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NCT02880228

Pembrolizumab, Lenalidomide, and Dexamethasone in Treating Patients With Newly Diagnosed Multiple Myeloma Eligible for Stem Cell Transplant

Completed Phase 2 Results posted Last updated 30 July 2019
What this trial tests

Phase 2 trial testing Dexamethasone in Plasma Cell Myeloma in 11 participants. Completed in 29 July 2018.

Timeline
16 September 2016
Primary endpoint
6 July 2017
29 July 2018

Quick facts

Lead sponsorMayo Clinic
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment11
Start date16 September 2016
Primary completion6 July 2017
Estimated completion29 July 2018
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Mayo Clinic

Who can join

18 and older, any sex, with Plasma Cell Myeloma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Proportion of Complete Response Plus Very Good Partial Response (VGPR) Primary · Up to 112 days

The International Myeloma Working Group response criteria was used to assess response to therapy. The proportion of VGPR response at any time during treatment with pembrolizumab added to lenalidomide and dexamethasone will be estimated by the number of patients achieving a VGPR, CR, or sCR at any time divided by the total number of evaluable patients. A very good partial response (VGPR) is defined as as a demonstration of: * Serum and urine M-component detectable by immunofixation but not on electrophoresis c or * greater than 90% reduction in serum m-component and urine m-component \<100 mg/

GroupValue95% CI
Treatment (Lenalidomide, Dexamethasone, Pembrolizumab)00 – 0.28
Progression-free Survival Secondary · From registration to the earliest date of documentation of disease progression or death due to any cause, assessed up to 3 years

Progression-free survival is defined as the time from registration to the earliest date of documentation of disease progression or death due to any cause. Patients who receive subsequent treatment for myeloma before disease progression will be censored on the date of their last disease assessment prior to initiation of the subsequent treatment. Transplant will not be considered subsequent treatment. The distribution of progression-free survival will be estimated using the method of Kaplan-Meier.

GroupValue95% CI
Treatment (Lenalidomide, Dexamethasone, Pembrolizumab)NANA – NA
Partial Response (PR) Secondary · Up to 112 days

The PR response after 4 cycles of induction treatment with pembrolizumab added to lenalidomide and dexamethasone will be estimated by the number of patients who achieve a PR, VGPR, CR, or sCR after 4 cycles divided by the total number of evaluable patients. A PR is defined by the following criteria:\> * If present at baseline, ≥50% reduction of serum M-protein and reduction in 24-hour urinary M-protein or to \<200 mg/24hrs\> * If the only measurable disease is FLC, a ≥50% reduction in the difference between involved and involved FLC levels\> * If the only measurable disease is BM, a ≥50% redu

GroupValue95% CI
Treatment (Lenalidomide, Dexamethasone, Pembrolizumab)00 – 0.52
Proportion of Successful Stem Cell Collection Secondary · Up to 112 days

The proportion of successful stem cell collection following initial therapy with the combination of pembrolizumab, lenalidomide and dexamethasone in patients with newly diagnosed MM will be estimated by the number of patients with a successful stem cell collection divided by the total number of evaluable patients. Exact binomial 95% confidence intervals for the true successful proportion will be calculated.

GroupValue95% CI
Treatment (Lenalidomide, Dexamethasone, Pembrolizumab)0.40.05 – 0.85
Survival Time Secondary · From time of registration to death due to any cause, assessed up to 3 years

Survival time is defined as the time from registration to death due to any cause. The distribution of survival time will be estimated using the method of Kaplan-Meier.

GroupValue95% CI
Treatment (Lenalidomide, Dexamethasone, Pembrolizumab)NANA – NA

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected after every 28 day cycles during treatment, up to 7 cycles.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Lenalidomide, Dexamethasone, Pembrolizumab)
Serious: 3/11 (27%)
Deaths: 0/11

Serious adverse events (14 terms)

ReactionSystemTreatment (Lenalidomide, D…
Platelet count decreasedInvestigations
AnemiaBlood and lymphatic system disorders
Heart failureCardiac disorders
Edema limbsGeneral disorders
FeverGeneral disorders
Infections and infestations - Other, specifyInfections and infestations
SepsisInfections and infestations
Neutrophil count decreasedInvestigations
White blood cell decreasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
SeizureNervous system disorders
Reproductive system and breast disorders - Other, specifyReproductive system and breast disorders
HypertensionVascular disorders
Other adverse events (13 terms — click to expand)

ReactionSystemTreatment (Lenalidomide, D…
AnemiaBlood and lymphatic system disorders
FatigueGeneral disorders
Platelet count decreasedInvestigations
White blood cell decreasedInvestigations
ConstipationGastrointestinal disorders
Neutrophil count decreasedInvestigations
DiarrheaGastrointestinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
Creatinine increasedInvestigations
VomitingGastrointestinal disorders
Hemoglobin increasedInvestigations
HypokalemiaMetabolism and nutrition disorders

Most-reported serious reactions: Platelet count decreased, Anemia, Heart failure, Edema limbs, Fever, Infections and infestations - Other, specify, Sepsis, Neutrophil count decreased.

Data from ClinicalTrials.gov NCT02880228 adverse events section.

Sponsor's own description

This phase II trial studies how well pembrolizumab, lenalidomide, and dexamethasone work in treating patients with newly diagnosed multiple myeloma that are eligible for stem cell transplant. Monoclonal antibodies, such as pembrolizumab, may interfere with the ability of cancer cells to grow and spread. Drugs used in chemotherapy, such as lenalidomide and dexamethasone, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving pembrolizumab, lenalidomide, and dexamethasone may work better in treating patients with multiple myeloma.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Improvement of the anticancer efficacy of PD-1/PD-L1 blockade via combination therapy and PD-L1 regulation.
    Wu M, Huang Q, Xie Y, Wu X, et al · · 2022 · cited 336× · PMID 35279217 · DOI 10.1186/s13045-022-01242-2
  2. Checkpoint Inhibition in Myeloma: Opportunities and Challenges.
    Costa F, Das R, Kini Bailur J, Dhodapkar K, et al · · 2018 · cited 49× · PMID 30319648 · DOI 10.3389/fimmu.2018.02204
  3. Immune checkpoint blockade for hematologic malignancies: a review.
    Pianko MJ, Liu Y, Bagchi S, Lesokhin AM. · · 2017 · cited 48× · PMID 28529947 · DOI 10.21037/sci.2017.03.04
  4. Monoclonal Antibodies for the Treatment of Multiple Myeloma: An Update.
    Abramson HN. · · 2018 · cited 42× · PMID 30544512 · DOI 10.3390/ijms19123924
  5. Combination therapy with PD-1/PD-L1 blockade: An overview of ongoing clinical trials.
    Johnson CB, Win SY. · · 2018 · cited 26× · PMID 29632719 · DOI 10.1080/2162402x.2017.1408744
  6. Immunotherapy of Multiple Myeloma: Current Status as Prologue to the Future.
    Abramson HN. · · 2023 · cited 16× · PMID 37958658 · DOI 10.3390/ijms242115674
  7. Efficacy and toxicity of therapy immediately after treatment with nivolumab in relapsed multiple myeloma.
    Pianko MJ, Funt SA, Page DB, Cattry D, et al · · 2018 · cited 11× · PMID 28554253 · DOI 10.1080/10428194.2017.1320713
  8. Pan-cancer analysis of co-inhibitory molecules revealing their potential prognostic and clinical values in immunotherapy.
    Ren X, Guo A, Geng J, Chen Y, et al · · 2025 · cited 1× · PMID 40196117 · DOI 10.3389/fimmu.2025.1544104

Verify or expand the search:

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02880228.

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