a study to determine the safety and efficacy for the combination of durvalumab and daratumumab in relapsed and refractory multiple myeloma

Conditions: Multiple Myeloma

Summary: this is an open-label, multicenter study to confirm the safety and efficacy of durvalumab + daratumumab (d2) in subjects with relapsed and refractory multiple myeloma. this study will also explore the safety and efficacy of the addition of pomalidomide + dexamethasone to durvalumab + daratumumab (pd3). on 05 sep 2017, a partial clinical hold was placed on this study by the united states (us) food and drug administration (fda). the decision by the fda was based on data related to risks of anti-programmed cell death-1 (pd-1) antibody, pembrolizumab, in combination with imids® immunomodulatory drugs in patients with multiple myeloma. as a result, enrollment into this study has been discontinued. subjects who are receiving clinical benefit, based on the discretion of the investigator, may remain on study treatment after being reconsented.


Eligibility criteria:
inclusion criteria: * must have measurable disease as defined by m-protein or serum free light chain. * must have failed last line of treatment (refractory to last line of treatment). * must have achieved at least a minimal response (mr) to at least 1 prior anti-myeloma regimen before developing pd (relapsed) * has performance status of 0, 1, or 2 on the eastern cooperative oncology group (ecog) performance scale * must be at least 18 years of age exclusion criteria: * has non-secretory multiple myeloma * has had prior anti-myeloma therapy within 2 weeks prior to study day 1 * has received prior therapy with an anti-programmed cell death 1 receptor (anti-pd-1), antiprogrammed death-ligand 1 (anti-pd-l1), anti-pd-l2, anti-cd137, or anti-cytotoxic t-lymphocyte-associated antigen-4 (ctla-4) antibody (including ipilimumab or any other antibody or drug specifically targeting t-cell costimulation or checkpoint pathways). * has received prior treatment with daratumumab or other anti-cd38 therapies previously * has undergone prior organ or allogeneic hematopoetic stem cell transplantation * has received autologous stem cell transplantation (asct) within 12 weeks before the date of randomization. * has received prior treatment with a monoclonal antibody within 5 half-lives of study day 1 * has received investigational agents within 28 days or 5 half-lives (whichever is longer) of study day 1 * has received live, attenuated vaccine within 30 days prior to study day 1 * has chronic obstructive pulmonary disease (copd) with a forced expiratory volume in 1 second (fev1) 50% of predicted normal * has moderate or severe persistent asthma within the past 2 years or uncontrolled asthma of any classification. * is positive for human immunodeficiency virus (hiv), chronic or active hepatitis b or active hepatitis a or c * has a prior history of malignancies, other than mm, unless the subject has been free of the disease for ≥ 5 years (with the exception basal cell carcinoma of the skin, squamous cell carcinoma of the skin, carcinoma in situ of the cervix, carcinoma in situ of the breast, incidental histologic finding of prostate cancer \[t1a or t1b\] or prostate cancer that is curative) * has clinical evidence of central nervous system (cns) or pulmonary leukostasis, disseminated intravascular coagulation, or cns multiple myeloma * has clinically significant cardiac disease * is a female who is pregnant, nursing, or breastfeeding, or who intends to become pregnant during the participation in the study

Keywords: phase 2 open-label durvalumab daratumumab multiple myeloma relapsed and refractory (rrmm) fusion mm-003 pd-l1