a study of velcade (bortezomib) melphalan-prednisone (vmp) compared to daratumumab in combination with vmp (d-vmp), in participants with previously untreated multiple myeloma who are ineligible for high-dose therapy (asia pacific region)

Conditions: Multiple Myeloma

Summary: the purpose of this study is to determine if the addition of daratumumab to velcade-melphalan-prednisone (vmp) will improve very good partial response (vgpr) or better compared with vmp alone.


Eligibility criteria:
inclusion criteria: * documented multiple myeloma satisfying the calcium elevation, renal insufficiency, anemia, and bone abnormalities (crab) diagnostic criteria, monoclonal plasma cells in the bone marrow greater than or equal to (\>=) 10 percent (%) or presence of a biopsy proven plasmacytomas, and measurable secretory disease, as assessed by the central laboratory, and defined in protocol * newly diagnosed and not considered candidate for high-dose chemotherapy with stem cell transplantation (sct) due to: being age \>= 65 years, or in participants less than (\<) 65 years: presence of important comorbid conditions likely to have a negative impact on tolerability of high dose chemotherapy with stem cell transplantation * eastern cooperative oncology group (ecog) performance status score of 0, 1, or 2 * meet the clinical laboratory criteria as specified in the protocol * a woman of childbearing potential must have a negative serum or urine pregnancy tests at screening within 14 days prior to randomization exclusion criteria: * primary amyloidosis, monoclonal gammopathy of undetermined significance, or smoldering multiple myeloma * waldenstrom's disease, or other conditions in which immunoglobulin m (igm) m-protein is present in the absence of a clonal plasma cell infiltration with lytic bone lesions * prior or current systemic therapy or sct for multiple myeloma, with the exception of an emergency use of a short course (equivalent of dexamethasone 40 milligram per day (mg/day) for 4 days) of corticosteroids before treatment * 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 4.03 * history of malignancy (other than multiple myeloma) within 3 years before the date of randomization (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix, or malignancy that in the opinion of the investigator, with concurrence with the sponsor's medical monitor, is considered cured with minimal risk of recurrence within 3 years) * radiation therapy within 14 days of randomization * seropositive for hepatitis b (defined by a positive test for hepatitis b surface antigen \[hbsag\]). participants with resolved infection (that is, participants who are hbsag negative but positive for antibodies to hepatitis b core antigen \[anti-hbc\] and/or antibodies to hepatitis b surface antigen \[anti-hbs\]) must be screened using real-time polymerase chain reaction (pcr) measurement of hepatitis b virus (hbv) deoxyribonucleic acid (dna) levels. those who are pcr positive will be excluded. exception: participants with serologic findings suggestive of hbv vaccination (anti-hbs positivity as the only serologic marker) and a known history of prior hbv vaccination, do not need to be tested for hbv dna by pcr