Sensation of facial swelling
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Fatigue
16.7%
2/12 • Number of events 3 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Nausea
16.7%
2/12 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Insomnia
8.3%
1/12 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Night sweats
16.7%
2/12 • Number of events 3 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Gastrointestinal disorders
Constipation
8.3%
1/12 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Sore throat
16.7%
2/12 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Musculoskeletal and connective tissue disorders
Leg cramps
16.7%
2/12 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Skin and subcutaneous tissue disorders
Sore scalp
16.7%
2/12 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Chills
16.7%
2/12 • Number of events 2 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Nervous system disorders
Restless legs
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Sore in mouth
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Skin and subcutaneous tissue disorders
Acne
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Gastrointestinal disorders
Rectal bleeding
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Renal and urinary disorders
Urinary frequency
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Ear and labyrinth disorders
Tinnitus
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
General disorders
Foot pain
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Musculoskeletal and connective tissue disorders
Low back pain
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.
Gastrointestinal disorders
Bloating
8.3%
1/12 • Number of events 1 • Adverse events were collected from baseline to end of study for a total of approximately 1 year on all participants.

Additional Information

Dr. Fernando C. Fervenza

Mayo Clinic

Phone: 507-266-1045

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place