Phase
Condition
Multiple Myeloma
Cancer
Lymphoproliferative Disorders
Treatment
JNJ-68284528
Bortezomib
Dexamethasone
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Cohort A: Received a minimum of 1 to a maximum of 3 prior lines of therapy includinga proteasome inhibitor (PI) and immunomodulatory therapy (IMiD), and lenalidomiderefractory per International Myeloma Working Group (IMWG) guidelines
Cohort B: Received one line of prior therapy including a PI and an IMiD, and diseaseprogression per IMWG criteria less than or equal to (<=) 12 months after treatmentwith autologous stem cell transplantation (ASCT) or <=12 months from the start ofanti-myeloma therapy for participants who have not had an ASCT
Cohort C: Previously treated with a PI, an IMiD, an anti-CD38 monoclonal antibodyand B-cell maturation antigen (BCMA)-directed therapy
Cohort D: Newly diagnosed multiple myeloma per IMWG with a history of 4 to 8 totalcycles of initial therapy, including induction, high-dose therapy, and ASCT with orwithout consolidation
Cohort E: Have newly diagnosed multiple myeloma without prior therapy (one cycle ofprior therapy before enrollment is acceptable) and classified as high risk definedas either: 1) International Staging System (ISS) stage III criteria, Beta 2microglobulin greater than or equal to (>=) 5.5 milligrams per liter (mg/L) (vialocal or central laboratory assessment) or 2) high risk cytogenetic featuresdel(17/17p), t (14;16), t(14;20), 1q amplification (at least 4 total copies) in atleast 20 percent (%) of the total plasma cell population
Cohort F:
Participant must have a documented efficacy response of very good partial response (VGPR) or better, without progressive disease prior to enrollment, as assessed perIMWG 2016 criteria
Received initial therapy as specified below. The dose/schedule of cyclesadministered will be as per standard of care. It is acceptable for up to 1 cycle ofthe protocol-specified regimens to be missing one of the listed agents (example,held due to toxicity). Acceptable combinations include: At least 5 to 8 cycles ofinitial therapy with daratumumab, bortezomib, lenalidomide and dexamethasone (D-VRd). The dose/schedule of cycles administered will be as per standard of careor; at least 4 to 8 cycles of initial therapy with daratumumab, lenalidomide anddexamethasone (D-Rd) or; at least 4 to 8 cycles of initial therapy with acarfilzomib-based triplet or quadruplet regimen
Cohort G: Not considered for high-dose chemotherapy with autologous stem celltransplantation (ASCT) due to: a) Ineligibility due to advanced age; or b)Ineligibility due to presence of comorbid condition(s) likely to have a negativeimpact on tolerability of high-dose chemotherapy with ASCT; or c) Subject refusal ofhigh-dose chemotherapy with ASCT as initial treatment
Cohort H: Considered a candidate for high-dose chemotherapy with ASCT as initialtreatment
Cohorts A, B, C, E, G, H:
Serum monoclonal paraprotein (M-protein) level greater than or equal to (>=) 1.0gram per deciliter (g/dL) or urine M-protein level >=200 milligrams (mg)/24 hours
Light chain multiple myeloma in whom only measurable disease is by serum free lightchain (FLC) levels in the serum: Serum immunoglobulin FLC >=10 mg/dL and abnormalserum immunoglobulin kappa lambda FLC ratio
Cohort A: For participants with neither serum nor urine measurable disease, baselinepositron emission tomography/ computed tomography (PET/CT) or whole -body magneticresonance imaging (MRI) may be used to satisfy the measurable disease criteria. Aminimum of one lesion with a bi-dimensional measurement of at least 1 centimeter (cm)*1 cm is required
Cohorts B, C: For participants with neither serum nor urine measurable disease,baseline positron emission tomography/ computed tomography (PET/CT) or whole bodymagnetic resonance imaging (MRI) may be used to satisfy the measurable diseasecriteria
Cohorts A, B, C, D, E, F, G, H: Eastern Cooperative Oncology Group (ECOG)performance status grade of 0 or 1
Exclusion
Exclusion Criteria:
Cohorts A, B, D, F: Any therapy that is targeted to BCMA
Cohorts A, B, C, D, F: Prior treatment with chimeric antigen receptor T (CAR-T)therapy directed at any target
Cohorts A, B, C, D, F:
Ongoing toxicity from previous anticancer therapy must resolve to baseline levels orto Grade 1 or less except for alopecia or peripheral neuropathy
Received a cumulative dose of corticosteroids equivalent to >=70 mg of prednisonewithin the 7 days (Cohort A, B, C, F) or 14 days (Cohort D) prior to apheresis
Serious underlying medical condition, such as (a) evidence of active viral orbacterial infection requiring systemic antimicrobial therapy, or uncontrolledsystemic fungal infection; (b) active autoimmune disease or a history of autoimmunedisease within 3 years; (c) overt clinical evidence of dementia or altered mentalstatus; (d) any history of Parkinson's disease or other neurodegenerative disorder
Cohorts A, B, C, D, E, F: Known active, or prior history of central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of multiplemyeloma
Cohorts F, G, and H: Active malignancies (that is, progressing or requiringtreatment change in the last 24 months) other than the disease being treated understudy. The only allowed exceptions are: a) non-muscle invasive bladder cancertreated within the last 24 months that is considered completely cured; b) skincancer (non-melanoma or melanoma) treated within the last 24 months that isconsidered completely cured; c) non-invasive cervical cancer treated within the last 24 months that is considered completely cured; d) localized prostate cancer (N0M0):with a Gleason score of greater than or equal to (=>)6, treated within the last 24months or untreated and under surveillance, with a Gleason score of 3+4 that hasbeen treated more than 6 months prior to full study screening and considered to havea very low risk of recurrence, or history of localized prostate cancer and receivingandrogen deprivation therapy and considered to have a very low risk of recurrence,e) breast cancer: adequately treated lobular carcinoma in situ or ductal carcinomain situ, or history of localized breast cancer and receiving antihormonal agents andconsidered to have a very low risk of recurrence; f) malignancy that is consideredcured with minimal risk of recurrence
Cohorts E, G, and H: Frailty index of >= 2 according to Myeloma Geriatric Assessmentscore
Study Design
Connect with a study center
Universitair Ziekenhuis - Antwerpen
Antwerp, 2650
BelgiumSite Not Available
Institut Jules Bordet
Brussel, 1000
BelgiumSite Not Available
UZ Gent
Gent, 9000
BelgiumSite Not Available
UZ Gent
Ghent, 9000
BelgiumSite Not Available
UZ Gent
Ghent 2797656, 9000
BelgiumSite Not Available
UZ Leuven
Leuven, 3000
BelgiumSite Not Available
UZ Leuven
Leuven 2792482, 3000
BelgiumSite Not Available
CHRU de Lille - Hopital Claude Huriez
Lille, 59037
FranceSite Not Available
CHRU de Lille Hopital Claude Huriez
Lille, 59037
FranceSite Not Available
CHRU de Lille Hopital Claude Huriez
Lille 2998324, 59037
FranceSite Not Available
C.H.U. Hotel Dieu - France
Nantes, 44093
FranceSite Not Available
C.H.U. Hotel Dieu - France
Nantes 2990969, 44093
FranceSite Not Available
Hopital Saint Louis
Paris, 75475
FranceSite Not Available
Hopital Saint Louis
Paris 2988507, 75475
FranceSite Not Available
Hopital Saint Louis
Paris cedex 10, 75475
FranceSite Not Available
Hopital Saint-Louis
Paris cedex 10, 75475
FranceSite Not Available
Universitatsklinikum Carl Gustvav Carus Dresden an der Technischen Universitat Dresden
Dresden, 01307
GermanySite Not Available
Universitaetsklinikum Hamburg Eppendorf
Hamburg, 20246
GermanySite Not Available
Universitaetsklinikum Hamburg Eppendorf
Hamburg 2911298, 20246
GermanySite Not Available
Universitaetsklinikum Heidelberg
Heidelberg, 69120
GermanySite Not Available
Universitatsklinikum Leipzig
Leipzig, 04103
GermanySite Not Available
Klinikum der Eberhard-Karls-Universität/Abt. für innere Med. II/Hämatologie/Onkologie-Germany
Tübingen, 72076
GermanySite Not Available
Universitatsklinikum Wurzburg
Wuerzburg, 97080
GermanySite Not Available
Universitatsklinikum Wurzburg
Würzburg, 97080
GermanySite Not Available
Universitätsklinikum Würzburg
Würzburg, 97080
GermanySite Not Available
Universitatsklinikum Wurzburg
Würzburg 2805615, 97080
GermanySite Not Available
Sheba Medical Center Tel Hashomer
Ramat Gan, 52621
IsraelSite Not Available
Sheba Medical Center Tel Hashomer
Ramat Gan 293788, 52621
IsraelSite Not Available
Tel Aviv Sourasky Medical Center
Tel Aviv, 64239
IsraelSite Not Available
Tel Aviv Sourasky Medical Center
Tel Aviv 293397, 64239
IsraelSite Not Available
Tel Aviv Sourasky Medical Center
Tel-Aviv, 64239
IsraelSite Not Available
Tel-Aviv Sourasky Medical Center
Tel-Aviv, 64239
IsraelSite Not Available
VU Medisch Centrum
Amsterdam, 1081 HV
NetherlandsSite Not Available
VU Medisch Centrum
Amsterdam 2759794, 1081 HV
NetherlandsSite Not Available
University Medical Center Groningen
Groningen, 9713 GZ
NetherlandsSite Not Available
University Medical Center Groningen
Groningen 2755251, 9713 GZ
NetherlandsSite Not Available
King Faisal Specialist Hospital & Research Center
Riyadh, 11211
Saudi ArabiaSite Not Available
King Faisal Specialist Hospital & Research Center
Riyadh 108410, 11211
Saudi ArabiaSite Not Available
Parkway Cancer Center
Singapore, 228510
SingaporeSite Not Available
Clinica Univ. de Navarra
Pamplona, 31008
SpainSite Not Available
Clinica Univ. de Navarra
Pamplona 3114472, 31008
SpainSite Not Available
Hosp Clinico Univ de Salamanca
Salamanca, 37007
SpainSite Not Available
Hosp. Clinico Univ. de Salamanca
Salamanca, 37007
SpainSite Not Available
Hosp Clinico Univ de Salamanca
Salamanca 3111108, 37007
SpainSite Not Available
City Of Hope Med Ctr
Duarte, California 91010
United StatesSite Not Available
University Of California San Diego
San Diego, California 92037
United StatesSite Not Available
University of California San Francisco
San Francisco, California 94143
United StatesSite Not Available
University of California, San Francisco
San Francisco, California 94143
United StatesSite Not Available
University Of California San Diego
San Diego 5391811, California 5332921 92037
United StatesSite Not Available
University of California San Francisco
San Francisco 5391959, California 5332921 94143
United StatesSite Not Available
Yale University School Of Medicine
New Haven, Connecticut 06510
United StatesSite Not Available
Yale University School Of Medicine
New Haven 4839366, Connecticut 4831725 06510
United StatesSite Not Available
Moffitt Cancer Center
Tampa, Florida 33612
United StatesSite Not Available
Moffitt Cancer Center
Tampa 4174757, Florida 4155751 33612
United StatesSite Not Available
Emory University
Atlanta, Georgia 30322
United StatesSite Not Available
Emory University
Atlanta 4180439, Georgia 4197000 30322
United StatesSite Not Available
Northwestern University
Chicago, Illinois 60611
United StatesSite Not Available
University of Chicago
Chicago, Illinois 60637
United StatesSite Not Available
Northwestern University
Chicago 4887398, Illinois 4896861 60611
United StatesSite Not Available
University of Chicago
Chicago 4887398, Illinois 4896861 60637
United StatesSite Not Available
Indiana University
Indianapolis, Indiana 46202
United StatesSite Not Available
Indiana University
Indianapolis 4259418, Indiana 4921868 46202
United StatesSite Not Available
University of Iowa Hospitals & Clinics
Iowa City, Iowa 52242
United StatesActive - Recruiting
University of Iowa Hospitals and Clinics
Iowa City, Iowa 52242
United StatesSite Not Available
University of Iowa Hospitals and Clinics
Iowa City 4862034, Iowa 4862182 52242
United StatesSite Not Available
University of Kansas Cancer Center
Westwood, Kansas 66205
United StatesSite Not Available
University of Kansas Cancer Center
Westwood 4281639, Kansas 4273857 66205
United StatesSite Not Available
Norton Cancer Institute
Louisville, Kentucky 40207
United StatesSite Not Available
Norton Cancer Institute
Louisville 4299276, Kentucky 6254925 40207
United StatesSite Not Available
Johns Hopkins
Baltimore, Maryland 21287
United StatesSite Not Available
Dana Farber Cancer Institute
Boston, Massachusetts 02115
United StatesSite Not Available
Dana-Farber Cancer Institute
Boston, Massachusetts 02115
United StatesSite Not Available
Dana Farber Cancer Institute
Boston 4930956, Massachusetts 6254926 02115
United StatesSite Not Available
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan 48201
United StatesSite Not Available
Barbara Ann Karmanos Cancer Institute
Detroit 4990729, Michigan 5001836 48201
United StatesSite Not Available
Mayo Clinic Rochester
Rochester, Minnesota 55905
United StatesSite Not Available
Mayo Clinic Rochester
Rochester 5043473, Minnesota 5037779 55905
United StatesSite Not Available
Washington University School of Medicine
Saint Louis, Missouri 63110
United StatesSite Not Available
Washington University School Of Medicine
St Louis, Missouri 63108
United StatesSite Not Available
Washington University School Of Medicine
St Louis 4407066, Missouri 4398678 63110
United StatesSite Not Available
Hackensack University Medical Center
Hackensack, New Jersey 07601
United StatesSite Not Available
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey 08903
United StatesSite Not Available
Hackensack University Medical Center
Hackensack 5098706, New Jersey 5101760 07601
United StatesSite Not Available
Rutgers Cancer Institute of New Jersey
New Brunswick 5101717, New Jersey 5101760 08903
United StatesSite Not Available
Montefiore Medical Center
Bronx, New York 10467
United StatesSite Not Available
Roswell Park Cancer Institute
Buffalo, New York 14263
United StatesSite Not Available
Memorial Sloan-Kettering Cancer Center
New York, New York 10065
United StatesSite Not Available
Mount Sinai Medical Center
New York, New York 10029
United StatesSite Not Available
Montefiore Medical Center
The Bronx, New York 10467
United StatesSite Not Available
Roswell Park Cancer Institute
Buffalo 5110629, New York 5128638 14263
United StatesSite Not Available
Memorial Sloan-Kettering Cancer Center
New York 5128581, New York 5128638 10065
United StatesSite Not Available
Mount Sinai Medical Center
New York 5128581, New York 5128638 10029
United StatesSite Not Available
Montefiore Medical Center
The Bronx 5110266, New York 5128638 10467
United StatesSite Not Available
Levine Cancer Institute, Carolinas HealthCare System
Charlotte, North Carolina 28204
United StatesSite Not Available
Levine Cancer Institute, Carolinas HealthCare System
Charlotte 4460243, North Carolina 4482348 28204
United StatesSite Not Available
Cleveland Clinic
Cleveland, Ohio 44195
United StatesSite Not Available
Cleveland Clinic
Cleveland 5150529, Ohio 5165418 44195
United StatesSite Not Available
Oregon Health And Science University
Portland, Oregon 97239
United StatesSite Not Available
Oregon Health And Science University
Portland 5746545, Oregon 5744337 97239
United StatesSite Not Available
Thomas Jefferson University
Philadelphia, Pennsylvania 19107
United StatesSite Not Available
University of Pennsylvania
Philadelphia, Pennsylvania 19104
United StatesSite Not Available
University of Pittsburgh
Pittsburgh, Pennsylvania 15232
United StatesSite Not Available
Thomas Jefferson University
Philadelphia 4560349, Pennsylvania 6254927 19107
United StatesSite Not Available
University of Pennsylvania
Philadelphia 4560349, Pennsylvania 6254927 19104
United StatesSite Not Available
University of Pittsburgh
Pittsburgh 5206379, Pennsylvania 6254927 15232
United StatesSite Not Available
Baylor University Medical Center
Dallas, Texas 75246
United StatesSite Not Available
University of Texas Southwestern Medical Center
Dallas, Texas 75390
United StatesSite Not Available
University of Texas, MD Anderson Cancer Center
Houston, Texas 77030
United StatesSite Not Available
University of Texas Southwestern Medical Center
Dallas 4684888, Texas 4736286 75390
United StatesSite Not Available
University of Utah
Salt Lake City, Utah 84112
United StatesSite Not Available
University of Utah
Salt Lake City 5780993, Utah 5549030 84112
United StatesSite Not Available
University of Virginia
Charlottesville, Virginia 22908
United StatesSite Not Available
Virginia Commonwealth University - Massey Cancer Center
Richmond, Virginia 23298
United StatesSite Not Available
University of Virginia
Charlottesville 4752031, Virginia 6254928 22908
United StatesSite Not Available
Virginia Commonwealth University - Massey Cancer Center
Richmond 4781708, Virginia 6254928 23298
United StatesSite Not Available
Fred Hutchinson Cancer Center
Seattle, Washington 98109
United StatesSite Not Available
Fred Hutchinson Cancer Center
Seattle 5809844, Washington 5815135 98109
United StatesSite Not Available
University of Wisconsin Carbone Cancer Center
Madison, Wisconsin 53705
United StatesSite Not Available
University of Wisconsin Carbone Cancer Center
Madison 5261457, Wisconsin 5279468 53705
United StatesSite Not Available

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