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Kinase Inhibitor

Daratumumab for Waldenstrom's Macroglobulinemia

Phase 2
Waitlist Available
Led By John N. Allan, M.D.
Research Sponsored by Weill Medical College of Cornell University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 5 years
Awards & highlights

Study Summary

This trial will test the safety and effectiveness of adding the drug daratumumab to ibrutinib for patients with Waldenstrӧm's macroglobulinemia. There will be two groups of patients: those who are new to ibrutinib and those who have been taking ibrutinib but are not responding well to it.

Eligible Conditions
  • Waldenstrom's Macroglobulinemia
  • Waldenstrom's Macroglobulinaemia
  • Waldenstrom Macroglobulinemia
  • Waldenström Macroglobulinemia

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 5 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Safety of Combination Treatment With Ibrutinib and Daratumumab as Measured by the Number of Patients That Experience 1 or More Adverse Event
Secondary outcome measures
Deepening of Response Rate in Cohort B After Daratumumab Addition
Duration of Response
Major Response Rate in Cohort A
+3 more

Side effects data

From 2024 Phase 3 trial • 498 Patients • NCT02136134
60%
Thrombocytopenia
50%
Peripheral sensory neuropathy
47%
Peripheral Sensory Neuropathy
36%
Upper respiratory tract infection
36%
Diarrhoea
29%
Cough
28%
Anaemia
23%
Fatigue
23%
Upper Respiratory Tract Infection
23%
Constipation
21%
Back pain
20%
Arthralgia
20%
Oedema peripheral
19%
Neutropenia
19%
Dyspnoea
18%
Insomnia
17%
Pyrexia
16%
Oedema Peripheral
15%
Nausea
14%
Pain in extremity
14%
Lymphopenia
14%
Nasopharyngitis
14%
Bronchitis
14%
Neuralgia
13%
Back Pain
13%
Dizziness
12%
Decreased appetite
12%
Vomiting
12%
Headache
12%
Hypertension
11%
Conjunctivitis
11%
Asthenia
11%
Pneumonia
11%
Hypokalaemia
10%
Musculoskeletal chest pain
10%
Muscle spasms
9%
Bone pain
9%
Leukopenia
9%
Urinary tract infection
9%
Decreased Appetite
9%
Hyperglycaemia
9%
Pain in Extremity
9%
Bronchospasm
8%
Alanine aminotransferase increased
8%
Abdominal pain upper
8%
Weight decreased
8%
Muscle Spasms
7%
Hypophosphataemia
7%
Herpes zoster
7%
Influenza
7%
Hypocalcaemia
7%
Alanine Aminotransferase Increased
7%
Rash
6%
Aspartate aminotransferase increased
6%
Musculoskeletal Chest Pain
6%
Myalgia
6%
Abdominal pain
6%
Nasal congestion
5%
Bone Pain
5%
Throat irritation
5%
Hypotension
5%
Abdominal Pain Upper
5%
Weight Decreased
5%
Chills
5%
Productive cough
5%
Herpes Zoster
5%
Oedema
5%
Paraesthesia
5%
Epistaxis
4%
Dyspepsia
2%
Atrial fibrillation
2%
Acute kidney injury
2%
Sepsis
2%
Atrial Fibrillation
1%
Acute myocardial infarction
1%
Humerus fracture
1%
Pneumonia cytomegaloviral
1%
Squamous cell carcinoma of skin
1%
Rib fracture
1%
Lower Respiratory Tract Infection
1%
Pulmonary sepsis
1%
Pathological fracture
1%
Febrile neutropenia
1%
Pleural effusion
1%
Acute coronary syndrome
1%
Pulmonary Sepsis
1%
Hypercalcaemia
1%
Pneumonia Cytomegaloviral
1%
Cardiac failure congestive
1%
Femur fracture
1%
Lower respiratory tract infection
1%
Hip fracture
1%
Angina unstable
1%
Cerebrovascular accident
1%
Ischaemic stroke
1%
Respiratory failure
1%
Bronchitis chronic
1%
Gastroenteritis
1%
Ischaemic Stroke
1%
Respiratory Failure
1%
Pathological Fracture
1%
Febrile Neutropenia
1%
Cardiac Failure Congestive
1%
Bronchopneumonia
1%
Femur Fracture
1%
Humerus Fracture
1%
Acute Kidney Injury
1%
Pleural Effusion
100%
80%
60%
40%
20%
0%
Study treatment Arm
Daratumumab + Bortezomib and Dexamethasone (DVd)
Bortezomib + Dexamethasone (Vd)
Switch From Bortezomib + Dexamethasone (Vd) to Daratumumab Monotherapy

Trial Design

2Treatment groups
Experimental Treatment
Group I: Cohort B - Ibrutinib response plateauExperimental Treatment2 Interventions
Cohort B will consist of subjects who have had at least 6 months of exposure to single agent ibrutinib and who have demonstrated an IgM response plateau defined by two IgM measurements, at least 8 weeks apart that have changed <15% from the previous mark. All subjects in this cohort will receive ibrutinib plus daratumumab
Group II: Cohort A - Ibrutinib naiveExperimental Treatment2 Interventions
Cohort A will consist of subjects who are ibrutinib naïve and appropriate for ibrutinib based treatment. Treatment naïve subjects will be eligible to enroll in this cohort. All subjects in this cohort will receive ibrutinib plus daratumumab
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Ibrutinib
2014
Completed Phase 3
~1880
Daratumumab
2014
Completed Phase 3
~1860

Find a Location

Who is running the clinical trial?

Janssen Scientific Affairs, LLCIndustry Sponsor
158 Previous Clinical Trials
579,701 Total Patients Enrolled
Mayo ClinicOTHER
3,200 Previous Clinical Trials
3,760,894 Total Patients Enrolled
Weill Medical College of Cornell UniversityLead Sponsor
1,054 Previous Clinical Trials
1,316,644 Total Patients Enrolled

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is this research project looking for new participants right now?

"Yes, the study is still looking for patients. According to clinicaltrials.gov, the trial was first posted on 7/30/2020 and recruitment will close once they have 24 participants from 1 location."

Answered by AI

What other research exists on Daratumumab's effects?

"Currently, there are 296 separate clinical trials investigating Daratumumab with 49 of those in Phase 3. Most of these studies originate from Karlsruhe and Quebec; however, 12760 locations worldwide are researching Daratumumab."

Answered by AI

What are some common indications for Daratumumab?

"Daratumumab is frequently used to treat biological response modifiers. However, it can also be given as a course of treatment for refractory multiple myeloma, relapsed or refractory multiple myeloma, and cell transplants."

Answered by AI

Has Daratumumab been cleared by the FDA?

"There is some data suggesting that Daratumumab is safe, but none to support its efficacy. Our team has given it a score of 2."

Answered by AI

How many individuals are taking part in this research project?

"That is correct. The clinical trial was posted on 30 July 2020 and is currently recruiting patients for the study. Last edited on 21 December 2021, the study plans to enroll 24 individuals at a single location."

Answered by AI
~0 spots leftby Apr 2025