Study of Carfilzomib, Daratumumab and Dexamethasone for Patients With Relapsed and/or Refractory Multiple Myeloma.

Last updated: May 1, 2025
Sponsor: Amgen
Overall Status: Completed

Phase

3

Condition

Cancer

Multiple Myeloma

Cancer/tumors

Treatment

Carfilzomib

Dexamethasone

Daratumumab

Clinical Study ID

NCT03158688
20160275
2016-003554-33
  • Ages > 18
  • All Genders

Study Summary

Compare carfizomib, dexamethasone, and daratumumab (KdD) to Carfilzomib and dexamethasone (Kd) in terms of progression free survival (PFS) in participants with multiple myeloma who have relapsed after 1 to 3 prior therapies.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Criteria 1 Relapsed or progressive multiple myeloma after last treatment

  • Criteria 2 Males or females ≥ 18 years of age

  • Criteria 3 Measurable disease with at least 1 of the following assessed within 21days prior to randomization:

  • IgG multiple myeloma: serum monoclonal paraprotein (M-protein) level ≥ 1.0 g/dL,

  • IgA, IgD, IgE multiple myeloma: serum M-protein level ≥ 0.5 g/dL,

  • urine M-protein ≥ 200 mg/24 hours,

  • in subjects without measurable serum or urine M- protein, serum free light chain (SFLC) ≥ 100 mg/L (involved light chain) and an abnormal serum kappa lambda ratio

  • Criteria 4 Received at least 1 but not more than 3 prior lines of therapy formultiple myeloma (induction therapy followed by stem cell transplant andconsolidation/maintenance therapy will be considered as 1 line of therapy

  • Criteria 5 Prior therapy with carfilzomib is allowed as long as the patient had atleast a partial response (PR) to most recent therapy with carfilzomib, was notremoved due to toxicity, did not relapse within 60 days from discontinuation ofcarfilzomib, and will have at least a 6-month carfilzomib treatment-free intervalfrom last dose received until first study treatment. (Patients may receivemaintenance therapy with drugs that are not proteasome inhibitors or CD38 antibodiesduring this 6-month carfilzomib treatment free interval)

  • Criteria 6 Prior therapy with anti-CD38 antibodies is allowed as long as the patienthad at least a PR to most recent therapy with CD38 antibody, was not removed due totoxicity, did not relapse within 60 days from intensive treatment (at least everyother week) of CD38 antibody therapy, and will have at least a 6 month CD38 antibodytreatment-free interval from last dose received until first study treatment

  • Other inclusion criteria may apply

Exclusion

Exclusion Criteria:

  • Criteria 1 Waldenström macroglobulinemia

  • Criteria 2 Multiple myeloma of IgM subtype

  • Criteria 3 POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonalprotein, and skin changes)

  • Criteria 4 Plasma cell leukemia (> 2.0 * 10^9/L circulating plasma cells by standarddifferential)

  • Criteria 5 Myelodysplastic syndrome

  • Criteria 6 Known moderate or severe persistent asthma within the past 2 years

  • Criteria 7 Known chronic obstructive pulmonary disease (COPD) with a FEV1 < 50% ofpredicted normal

  • Criteria 8 Active congestive heart failure (New York Heart Association [NYHA] ClassIII to IV), symptomatic ischemia, uncontrolled arrhythmias, clinically significantelectrocardiogram (ECG) abnormalities, screening ECG with corrected QT interval (QTc) of > 470 msec, pericardial disease, or myocardial infarction within 4 monthsprior to randomization

  • Other exclusion criteria may apply

Study Design

Total Participants: 466
Treatment Group(s): 3
Primary Treatment: Carfilzomib
Phase: 3
Study Start date:
June 13, 2017
Estimated Completion Date:
April 15, 2022

Study Description

This is a phase 3 multicenter, open-label, randomized study in participants with relapsed or refractory multiple myeloma (RRMM) who have received 1 to 3 prior therapies.

Participants receive the treatment determined by randomization for a maximum of approximately 5 years, up to 30 days prior to the final analysis data cutoff (DCO) date or until confirmed disease progression, unacceptable toxicity, withdrawal of consent, or death (whichever occurs first). No crossover between the treatment arms is allowed.

This was an open-label study. However, the assessment of response and disease progression for the primary analysis was determined by an Independent Review Committee (IRC) in a blinded manner. Sensitivity analyses of response and disease progression were determined centrally by the sponsor using a validated computer algorithm (Onyx Response Computational Assessment [ORCA]) in a blinded manner.

Following progression or discontinuation of study drug(s), participants will have 1 follow-up visit (30 days [+3} after last dose of all study drug[s]). After disease progression, data on survival status and subsequent antimyeloma therapy will be gathered at long-term follow-up (LTFU) visits every 12 weeks (+/-2 weeks) until the Final Analysis DCO.

Connect with a study center

  • Liverpool Hospital

    Liverpool, New South Wales 2170
    Australia

    Site Not Available

  • St Vincents Hospital Sydney

    St Leonards, New South Wales 2065
    Australia

    Site Not Available

  • Westmead Hospital

    Westmead, New South Wales 2145
    Australia

    Site Not Available

  • Royal Brisbane and Womens Hospital

    Herston, Queensland 4029
    Australia

    Site Not Available

  • Princess Alexandra Hospital

    Woolloongabba, Queensland 4102
    Australia

    Site Not Available

  • Royal Adelaide Hospital

    Adelaide, South Australia 5000
    Australia

    Site Not Available

  • Epworth Healthcare

    East Melbourne, Victoria 3002
    Australia

    Site Not Available

  • St Vincents Hospital Melbourne

    Fitzroy, VIC, Victoria 3065
    Australia

    Site Not Available

  • Barwon Health, University Hospital Geelong

    Geelong, Victoria 3220
    Australia

    Site Not Available

  • The Alfred Hospital

    Melbourne, Victoria 3004
    Australia

    Site Not Available

  • Medizinische Universitaet Graz

    Graz, 8036
    Austria

    Site Not Available

  • Landeskrankenhaus Salzburg

    Salzburg, 5020
    Austria

    Site Not Available

  • Ziekenhuis Netwerk Antwerpen Stuivenberg

    Antwerpen, 2060
    Belgium

    Site Not Available

  • Universitair Ziekenhuis Brussel

    Brussel, 1090
    Belgium

    Site Not Available

  • Grand Hôpital de Charleroi

    Charleroi, 6000
    Belgium

    Site Not Available

  • Universitair Ziekenhuis Gent

    Gent, 9000
    Belgium

    Site Not Available

  • Universitair Ziekenhuis Leuven - Campus Gasthuisberg

    Leuven, 3000
    Belgium

    Site Not Available

  • Research Site

    Pleven, 5800
    Bulgaria

    Site Not Available

  • University Multiprofile Hospital for Active Treatment Sveti Georgi EAD

    Plovdiv, 4002
    Bulgaria

    Site Not Available

  • Specialized Hospital for Active Treatment of Hematology Diseases EAD

    Sofia, 1756
    Bulgaria

    Site Not Available

  • University Multiprofile Hospital for Active Treatment Sveti Ivan Rilski EAD

    Sofia, 1431
    Bulgaria

    Site Not Available

  • Tom Baker Cancer Centre

    Calgary, Alberta T2N 4N2
    Canada

    Site Not Available

  • Cross Cancer Institute

    Edmonton, Alberta T6G 1Z2
    Canada

    Site Not Available

  • Ottawa Hospital Research Institute

    Ottawa, Ontario K1H 8L6
    Canada

    Site Not Available

  • Princess Margaret Cancer Centre

    Toronto, Ontario M5G 2M9
    Canada

    Site Not Available

  • Hopital Maisonneuve-Rosemont

    Montreal, Quebec H1T 2M4
    Canada

    Site Not Available

  • Fakultni nemocnice Brno

    Brno, 625 00
    Czechia

    Site Not Available

  • Fakultni nemocnice Hradec Kralove

    Hradec Kralove, 500 05
    Czechia

    Site Not Available

  • Fakultni nemocnice Ostrava

    Ostrava-Poruba, 708 52
    Czechia

    Site Not Available

  • Fakultni nemocnice Plzen

    Plzen, 304 60
    Czechia

    Site Not Available

  • Vseobecna fakultni nemocnice v Praze

    Praha 2, 128 08
    Czechia

    Site Not Available

  • Centre Hospitalier Départemental les Oudairies

    La Roche Sur Yon Cedex 9, 85925
    France

    Site Not Available

  • Centre Hospitalier de Versailles - Hopital Andre Mignot

    Le Chesnay cedex, 78157
    France

    Site Not Available

  • Centre Hospitalier Régional Universitaire de Lille - Hôpital Claude Huriez

    Lille Cedex, 59037
    France

    Site Not Available

  • Centre Hospitalier Universitaire de Nantes

    Nantes Cedex 1, 44093
    France

    Site Not Available

  • Centre Hospitalier Universitaire de Bordeaux - Hopital Haut Leveque

    Pessac Cedex, 33604
    France

    Site Not Available

  • Centre Hospitalier Lyon Sud

    Pierre-Benite cedex, 69495
    France

    Site Not Available

  • Centre Hospitalier Universitaire de Poitiers - Hopital la Miletrie

    Poitiers Cedex, 86021
    France

    Site Not Available

  • Research Site

    Vandoeuvre les Nancy, 54511
    France

    Site Not Available

  • Centre Hospitalier Universitaire de Nancy - Hopital de Brabois

    Vandoeuvre les Nancy Cedex, 54511
    France

    Site Not Available

  • Alexandra Hospital

    Athens, 11528
    Greece

    Site Not Available

  • General Hospital Evangelismos

    Athens, 10676
    Greece

    Site Not Available

  • General University Hospital of Patras Panagia i Voithia

    Patra, 26504
    Greece

    Site Not Available

  • Theagenion Cancer Hospital of Thessaloniki

    Thessaloniki, 54007
    Greece

    Site Not Available

  • Bekes Megyei Kozponti Korhaz Dr Rethy Pal Tagkorhaz

    Bekescsaba, 5600
    Hungary

    Site Not Available

  • Del-pesti Centrumkorhaz - Orszagos Hematologiai es Infektologiai Intezet

    Budapest, 1097
    Hungary

    Site Not Available

  • Semmelweis Egyetem

    Budapest, 1088
    Hungary

    Site Not Available

  • Debreceni Egyetem Klinikai Kozpont

    Debrecen, 4032
    Hungary

    Site Not Available

  • Research Site

    Gyula, 5700
    Hungary

    Site Not Available

  • Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont Altalanos Orvostudomanyi Kar

    Szeged, 6725
    Hungary

    Site Not Available

  • Nagoya City University Hospital

    Nagoya-shi, Aichi 467-8602
    Japan

    Site Not Available

  • Toyohashi Municipal Hospital

    Toyohashi-shi, Aichi 441-8570
    Japan

    Site Not Available

  • Tesshokai Kameda General Hospital

    Kamogawa-shi, Chiba 296-8602
    Japan

    Site Not Available

  • Kyushu University Hospital

    Fukuoka-shi, Fukuoka 812-8582
    Japan

    Site Not Available

  • National Hospital Organization Kyushu Cancer Center

    Fukuoka-shi, Fukuoka 811-1395
    Japan

    Site Not Available

  • Ogaki Municipal Hospital

    Ogaki-shi, Gifu 503-8502
    Japan

    Site Not Available

  • Gunma University Hospital

    Maebashi-shi, Gunma 371-8511
    Japan

    Site Not Available

  • Research Site

    Shibukawa-city, Gunma 377-0280
    Japan

    Site Not Available

  • National Hospital Organization Shibukawa Medical Center

    Shibukawa-shi, Gunma 377-0280
    Japan

    Site Not Available

  • University Hospital Kyoto Prefectural University of Medicine

    Kyoto-shi, Kyoto 602-8566
    Japan

    Site Not Available

  • Niigata Cancer Center Hospital

    Niigata-shi, Niigata 951-8566
    Japan

    Site Not Available

  • National Hospital Organization Okayama Medical Center

    Okayama-shi, Okayama 701-1192
    Japan

    Site Not Available

  • Osaka University Hospital

    Suita-shi, Osaka 565-0871
    Japan

    Site Not Available

  • Saitama Medical Center

    Kawagoe-shi, Saitama 350-8550
    Japan

    Site Not Available

  • Tochigi Cancer Center

    Utsunomiya-shi, Tochigi 320-0834
    Japan

    Site Not Available

  • Tokushima Prefectural Central Hospital

    Tokushima-shi, Tokushima 770-8539
    Japan

    Site Not Available

  • Cancer Institute Hospital of Japanese Foundation for Cancer Research

    Koto-ku, Tokyo 135-8550
    Japan

    Site Not Available

  • Japanese Red Cross Medical Center

    Shibuya-ku, Tokyo 150-8935
    Japan

    Site Not Available

  • National Cancer Center

    Goyang-si, Gyeonggi-do, 10408
    Korea, Republic of

    Site Not Available

  • Chonnam National University Hwasun Hospital

    Hwasun, Jeollanam-do, 58128
    Korea, Republic of

    Site Not Available

  • Asan Medical Center

    Seoul, 05505
    Korea, Republic of

    Site Not Available

  • Samsung Medical Center

    Seoul, 06351
    Korea, Republic of

    Site Not Available

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Site Not Available

  • Severance Hospital Yonsei University Health System

    Seoul, 03722
    Korea, Republic of

    Site Not Available

  • The Catholic University of Korea Seoul St Marys Hospital

    Seoul, 06591
    Korea, Republic of

    Site Not Available

  • InterHem

    Bialystok, 15-732
    Poland

    Site Not Available

  • Samodzielny Publiczny Zaklad Opieki Zdrowotnej Zespol Szpitali Miejskich w Chorzowie

    Chorzow, 41-500
    Poland

    Site Not Available

  • Centrum Onkologii Ziemi Lubelskiej im Swietego Jana z Dukli

    Lublin, 20-090
    Poland

    Site Not Available

  • Szpital Kliniczny Przemienienia Panskiego Uniwersytetu Medycznego im K Marcinkowskiego w Poznaniu

    Poznan, 60-569
    Poland

    Site Not Available

  • Instytut Hematologii i Transfuzjologii

    Warszawa, 02-776
    Poland

    Site Not Available

  • Uniwersytecki Szpital Kliniczny im Jana Mikulicza-Radeckiego we Wroclawiu

    Wroclaw, 50-367
    Poland

    Site Not Available

  • Policlinica de Diagnostic Rapid

    Brasov, 500152
    Romania

    Site Not Available

  • Research Site

    Brazov, 500152
    Romania

    Site Not Available

  • Coltea Clinical Hospital

    Bucharest, 030171
    Romania

    Site Not Available

  • Fundeni Clinical Institute

    Bucharest, 022328
    Romania

    Site Not Available

  • Bucharest Emergency University Hospital

    Bucuresti, 050098
    Romania

    Site Not Available

  • Spitalul Clinic Colentina

    Bucuresti, 020125
    Romania

    Site Not Available

  • Profesor Dr Ion Chiricuta Institut of Oncology

    Cluj-Napoca, 400124
    Romania

    Site Not Available

  • Spitalul Clinic Municipal Filantropia Craiova

    Craiova, 200143
    Romania

    Site Not Available

  • SBHI of Nizhny Novgorod region Regional Clinical Hospital of Nizhny Novgorod na N A Semashko

    Nizhny Novgorod, 603126
    Russian Federation

    Site Not Available

  • SBHI of Republic of Karelia Republic Hosiptal n a V A Baranov

    Petrozavodsk, 185019
    Russian Federation

    Site Not Available

  • State Budget Educational Institution of High Professional Skills Samara State Medical University

    Samara, 443079
    Russian Federation

    Site Not Available

  • Clinic of professional pathology and hematology

    Saratov, 410028
    Russian Federation

    Site Not Available

  • Hospital Clinico Universitario de Salamanca

    Salamanca, Castilla León 37007
    Spain

    Site Not Available

  • Hospital Universitari Germans Trias i Pujol

    Badalona, Cataluña 08916
    Spain

    Site Not Available

  • Hospital Clinic i Provincial de Barcelona

    Barcelona, Cataluña 08036
    Spain

    Site Not Available

  • Clinica Universidad de Navarra

    Pamplona, Navarra 31008
    Spain

    Site Not Available

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Site Not Available

  • Research Site

    Changhua, 50006
    Taiwan

    Site Not Available

  • Research Site

    Tainan, 70403
    Taiwan

    Site Not Available

  • National Taiwan University Hospital

    Taipei, 10002
    Taiwan

    Site Not Available

  • Taipei Veterans General Hospital

    Taipei, 11217
    Taiwan

    Site Not Available

  • Ankara Universitesi Tip Fakultesi Cebeci Hastanesi

    Ankara, 06590
    Turkey

    Site Not Available

  • Hacettepe Universitesi Tip Fakultesi

    Ankara, 06100
    Turkey

    Site Not Available

  • Ege University Faculty of Medicine

    Izmir, 35040
    Turkey

    Site Not Available

  • Ondokuz Mayis Universitesi Tip Fakultesi

    Samsun, 55139
    Turkey

    Site Not Available

  • St James University Hospital

    Leeds, LS9 7TF
    United Kingdom

    Site Not Available

  • University College London Hospital

    London, NW1 2PG
    United Kingdom

    Site Not Available

  • Christie Hospital

    Manchester, M20 4BX
    United Kingdom

    Site Not Available

  • Lynn Cancer Center Boca Raton Regional Hospital, Lynn Cancer Institute

    Boca Raton, Florida 33486
    United States

    Site Not Available

  • Emory University Winship Cancer Institute

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • University of Chicago Medical Center - Multiple Myeloma Research Consortium

    Chicago, Illinois 60637-6613
    United States

    Site Not Available

  • Fort Wayne Medical Oncology and Hematology

    Fort Wayne, Indiana 46845
    United States

    Site Not Available

  • Hattiesburg Clinic Hematology/Oncology

    Hattiesburg, Mississippi 39401
    United States

    Site Not Available

  • Hackensack University Medical Center

    Hackensack, New Jersey 07601
    United States

    Site Not Available

  • New York Presbyterian Hospital, Weill Cornell Medical College

    New York, New York 10021
    United States

    Site Not Available

  • Levine Cancer Institute

    Charlotte, North Carolina 28204
    United States

    Site Not Available

  • Research Site

    Canton, Ohio 44718
    United States

    Site Not Available

  • Gabrail Cancer Center, LLC

    Dover, Ohio 44622
    United States

    Site Not Available

  • Charleston Oncology

    Charleston, South Carolina 29414
    United States

    Site Not Available

  • Baylor Charles A Sammons Cancer Center at Dallas

    Dallas, Texas 75246
    United States

    Site Not Available

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