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NCT03187262

A Study of Daratumumab in Patients With Relapsed or Refractory Waldenström Macroglobulinemia

Completed Phase 2 Results posted Last updated 23 November 2022
What this trial tests

Phase 2 trial testing Daratumumab in Waldenström Macroglobulinemia in 13 participants. Completed in 31 December 2021.

Timeline
27 November 2017
Primary endpoint
31 January 2021
31 December 2021

Quick facts

Lead sponsorDana-Farber Cancer Institute
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment13
Start date27 November 2017
Primary completion31 January 2021
Estimated completion31 December 2021
Sites5 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Dana-Farber Cancer Institute

Who can join

18 and older, any sex, with Waldenström Macroglobulinemia. 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.

Overall Response Rate Primary · 2 years

Overall Response Rate= Minor response (\>25%-50% reduction in serum IgM from baseline) + Partial Response (\>50-90% reduction in serum IgM from baseline) + Very Good Partial Response (\>90% reduction in serum IgM from baseline) + Complete Response (resolution of all symptoms, normalization of serum IgM with disappearance of IgM paraprotein, resolution of any adenopathy or splenomegaly).

GroupValue95% CI
Daratumumab3
Progression Free Survival Secondary · 4 years

Amount of time following daratumumab administration until \>25% increase in serum IgM

GroupValue95% CI
Daratumumab21 – 28
Number of Participants With Complete Response Secondary · 2 years

A complete response is defined as having resolution of WM related symptoms, normalization of serum IgM levels with complete disappearance of IgM paraprotein by immunofixation, and resolution of any adenopathy or splenomegaly.

GroupValue95% CI
Daratumumab0
Number of Participants With Partial Response Secondary · 2 years

Partial response (PR) is defined as achieving a ≥50% reduction in serum IgM levels.

GroupValue95% CI
Daratumumab2
Number of Participants With Very Good Partial Response Secondary · 2 years

Very Good Partial Response (VGPR): is defined as ≥90% reduction in serum IgM levels, or normalization of serum IgM levels.

GroupValue95% CI
Daratumumab0
Number of Participants With Minor Response Secondary · 2 years

Minor Response (MR): A minor response (MR) is defined 25-49% reduction in serum IgM levels.

GroupValue95% CI
Daratumumab1

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from baseline, throughout treatment with daratumumab, and for 30 days after last dose of daratumumab, up to 4 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Daratumumab
Serious: 6/13 (46%)
Deaths: 1/13

Serious adverse events (11 terms)

ReactionSystemDaratumumab
ThrombocytopeniaInvestigations
SepsisInfections and infestations
AnemiaBlood and lymphatic system disorders
NeutropeniaInvestigations
Transient Ischemic AttackNervous system disorders
Leg weaknessMusculoskeletal and connective tissue disorders
Infusion reactionGeneral disorders
Strep salvarius bacteremiaInfections and infestations
Febrile neutropeniaBlood and lymphatic system disorders
FeverGeneral disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Other adverse events (79 terms — click to expand)

ReactionSystemDaratumumab
FatigueGeneral disorders
Infusion related reactionGeneral disorders
AnemiaBlood and lymphatic system disorders
FeverGeneral disorders
HyponatremiaMetabolism and nutrition disorders
ConfusionPsychiatric disorders
NauseaGastrointestinal disorders
Upper respiratory infectionInfections and infestations
Neutrophil count decreasedInvestigations
AnorexiaMetabolism and nutrition disorders
HeadacheNervous system disorders
HyperhidrosisSkin and subcutaneous tissue disorders
PalpitationsCardiac disorders
Ear painEar and labyrinth disorders
ChillsGeneral disorders
Peripheral edemaGeneral disorders
SinusitisInfections and infestations
Alkaline pohosphatase increasedInvestigations
Lymphocyte count decreasedInvestigations
Weight lossInvestigations
HypoalbuminemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
DysgeusiaNervous system disorders
Peripheral sensory neuropathyNervous system disorders
InsomniaPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Atrial FibrillationCardiac disorders
TachycardiaCardiac disorders
Chest painCardiac disorders
Decreased HeartingEar and labyrinth disorders
VertigoEar and labyrinth disorders
FloatersEye disorders
Abdominal distentionGastrointestinal disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
Dry mouthGastrointestinal disorders

Most-reported serious reactions: Thrombocytopenia, Sepsis, Anemia, Neutropenia, Transient Ischemic Attack, Leg weakness, Infusion reaction, Strep salvarius bacteremia.

Data from ClinicalTrials.gov NCT03187262 adverse events section.

Sponsor's own description

This research study is studying Daratumumab as a possible treatment for Waldenström Macroglobulinemia.

Publications & conference data

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

  1. Evaluating Daratumumab in the Treatment of Multiple Myeloma: Safety, Efficacy and Place in Therapy.
    Dima D, Dower J, Comenzo RL, Varga C. · · 2020 · cited 36× · PMID 32904669 · DOI 10.2147/cmar.s212526
  2. Management of Waldenström macroglobulinemia in 2020.
    Castillo JJ, Treon SP. · · 2020 · cited 21× · PMID 33275726 · DOI 10.1182/hematology.2020000121
  3. Targeting CD38 with daratumumab is lethal to Waldenström macroglobulinaemia cells.
    Paulus A, Manna A, Akhtar S, Paulus SM, et al · · 2018 · cited 15× · PMID 30080238 · DOI 10.1111/bjh.15515
  4. What should be the goal of therapy for Waldenström macroglobulinemia patients? Complete response should be the goal of therapy.
    Treon SP, Castillo JJ. · · 2017 · cited 3× · PMID 29296899 · DOI 10.1182/bloodadvances.2017005637
  5. Monoclonal antibody-based therapies for Waldenström's macroglobulinemia.
    Fotiou D, Theodorakakou F, Kastritis E. · · 2022 · cited 1× · PMID 35572915 · DOI 10.1016/j.lrr.2022.100324

Verify or expand the search:

Other trials of Daratumumab

Trials testing the same drug.

Other recruiting trials for Waldenström Macroglobulinemia

Currently open trials in the same condition.

Other Dana-Farber Cancer Institute trials

Trials by the same sponsor.

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Data sources for this page

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/NCT03187262.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing