Study of Selinexor Plus DRd for Newly Diagnosed Multiple Myeloma
Part of paid clinical trials in Tucson, Arizona.
- Sponsor
- US Oncology Research
- Study ID
- NCT04782687
- Phase
- PHASE2
- Status
- Active Not Recruiting
Conditions
- Kahler Disease
- Multiple Myeloma
- Myeloma Multiple
- Myeloma, Plasma Cell
- Myeloma-Multiple
- Myelomatosis
- Plasma Cell Myeloma
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Selinexor — DRUGoral drug that comes in 20 mg tablets
- Dexamethasone Oral — DRUGDexamethasone 40 mg on Days 1, 8, 15, 22 of each cycle. However, those \>75 years old may be administered a weekly dose of 20 mg dexamethasone.
- Daratumumab — DRUGPatients will receive daratumumab subcutaneously (SC, or under the skin) as an injection. The recommended dosage of the SC formulation is 1,800 mg daratumumab and 30,000 units hyaluronidase administered SC into the abdomen over approximately 3 to 5 minutes according to recommended schedule. Daratumumab 1800 mg subcutaneously once weekly in Cycles 1 and 2, every 2 weeks in cycles 3 to 6, and every 4 weeks thereafter.
- Lenalidomide — DRUGPatients will receive a 21-day supply of lenalidomide (15 mg) as oral capsules, as appropriate, for each 28-day treatment cycle
Study Details
This is a single-arm, phase II, open-label trial to investigate the effects of selinexor (S) in combination with daratumumab, lenalidomide, and dexamethasone (DRd) for first-line treatment of multiple myeloma (MM). FDA has approved selinexor plus dexamethasone in multiple myeloma after four prior therapies, and DRd is also already approved by the FDA for multiple myeloma. This study will use all four (S-DRd) together to treat MM as an initial treatment.
Key Dates
- Start date
- Sep 10, 2021
- Status verified
- Jan 2025
- Primary completion
- May 31, 2026
- Completion
- May 31, 2026
Study Design
- Enrollment
- 73 participants (actual)
- Allocation
- NA
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: Selinexor plus DRd1. Lenalidomide 15 mg orally on Days 1-21 of each 28-day cycle 2. Dexamethasone 40 mg on Days 1, 8, 15, 22 of each cycle. However, those \>75 years old may be administered a weekly dose of 20 mg dexamethasone. 3. Daratumumab 1800 mg subcutaneous injection once weekly in Cycles 1 and 2, every 2 weeks in cycles 3 to 6, and every 4 weeks thereafter. 4. Selinexor 60 mg on Days 1, 8, 15, of cycles 1-3, with a planned dose-reduction to 40 mg on Days 1, 8, 15 for cycles beyond 3. If patient was previously dose reduced prior to cycle 4, then at cycle 4 planned dose reduction, you will again decrease dose by 1 level.
Primary Outcome Measure
Complete Response Rate (CR) [ Time Frame: 6 months ]
Locations (10)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Arizona Oncology Associates, PC - HOPE | Tucson | Arizona | 85711 | - |
| Rocky Mountain Cancer Centers | Denver | Colorado | 80218 | - |
| Maryland Oncology Hematology, P.A. | Columbia | Maryland | 21044 | - |
| New York Oncology Hematology, P.C. | Albany | New York | 12206 | - |
| Willamette Valley Cancer Institute and Research Center | Eugene | Oregon | 97401 | - |
| Texas Oncology, P.A. | Austin | Texas | 78705 | - |
| Texas Oncology, P.A. | Fort Worth | Texas | 76104 | - |
| Texas Oncology, P.A. | San Antonio | Texas | 78240 | - |
| Texas Oncology, P.A. | Tyler | Texas | 75702 | - |
| Virginia Cancer Specialists, PC | Gainesville | Virginia | 20155 | - |
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