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

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

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Recruitment Status

RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-11-30

Study Completion Date

2025-11-06

Brief Summary

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This is a prospective, observational, single group and multicenter study to describe the effectiveness and safety of maintenance with V-Dara after induction with the VMP-Dara regimen in newly diagnosed MM patients who are not eligible for ASCT.

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.

Detailed Description

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This is a prospective, observational, single group and multicenter study to describe the effectiveness and safety of maintenance with V-Dara after induction with the VMP-Dara regimen in newly diagnosed MM patients who are not eligible for ASCT.

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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Multiple Myeloma Non-eligible for Autologous Stem Cell Transplantation (ASCT)

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

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

Intervention Type DRUG

Maintenance: Administration as per routine clinical practice.

Daratumumab

Intervention Type DRUG

Maintenance: Administration as per routine clinical practice.

Interventions

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Bortezomib

Maintenance: Administration as per routine clinical practice.

Intervention Type DRUG

Daratumumab

Maintenance: Administration as per routine clinical practice.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients with a newly diagnosed MM non eligible for ASCT that have received induction therapy with D-VMP (9 cycles) and followed by V-Dara as maintenance\* in clinical practice. The decision to prescribe maintenance treatment with V-Dara must be in accordance with clinical practice, must not be influenced by the planned inclusion of a patient in the study, and should be documented before enrollment.
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

1. Patients with a diagnosis of primary amyloidosis, monoclonal gammopathy of undetermined significance, smoldering MM, plasma cell leukemia, POEMS syndrome, Waldenström's disease, or other conditions in which IgM M-protein is present in the absence of a clonal plasma cell infiltration with lytic bone lesions.
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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen, LP

INDUSTRY

Sponsor Role collaborator

Adknoma Health Research

INDUSTRY

Sponsor Role collaborator

PETHEMA Foundation

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status RECRUITING

Complejo Asistencial de Avila

Ávila, , Spain

Site Status RECRUITING

Hospital Quirón Sagrado Corazón

Barcelona, , Spain

Site Status RECRUITING

Hsopital Clinic de Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario Virgen de Las Nieves

Granada, , Spain

Site Status NOT_YET_RECRUITING

Complejo Hospitalario de Jaén

Jaén, , Spain

Site Status RECRUITING

Complejo Hospitalario Universitario de Gran Canaria Dr. Negrín

Las Palmas de Gran Canaria, , Spain

Site Status RECRUITING

Hospital de León

León, , Spain

Site Status RECRUITING

Hospital Clínico San Carlos

Madrid, , Spain

Site Status NOT_YET_RECRUITING

Hospital General Universitario Gregorio Marañón

Madrid, , Spain

Site Status RECRUITING

Hospital Ramón Y Cajal

Madrid, , Spain

Site Status RECRUITING

Hospital Ruber Juan Bravo 39

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario de La Princesa

Madrid, , Spain

Site Status NOT_YET_RECRUITING

Hospital Universitario Fundación Jiménez Díaz

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Infanta Leonor

Madrid, , Spain

Site Status RECRUITING

Hospital General Universitario J.M. Morales Meseguer

Murcia, , Spain

Site Status RECRUITING

Complexo Hospitalario Universitario de Ourense

Ourense, , Spain

Site Status RECRUITING

Hospital Universitario Central de Asturias

Oviedo, , Spain

Site Status RECRUITING

Clinica Universidad de Navarra

Pamplona, , Spain

Site Status RECRUITING

Hospital Virgen Del Puerto

Plasencia, , Spain

Site Status RECRUITING

Hospital El Bierzo

Ponferrada, , Spain

Site Status RECRUITING

Hospital Montecelo

Pontevedra, , Spain

Site Status RECRUITING

Hospital Quirónsalud Madrid

Pozuelo de Alarcón, , Spain

Site Status RECRUITING

Hospital Universitario de Salamanca

Salamanca, , Spain

Site Status RECRUITING

Hospital Universitario de Canarias (H.U.C)

San Cristóbal de La Laguna, , Spain

Site Status RECRUITING

Hospital Universitario Infanta Sofía

San Sebastián de los Reyes, , Spain

Site Status RECRUITING

Hospital Universitario Marqués de Valdecilla

Santander, , Spain

Site Status RECRUITING

Hospital Clinico Universitario de Santiago

Santiago de Compostela, , Spain

Site Status RECRUITING

Hospital General Nuestra Señora Del Prado

Talavera de la Reina, , Spain

Site Status NOT_YET_RECRUITING

Hospital Universitari Mútua de Terrassa

Terrassa, , Spain

Site Status RECRUITING

Hospital General de Tomelloso

Tomelloso, , Spain

Site Status NOT_YET_RECRUITING

Hospital Clinico Universitario de Valladolid

Valladolid, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Carmen López-Carrero

Role: CONTACT

0034 699 835 437

Roberto Maldonado

Role: CONTACT

0034 683 15 66 87

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

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Identifier Source: org_study_id

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