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NCT03012880

Ixazomib Citrate, Lenalidomide, Dexamethasone, and Daratumumab in Treating Patients With Newly Diagnosed Multiple Myeloma

Completed Phase 2 Results posted Last updated 4 June 2025
What this trial tests

Phase 2 trial testing Daratumumab in Plasma Cell Myeloma in 80 participants. Completed in 15 December 2022.

Timeline
20 April 2017
Primary endpoint
15 December 2022
15 December 2022

Quick facts

Lead sponsorMayo Clinic
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment80
Start date20 April 2017
Primary completion15 December 2022
Estimated completion15 December 2022
Sites1 location 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 Patients Who Achieve a Confirmed Complete Response (CR) Primary · 2 years
GroupValue95% CI
Cohort A0.320.184 – 0.474
Cohort B0.300.175 – 0.475
Proportion of Patients That Experienced a Grade 3 or Higher Adverse Event. Secondary · 2 years

The maximum grade for each type of adverse event will be recorded for each patient, and frequency tables are in the adverse event section of this report. The rate of patients that suffered a grade 3 or higher adverse event are reported here.

GroupValue95% CI
Cohort A0.58
Cohort B0.53
Overall Response Rate (ORR) Secondary · 2 years

Will be estimated by the number of patients who achieve a stringent complete response (sCR), CR, VGPR or partial response (PR) divided by the total number of evaluable patients. Exact binomial 95% confidence intervals for the true success proportions will be calculated.

GroupValue95% CI
Cohort A0.970.87 – 1.00
Cohort B0.950.83 – 1.00
Overall Survival (OS) Secondary · 2 years

The distribution of overall survival will be estimated using the method of Kaplan-Meier.

GroupValue95% CI
Cohort ANANA – NA
Cohort BNANA – NA
Progression Free Survival Secondary · 2 years

The distribution of progression-free survival will be estimated using the method of Kaplan-Meier.

GroupValue95% CI
Cohort ANANA – NA
Cohort BNANA – NA
Rate of >= Very Good Partial Response (VGPR) Secondary · 2 years

Will be estimated by the number of patients with a VGPR, CR, or Stringent Complete Response (sCR) divided by the total number of evaluable patients. Exact binomial 95% confidence intervals for the true success proportions will be calculated.

GroupValue95% CI
Cohort A0.740.58 – 0.87
Cohort B0.680.50 – 0.83

Adverse events — posted to ClinicalTrials.gov

Time frame: 2 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort A
Serious: 10/39 (26%)
Deaths: 4/39
Cohort B
Serious: 8/40 (20%)
Deaths: 1/40

Serious adverse events (28 terms)

ReactionSystemCohort ACohort B
Urinary tract infectionInfections and infestations
Atrial fibrillationCardiac disorders
Lung infectionInfections and infestations
DehydrationMetabolism and nutrition disorders
SyncopeNervous system disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
AnemiaBlood and lymphatic system disorders
GlaucomaEye disorders
DiarrheaGastrointestinal disorders
IleusGastrointestinal disorders
FatigueGeneral disorders
FeverGeneral disorders
Flu like symptomsGeneral disorders
Multi-organ failureGeneral disorders
AppendicitisInfections and infestations
Infections and infestations - Oth specInfections and infestations
SepsisInfections and infestations
Upper respiratory infectionInfections and infestations
Creatinine increasedInvestigations
Urine output decreasedInvestigations
HypocalcemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
SomnolenceNervous system disorders
ConfusionPsychiatric disorders
Acute kidney injuryRenal and urinary disorders
Other adverse events (57 terms — click to expand)

ReactionSystemCohort ACohort B
FatigueGeneral disorders
Peripheral sensory neuropathyNervous system disorders
Neutrophil count decreasedInvestigations
Lymphocyte count decreasedInvestigations
DiarrheaGastrointestinal disorders
NauseaGastrointestinal disorders
Platelet count decreasedInvestigations
Rash maculo-papularSkin and subcutaneous tissue disorders
Upper respiratory infectionInfections and infestations
Creatinine increasedInvestigations
White blood cell decreasedInvestigations
VomitingGastrointestinal disorders
Peripheral motor neuropathyNervous system disorders
Infusion related reactionInjury, poisoning and procedural complications
AnemiaBlood and lymphatic system disorders
Urinary tract infectionInfections and infestations
InsomniaPsychiatric disorders
ConstipationGastrointestinal disorders
HyperglycemiaMetabolism and nutrition disorders
Infections and infestations - Oth specInfections and infestations
SinusitisInfections and infestations
Lymphocyte count increasedInvestigations
Edema limbsGeneral disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Blurred visionEye disorders
PainGeneral disorders
Lung infectionInfections and infestations
FractureInjury, poisoning and procedural complications
HypocalcemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Neoplasms benign, mal, uncpec - Oth specNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Erectile dysfunctionReproductive system and breast disorders
Resp, thoracic, mediastinal - Oth specRespiratory, thoracic and mediastinal disorders
Lymph node painBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
CataractEye disorders
Eye disorders - Other, specifyEye disorders
Dental cariesGastrointestinal disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
Gastrointestinal disorders - Oth specGastrointestinal disorders

Most-reported serious reactions: Urinary tract infection, Atrial fibrillation, Lung infection, Dehydration, Syncope, Rash maculo-papular, Anemia, Glaucoma.

Data from ClinicalTrials.gov NCT03012880 adverse events section.

Sponsor's own description

This phase II trial studies how well ixazomib citrate, lenalidomide, dexamethasone, and daratumumab work in treating patients with newly diagnosed multiple myeloma. Ixazomib citrate may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. 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. Monoclonal antibodies, such as daratumumab, may block cancer growth in different ways by targeting certain cells. Giving ixazomib citrate, lenalidomide, dexamethasone, and daratumumab may work better in treating patients with newly diagnosed multiple myeloma.

Publications & conference data

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

  1. Update on the role of lenalidomide in patients with multiple myeloma.
    Holstein SA, Suman VJ, McCarthy PL. · · 2018 · cited 39× · PMID 30013765 · DOI 10.1177/2040620718775629
  2. Daratumumab in untreated newly diagnosed multiple myeloma.
    Abdallah N, Kumar SK. · · 2019 · cited 36× · PMID 31903177 · DOI 10.1177/2040620719894871
  3. CD38 as Immunotherapeutic Target in Light Chain Amyloidosis and Multiple Myeloma-Association With Molecular Entities, Risk, Survival, and Mechanisms of Upfront Resistance.
    Seckinger A, Hillengass J, Emde M, Beck S, et al · · 2018 · cited 32× · PMID 30079070 · DOI 10.3389/fimmu.2018.01676
  4. The Society for Immunotherapy of Cancer consensus statement on immunotherapy for the treatment of multiple myeloma.
    Shah N, Aiello J, Avigan DE, Berdeja JG, et al · · 2020 · cited 29× · PMID 32661116 · DOI 10.1136/jitc-2020-000734
  5. Immunotherapy in Multiple Myeloma.
    Soekojo CY, Ooi M, de Mel S, Chng WJ. · · 2020 · cited 28× · PMID 32138182 · DOI 10.3390/cells9030601
  6. The role of high-dose melphalan with autologous stem-cell transplant in multiple myeloma: is it time for a paradigm shift?
    Kazandjian D, Mo CC, Landgren O, Richardson PG. · · 2020 · cited 25× · PMID 32501533 · DOI 10.1111/bjh.16764
  7. Should Overall Survival Remain an Endpoint for Multiple Myeloma Trials?
    Holstein SA, Suman VJ, McCarthy PL. · · 2019 · cited 17× · PMID 30661162 · DOI 10.1007/s11899-019-0495-9
  8. Landscape of adenosine pathway and immune checkpoint dual blockade in NSCLC: progress in basic research and clinical application.
    Wang R, Liu Z, Wang T, Zhang J, et al · · 2024 · cited 7× · PMID 38348050 · DOI 10.3389/fimmu.2024.1320244

Verify or expand the search:

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