Status:
WITHDRAWN
Carfilzomib, Daratumumab, Lenalidomide and Dexamethasone as First Line Treatment in Multiple Myeloma
Lead Sponsor:
Grupo Cooperativo de Hemopatías Malignas
Conditions:
Multiple Myeloma
Eligibility:
All Genders
18-65 years
Phase:
PHASE3
Brief Summary
Carfilzomib in combination with lenalidomide, daratumumab and dexamethasone (KRDd) can induce profound clinical responses. The investigators want to observe the effectiveness of the quadruple therapy ...
Eligibility Criteria
Inclusion
- Patients with newly diagnosed and previously untreated multiple myeloma by the International Myeloma Working Group criteria that requires treatment based on: Presence of elevated calcium, renal failure, anemia and/or bone lesions (CRAB) Clonal bone marrow plasma cells ³ 60% Involved/uninvolved serum free light chain ratio ³ 100 \>1 focal lesions on MRI studies (³5 mm in size)
- Age \> 18 years
- Functional stage of 0 - 1 measured by the Eastern Cooperative Oncology Group (ECOG) scale.
- Capacity and willingness to provide a written informed consent.
Exclusion
- POEMS syndrome
- Systemic amyloidosis
- Plasma cells leukemia
- Radiotherapy on multiple sites on the period of 4 weeks before the initiation of treatment (1 week if it is one region)
- Improper liver function: total bilirubin \> 1.5 x upper limit of normal (ULN) or \> 3 x ULN in patients with Gilbert syndrome, alanine aminotransferase (ALT) and aspartate aminotransferase (AST) \> 3.0 x ULN.
- Non-controlled systematic active infection (viral, bacterial and/or fungic).
- Patients with known infection by human immunodeficiency virus (HIV).
- Active infection by hepatitis B.
- Active infection by hepatitis C.
- Significant cardiovascular diseases as uncontrolled or symptomatic arrhythmias, congestive heart failure or acute myocardial infarction within 2 months prior to screening, or any New York Heart Association (NYHA) class 3 or 4 heart disease.
- Diagnosis of previous malignancies for 2 years, with exception of patients with basal or squamous cell carcinoma or "in situ" carcinoma of cervix or breast.
- History of allergic reaction or severe anaphylaxis to humanized or murine monoclonal antibodies.
- Pregnant or lactating women.
Key Trial Info
Start Date :
March 1 2020
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 28 2025
Estimated Enrollment :
Patients enrolled
Trial Details
Trial ID
NCT04288765
Start Date
March 1 2020
End Date
February 28 2025
Last Update
July 9 2021
Active Locations (1)
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1
Grupo Cooperativo de Hemopatías Malignas
Huixquilucan, State of Mexico, Mexico, 52763