Multiple MyelomaPhase 2TAURUSNCT06189833
Phase 2 Study Applying MRD Techniques for Participants With Previously Untreated Multiple Myeloma Treated With D-VRd Prior To and After High-dose Therapy Followed by ASCT - TAURUS
A Phase 2 study testing Daratumumab, Bortezomib and Lenalidomide in people with Multiple Myeloma, run by Stichting European Myeloma Network at 31 sites in 5 countries.
Trial summary
This is a multicenter, single arm, open-label, Phase 2 study in mutiple myeloma with newly diagnosed and treatment-naïve participants for whom high-dose therapy and autologous stem cell transplantation is part of the intended treatment plan. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Multiple Myeloma
- What is being tested?
- Daratumumab, Bortezomib and Lenalidomide
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 200 participants
- Where
- 31 sitesin 5 countries
- Study dates
- 23 Nov 2023to Dec 2025
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 18 to 70 years of age, inclusive.
- Must have a new diagnosis of MM as per IMWG criteria.
- Measurable disease
- Newly diagnosed and treatment-naïve participants for whom high-dose therapy and autologous stem cell transplantation is part of the intended treatment plan.
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1, or 2.
- Clinical laboratory values meeting the required criteria during screening and ≤3 days prior to receiving first study treatment dose.
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- Adequate bone marrow function.
- Adequate liver function.
- Adequate renal function.
- A female of childbearing potential (FOCBP) must have two negative serum or urine pregnancy tests at screening including within 24 hours of the start of study treatment.
- Willing to practicing at least 1 highly effective method of contraception starting 4 weeks prior to start of study treatment, while receiving study treatment including during any dose interruptions, and for at least 3 months after the last dose of any component of the study treatment.
Who cannot join
- Prior or current systemic therapy or ASCT for any plasma cell dyscrasia, with the exception of emergency use of a short course (equivalent of dexamethasone 40 mg/day for a maximum 4 days) of corticosteroids before treatment.
- History of allogenic stem cell transplantation or prior organ transplant requiring immunosuppressive therapy.
- Peripheral neuropathy or neuropathic pain Grade 2 or higher, as defined by the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.
- Myelodysplastic syndrome or any malignancy within 24 months of signing consent. The only exceptions are malignancies treated within the last 24 months that are considered completely cured.
- Plasmapheresis ≤28 days of approval.
- Radiation therapy for treatment of plasmacytoma ≤14 days of approval of enrollment.
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- Forced Expiratory Volume in 1 second (FEV1) <50% of predicted normal.
- Concurrent medical or psychiatric condition or disease.
- Myocardial infarction ≤6 months of enrollment, or an unstable or uncontrolled disease/condition related to or affecting cardiac function.
- Uncontrolled cardiac arrhythmia or clinically significant electrocardiogram (ECG) abnormalities.
- Allergy, hypersensitivity, or intolerance to boron or mannitol, corticosteroids, monoclonal antibodies or human proteins, or the excipients of daratumumab, lenalidomide, bortezomib or dexamethasone.
- Pregnant or breast-feeding females
Trial locations and contacts
31 sites in 5 countries.
31 sites in 5 countries
Italy14 sites, 14 recruiting
- Recruiting
AOU Ospedali Riuniti di Ancona
Ancona
Offidani
- Recruiting
ASST Papa Giovanni XXIII Hospital
Bergamo
Rambaldi
- Not yet recruiting
A.O.U. di Bologna - Policlinico S. Orsola Malpighi
Bologna
Zamagni
- Recruiting
A.O.Spedali Civili di Brescia
Brescia
Belotti
- Recruiting
A.O.U. Careggi - Firenze
Florence
Antonioli
- Not yet recruiting
A.O.U. Policlinico S. Martino - Ematologia
Genova
Aquino
Aquino
- Recruiting
Novara Hospital
Novara
Margiotta Casaluci
- Recruiting
Policlinico S. Matteo Fondazione IRCCS - Pavia
Pavia
Mangiacavalli
- Recruiting
AUSL-IRCCS di Reggio Emilia Arcispedale S. Maria Nuova
Reggio Emilia
Gamberi
- Recruiting
Ospedale "Infermi" di Rimini
Rimini
Tosi
- Recruiting
Ematologia IRCCS Casa Sollievo della Sofferenza San Giovanni Rotondo
San Giovanni Rotondo
Falcone
- Not yet recruiting
A.O. S. Santa Maria Hospital Institute of Oncohematology Terni
Terni
Liberati
- Recruiting
A.O.U. Città della Salute e della Scienza di Torino - SC Ematologia U
Torino, 10126
Mina
- Not yet recruiting
Ospedale S. Maria della Misericordia di Udine
Udine
Patriarca
Netherlands7 sites, 7 recruiting
- Not yet recruiting
Amsterdam Medical Center
Amsterdam
van der Donk
- Recruiting
Rijnstate
Arnhem
Van der Spek
- Not yet recruiting
Amphia ziekenhuis
Breda
van der Klift
van der Klift
- Not yet recruiting
University Medical Center Groningen
Groningen
Roeloffzen
- Recruiting
Dijklander ziekenhuis
Purmerend
Klerk
- Not yet recruiting
Erasmus University Medical Center Rotterdam
Rotterdam
Wester
- Recruiting
Maasstad Ziekenhuis
Rotterdam
Sprenger
Austria4 sites, 4 recruiting
- Not yet recruiting
Innsbruck Medical University
Innsbruck
Willenbacher
- Recruiting
Ordensklinikum Linz
Linz
Strassl
- Not yet recruiting
Clinic Ottakring
Vienna
Schreder
- Not yet recruiting
Medical University of Vienna
Vienna
Krauth
Greece4 sites, 4 recruiting
- Recruiting
University Hospital of Alexandroupolis
Alexandroupoli
Spanoudakis
- Recruiting
Alexandra General Hospital -Department of Clinical Therapeutics N.K. Univ. of Athens
Athens
Evangelos Terpos
- Recruiting
St Savvas Cancer Hospital
Athens
Pouli
- Recruiting
Theagenion Cancer Hospital
Thessaloniki
Katodritou
Germany2 sites, 2 recruiting
- Recruiting
Universitätsklinikum Hamburg - Eppendorf
Hamburg
Weisel
- Not yet recruiting
Klinikum rechts der Isar (MRI) der Technischen Universität München Department of Internal Medicine III (Hematology/Oncology) Munchen
München
Basserman
About this study
Official title: Phase 2 Study Applying Innovative Minimal Residual Disease (MRD) Techniques for Participants With Previously Untreated Multiple Myeloma Treated With D-VRd Prior To and After High-dose Therapy Followed by Autologous Stem Cell Transplantation (ASCT) - TAURUS
This is a multicenter, single arm, open-label, Phase 2 study in mutiple myeloma with newly diagnosed and treatment-naïve participants for whom high-dose therapy and autologous stem cell transplantation is part of the intended treatment plan. The study is evaluating a technique called Mass Spectrometry Minimal Residual Disease (MS-MRD) using blood samples and compares it with the minimal residual disease (MRD) technique using bone marrow samples.
- Conditions
- Multiple Myeloma
- Being tested
- Daratumumab, Bortezomib, Lenalidomide, Dexamethasone
- Keywords
- MS-MRD
- Medical subject headings
- Multiple Myeloma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DaratumumabDrug
Also called JNJ-54767414
Daratumumab will be administered via a subcutaneous injection (SC)
BortezomibDrug
Also called Velcade
Bortezomib will be administered via a subcutaneous injection (SC)
LenalidomideDrug
Lenalidomide will be administered orally
DexamethasoneDrug
Dexamethasone will be administered orally
| Study group | Role | What they receive |
|---|---|---|
| D-VRd + ASCT + DVRD | Experimental | Participants will receive daratumumab, bortezomib, lenalidomide and dexamethasone (DVRD) for 4 induction cycles prior to and 2 consolidation cycles following autologous stem cell transplantation.
Daratumumab subcutaneously (SC), 1800 mg on days 1, 8, 15 and 22 of cycle 1 and 2, on days 1 and 15 of cycle 3-6 Bortezomib SC 1.3mg/m2 on days 1, 8, 15, 22 of cycle 1-6 Lenalidomide orally 25 mg once daily on days 1-21 of cycle 1-6 Dexamethasone 20 mg once daily on days 1, 2, 8, 9, 15, 16, 22 and 23 of cycle 1-6 Receives: Drug: Daratumumab; Drug: Bortezomib; Drug: Lenalidomide; Drug: Dexamethasone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion (%) of agreement and disagreement in the MRD measurements in BM (by NGS-MRD) and in the MRD measurements in peripheral blood (by MS-MRD) at post-consolidation.
The proportion (%) of agreement will be defined as the total number of concordant cases (i.e., MRD-positive by both techniques, MRD-negative by both techniques) versus the total number of cases with available results.
Measured: Up to 12 months
Secondary outcomes (6)
Proportion (%) of agreement and disagreement in the MRD measurements in BM (by NGS-MRD) and in the MRD measurements in peripheral blood (by MS-MRD) at post-induction.
The proportion (%) of agreement will be defined as the total number of concordant cases (i.e., MRD-positive by both techniques, MRD-negative by both techniques) versus the total number of cases with available results.
Measured: Up to 4 months and 2 weeks
Proportion (%) of agreement and disagreement in the MRD measurements in BM (by NGF-MRD) and in the MRD measurements in peripheral blood (by MS-MRD) at post-induction and post-consolidation.
The proportion (%) of agreement will be defined as the total number of concordant cases (i.e., MRD-positive by both techniques, MRD-negative by both techniques) versus the total number of cases with available results.
Measured: Up to 12 months
Proportion (%) of agreement and disagreement in the MRD measurements in BM by NGF-MRD and NGS-MRD at post-induction and post-consolidation.
The proportion (%) of agreement will be defined as the total number of concordant cases (i.e., MRD-positive by both techniques, MRD-negative by both techniques) versus the total number of cases with available results.
Measured: Up to 12 months
MRD negativity rate BM-MRD and PB-MRD
To evaluate the MRD negativity rate achieved at any time up to the end of consolidation with BM based MRD techniques and with the MS-MRD technique
Measured: Up to 12 months
ORR, VGPR or better, CR or better, sCR at post-induction, post-transplant, post-consolidation and overall.
ORR will be defined as the percentage of participants achieving confirmed PR or better (i.e., PR+VGPR+CR+sCR). The number and percentage of participants achieving ORR, VGPR or better, CR or better and sCR will be presented, post-induction, post-consolidation, post-transplant and overall.
Measured: Up to 12 months
Effect of cytogenetic abnormalities (presence or not), R-ISS (1, 2 or 3), CTCs (number of cells per ml) on likelihood to develop MRD-negative disease (with MS, NGS and NGF) and the agreement between the different techniques.
Binary logistic regression will be used to identify factors associated with post-induction and post-consolidation MRD status (negative or positive) (as defined with NGS-MRD; NGF-MRD; MS-MRD; the most conservative method), in the MRD-evaluable Analysis Set. Odds ratios and respective 95% CIs will be estimated from univariable and multivariable models.
Measured: Up to 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jan 2024
- Study start23 Nov 2023
- Primary completionDec 2024 (estimated)
- Study completionDec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple MyelomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Stichting European Myeloma Network
- Sponsor type
- Research network
- Collaborators
- Janssen Pharmaceutica
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06189833
- Sponsor's protocol ID
- EMN33/54767414MMY2089
- Acronym
- TAURUS
- Status last verified
- Apr 2024
- First submitted
- 27 Nov 2023
- Last updated
- 23 Apr 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Apr 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase 2 Study Applying Innovative Minimal Residual Disease (MRD) Techniques for Participants With Previously Untreated Multiple Myeloma Treated With D-VRd Prior To and After High-dose Therapy Followed by Autologous Stem Cell Transplantation (ASCT) - TAURUS
- ClinicalTrials.gov ID
- NCT06189833
- Acronym / sponsor ID
- TAURUS / EMN33/54767414MMY2089
- Conditions
- Multiple Myeloma
- Keywords
- MS-MRD
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 200 participants (estimated)
- Lead sponsor
- Stichting European Myeloma NetworkResearch network
- Collaborators
- Janssen Pharmaceutica
- Study start
- 23 Nov 2023 (actual)
- Primary completion
- Dec 2024 (estimated)
- Study completion
- Dec 2025 (estimated)
- First posted
- 5 Jan 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicenter, single arm, open-label, Phase 2 study in mutiple myeloma with newly diagnosed and treatment-naïve participants for whom high-dose therapy and autologous stem cell transplantation is part of the intended treatment plan. The study is evaluating a technique called Mass Spectrometry Minimal Residual Disease (MS-MRD) using blood samples and compares it with the minimal residual disease (MRD) technique using bone marrow samples.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| D-VRd + ASCT + DVRD | Experimental | Drug: Daratumumab, Drug: Bortezomib, Drug: Lenalidomide, Drug: DexamethasoneParticipants will receive daratumumab, bortezomib, lenalidomide and dexamethasone (DVRD) for 4 induction cycles prior to and 2 consolidation cycles following autologous stem cell transplantation. Daratumumab subcutaneously (SC), 1800 mg on days 1, 8, 15 and 22 of cycle 1 and 2, on days 1 and 15 of cycle 3-6 Bortezomib SC 1.3mg/m2 on days 1, 8, 15, 22 of cycle 1-6 Lenalidomide orally 25 mg once daily on days 1-21 of cycle 1-6 Dexamethasone 20 mg once daily on days 1, 2, 8, 9, 15, 16, 22 and 23 of cycle 1-6 |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- 18 to 70 years of age, inclusive.
- Must have a new diagnosis of MM as per IMWG criteria.
- Measurable disease
- Newly diagnosed and treatment-naïve participants for whom high-dose therapy and autologous stem cell transplantation is part of the intended treatment plan.
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1, or 2.
Key exclusion criteria (12 listed)
- Prior or current systemic therapy or ASCT for any plasma cell dyscrasia, with the exception of emergency use of a short course (equivalent of dexamethasone 40 mg/day for a maximum 4 days) of corticosteroids before treatment.
- History of allogenic stem cell transplantation or prior organ transplant requiring immunosuppressive therapy.
- Peripheral neuropathy or neuropathic pain Grade 2 or higher, as defined by the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.
- Myelodysplastic syndrome or any malignancy within 24 months of signing consent. The only exceptions are malignancies treated within the last 24 months that are considered completely cured.
- Plasmapheresis ≤28 days of approval.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DaratumumabAlso: JNJ-54767414Daratumumab will be administered via a subcutaneous injection (SC) | Drug | D-VRd + ASCT + DVRD |
| BortezomibAlso: VelcadeBortezomib will be administered via a subcutaneous injection (SC) | Drug | D-VRd + ASCT + DVRD |
| LenalidomideLenalidomide will be administered orally | Drug | D-VRd + ASCT + DVRD |
| DexamethasoneDexamethasone will be administered orally | Drug | D-VRd + ASCT + DVRD |
Primary outcome
Proportion (%) of agreement and disagreement in the MRD measurements in BM (by NGS-MRD) and in the MRD measurements in peripheral blood (by MS-MRD) at post-consolidation.
Time frame: Up to 12 months
The proportion (%) of agreement will be defined as the total number of concordant cases (i.e., MRD-positive by both techniques, MRD-negative by both techniques) versus the total number of cases with available results.
6 secondary outcomes
Proportion (%) of agreement and disagreement in the MRD measurements in BM (by NGS-MRD) and in the MRD measurements in peripheral blood (by MS-MRD) at post-induction.
Time frame: Up to 4 months and 2 weeks
Proportion (%) of agreement and disagreement in the MRD measurements in BM (by NGF-MRD) and in the MRD measurements in peripheral blood (by MS-MRD) at post-induction and post-consolidation.
Time frame: Up to 12 months
Proportion (%) of agreement and disagreement in the MRD measurements in BM by NGF-MRD and NGS-MRD at post-induction and post-consolidation.
Time frame: Up to 12 months
MRD negativity rate BM-MRD and PB-MRD
Time frame: Up to 12 months
ORR, VGPR or better, CR or better, sCR at post-induction, post-transplant, post-consolidation and overall.
Time frame: Up to 12 months
Effect of cytogenetic abnormalities (presence or not), R-ISS (1, 2 or 3), CTCs (number of cells per ml) on likelihood to develop MRD-negative disease (with MS, NGS and NGF) and the agreement between the different techniques.
Time frame: Up to 12 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Apr 2024.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
31 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Daratumumab, Bortezomib and Lenalidomide in people with Multiple Myeloma, run by Stichting European Myeloma Network at 31 sites in 5 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 23 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 31 sites in Italy, Netherlands, Austria, Greece, Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Rosita Ghiraw-Visser (+31 10 703 31 23, rosita.ghiraw@emn.org), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion (%) of agreement and disagreement in the MRD measurements in BM (by NGS-MRD) and in the MRD measurements in peripheral blood (by MS-MRD) at post-consolidation. (time frame: Up to 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Apr 2024.