Phase 3
N=395
A Study Comparing Daratumumab, VELCADE (Bortezomib), Lenalidomide, and Dexamethasone (D-VRd) With VELCADE, Lenalidomide, and Dexamethasone (VRd) in Participants With Untreated Multiple Myeloma and for Whom Hematopoietic Stem Cell Transplant is Not Planned as Initial Therapy
Multiple Myeloma
Bottom Line
View on ClinicalTrials.gov: NCT03652064 ↗Enrolled (actual)
395
Serious AEs
69.6%
Results posted
Apr 2026
Primary outcome: Primary: Primary Analysis: Overall Minimal Residual Disease (MRD) Negative Rate — 35.4; 53.3 Percentage of participants — p==0.0004
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Daratumumab (Drug); Bortezomib (Drug); Lenalidomide (Drug); Dexamethasone (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Janssen Research & Development, LLC
- Primary completion
- May 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Primary Analysis: Overall Minimal Residual Disease (MRD) Negative Rate |
35.4; 53.3 | =0.0004 sig |
| PRIMARY Final Progression-Free Survival (PFS) Analysis : Overall Minimal Residual Disease (MRD) Negative Rate |
39.4; 60.9 | <0.0001 sig |
| SECONDARY Complete Response (CR) or Better Rate |
— | — |
| SECONDARY Progression-Free Survival (PFS) |
— | — |
| SECONDARY MRD Negativity Rate at 1 Year |
— | — |
| SECONDARY Overall Response Rate (ORR) |
— | — |
| SECONDARY Durable MRD Negative Rate |
— | — |
| SECONDARY Very Good Partial Response (VGPR) or Better Rate |
— | — |
| SECONDARY Duration of Response (DOR) |
— | — |
| SECONDARY Time to Response |
— | — |
| SECONDARY PFS on the Next Line of Therapy |
— | — |
| SECONDARY Overall Survival (OS) |
— | — |
| SECONDARY Overall MRD Negativity Rate in High-risk Molecular Subgroups |
— | — |
| SECONDARY PFS in High-risk Molecular Subgroups |
— | — |
| SECONDARY Maximum Observed Serum Concentration (Cmax) of Daratumumab |
— | — |
| SECONDARY Minimum Observed Serum Concentration (Cmin) of Daratumumab |
— | — |
| SECONDARY Number of Participants With Anti-daratumumab Antibodies |
— | — |
| SECONDARY Number of Participants With Anti-recombinant Human Hyaluronidase PH20 (Anti-rHuPH20) Antibodies |
— | — |
| SECONDARY Mean Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 Item (EORTC QLQ-C30) |
— | — |
| SECONDARY Mean Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Multiple Myeloma 20-item (EORTC QLQ-MY20) |
— | — |
| SECONDARY Mean Change From Baseline in EuroQol Five Dimension Five Level Questionnaire (EQ-5D-5L) |
— | — |
Summary
The purpose of this study to determine if the addition of daratumumab to bortezomib + lenalidomide + dexamethasone (VRd) will improve overall minimal residual disease (MRD) negativity rate compared with VRd alone.
Eligibility Criteria
Inclusion Criteria
- Diagnosis of multiple myeloma as documented per International Myeloma Working Group (IMWG) criteria Monoclonal plasma cells in the bone marrow greater than or equal to (>=)10 percentage (%) or presence of a biopsy proven plasmacytoma and documented multiple myeloma satisfying at least one of the calcium, renal, anemia, bone (CRAB) criteria or biomarkers of malignancy criteria. CRAB criteria: Hypercalcemia: serum calcium greater than (>) 0.25 millimoles per liter (mmol/L) (>1 milligram per deciliter [mg/dL]) higher than upper limit of normal (ULN) or >2.75 mmol/L (>11 mg/dL); Renal insufficiency: creatinine clearance less than ( 177 micro millimoles per liter (umol/L) (>2 mg/dL); Anemia: hemoglobin >2 g/dL below the lower limit of normal or hemoglobin =60%; Involved: uninvolved serum free light chain (FLC) ratio >=100; >1 focal lesion on magnetic resonance imaging (MRI) studies
- Must have measurable disease, as assessed by central laboratory
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1, or 2
- A woman of childbearing potential must have 2 negative serum or urine pregnancy tests at Screening, first within 10 to 14 days prior to dosing and the second within 24 hours prior to dosing
- A woman must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for a period of 3 months after receiving the last dose of any component of the treatment regimen
Exclusion Criteria
- Frailty index of >=2 according to Myeloma Geriatric Assessment score
- Prior therapy for multiple myeloma other than a short course of corticosteroids (not to exceed 40 mg of dexamethasone, or equivalent per day, total of 160 mg dexamethasone or equivalent)
- Prior or concurrent invasive malignancy (other than multiple myeloma) within 5 years of date of randomization (exceptions are adequately treated basal cell or squamous cell carcinoma of the skin, carcinoma in situ of the cervix or breast, or other non-invasive lesion that in the opinion of the investigator, with concurrence with the sponsor's medical monitor, is considered cured with minimal risk of recurrence within 3 years)
- Peripheral neuropathy or neuropathic pain Grade 2 or higher, as defined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5
- Focal radiation therapy within 14 days of randomization with the exception of palliative radiotherapy for symptomatic pain management. Radiotherapy within 14 days prior to randomization on measurable extramedullary plasmacytoma is not permitted even in the setting of palliation for symptomatic management
Data sourced from ClinicalTrials.gov (NCT03652064). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.