A Study of Subcutaneous Delivery of JNJ-54767414 (Daratumumab) in Japanese Participants With Relapsed or Refractory Multiple Myeloma

NCT ID: NCT03242889

Last Updated: 2023-04-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

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

PHASE1

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-08-10

Study Completion Date

2023-02-10

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 the tolerability and safety of subcutaneous (SC) delivery of co-formulated daratumumab and rHuPH20 preparation (DARA SC) in Japanese participants with relapsed or refractory multiple myeloma (MM).

Detailed Description

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

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

NA

Intervention Model

SINGLE_GROUP

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.

DARA SC

Participants will receive DARA SC (daratumumab 1800 milligram \[mg\] with Recombinant Human Hyaluronidase \[rHuPH20\] 30,000 units \[U\] that is 2000 U/milliliter \[U/mL\]) subcutaneous (SC) injection once weekly for the first 8 weeks in Cycles 1 and 2 (Days 1, 8, 15, and 22 of each week), every 2 weeks in Cycles 3 to 6 (Days 1 and 15) for the following 16 weeks and then every 4 weeks (from Cycle 7 \[Day 1\]) in subsequent cycles until disease progression, unacceptable toxicity, or any other reason for discontinuation. Each cycle is 28 days in duration.

Group Type EXPERIMENTAL

DARA SC

Intervention Type DRUG

Participants will receive 1800 mg daratumumab with 30,000 U (2000 U/mL) rHuPH20 SC injection once weekly for the first 8 weeks in Cycles 1 and 2 and every 2 weeks in Cycles 3 to 6 for 16 weeks and then every 4 weeks in subsequent cycles until disease progression, unacceptable toxicity, or any other reason for discontinuation.

Interventions

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

DARA SC

Participants will receive 1800 mg daratumumab with 30,000 U (2000 U/mL) rHuPH20 SC injection once weekly for the first 8 weeks in Cycles 1 and 2 and every 2 weeks in Cycles 3 to 6 for 16 weeks and then every 4 weeks in subsequent cycles until disease progression, unacceptable toxicity, or any other reason for discontinuation.

Intervention Type DRUG

Eligibility Criteria

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

Inclusion Criteria

* Participant proven to have Multiple Myeloma (MM) according to the International Myeloma Working Group (IMWG) diagnostic criteria
* Participant must have measurable, secretory disease as defined by any of the following:

1. Immunoglobulin (Ig) G MM: serum M-protein level greater than or equal to (\>=) 1.0 gram per deciliter (g/dL) or urine M-protein level \>= 200 milligram (mg)/24 hours; or
2. IgA, IgD, IgE MM: serum M-protein level \>= 0.5 g/dL or urine M-protein level \>= 200 mg/24 hours; or
3. Light chain MM, for participants without measurable disease in the serum or urine: serum Ig free light chains (FLC) \>= 10 mg/dL and abnormal serum Ig kappa lambda FLC ratio
* Participant must have received \>= 2 prior lines of antimyeloma therapy without further established treatment option
* Participant must have relapsed or refractory disease
* Participant must have an Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1
* The Participant must meet the following criteria of clinical laboratory test results during screening phase:

1. hemoglobin \>=7.5 g/dL (\>=5 millimoles/liter \[mmol/L\]) (without prior Red Blood Cells (RBC) transfusion within 7 days before the laboratory test;
2. absolute neutrophil count (ANC) \>=1.0\*10\^9/L (without granulocyte colony stimulating factor support in the 7 days prior the laboratory test);
3. platelet count \>=75\*10\^9/L for participants in whom less than (\<)50.0 percent (%) of bone marrow nucleated cells are plasma cells; otherwise platelet count \>=50\*10\^9/L (without transfusion support in the 7 days prior to the laboratory test);
4. aspartate aminotransferase (AST) less than or equal to (\<=)3.0 times upper limit of normal (ULN);
5. alanine aminotransferase (ALT) \<=3.0 times ULN;
6. creatinine clearance \>20 mL/minute/1.73 m\^2;
7. total bilirubin \<=2.0 times ULN, except in participants with congenital bilirubinemia, such as Gilbert syndrome (in which case direct bilirubin \<=1.5 times ULN is required);
8. corrected serum calcium \<=14 mg/dL (\<=3.5 mmol/L)
* Women of childbearing potential must commit to either abstain continuously from heterosexual sexual intercourse or to use highly effective methods of reliable birth control. Contraception must begin 4 weeks before initiating treatment, during therapy, during dose interruptions, and continue for 6 months following discontinuation of study therapy
* A man who is sexually active with a woman of childbearing potential must agree to use a barrier method of birth control, even if he had a successful vasectomy, for example, either condom with spermicidal foam/gel/film/cream/suppository or partner with occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository, and all men must also not donate sperm during the study and for 6 months after receiving the final dose of study drug

Exclusion Criteria

* Participant has received daratumumab or other anti cluster of differentiation (CD)38 therapies previously
* Participant has received antimyeloma treatment within 2 weeks before Cycle 1 Day 1
* Participant has received autologous stem cell transplantation (ASCT) within 12 weeks before Cycle 1 Day 1, or the participant has previously received an allogenic stem cell transplant (regardless of timing)
* Participant has received a cumulative dose of corticosteroids equivalent or more than the equivalent of 140 mg of prednisolone within the 2-week period before Cycle 1 Day 1
* Participant has a history of malignancy (other than MM) within 3 years before Cycle 1 Day 1 (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix or breast, or malignancy that in the opinion of the investigator, with concurrence with the sponsor's medical monitor, is considered cured with minimal risk of recurrence)
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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

Janssen Pharmaceutical K.K.

INDUSTRY

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.

Janssen Pharmaceutical K.K., Japan Clinical Trial

Role: STUDY_DIRECTOR

Janssen Pharmaceutical K.K.

Locations

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

National Hospital Organization Shibukawa Medical Center

Gunma, , Japan

Site Status

Nagoya City University Hospital

Nagoya, , Japan

Site Status

Ogaki Municipal Hospital

Ohgaki, , Japan

Site Status

Osaka University Hospital

Osaka, , Japan

Site Status

Japanese Red Cross Medical Center

Shibuya City, , Japan

Site Status

Countries

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

Japan

References

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

Li X, Dosne AG, Perez Ruixo C, Perez Ruixo JJ. Pharmacodynamic-Mediated Drug Disposition (PDMDD) Model of Daratumumab Monotherapy in Patients with Multiple Myeloma. Clin Pharmacokinet. 2023 May;62(5):761-777. doi: 10.1007/s40262-023-01232-8. Epub 2023 Apr 6.

Reference Type DERIVED
PMID: 37022569 (View on PubMed)

Shibayama H, Matsumoto M, Kosugi H, Shibayama K, Yamazaki H, Iida S. Subcutaneous delivery of daratumumab in Japanese patients with relapsed/refractory multiple myeloma. Int J Hematol. 2021 Jan;113(1):112-121. doi: 10.1007/s12185-020-02985-9. Epub 2020 Sep 11.

Reference Type DERIVED
PMID: 32915384 (View on PubMed)

Other Identifiers

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

54767414MMY1008

Identifier Type: OTHER

Identifier Source: secondary_id

CR108337

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

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