Evaluation of Maintenance With Bortezomib Plus Daratumumab (V-Dara) After Induction With Bortezomib, Melphalan, Prednisone Plus Daratumumab (VMP-Dara) in Newly Diagnosed Multiple Myeloma (MM) Patients Non-eligible for autoSCT
NCT ID: NCT05218603
Last Updated: 2022-09-16
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
100 participants
OBSERVATIONAL
2021-11-30
2025-11-06
Brief Summary
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Patients will be enrolled in the study during a regularly scheduled office visit in clinical practice (screening and enrollment visit) and followed during 3-4 years in what will be called the Observational Phase. During this phase, the patient will be followed by his/her doctor as per routine clinical practice, according to his/her disease. The patient will not suffer any changes in his/her treatment or follow-up due to his/her participation in the study. The patient will receive standard clinical practice and he/she will not do any other study-specific visit.
During this 3-4-year observational phase, the patient might discontinue V or V-Dara,depending on toxicity, efficacy or due to other medical reasons, according to his/her physician decision.
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Detailed Description
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Patients will be recruited only if patients have received induction therapy with VMP-Dara followed by V-Dara as maintenance therapy for at least one cycle prior to the start of the study (treatment has to be previously decided as part of clinical practice). This way, patients must have already been treated with 9 cycles of VMP-Dara (approximately 12 months) and at least 1 cycle of V-Dara maintenance (1 month), before entering the study. This implies that the decision to prescribe this maintenance schedule is clearly unrelated to the decision of enrolling the patient into the study.
Patients will be enrolled in the study during a regularly scheduled office visit in clinical practice (screening and enrollment visit) and followed during 3-4 years in what will be called the Observational Phase. During this phase, the patient will be followed by his/her doctor as per routine clinical practice, according to his/her disease. The patient will not suffer any changes in his/her treatment or follow-up due to his/her participation in the study. The patient will receive standard clinical practice and he/she will not do any other study-specific visit.
Observational Phase:
Patients will be followed for 3-4 years since the inclusion in the study. Once the patient is enrolled in the study, retrospective data collection at the start and end of VMP-Dara induction will be collected. Subjects who discontinue maintenance therapy before disease progression (V or V-Dara), will continue to have response rate evaluations, PFS and toxicity recorded as per routine clinical practice, until the end of the study or progression, whatever comes first.
During this observational follow-up, both the duration of the initially prescribed V-Dara maintenance (and the time when bortezomib is stopped before daratumumab if this ever happens), the existence of potential adverse reactions and the fate of the disease in terms of progression and survival, even though the maintenance only daratumumab could have been stopped, will be documented for a total of up to 3-4 years. Maintenance with V-Dara, or just daratumumab once bortezomib is suspended, can be finalized due to progression, unacceptable toxicity or voluntary withdrawal.
This observational study has the following objectives:
Primary Objective:
\- To describe the effectiveness of V-Dara maintenance after VMPDara induction in patients with MM non-eligible for autologous stem cell transplantation in the Spanish clinical setting (clinical practice).
Secondary Objectives:
* Compare the effectiveness of VMP-Dara induction followed by V-Dara maintenance with the results of the Daratumumab arm of the Alcyone trial (VMP-Dara followed by Dara maintenance).
* To describe the safety of the V-Dara maintenance therapy used in clinical practice after VMP-Dara.
* To evaluate the clinical effectiveness in different risk subgroups.
Conditions
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Study Design
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CASE_ONLY
PROSPECTIVE
Study Groups
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Maintenance with V-Dara after receiving VMP-Dara as induction regimen
Maintenance with bortezomib plus daratumumab (V-Dara) after induction with bortezomib, melphalan, prednisone plus daratumumab (VMP-Dara)
Bortezomib
Maintenance: Administration as per routine clinical practice.
Daratumumab
Maintenance: Administration as per routine clinical practice.
Interventions
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Bortezomib
Maintenance: Administration as per routine clinical practice.
Daratumumab
Maintenance: Administration as per routine clinical practice.
Eligibility Criteria
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Inclusion Criteria
2. Patients ≥18 years of age.
3. Each subject (or their legally acceptable representative) must sign the ICF indicating that he or she understands the purpose of the observational nature the study and are willing to share his/her clinical data for the study.
Exclusion Criteria
2. Subjects with prior or current systemic therapy or ASCT for MM (before VMP-Dara induction), except for an emergency use of a short course of corticosteroids before treatment.
18 Years
ALL
No
Sponsors
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Janssen, LP
INDUSTRY
Adknoma Health Research
INDUSTRY
PETHEMA Foundation
OTHER
Responsible Party
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Principal Investigators
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María Victoria Mateos Manteca
Role: PRINCIPAL_INVESTIGATOR
Hospital Universitario de Salamanca (Salamanca)
Jesús San Miguel Izquierdo
Role: PRINCIPAL_INVESTIGATOR
Clínica Universidad de Navarra (Pamplona)
Locations
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Hospital Universitario Del Sureste
Arganda, , Spain
Complejo Asistencial de Avila
Ávila, , Spain
Hospital Quirón Sagrado Corazón
Barcelona, , Spain
Hsopital Clinic de Barcelona
Barcelona, , Spain
Hospital Universitario Virgen de Las Nieves
Granada, , Spain
Complejo Hospitalario de Jaén
Jaén, , Spain
Complejo Hospitalario Universitario de Gran Canaria Dr. Negrín
Las Palmas de Gran Canaria, , Spain
Hospital de León
León, , Spain
Hospital Clínico San Carlos
Madrid, , Spain
Hospital General Universitario Gregorio Marañón
Madrid, , Spain
Hospital Ramón Y Cajal
Madrid, , Spain
Hospital Ruber Juan Bravo 39
Madrid, , Spain
Hospital Universitario de La Princesa
Madrid, , Spain
Hospital Universitario Fundación Jiménez Díaz
Madrid, , Spain
Hospital Universitario Infanta Leonor
Madrid, , Spain
Hospital General Universitario J.M. Morales Meseguer
Murcia, , Spain
Complexo Hospitalario Universitario de Ourense
Ourense, , Spain
Hospital Universitario Central de Asturias
Oviedo, , Spain
Clinica Universidad de Navarra
Pamplona, , Spain
Hospital Virgen Del Puerto
Plasencia, , Spain
Hospital El Bierzo
Ponferrada, , Spain
Hospital Montecelo
Pontevedra, , Spain
Hospital Quirónsalud Madrid
Pozuelo de Alarcón, , Spain
Hospital Universitario de Salamanca
Salamanca, , Spain
Hospital Universitario de Canarias (H.U.C)
San Cristóbal de La Laguna, , Spain
Hospital Universitario Infanta Sofía
San Sebastián de los Reyes, , Spain
Hospital Universitario Marqués de Valdecilla
Santander, , Spain
Hospital Clinico Universitario de Santiago
Santiago de Compostela, , Spain
Hospital General Nuestra Señora Del Prado
Talavera de la Reina, , Spain
Hospital Universitari Mútua de Terrassa
Terrassa, , Spain
Hospital General de Tomelloso
Tomelloso, , Spain
Hospital Clinico Universitario de Valladolid
Valladolid, , Spain
Countries
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Central Contacts
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Facility Contacts
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Teresa Cobo Rodríguez
Role: primary
Abelardo Bárez García
Role: primary
Miguel Sánchez Rey
Role: primary
Laura Rosiñol
Role: primary
Esther Clavero Sánchez
Role: primary
Magdalena Anguita
Role: primary
Alexia Suarez Cabrera
Role: primary
Fernando Escalante
Role: primary
Belén Íñigo
Role: primary
Cristina Encinas
Role: primary
María Jesús Blanchard
Role: primary
Arancha Alonso
Role: primary
Adrián Alegre
Role: primary
Elena Prieto Pareja
Role: primary
José Ángel Hernández Rivas
Role: primary
Felipe de Arriba de la Fuente
Role: primary
José Ángel Méndez
Role: primary
Ángel Ramírez Payer
Role: primary
Paula Rodríguez
Role: primary
Rosa María López López
Role: primary
Carmen Aguilera
Role: primary
Ana Dios Loureiro
Role: primary
Carmen Martínez Chamorro
Role: primary
María Victoria Mateos Manteca
Role: primary
Miguel Teodoro Hernandez Garcia
Role: primary
Eugenio Giménez Mesa
Role: primary
Enrique Ocio
Role: primary
Marta Sonia González Pérez
Role: primary
Ana Lerma
Role: primary
Josep Martí
Role: primary
Mónica López Rincón
Role: primary
Alfonso García de Coca
Role: primary
References
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Kumar S, Paiva B, Anderson KC, Durie B, Landgren O, Moreau P, Munshi N, Lonial S, Blade J, Mateos MV, Dimopoulos M, Kastritis E, Boccadoro M, Orlowski R, Goldschmidt H, Spencer A, Hou J, Chng WJ, Usmani SZ, Zamagni E, Shimizu K, Jagannath S, Johnsen HE, Terpos E, Reiman A, Kyle RA, Sonneveld P, Richardson PG, McCarthy P, Ludwig H, Chen W, Cavo M, Harousseau JL, Lentzsch S, Hillengass J, Palumbo A, Orfao A, Rajkumar SV, Miguel JS, Avet-Loiseau H. International Myeloma Working Group consensus criteria for response and minimal residual disease assessment in multiple myeloma. Lancet Oncol. 2016 Aug;17(8):e328-e346. doi: 10.1016/S1470-2045(16)30206-6.
Ladetto M, Bruggemann M, Monitillo L, Ferrero S, Pepin F, Drandi D, Barbero D, Palumbo A, Passera R, Boccadoro M, Ritgen M, Gokbuget N, Zheng J, Carlton V, Trautmann H, Faham M, Pott C. Next-generation sequencing and real-time quantitative PCR for minimal residual disease detection in B-cell disorders. Leukemia. 2014 Jun;28(6):1299-307. doi: 10.1038/leu.2013.375. Epub 2013 Dec 17.
Martinez-Lopez J, Lahuerta JJ, Pepin F, Gonzalez M, Barrio S, Ayala R, Puig N, Montalban MA, Paiva B, Weng L, Jimenez C, Sopena M, Moorhead M, Cedena T, Rapado I, Mateos MV, Rosinol L, Oriol A, Blanchard MJ, Martinez R, Blade J, San Miguel J, Faham M, Garcia-Sanz R. Prognostic value of deep sequencing method for minimal residual disease detection in multiple myeloma. Blood. 2014 May 15;123(20):3073-9. doi: 10.1182/blood-2014-01-550020. Epub 2014 Mar 19.
Uniform requirements for manuscripts submitted to biomedical journals: Writing and editing for biomedical publication. J Pharmacol Pharmacother. 2010 Jan;1(1):42-58. No abstract available.
Other Identifiers
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GEM-OPTIMAL
Identifier Type: -
Identifier Source: org_study_id
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