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ACTIVE NOT RECRUITING
NCT04124497
PHASE2

A Trial for Relapsed and Relapsed/Refractory Multiple Myeloma Patients

Sponsor: Fondazione EMN Italy Onlus

View on ClinicalTrials.gov

Summary

Multiple myeloma (MM) with chromosome 17 deletion (del(17p) represents one of the most dangerous genetic variant of this disease, since it is associated with a high level of genomic instability. Del(17p) is present in approximately 10% of patients at diagnosis, and its frequency increases with disease evolution. The adverse prognosis of del(17p) has been observed in patients treated with conventional chemotherapy and new drugs. Only very few studies have suggested an advantage in treating del(17p) MM patients with specific therapies. In particular, several recent trials combining lenalidomide plus dexamethasone with a new agent, suggested that high risk cytogenetics patients may benefit from newest generation drugs. Yet, in all studies, outcome of patients with high risk genetic features have been derived from subgroup analyses, with all the limitations of this approach. To date no trial has been designed with the specific aim to test genotype-adapted therapies. The objective of the present study is to evaluate the combination of daratumumab-pomalidomide-dexamethasone (DPd) in relapsed or relapsed/refractory MM patients harboring del(17p). Treatment of relapsed or relapsed/refractory MM patients harbouring del(17p) is a relevant unmet medical need. A clinical trial designed to test a tailored treatment for this patient population would be a major improvement. In this perspective the combination DPd seems attractive since: * both daratumumab and pomalidomide are therapies not interfering with DNA replication, thus not increasing the intrinsic genomic instability of del(17p) plasma cells. * the POLLUX study has shown that daratumumab in combination with lenalidomide is highly effective in relapsed and relapsed/refractory MM patients.10 * the IFM 2010-02 trial has suggested that pomalidomide may be effective in del(17p) patients. * the DPd combination has been successfully tested in MM patients with advanced disease.

Official title: Daratumumab, Pomalidomide and Dexamethasone for Del(17p) Positive Relapsed and Relapsed/Refractory Multiple Myeloma Patients [DEDALO]

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

45

Start Date

2019-07-01

Completion Date

2027-07-01

Last Updated

2025-08-08

Healthy Volunteers

No

Interventions

DRUG

Daratumumab

* Daratumumab 16 mg/kg intravenously at following schedule: * cycle 1 and 2: days 1, 8, 15, and 22 * cycle 3 through 6: days 1, and 15 * from cycle 7 until disease progression: day 1.

DRUG

Pomalidomide

4 mg once daily on days 1-21

DRUG

Dexamethasone

Oral or intravenous dexamethasone 40 mg/day (≤ 75 years old) or 20 mg/ day (\>75 years old) on days 1, 8, 15 and 22

Locations (15)

AOU Ospedali Riuniti Umberto I

Ancona, Italy

Policlinico-Università degli Studi

Bari, Italy

Ospedali Riuniti

Bergamo, Italy

Policlinico S. Orsola

Bologna, Italy

A.O. Spedali Civili di Brescia

Brescia, Italy

AOU Policlinico Vittorio Emanuele

Catania, Italy

Ospedale Niguarda Cà Grande

Milan, Italy

Ospedale Maggiore

Novara, Italy

Dipart. Di Medicina Interna e Scienze Biomediche

Parma, Italy

Ospedale Oncologico Regionale

Rionero in Vulture, Italy

Policlinico Umberto I - Università La Sapienza

Roma, Italy

Istituto Clinico Humanitas

Rozzano, Italy

A.O. Santa Maria

Terni, Italy

AOU Città della Salute e della Scienza di Torino - Presidio Molinette

Torino, Italy

Policlinico Universitario di Udine

Udine, Italy