Daratumumab (HuMax®-CD38) Safety Study in Multiple Myeloma

Sponsor
Janssen Research & Development, LLC (Industry)
Overall Status
Completed
CT.gov ID
NCT00574288
Collaborator
(none)
104
7
2
108.3
14.9
0.1

Study Details

Study Description

Brief Summary

Establishment of safety profile of HuMax-CD38 when given as monotherapy in participants with multiple myeloma relapsed from or refractory to at least 2 different cytoreductive therapies and without further established treatment options.

Condition or Disease Intervention/Treatment Phase
  • Drug: Part 1: Daratumumab
  • Drug: Part 2: Daratumumab
  • Other: Methylprednisolone
  • Other: Dexamethasone
Phase 2

Detailed Description

This study is conducted in two parts. In part I, participants are enrolled into cohorts at increasing dose levels. Participant safety and efficacy during part I will determine the doses used for Part II. In part II participants will be enrolled into one of two sequential treatment arms using two of the doses defined in part 1 of the study. Part II was 5 cohorts, 3 with 8 milligram per kilogram (mg/kg) and 2 with 16 mg/kg. Part I and all but the last cohort in Part II were dosed with Phase 1/ 2 drug product. The last cohort in Part II was dosed with Phase 3 drug product. Both Part I and Part II are open-label/unmasked.

Study Design

Study Type:
Interventional
Actual Enrollment :
104 participants
Allocation:
Non-Randomized
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Daratumumab (HuMax®-CD38) Safety Study in Multiple Myeloma - Open Label, Dose-escalation Followed by Open Label, Single-arm Study
Actual Study Start Date :
Mar 26, 2008
Actual Primary Completion Date :
Jan 9, 2015
Actual Study Completion Date :
Apr 3, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Dose Escalation: Daratumumab

Drug: Part 1: Daratumumab
First participant will receive intravenous (injection of a substance into a vein) 0.005 milligram per kilogram (mg/kg) (planned dose) infusion of daratumumab and other participants will receive different doses. The participants will receive 7 full infusions of daratumumab and 2 predose infusions every 2 weeks. The dose of daratumumab will be escalated sequentially and considering the safety and efficacy of dose in Part 1, dose for Part 2 of the study will be decided. A predose infusion of 10% of the full dose of daratumumab will be administered a day before the first 2 full infusions.
Other Names:
  • HuMax-CD38
  • Other: Methylprednisolone
    Pre-dose: Participants (part 1) will receive methylprednisolone 80 mg intravenous (IV) injection 30 minutes to 2 hours before treatment. Participants (part 2) will receive 100 mg methylprednisolone IV 60 minutes to 2 hours before treatment; if a patient experiences no significant infusion-related reactions, the dose of methylprednisolone may be decreased to 50 mg after Visit 4. Post-dose: All participants (part 1) will receive 40 mg methylprednisolone orally on the first and the second day after all full infusions. During Part 2, all participants will receive 20-25 mg methylprednisolone orally or equivalent on the first and second days after all full-dose infusions.

    Experimental: Dose Expansion: Daratumumab

    Drug: Part 2: Daratumumab
    In Part 2, the participants will receive dose of daratumumab as determined in part 1 (16 mg/kg) of the study. Participants will receive 8 full infusions at weekly intervals followed by biweekly (every 2 weeks) infusions for 16 additional weeks and monthly infusions until disease progression or unmanageable toxicity, whichever comes first. Predose was dropped at some point in Part 2. A predose infusion of 10 mg daratumumab will be administered on the day before the first full infusion in select cohorts.
    Other Names:
  • HuMax-CD38
  • Other: Methylprednisolone
    Pre-dose: Participants (part 1) will receive methylprednisolone 80 mg intravenous (IV) injection 30 minutes to 2 hours before treatment. Participants (part 2) will receive 100 mg methylprednisolone IV 60 minutes to 2 hours before treatment; if a patient experiences no significant infusion-related reactions, the dose of methylprednisolone may be decreased to 50 mg after Visit 4. Post-dose: All participants (part 1) will receive 40 mg methylprednisolone orally on the first and the second day after all full infusions. During Part 2, all participants will receive 20-25 mg methylprednisolone orally or equivalent on the first and second days after all full-dose infusions.

    Other: Dexamethasone
    Participants (Part 2) will receive 20 mg dexamethasone intravenous (IV) injection pre-dose, on the first and second days after every full-dose infusions.

    Outcome Measures

    Primary Outcome Measures

    1. Number of Participants With Adverse Events [Up to Week 28 (for Part 1) and up to approximately 2.5 years (for Part 2)]

      An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

    Secondary Outcome Measures

    1. Overall Response Rate [Up to Week 28 (for Part 1) and Week 27 (for Part 2)]

      Overall response defined as percentage of participants who achieved stringent complete response (sCR), complete response (CR), very good partial response (VGPR) or partial response (PR). Per IMWG criteria, sCR: is defined as normal free light chain (FLC) ratio, and absence of clonal plasma cells (PCs) by immunohistochemistry, immunofluorescence or 2- to 4-color flow cytometry; CR: Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and < 5 % plasma cells in bone marrow; VGPR: Serum and urine M-protein detectable by immunofixation but not on electrophoresis or >= 90% reduction in serum M-protein plus urine M-protein level < 100mg/24 hours; PR: >= 50 % reduction of serum M-protein and reduction in 24 hour urinary M-protein by >= 90% or to <200 mg/24 hours; if the serum and urine M-protein are not measurable, a decrease of >=50% in the difference between involved and uninvolved FLC levels is required in place of the M-protein criteria.

    2. Part 1: Time to Response [Up to Week 28]

      Time to first response was defined as the time from the date of first dose of daratumumab to the date of initial documentation of a response (PR or better). Time to best response was defined as the time between the date of first dose of daratumumab and the date of the initial evaluation of the best response (PR or better) to treatment. Kaplan-Meier method was used to estimate the distribution of time to response and time to best response.

    3. Part 2: Time to Progression (TTP) [Up to Week 27]

      TTP was defined as the number of days from the date of first infusion (Day 1) to the date of first record of disease progression. Disease progression (IMWG criteria): increase of 25 percent (%) from lowest response level in Serum M-component and/or (the absolute increase must be >=0.5 g/dL); urine M-component and/or (the absolute increase must be >=200 mg/24 hour; only in participants without measurable serum and urine M-protein levels: the difference between involved and uninvolved free light chain levels (absolute increase must be >10 mg/dL); Development of hypercalcemia (corrected serum calcium >11.5 mg/dL or 2.65 mmol/L) that can be attributed solely to the plasma cell proliferative disorder. Median TTP was estimated by using the Kaplan-Meier method.

    4. Part 2: Duration of Response as Assessed Using the Method of Kaplan-Meier [Up to Week 27]

      Duration of response was calculated from the date of initial documentation of a response (PR or better) to the date of first documented evidence of progressive disease, as defined in the International Myeloma Working Group (IMWG) criteria.

    5. Part 2: Progression-Free Survival [Up to Week 27]

      Progression free survival (PFS) was defined as the time between the date of first dose of daratumumab and either disease progression or death, whichever occurs first.

    6. Part 2: Time to Response [Up to Week 27]

      Time to first response was defined as the time from the date of first dose of daratumumab to the date of initial documentation of a response (PR or better). Time to best response was defined as the time between the date of first dose of daratumumab and the date of the initial evaluation of the best response (PR or better) to treatment. Time to VGPR (very good partial response) was defined as the time from the date of first dose of daratumumab to the date of initial documentation of VGPR response. The Kaplan-Meier method was used to estimate time to response.

    7. Part 2: Overall Survival [Approximately 3 years]

      Overall Survival (OS) was defined as the number of days from administration of the first infusion (Day 1) to date of death. Median Overall Survival was estimated by using the Kaplan-Meier method.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No

    Inclusion criteria

    • Diagnosis of multiple myeloma (MM) requiring systemic therapy

    • Age greater than or equal to (>=) 18 years

    • Eastern Cooperative Oncology Group (ECOG) performance status of 0-2

    • Life expectancy greater than (>) 3 months

    • Relapsed from or refractory to two or more different prior therapies

    • Signed Informed consent

    Exclusion criteria

    • Plasma cell leukemia defined as a plasma cell count > 2000/millimeter3 (mm3)

    • Known amyloidosis

    • Participants who previously have received an allogeneic stem cell transplant

    • Sensory or motor neuropathy of >= grade 3

    • Past or current malignancy

    • Chronic or ongoing active infectious disease

    • Clinically significant cardiac disease

    • Significant concurrent, uncontrolled medical condition including, but not limited to, renal (except related to MM), hepatic, hematological except MM, gastrointestinal, endocrine, pulmonary, neurological, cerebral or psychiatric disease

    • A baseline QT interval as corrected by Fridericia's formula > 470 millisecond (msec) for female participants or > 450 msec for male participants or a complete left bundle branch block (defined as a QRS interval >= 120 msec in left bundle branch block form)

    • Hypokalemia

    • Clinical signs of meningeal involvement of MM

    • Known severe chronic obstructive pulmonary disease or asthma defined as forced expiratory volume in 1 second (FEV1) less than (<) 60 percentage (%) of expected

    • History of significant cerebrovascular disease

    • Known Human Immunodeficiency Virus seropositivity

    • Positive serology for hepatitis B

    • Screening laboratory values

    • Concomitant corticosteroid

    • Other chemotherapy that is or may be active against myeloma within 3 weeks prior to Visit 2 (Part 1) or the first dose of daratumumab (Part 2). However, corticosteroid for myeloma (less than a 4-day course) could be administered within 1 week before Visit 2 (Part 1) or the first dose of daratumumab (Part 2)

    • Known hypersensitivity to components of the investigational product or severe allergic or anaphylactic reactions to humanized products

    • Participants who have received treatment with any nonmarket drug substance within 4 weeks before the first dose of daratumumab

    • Current participation in any other interventional clinical trial

    • Participants known or suspected of not being able to comply with a trial protocol (example, due to alcoholism, drug dependency, or psychological disorder)

    • Breastfeeding women or women with a positive pregnancy test at Screening

    • Women of childbearing potential not willing to use adequate contraception, defined as hormonal birth control or intrauterine device, during the trial and for 1 year after the last dose of daratumumab. For participants in the United States, the use of a double-barrier method is also considered adequate

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Boston Massachusetts United States
    2 Copenhagen Ø Denmark
    3 Vejle Denmark
    4 Amsterdam Netherlands
    5 Utrecht Netherlands
    6 Huddinge Sweden
    7 Lund Sweden

    Sponsors and Collaborators

    • Janssen Research & Development, LLC

    Investigators

    • Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Janssen Research & Development, LLC
    ClinicalTrials.gov Identifier:
    NCT00574288
    Other Study ID Numbers:
    • CR101876
    • GEN501
    • DARA-GEN501
    • 2007-003783-22
    First Posted:
    Dec 17, 2007
    Last Update Posted:
    Apr 27, 2018
    Last Verified:
    Mar 1, 2018
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Janssen Research & Development, LLC
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Part 1 - <4 mg/kg Part 1 - 4 mg/kg Part 1 - 8 mg/kg Part 1 - 16 mg/kg Part 1 - 24 mg/kg Part 2 - 8 mg/kg Part 2 - 16 mg/kg
    Arm/Group Description Participants were administered with 7 full intravenous (IV) infusion of 0.005, 0.05, 0.1, 0.5, 1 and 2 milligram per kilogram body weight (mg/kg) daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 4 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 8 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 16 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 24 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 8 full IV infusions of 8 mg/kg daratumumab once weekly for 8 weeks, then every 2 weeks (q2w) for 16 weeks, then every 4 weeks (q4w) until the participant experienced disease progression or unmanageable toxicity whichever came first, along with this participants also received methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab once weekly for 7 weeks, then every 2 weeks (q2w) for 14 weeks, then every 4 weeks (q4w) until the participant experienced disease progression or unmanageable toxicity whichever came first, along with this participants also received methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period.
    Period Title: Overall Study
    STARTED 20 3 3 3 3 30 42
    COMPLETED 0 0 0 1 1 4 14
    NOT COMPLETED 20 3 3 2 2 26 28

    Baseline Characteristics

    Arm/Group Title Part 1 - <4 mg/kg Part 1 - 4 mg/kg Part 1 - 8 mg/kg Part 1 - 16 mg/kg Part 1 - 24 mg/kg Part 2 - 8 mg/kg Part 2 - 16 mg/kg Total
    Arm/Group Description Participants were administered with 7 full intravenous (IV) infusion of 0.005, 0.05, 0.1, 0.5, 1 and 2 milligram per kilogram body weight (mg/kg) daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 4 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 8 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 16 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 24 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 8 full IV infusions of 8 mg/kg daratumumab once weekly for 8 weeks, then every 2 weeks (q2w) for 16 weeks, then every 4 weeks (q4w) until the participant experienced disease progression or unmanageable toxicity whichever came first, along with this participants also received methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab once weekly for 7 weeks, then every 2 weeks (q2w) for 14 weeks, then every 4 weeks (q4w) until the participant experienced disease progression or unmanageable toxicity whichever came first, along with this participants also received methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Total of all reporting groups
    Overall Participants 20 3 3 3 3 30 42 104
    Age (Count of Participants)
    <=18 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Between 18 and 65 years
    11
    55%
    2
    66.7%
    2
    66.7%
    3
    100%
    2
    66.7%
    21
    70%
    22
    52.4%
    63
    60.6%
    >=65 years
    9
    45%
    1
    33.3%
    1
    33.3%
    0
    0%
    1
    33.3%
    9
    30%
    20
    47.6%
    41
    39.4%
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    61.8
    (9.24)
    64
    (2)
    61.3
    (6.11)
    53
    (1.73)
    59
    (9.54)
    58.6
    (10.05)
    63.8
    (8.27)
    61.4
    (9)
    Sex: Female, Male (Count of Participants)
    Female
    7
    35%
    2
    66.7%
    0
    0%
    0
    0%
    0
    0%
    9
    30%
    15
    35.7%
    33
    31.7%
    Male
    13
    65%
    1
    33.3%
    3
    100%
    3
    100%
    3
    100%
    21
    70%
    27
    64.3%
    71
    68.3%
    Region of Enrollment (Count of Participants)
    Denmark
    11
    55%
    1
    33.3%
    2
    66.7%
    2
    66.7%
    0
    0%
    5
    16.7%
    9
    21.4%
    30
    28.8%
    Netherlands
    4
    20%
    2
    66.7%
    1
    33.3%
    1
    33.3%
    2
    66.7%
    14
    46.7%
    8
    19%
    32
    30.8%
    Sweden
    5
    25%
    0
    0%
    0
    0%
    0
    0%
    1
    33.3%
    5
    16.7%
    11
    26.2%
    22
    21.2%
    United States
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    6
    20%
    14
    33.3%
    20
    19.2%
    No. of Prior Lines of Therapy (Count of Participants)
    <= 3 Lines
    2
    10%
    2
    66.7%
    0
    0%
    0
    0%
    0
    0%
    6
    20%
    16
    38.1%
    26
    25%
    > 3 Lines
    18
    90%
    1
    33.3%
    3
    100%
    3
    100%
    3
    100%
    24
    80%
    26
    61.9%
    78
    75%
    Refractory to proteasome inhibitor (PI)/immunomodulatory agent (IMiD) (Count of Participants)
    Both a PI and IMiD
    0
    0%
    2
    66.7%
    3
    100%
    1
    33.3%
    2
    66.7%
    19
    63.3%
    27
    64.3%
    54
    51.9%
    PI only
    0
    0%
    1
    33.3%
    0
    0%
    0
    0%
    0
    0%
    2
    6.7%
    3
    7.1%
    6
    5.8%
    IMiD only
    0
    0%
    0
    0%
    0
    0%
    1
    33.3%
    1
    33.3%
    6
    20%
    4
    9.5%
    12
    11.5%
    None
    20
    100%
    0
    0%
    0
    0%
    1
    33.3%
    0
    0%
    3
    10%
    8
    19%
    32
    30.8%

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants With Adverse Events
    Description An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.
    Time Frame Up to Week 28 (for Part 1) and up to approximately 2.5 years (for Part 2)

    Outcome Measure Data

    Analysis Population Description
    All-Treated Analysis Set included all enrolled participants who received at least 1 dose of study drug.
    Arm/Group Title Part 1: Daratumumab Less Than (<) 4 mg/kg Part 1: Daratumumab 4 mg/kg Part 1:Daratumumab 8 mg/kg Part 1: Daratumumab 16 mg/kg Part 1:Daratumumab 24 mg/kg Part 2: Daratumumab 8 mg/kg Part 2: Daratumumab 16 mg/kg
    Arm/Group Description Participants were administered with 7 full intravenous (IV) infusion of 0.005, 0.05, 0.1, 0.5, 1 and 2 milligram per kilogram body weight (mg/kg) daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 4 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 8 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab every 2 week (q2w) for 14 weeks, then every 4 weeks (q4w), along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 24 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 8 full IV infusions of 8 mg/kg daratumumab once weekly for 8 weeks, then every 2 weeks (q2w) for 16 weeks, then every 4 weeks (q4w) until the participant experienced disease progression or unmanageable toxicity whichever came first, along with this participants also received methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab once weekly for 7 weeks, then every 2 weeks (q2w) for 14 weeks, then every 4 weeks (q4w) until the participant experienced disease progression or unmanageable toxicity whichever came first, along with this participants also received methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period.
    Measure Participants 20 3 3 3 3 30 42
    Number [participants]
    19
    95%
    3
    100%
    3
    100%
    3
    100%
    3
    100%
    30
    100%
    41
    97.6%
    2. Secondary Outcome
    Title Overall Response Rate
    Description Overall response defined as percentage of participants who achieved stringent complete response (sCR), complete response (CR), very good partial response (VGPR) or partial response (PR). Per IMWG criteria, sCR: is defined as normal free light chain (FLC) ratio, and absence of clonal plasma cells (PCs) by immunohistochemistry, immunofluorescence or 2- to 4-color flow cytometry; CR: Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and < 5 % plasma cells in bone marrow; VGPR: Serum and urine M-protein detectable by immunofixation but not on electrophoresis or >= 90% reduction in serum M-protein plus urine M-protein level < 100mg/24 hours; PR: >= 50 % reduction of serum M-protein and reduction in 24 hour urinary M-protein by >= 90% or to <200 mg/24 hours; if the serum and urine M-protein are not measurable, a decrease of >=50% in the difference between involved and uninvolved FLC levels is required in place of the M-protein criteria.
    Time Frame Up to Week 28 (for Part 1) and Week 27 (for Part 2)

    Outcome Measure Data

    Analysis Population Description
    All-Treated Analysis Set included all enrolled participants who received at least 1 dose of study drug. For Part 1, only participants treated with >= 4 mg/kg daratumumab were used for efficacy analyses and less than (<) 4 mg/kg doses were considered under the therapeutic levels.
    Arm/Group Title Part 1: Daratumumab 4 mg/kg Part 1:Daratumumab 8 mg/kg Part 1: Daratumumab 16 mg/kg Part 1:Daratumumab 24 mg/kg Part 2: Daratumumab 8 mg/kg Part 2: Daratumumab 16 mg/kg
    Arm/Group Description Participants were administered with 7 full IV infusion of 4 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 8 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab every 2 week (q2w) for 14 weeks, then every 4 weeks (q4w), along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 24 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 8 full IV infusions of 8 mg/kg daratumumab once weekly for 8 weeks, then every 2 weeks (q2w) for 16 weeks, then every 4 weeks (q4w) until the participant experienced disease progression or unmanageable toxicity whichever came first, along with this participants also received methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab once weekly for 7 weeks, then every 2 weeks (q2w) for 14 weeks, then every 4 weeks (q4w) until the participant experienced disease progression or unmanageable toxicity whichever came first, along with this participants also received methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period.
    Measure Participants 3 3 3 3 30 42
    Number (95% Confidence Interval) [percentage of participants]
    33.3
    166.5%
    0
    0%
    33.3
    1110%
    66.7
    2223.3%
    10.0
    333.3%
    35.7
    119%
    3. Secondary Outcome
    Title Part 1: Time to Response
    Description Time to first response was defined as the time from the date of first dose of daratumumab to the date of initial documentation of a response (PR or better). Time to best response was defined as the time between the date of first dose of daratumumab and the date of the initial evaluation of the best response (PR or better) to treatment. Kaplan-Meier method was used to estimate the distribution of time to response and time to best response.
    Time Frame Up to Week 28

    Outcome Measure Data

    Analysis Population Description
    All-Treated Analysis Set included all enrolled participants who received at least 1 dose of study drug. For Part 1, only participants treated with >= 4 mg/kg daratumumab were used for efficacy analyses and less than (<) 4 mg/kg doses were considered under the therapeutic levels.
    Arm/Group Title Part 1: Daratumumab 4 mg/kg Daratumumab 8 mg/kg Daratumumab 16 mg/kg Part 1:Daratumumab 24 mg/kg
    Arm/Group Description Participants were administered with 7 full IV infusion of 4 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 8 mg/kg daratumumab weekly once for 8 weeks, then every 2 week (q2w) for 16 weeks, then every 4 weeks (q4w) for up to 72 weeks or until the subject experienced disease progression or unmanageable toxicity, whichever came first (possible duration of treatment: 96 weeks). Along with participants received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab once weekly for 7 weeks, then every 2 week (q2w) for 14 weeks, then every 4 weeks (q4w) for up to 72 weeks or until the subject experienced disease progression or unmanageable toxicity, whichever came first (possible duration of treatment: 96 weeks). Along with participants received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 24 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period.
    Measure Participants 3 3 3 3
    Time to first response
    NA
    NA
    8.4
    1.9
    Time to best response
    NA
    NA
    8.4
    1.9
    4. Secondary Outcome
    Title Part 2: Time to Progression (TTP)
    Description TTP was defined as the number of days from the date of first infusion (Day 1) to the date of first record of disease progression. Disease progression (IMWG criteria): increase of 25 percent (%) from lowest response level in Serum M-component and/or (the absolute increase must be >=0.5 g/dL); urine M-component and/or (the absolute increase must be >=200 mg/24 hour; only in participants without measurable serum and urine M-protein levels: the difference between involved and uninvolved free light chain levels (absolute increase must be >10 mg/dL); Development of hypercalcemia (corrected serum calcium >11.5 mg/dL or 2.65 mmol/L) that can be attributed solely to the plasma cell proliferative disorder. Median TTP was estimated by using the Kaplan-Meier method.
    Time Frame Up to Week 27

    Outcome Measure Data

    Analysis Population Description
    All-Treated Analysis Set included all enrolled participants who received at least 1 dose of study drug.
    Arm/Group Title Daratumumab 8 mg/kg Daratumumab 16 mg/kg
    Arm/Group Description Participants were administered with 8 mg/kg daratumumab weekly once for 8 weeks, then every 2 week (q2w) for 16 weeks, then every 4 weeks (q4w) for up to 72 weeks or until the subject experienced disease progression or unmanageable toxicity, whichever came first (possible duration of treatment: 96 weeks). Along with methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab once weekly for 7 weeks, then every 2 week (q2w) for 14 weeks, then every 4 weeks (q4w) for up to 72 weeks or until the subject experienced disease progression or unmanageable toxicity, whichever came first (possible duration of treatment: 96 weeks). Along with methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period.
    Measure Participants 30 42
    Median (95% Confidence Interval) [months]
    2.4
    5.6
    5. Secondary Outcome
    Title Part 2: Duration of Response as Assessed Using the Method of Kaplan-Meier
    Description Duration of response was calculated from the date of initial documentation of a response (PR or better) to the date of first documented evidence of progressive disease, as defined in the International Myeloma Working Group (IMWG) criteria.
    Time Frame Up to Week 27

    Outcome Measure Data

    Analysis Population Description
    Subset of All-Treated Analysis Set included those who had overall response in Part 2.
    Arm/Group Title Daratumumab 8 mg/kg Daratumumab 16 mg/kg
    Arm/Group Description Participants were administered with 8 mg/kg daratumumab weekly once for 8 weeks, then every 2 week (q2w) for 16 weeks, then every 4 weeks (q4w) for up to 72 weeks or until the subject experienced disease progression or unmanageable toxicity, whichever came first (possible duration of treatment: 96 weeks). Along with methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab once weekly for 7 weeks, then every 2 week (q2w) for 14 weeks, then every 4 weeks (q4w) for up to 72 weeks or until the subject experienced disease progression or unmanageable toxicity, whichever came first (possible duration of treatment: 96 weeks). Along with methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period.
    Measure Participants 3 15
    Median (Full Range) [months]
    6.9
    NA
    6. Secondary Outcome
    Title Part 2: Progression-Free Survival
    Description Progression free survival (PFS) was defined as the time between the date of first dose of daratumumab and either disease progression or death, whichever occurs first.
    Time Frame Up to Week 27

    Outcome Measure Data

    Analysis Population Description
    All-Treated Analysis Set included all enrolled participants who received at least 1 dose of study drug.
    Arm/Group Title Daratumumab 8 mg/kg Daratumumab 16 mg/kg
    Arm/Group Description Participants were administered with 8 mg/kg daratumumab weekly once for 8 weeks, then every 2 week (q2w) for 16 weeks, then every 4 weeks (q4w) for up to 72 weeks or until the subject experienced disease progression or unmanageable toxicity, whichever came first (possible duration of treatment: 96 weeks). Along with methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab once weekly for 7 weeks, then every 2 week (q2w) for 14 weeks, then every 4 weeks (q4w) for up to 72 weeks or until the subject experienced disease progression or unmanageable toxicity, whichever came first (possible duration of treatment: 96 weeks). Along with methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period.
    Measure Participants 30 42
    Median (95% Confidence Interval) [months]
    2.4
    5.6
    7. Secondary Outcome
    Title Part 2: Time to Response
    Description Time to first response was defined as the time from the date of first dose of daratumumab to the date of initial documentation of a response (PR or better). Time to best response was defined as the time between the date of first dose of daratumumab and the date of the initial evaluation of the best response (PR or better) to treatment. Time to VGPR (very good partial response) was defined as the time from the date of first dose of daratumumab to the date of initial documentation of VGPR response. The Kaplan-Meier method was used to estimate time to response.
    Time Frame Up to Week 27

    Outcome Measure Data

    Analysis Population Description
    All-Treated Analysis Set included all enrolled participants who received at least 1 dose of study drug. Here 'n' (Number of Participants Analyzed) signifies number of participants analyzed at specific time point.
    Arm/Group Title Daratumumab 8 mg/kg Daratumumab 16 mg/kg
    Arm/Group Description Participants were administered with 8 mg/kg daratumumab weekly once for 8 weeks, then every 2 week (q2w) for 16 weeks, then every 4 weeks (q4w) for up to 72 weeks or until the subject experienced disease progression or unmanageable toxicity, whichever came first (possible duration of treatment: 96 weeks). Along with methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab once weekly for 7 weeks, then every 2 week (q2w) for 14 weeks, then every 4 weeks (q4w) for up to 72 weeks or until the subject experienced disease progression or unmanageable toxicity, whichever came first (possible duration of treatment: 96 weeks). Along with methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period.
    Measure Participants 30 42
    Time to first response
    1.36
    (0.774)
    1.33
    (0.955)
    Time to best response
    1.36
    (0.774)
    2.46
    (2.800)
    Time to VGPR or better response
    0.49
    (0.000)
    8. Secondary Outcome
    Title Part 2: Overall Survival
    Description Overall Survival (OS) was defined as the number of days from administration of the first infusion (Day 1) to date of death. Median Overall Survival was estimated by using the Kaplan-Meier method.
    Time Frame Approximately 3 years

    Outcome Measure Data

    Analysis Population Description
    All-Treated Analysis Set included all enrolled participants who received at least 1 dose of study drug.
    Arm/Group Title Daratumumab 8 mg/kg Daratumumab 16 mg/kg
    Arm/Group Description Participants were administered with 8 mg/kg daratumumab weekly once for 8 weeks, then every 2 week (q2w) for 16 weeks, then every 4 weeks (q4w) for up to 72 weeks or until the subject experienced disease progression or unmanageable toxicity, whichever came first (possible duration of treatment: 96 weeks). Along with methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab once weekly for 7 weeks, then every 2 week (q2w) for 14 weeks, then every 4 weeks (q4w) for up to 72 weeks or until the subject experienced disease progression or unmanageable toxicity, whichever came first (possible duration of treatment: 96 weeks). Along with methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period.
    Measure Participants 30 42
    Median (95% Confidence Interval) [months]
    18.2
    34.3

    Adverse Events

    Time Frame Up to Week 28 (for Part 1) and approximately 2.5 years
    Adverse Event Reporting Description
    Arm/Group Title Part 1 - <4 mg/kg Part 1 - 4 mg/kg Part 1 - 8 mg/kg Part 1 - 16 mg/kg Part 1 - 24 mg/kg Part 2 - 8 mg/kg Part 2 - 16 mg/kg
    Arm/Group Description Participants were administered with 7 full intravenous (IV) infusion of 0.005, 0.05, 0.1, 0.5, 1 and 2 milligram per kilogram body weight (mg/kg) daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 4 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 8 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 16 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 7 full IV infusion of 24 mg/kg daratumumab once weekly, along with this participants also received methylprednisolone 80 mg IV injection before first 2 infusions and 40 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period. Participants were administered with 8 full IV infusions of 8 mg/kg daratumumab once weekly for 8 weeks, then every 2 weeks (q2w) for 16 weeks, then every 4 weeks (q4w) until the participant experienced disease progression or unmanageable toxicity whichever came first, along with this participants also received methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. Participants were administered with 8 full IV infusions of 16 mg/kg daratumumab once weekly for 7 weeks, then every 2 weeks (q2w) for 14 weeks, then every 4 weeks (q4w) until the participant experienced disease progression or unmanageable toxicity whichever came first, along with this participants also received methylprednisolone 100 mg IV before treatment and 20-25 mg methylprednisolone orally for 2 days after all full infusions. First 2 infusions were separated by 3 week washout period.
    All Cause Mortality
    Part 1 - <4 mg/kg Part 1 - 4 mg/kg Part 1 - 8 mg/kg Part 1 - 16 mg/kg Part 1 - 24 mg/kg Part 2 - 8 mg/kg Part 2 - 16 mg/kg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Part 1 - <4 mg/kg Part 1 - 4 mg/kg Part 1 - 8 mg/kg Part 1 - 16 mg/kg Part 1 - 24 mg/kg Part 2 - 8 mg/kg Part 2 - 16 mg/kg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 7/20 (35%) 0/3 (0%) 1/3 (33.3%) 2/3 (66.7%) 2/3 (66.7%) 12/30 (40%) 16/42 (38.1%)
    Blood and lymphatic system disorders
    Anaemia 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Neutropenia 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Thrombocytopenia 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Cardiac disorders
    Atrial Fibrillation 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Atrial Flutter 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Gastrointestinal disorders
    Abdominal Pain 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Nausea 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    General disorders
    Chest Pain 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Oedema Peripheral 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Pyrexia 1/20 (5%) 0/3 (0%) 1/3 (33.3%) 1/3 (33.3%) 0/3 (0%) 1/30 (3.3%) 2/42 (4.8%)
    Hepatobiliary disorders
    Hepatic Function Abnormal 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Immune system disorders
    Cytokine Release Syndrome 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Infections and infestations
    Bacteraemia 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Bacterial Sepsis 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Herpes Zoster 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 2/42 (4.8%)
    Influenza 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Metapneumovirus Infection 0/20 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Pneumonia 0/20 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 3/30 (10%) 3/42 (7.1%)
    Respiratory Syncytial Virus Infection 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Urinary Tract Infection 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/30 (0%) 0/42 (0%)
    Varicella 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Injury, poisoning and procedural complications
    Limb Traumatic Amputation 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Spinal Compression Fracture 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Investigations
    Blood Creatinine Increased 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Crossmatch Incompatible 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 3/42 (7.1%)
    Free Haemoglobin Present 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    International Normalised Ratio Increased 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Metabolism and nutrition disorders
    Hypokalaemia 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Hypomagnesaemia 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Musculoskeletal and connective tissue disorders
    Back Pain 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Bone Pain 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Osteoporotic Fracture 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Plasmacytoma 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Nervous system disorders
    Amnesia 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Transient Ischaemic Attack 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Vith Nerve Paralysis 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Psychiatric disorders
    Confusional State 0/20 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Respiratory, thoracic and mediastinal disorders
    Bronchospasm 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/30 (0%) 0/42 (0%)
    Other (Not Including Serious) Adverse Events
    Part 1 - <4 mg/kg Part 1 - 4 mg/kg Part 1 - 8 mg/kg Part 1 - 16 mg/kg Part 1 - 24 mg/kg Part 2 - 8 mg/kg Part 2 - 16 mg/kg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 19/20 (95%) 3/3 (100%) 3/3 (100%) 3/3 (100%) 3/3 (100%) 30/30 (100%) 41/42 (97.6%)
    Blood and lymphatic system disorders
    Anaemia 4/20 (20%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 3/42 (7.1%)
    Haemolysis 3/20 (15%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Leukopenia 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 4/42 (9.5%)
    Lymphopenia 2/20 (10%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Monocytopenia 2/20 (10%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Neutropenia 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 4/42 (9.5%)
    Thrombocytopenia 3/20 (15%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 2/30 (6.7%) 3/42 (7.1%)
    Cardiac disorders
    Palpitations 0/20 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Supraventricular Extrasystoles 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Tachycardia 2/20 (10%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Eye disorders
    Ocular Hyperaemia 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Vision Blurred 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 2/30 (6.7%) 5/42 (11.9%)
    Gastrointestinal disorders
    Abdominal Pain 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Aphthous Stomatitis 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 2/30 (6.7%) 0/42 (0%)
    Constipation 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 4/30 (13.3%) 4/42 (9.5%)
    Diarrhoea 1/20 (5%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 9/30 (30%) 6/42 (14.3%)
    Dry Mouth 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Dyspepsia 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 3/30 (10%) 1/42 (2.4%)
    Lip Oedema 0/20 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Mouth Ulceration 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Nausea 2/20 (10%) 1/3 (33.3%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 4/30 (13.3%) 10/42 (23.8%)
    Oesophagitis 0/20 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Stomatitis 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 3/30 (10%) 1/42 (2.4%)
    Vomiting 0/20 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 5/30 (16.7%) 2/42 (4.8%)
    General disorders
    Chest Discomfort 0/20 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 1/42 (2.4%)
    Chest Pain 2/20 (10%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 5/42 (11.9%)
    Chills 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 3/30 (10%) 5/42 (11.9%)
    Fatigue 2/20 (10%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 13/30 (43.3%) 19/42 (45.2%)
    Influenza Like Illness 3/20 (15%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 1/30 (3.3%) 1/42 (2.4%)
    Oedema Peripheral 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 3/30 (10%) 1/42 (2.4%)
    Pyrexia 7/20 (35%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 12/30 (40%) 9/42 (21.4%)
    Hepatobiliary disorders
    Hepatic Function Abnormal 0/20 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Immune system disorders
    Cytokine Release Syndrome 0/20 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Hypersensitivity 1/20 (5%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Infections and infestations
    Gastroenteritis 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Herpes Zoster 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 4/30 (13.3%) 2/42 (4.8%)
    Nasopharyngitis 2/20 (10%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 7/30 (23.3%) 16/42 (38.1%)
    Oral Candidiasis 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 3/30 (10%) 1/42 (2.4%)
    Pneumonia 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 1/42 (2.4%)
    Sinusitis 0/20 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 4/42 (9.5%)
    Upper Respiratory Tract Infection 0/20 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 8/30 (26.7%) 11/42 (26.2%)
    Urinary Tract Infection 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 2/30 (6.7%) 2/42 (4.8%)
    Viral Infection 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Vulvovaginal Candidiasis 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Investigations
    Blood Creatine Phosphokinase Increased 0/20 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 2/42 (4.8%)
    Electrocardiogram QT Prolonged 5/20 (25%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Free Haemoglobin Present 4/20 (20%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Haptoglobin Decreased 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Lymphocyte Count Decreased 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Metabolism and nutrition disorders
    Decreased Appetite 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 4/42 (9.5%)
    Enzyme Abnormality 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Hypercalcaemia 0/20 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 0/42 (0%)
    Hyperglycaemia 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 5/42 (11.9%)
    Hyponatraemia 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 2/20 (10%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 4/30 (13.3%) 8/42 (19%)
    Back Pain 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 3/30 (10%) 14/42 (33.3%)
    Bone Pain 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 6/30 (20%) 4/42 (9.5%)
    Kyphosis 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Musculoskeletal Chest Pain 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 3/30 (10%) 4/42 (9.5%)
    Musculoskeletal Pain 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 2/30 (6.7%) 4/42 (9.5%)
    Myalgia 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 6/30 (20%) 1/42 (2.4%)
    Pain in Extremity 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 6/42 (14.3%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal Cell Carcinoma 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 3/42 (7.1%)
    Benign Neoplasm of Skin 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Nervous system disorders
    Dizziness 3/20 (15%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 5/30 (16.7%) 4/42 (9.5%)
    Dysgeusia 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 2/30 (6.7%) 0/42 (0%)
    Headache 1/20 (5%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 3/30 (10%) 4/42 (9.5%)
    Hypoaesthesia 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 2/42 (4.8%)
    Paraesthesia 0/20 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Peripheral Sensory Neuropathy 0/20 (0%) 1/3 (33.3%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 5/30 (16.7%) 1/42 (2.4%)
    Psychiatric disorders
    Confusional State 0/20 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Insomnia 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 4/30 (13.3%) 5/42 (11.9%)
    Renal and urinary disorders
    Pollakiuria 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Proteinuria 9/20 (45%) 1/3 (33.3%) 3/3 (100%) 1/3 (33.3%) 1/3 (33.3%) 0/30 (0%) 0/42 (0%)
    Renal Impairment 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Reproductive system and breast disorders
    Prostatitis 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/30 (0%) 0/42 (0%)
    Respiratory, thoracic and mediastinal disorders
    Bronchospasm 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 1/30 (3.3%) 0/42 (0%)
    Cough 4/20 (20%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 6/30 (20%) 11/42 (26.2%)
    Dysphonia 0/20 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Dyspnoea 0/20 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 8/30 (26.7%) 7/42 (16.7%)
    Epistaxis 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 2/30 (6.7%) 0/42 (0%)
    Laryngitis Allergic 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 3/30 (10%) 1/42 (2.4%)
    Nasal Congestion 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 4/30 (13.3%) 7/42 (16.7%)
    Oropharyngeal Pain 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 2/30 (6.7%) 5/42 (11.9%)
    Productive Cough 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 3/30 (10%) 0/42 (0%)
    Rhinitis Allergic 1/20 (5%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 12/30 (40%) 10/42 (23.8%)
    Throat Irritation 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 3/42 (7.1%)
    Throat Tightness 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 3/42 (7.1%)
    Skin and subcutaneous tissue disorders
    Eczema Asteatotic 0/20 (0%) 0/3 (0%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 0/30 (0%) 0/42 (0%)
    Erythema 0/20 (0%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 1/42 (2.4%)
    Hyperhidrosis 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 3/30 (10%) 2/42 (4.8%)
    Pruritus 0/20 (0%) 1/3 (33.3%) 0/3 (0%) 1/3 (33.3%) 0/3 (0%) 2/30 (6.7%) 1/42 (2.4%)
    Rash 1/20 (5%) 1/3 (33.3%) 1/3 (33.3%) 0/3 (0%) 0/3 (0%) 4/30 (13.3%) 2/42 (4.8%)
    Vascular disorders
    Flushing 2/20 (10%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 1/30 (3.3%) 1/42 (2.4%)
    Hot Flush 0/20 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 2/30 (6.7%) 1/42 (2.4%)
    Hypertension 2/20 (10%) 0/3 (0%) 2/3 (66.7%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 3/42 (7.1%)
    Hypotension 2/20 (10%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/3 (0%) 0/30 (0%) 0/42 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested by the sponsor in writing, the investigator will withhold such publication for up to an additional 60 days.

    Results Point of Contact

    Name/Title Senior Director
    Organization Janssen Research & Development, LLC
    Phone
    Email ClinicalTrialDisclosure@its.jnj.com
    Responsible Party:
    Janssen Research & Development, LLC
    ClinicalTrials.gov Identifier:
    NCT00574288
    Other Study ID Numbers:
    • CR101876
    • GEN501
    • DARA-GEN501
    • 2007-003783-22
    First Posted:
    Dec 17, 2007
    Last Update Posted:
    Apr 27, 2018
    Last Verified:
    Mar 1, 2018