Overview

Phase 2 Study Applying MRD Techniques for Participants With Previously Untreated Multiple Myeloma Treated With D-VRd Prior To and After High-dose Therapy Followed by ASCT - TAURUS

Status:
Recruiting
Trial end date:
2025-12-01
Target enrollment:
0
Participant gender:
All
Summary
This is a multicenter, single arm, open-label, Phase 2 study in mutiple myeloma with newly diagnosed and treatment-naïve participants for whom high-dose therapy and autologous stem cell transplantation is part of the intended treatment plan. The study is evaluating a technique called Mass Spectrometry Minimal Residual Disease (MS-MRD) using blood samples and compares it with the minimal residual disease (MRD) technique using bone marrow samples.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Stichting European Myeloma Network
Collaborator:
Janssen Pharmaceutica
Treatments:
Bortezomib
Daratumumab
Dexamethasone
Lenalidomide
Criteria
Inclusion Criteria:

- 18 to 70 years of age, inclusive.

- Must have a new diagnosis of MM as per IMWG criteria.

- Measurable disease

- Newly diagnosed and treatment-naïve participants for whom high-dose therapy and
autologous stem cell transplantation is part of the intended treatment plan.

- Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1, or 2.

- Clinical laboratory values meeting the required criteria during screening and ≤3 days
prior to receiving first study treatment dose.

- Adequate bone marrow function.

- Adequate liver function.

- Adequate renal function.

- A female of childbearing potential (FOCBP) must have two negative serum or urine
pregnancy tests at screening including within 24 hours of the start of study
treatment.

- Willing to practicing at least 1 highly effective method of contraception starting 4
weeks prior to start of study treatment, while receiving study treatment including
during any dose interruptions, and for at least 3 months after the last dose of any
component of the study treatment.

Exclusion Criteria:

- Prior or current systemic therapy or ASCT for any plasma cell dyscrasia, with the
exception of emergency use of a short course (equivalent of dexamethasone 40 mg/day
for a maximum 4 days) of corticosteroids before treatment.

- History of allogenic stem cell transplantation or prior organ transplant requiring
immunosuppressive therapy.

- 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.

- Myelodysplastic syndrome or any malignancy within 24 months of signing consent. The
only exceptions are malignancies treated within the last 24 months that are considered
completely cured.

- Plasmapheresis ≤28 days of approval.

- Radiation therapy for treatment of plasmacytoma ≤14 days of approval of enrollment.

- Forced Expiratory Volume in 1 second (FEV1) <50% of predicted normal.

- Concurrent medical or psychiatric condition or disease.

- Myocardial infarction ≤6 months of enrollment, or an unstable or uncontrolled
disease/condition related to or affecting cardiac function.

- Uncontrolled cardiac arrhythmia or clinically significant electrocardiogram (ECG)
abnormalities.

- Allergy, hypersensitivity, or intolerance to boron or mannitol, corticosteroids,
monoclonal antibodies or human proteins, or the excipients of daratumumab,
lenalidomide, bortezomib or dexamethasone.

- Pregnant or breast-feeding females