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Comparer le lénalidomide et le daratumumab sous-cutané au lénalidomide et à la dexaméthasone chez des sujets fragiles atteints d'un myélome multiple non traité antérieurement qui ne sont pas éligibles à un traitement à haute dose (IFM2017_03)

22 septembre 2026 mis à jour par: University Hospital, Lille

Une étude de phase III comparant le lénalidomide et le daratumumab sous-cutané (R-Dara SC) au lénalidomide et à la dexaméthasone (Rd) chez des sujets fragiles atteints d'un myélome multiple non traité antérieurement qui ne sont pas éligibles à un traitement à haute dose

This is a Phase 3, randomized (study drug assigned by chance), open-label (participants and researchers are aware about the treatment, participants are receiving), active-controlled (study in which the experimental treatment or procedure is compared to a standard treatment or procedure), parallel-group (each group of participants will be treated at the same time), and multicenter (when more than one hospital team work on a medical research study) study in participants with newly diagnosed multiple myeloma (a blood cancer of plasma cells) and who are not candidates for high dose chemotherapy (treatment of disease, usually cancer, by chemical agents) and autologous stem cell transplant (ASCT). The primary hypothesis of this study is that subcutaneous Daratumumab in combination with Lenalidomide will prolong progression-free survival and likely induce less toxicity as compared with Lenalidomide and dexamethasone, in elderly frail subjects with newly diagnosed Multiple myeloma who are ineligible for high dose chemotherapy and ASCT

Aperçu de l'étude

Statut

Complété

Les conditions

Intervention / Traitement

Description détaillée

The primary hypothesis of this study is that subcutaneous Daratumumab in combination with Lenalidomide will prolong progression-free survival and likely induce less toxicity as compared with Lenalidomide and dexamethasone, in elderly frail subjects with newly diagnosed Multiple myeloma who are ineligible for high dose chemotherapy and ASCT

Type d'étude

Interventionnel

Inscription (Réel)

294

Phase

  • Phase 3

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

  • France
      • Besançon, France
        • Chru Jean Minjoz
      • Blois, France
        • Ch Blois Simone Veil
      • Bourg-en-Bresse, France
        • Ch Fleyriat
      • Brest, France
        • Chru Brest Site Hopital Morvan
      • Caen, France
        • Chu de Caen Normandie
      • Cesson-Sévigné, France
        • Hopital Prive Sevigne - Cesson
      • Dijon, France
        • Chu Dijon Bourgogne
      • Grenoble, France
        • Chu de Grenoble
      • La Rochelle, France
        • Gpe Hospitalier La Rochelle-Re-Aunis
      • Le Coudray, France
        • Ch Chartres Louis Pasteur-Le Coudray
      • Lille, France
        • Hôpital Claude Huriez, CHU
      • Marseille, France
        • Institut Paoli Calmettes
      • Mont-de-Marsan, France
        • Chi Mont de Marsan Et Pays Des Sources
      • Montpellier, France
        • Chu Montpellier
      • Nantes, France
        • Chu de Nantes Site Hotel Dieu Hme
      • Nice, France
        • Chu de Nice Hopital de L'Archet
      • Pessac, France, 33604
        • Hopital Haut-Leveque - Chu
      • Périgueux, France
        • Centre Hospitalier de Perigueux
      • Rennes, France
        • Chru Rennes Site Pontchaillou
      • Saint-Quentin, France
        • Centre Hospitalier de Saint Quentin
      • St-Malo, France
        • Centre Hospitalier Saint-Malo
      • Toulouse, France
        • Oncopole Chu Toulouse
      • Tours, France
        • Chu de Tours

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

65 ans et plus (Adulte plus âgé)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  1. Subject must be at least 65 years of age.

  2. Subject must have documented multiple myeloma satisfying the CRAB criteria and measurable disease.

  3. Newly diagnosed and not considered candidate for high-dose chemotherapy with SCT.

  4. Subject must have a Frailty Score ≥ 2

  5. Subject must have within 5 days prior to first drug intake (C1D1) pretreatment clinical laboratory values meeting the following criteria during the Screening Phase:

    • hemoglobin ≥7.5 g/dL
    • absolute neutrophil count ≥1.0 x 109/L
    • platelet count ≥70 x 109/L
    • aspartate aminotransferase (AST) ≤2.5 x upper limit of normal (ULN)
    • alanine aminotransferase (ALT) ≤2.5 x ULN
    • total bilirubin ≤2.0 x ULN
    • creatinine clearance≥30mL/min

  6. Measurable ISS with β2-microglobulin and albumin values for randomization

  7. A man who is sexually active with a woman of childbearing potential must agree to use a latex or synthetic condom, even if they had a successful vasectomy. All men must also not donate sperm during the study, for 4 weeks after the last dose of lenalidomide, and for 4 months after the last dose of daratumumab. Women participating in this study must be postmenopausal.

  8. Each subject must sign an informed consent form (ICF) indicating that he or she understands the purpose of and procedures required for the study and are willing to participate in the study. Subject must be willing and able to adhere to the prohibitions and restrictions specified in this protocol, as referenced in the ICF.

  9. Subjects affiliated with an appropriate social security system.

Exclusion Criteria:

  1. Subject has a diagnosis of primary amyloidosis, monoclonal gammopathy of undetermined significance, or smoldering multiple myeloma.

  2. Subject has a diagnosis of 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.

  3. Subject has prior or current systemic therapy or SCT for multiple myeloma

  4. Subject has a history of malignancy (other than multiple myeloma) within 5 years before the date of randomization

  5. Subject has had radiation therapy within 14 days of randomization.

  6. Subject has had plasmapheresis within 28 days of randomization.

  7. Subject is exhibiting clinical signs of meningeal involvement of multiple myeloma.

  8. Subject has known chronic obstructive pulmonary disease (COPD) (defined as a forced expiratory volume [FEV] in 1 second <60% of predicted normal), persistent asthma, or a history of asthma within the last 2 years (intermittent asthma is allowed).

  9. Subject is known to be seropositive for history of human immunodeficiency virus (HIV)

  10. Seropositive for hepatitis B.

  11. (Known to be) seropositive for hepatitis C

  12. Subject has any concurrent medical or psychiatric condition or disease that is likely to interfere with the study procedures or results, or that in the opinion of the investigator, would constitute a hazard for participating in this study.

  13. Subject has clinically significant cardiac disease, including:

    • myocardial infarction within 1 year before randomization, or an unstable or uncontrolled disease/condition related to or affecting cardiac function
    • uncontrolled cardiac arrhythmia or clinically significant ECG abnormalities
    • screening 12-lead ECG showing a baseline QT interval as corrected by Fridericia's formula (QTcF) >470 msec

  14. Subject has known allergies, hypersensitivity, or intolerance to corticosteroids, monoclonal antibodies or human proteins, or their excipients

  15. Subject has plasma cell leukemia or POEMS syndrome

  16. Subject is known or suspected of not being able to comply with the study protocol. Subject has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the subject or that could prevent, limit, or confound the protocol-specified assessments.

  17. Subject has had major surgery within 2 weeks before randomization or has not fully recovered from surgery.

  18. Subject has received an investigational drug (including investigational vaccines) or used an invasive investigational medical device within 4 weeks before randomization or is currently enrolled in an interventional investigational study.

  19. Refusal to consent or protected by legal regime ( guardianship, trusteeship)

  20. Subject has contraindications to required prophylaxis for deep vein thrombosis and pulmonary embolism

  21. Incidence of gastrointestinal disease that may significantly alter the absorption of oral drugs.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Arm 1: Experimental group

Daratumumab SC 1800 mg

  • once every week for 8 weeks
  • then once every other week for 16 weeks
  • thereafter once every 4 weeks, until progression Lenalidomide PO (25mg): days 1 through 21 of each 28-day cycle, until progression Dexamethasone PO (20mg): days 1, 8, 15, 22 of a 28-day cycle, for the first 2 cycles, then discontinued
Médicament: Daratumumab SC in combination with Lenalidomide

Daratumumab SC 1800 mg

  • once every week for 8 weeks
  • then once every other week for 16 weeks
  • thereafter once every 4 weeks, until progression
Médicament: Lenalidomide PO (25mg)

Lenalidomide PO (25mg): days 1 through 21 of each 28-day cycle, until progression

Médicament: Dexamethasone PO (20mg): days 1, 8, 15, 22 of each 28-day cycle, until progression

Dexamethasone PO (20mg): days 1, 8, 15, 22 of each 28-day cycle, until progression
Comparateur factice: Arm 2: Control group

Lenalidomide PO (25mg): days 1 through 21 of each 28-day cycle, until progression Dexamethasone PO (20mg): days 1, 8, 15, 22 of each 28-day cycle, until progression
Médicament: Lenalidomide PO (25mg)

Lenalidomide PO (25mg): days 1 through 21 of each 28-day cycle, until progression

Médicament: Dexamethasone PO (20mg): days 1, 8, 15, 22 of each 28-day cycle, until progression

Dexamethasone PO (20mg): days 1, 8, 15, 22 of each 28-day cycle, until progression

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Comparison of the efficacy of Daratumumab SC injection when combined with Lenalidomide (R-Dara SC) vs Lenalidomide and Dexamethasone (Rd): PFS
Délai: From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months

The primary objective is to compare the efficacy of Daratumumab SC injection when combined with Lenalidomide (R-Dara SC) to that of Lenalidomide and Dexamethasone (Rd), in terms of PFS in frail subjects with newly diagnosed myeloma who are not candidates for high dose chemotherapy and autologous stem cell transplant.
From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Échec du délai de traitement
Délai: De la date de randomisation jusqu'à la date de la première progression documentée ou la date de la toxicité ou la date du décès quelle qu'en soit la cause, selon la première éventualité, évaluée jusqu'à 84 mois
De la date de randomisation jusqu'à la date de la première progression documentée ou la date de la toxicité ou la date du décès quelle qu'en soit la cause, selon la première éventualité, évaluée jusqu'à 84 mois
Temps jusqu'au prochain traitement
Délai: De la date de randomisation jusqu'à la date de la première progression documentée ou la date de la toxicité ou la date du décès quelle qu'en soit la cause, selon la première éventualité, évaluée jusqu'à 84 mois
De la date de randomisation jusqu'à la date de la première progression documentée ou la date de la toxicité ou la date du décès quelle qu'en soit la cause, selon la première éventualité, évaluée jusqu'à 84 mois
Temps PFS2
Délai: De la date de randomisation jusqu'à la date de la première progression documentée ou la date de la toxicité ou la date du décès quelle qu'en soit la cause, selon la première éventualité, évaluée jusqu'à 84 mois
De la date de randomisation jusqu'à la date de la première progression documentée ou la date de la toxicité ou la date du décès quelle qu'en soit la cause, selon la première éventualité, évaluée jusqu'à 84 mois
Survie sans événement
Délai: De la date de randomisation jusqu'à la date de la première progression documentée ou la date de la toxicité ou la date du décès quelle qu'en soit la cause, selon la première éventualité, évaluée jusqu'à 84 mois
De la date de randomisation jusqu'à la date de la première progression documentée ou la date de la toxicité ou la date du décès quelle qu'en soit la cause, selon la première éventualité, évaluée jusqu'à 84 mois
Overall survival (OS) time
Délai: From date of randomization until the date of death from any cause, whichever came first, assessed up to 84months

Overall survival (OS) time,
From date of randomization until the date of death from any cause, whichever came first, assessed up to 84months
Complete remission (CR)
Délai: From date of randomization until the date of first documented progression whichever came first, assessed up to 84months

Percentage of participants with CR, as defined by the IMWG criteria, will be reported.
From date of randomization until the date of first documented progression whichever came first, assessed up to 84months
Very good partial response (VGPR) or better.
Délai: From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months

VGPR or better, defined as VGPR or CR according to the IMWG criteria during or after the study treatment at the time of data cutoff.
From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months
Overall response (CR + VGPR + partial response [PR]).
Délai: From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months

Overall response, defined as CR or VGPR or PR, according to the IMWG criteria
From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months
Occurrence of grade 3 or more side effects.
Délai: From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months

Collecting all AE (grade 3 or more)
From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months
Safety and tolerability of Daratumumab SC when administered in combination with Revlimid: NCI-CTCAE V5.0.
Délai: From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months

Evaluation of safety data by type, frequency, severity, relation to study drug, according to NCI-CTCAE V5.0.
From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months
Evaluation of quality of life based on MY20 questionnaires
Délai: From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months

Treatment effects on patient reported outcomes and heath economic/resource utilization.
From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months
Evaluation of quality of life based on EORTC C30 questionnaires
Délai: From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months

Treatment effects on patient reported outcomes and heath economic/resource utilization.
From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months
Evaluation of quality of life based on EQ-5D questionnaires
Délai: From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months

Treatment effects on patient reported outcomes and heath economic/resource utilization.
From date of randomization until the date of first documented progression or date of toxicity or date of death from any cause, whichever came first, assessed up to 84months
Minimal residual disease (MRD) negative rate at 12 months.
Délai: after 12 months of treatment

Proportion of participants assessed as MRD negative
after 12 months of treatment

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

University Hospital, Lille

Les enquêteurs

  • Chercheur principal: Thierry Facon, MD,PhD, University Hospital, Lille

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Publications générales

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

17 octobre 2019

Achèvement primaire (Réel)

28 août 2026

Achèvement de l'étude (Réel)

28 août 2026

Dates d'inscription aux études

Première soumission

27 mai 2019

Première soumission répondant aux critères de contrôle qualité

20 juin 2019

Première publication (Réel)

21 juin 2019

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

23 septembre 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

22 septembre 2026

Dernière vérification

1 septembre 2026

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • 2018_16
  • 2018 (Subvention/contrat des NIH des États-Unis)
  • 2018-003535-30 (Numéro EudraCT)

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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