Trial Outcomes & Findings for Daratumumab Retreatment in Participants With Multiple Myeloma Who Have Been Previously Treated With Daratumumab (NCT NCT03871829)
NCT ID: NCT03871829
Last Updated: 2025-03-30
Results Overview
Percentage of participants achieving VGPR or better response were reported. VGPR or better rate was defined as the percentage of participants achieving VGPR, complete response (CR), or stringent complete response (sCR) in accordance with the International Myeloma Working Group (IMWG) criteria, during or after the study treatment but before the start of subsequent anti-myeloma therapy. IMWG criteria for VGPR: Serum and urine M-component detectable by immunofixation but not on electrophoresis, or greater than or equal to (\>=) 90 percent (%) reduction in serum M-protein plus urine M-protein less than (\<) 100 milligram (mg)/24 hours; for CR: Negative immunofixation on the serum and urine, and Disappearance of any soft tissue plasmacytomas (PCs), and \<5% PCs in bone marrow; for sCR: CR plus normal free light chain (FLC) ratio, and Absence of clonal PCs by immunohistochemistry, immunofluorescence or 2- to 4- color flow cytometry.
TERMINATED
PHASE2
88 participants
Up to 3 years and 4 months
2025-03-30
Participant Flow
Participant milestones
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Overall Study
STARTED
|
44
|
44
|
|
Overall Study
Treated (Safety Analysis Set)
|
43
|
43
|
|
Overall Study
COMPLETED
|
0
|
0
|
|
Overall Study
NOT COMPLETED
|
44
|
44
|
Reasons for withdrawal
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Overall Study
Lost to Follow-up
|
0
|
1
|
|
Overall Study
Withdrawal by Subject
|
1
|
1
|
|
Overall Study
Death
|
12
|
8
|
|
Overall Study
Study terminated by sponsor
|
31
|
34
|
Baseline Characteristics
Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
Baseline characteristics by cohort
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=44 Participants
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
n=44 Participants
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Total
n=88 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
67.4 years
STANDARD_DEVIATION 8.56 • n=44 Participants
|
66.7 years
STANDARD_DEVIATION 9.72 • n=44 Participants
|
67 years
STANDARD_DEVIATION 9.12 • n=88 Participants
|
|
Age, Customized
Children (2-11 years)
|
0 Participants
n=44 Participants
|
0 Participants
n=44 Participants
|
0 Participants
n=88 Participants
|
|
Age, Customized
Adolescents (12-17 years)
|
0 Participants
n=44 Participants
|
0 Participants
n=44 Participants
|
0 Participants
n=88 Participants
|
|
Age, Customized
Adults (18-64 years)
|
15 Participants
n=44 Participants
|
16 Participants
n=44 Participants
|
31 Participants
n=88 Participants
|
|
Age, Customized
From 65 to 84 years
|
26 Participants
n=44 Participants
|
28 Participants
n=44 Participants
|
54 Participants
n=88 Participants
|
|
Age, Customized
85 years and over
|
3 Participants
n=44 Participants
|
0 Participants
n=44 Participants
|
3 Participants
n=88 Participants
|
|
Sex: Female, Male
Female
|
21 Participants
n=44 Participants
|
18 Participants
n=44 Participants
|
39 Participants
n=88 Participants
|
|
Sex: Female, Male
Male
|
23 Participants
n=44 Participants
|
26 Participants
n=44 Participants
|
49 Participants
n=88 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
12 Participants
n=44 Participants
|
8 Participants
n=44 Participants
|
20 Participants
n=88 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
27 Participants
n=44 Participants
|
28 Participants
n=44 Participants
|
55 Participants
n=88 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
5 Participants
n=44 Participants
|
8 Participants
n=44 Participants
|
13 Participants
n=88 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=44 Participants
|
0 Participants
n=44 Participants
|
0 Participants
n=88 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=44 Participants
|
0 Participants
n=44 Participants
|
0 Participants
n=88 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=44 Participants
|
0 Participants
n=44 Participants
|
0 Participants
n=88 Participants
|
|
Race (NIH/OMB)
Black or African American
|
2 Participants
n=44 Participants
|
3 Participants
n=44 Participants
|
5 Participants
n=88 Participants
|
|
Race (NIH/OMB)
White
|
39 Participants
n=44 Participants
|
36 Participants
n=44 Participants
|
75 Participants
n=88 Participants
|
|
Race (NIH/OMB)
More than one race
|
1 Participants
n=44 Participants
|
0 Participants
n=44 Participants
|
1 Participants
n=88 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
2 Participants
n=44 Participants
|
5 Participants
n=44 Participants
|
7 Participants
n=88 Participants
|
|
Region of Enrollment
BELGIUM
|
1 Participants
n=44 Participants
|
2 Participants
n=44 Participants
|
3 Participants
n=88 Participants
|
|
Region of Enrollment
BRAZIL
|
8 Participants
n=44 Participants
|
7 Participants
n=44 Participants
|
15 Participants
n=88 Participants
|
|
Region of Enrollment
CANADA
|
0 Participants
n=44 Participants
|
2 Participants
n=44 Participants
|
2 Participants
n=88 Participants
|
|
Region of Enrollment
DENMARK
|
0 Participants
n=44 Participants
|
3 Participants
n=44 Participants
|
3 Participants
n=88 Participants
|
|
Region of Enrollment
FRANCE
|
2 Participants
n=44 Participants
|
5 Participants
n=44 Participants
|
7 Participants
n=88 Participants
|
|
Region of Enrollment
GERMANY
|
0 Participants
n=44 Participants
|
2 Participants
n=44 Participants
|
2 Participants
n=88 Participants
|
|
Region of Enrollment
GREECE
|
7 Participants
n=44 Participants
|
5 Participants
n=44 Participants
|
12 Participants
n=88 Participants
|
|
Region of Enrollment
ITALY
|
10 Participants
n=44 Participants
|
5 Participants
n=44 Participants
|
15 Participants
n=88 Participants
|
|
Region of Enrollment
NETHERLANDS
|
1 Participants
n=44 Participants
|
1 Participants
n=44 Participants
|
2 Participants
n=88 Participants
|
|
Region of Enrollment
POLAND
|
2 Participants
n=44 Participants
|
1 Participants
n=44 Participants
|
3 Participants
n=88 Participants
|
|
Region of Enrollment
RUSSIAN FEDERATION
|
4 Participants
n=44 Participants
|
6 Participants
n=44 Participants
|
10 Participants
n=88 Participants
|
|
Region of Enrollment
SPAIN
|
7 Participants
n=44 Participants
|
4 Participants
n=44 Participants
|
11 Participants
n=88 Participants
|
|
Region of Enrollment
UNITED STATES
|
2 Participants
n=44 Participants
|
1 Participants
n=44 Participants
|
3 Participants
n=88 Participants
|
|
Refractory status
Anti-CD38 antibody only
|
8 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
7 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
15 Participants
n=86 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
|
Refractory status
Both PI and IMiD
|
10 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
5 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
15 Participants
n=86 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
|
Refractory status
IMiD + anti-CD38
|
11 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
14 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
25 Participants
n=86 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
|
Refractory status
IMiD only
|
4 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
1 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
5 Participants
n=86 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
|
Refractory status
PI + IMiD + anti-CD38
|
5 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
4 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
9 Participants
n=86 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
|
Refractory status
PI only
|
0 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
1 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
1 Participants
n=86 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
|
Stage of Disease (ISS)
STAGE I
|
12 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
24 Participants
n=44 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
36 Participants
n=87 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
|
Stage of Disease (ISS)
STAGE II
|
19 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
11 Participants
n=44 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
30 Participants
n=87 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
|
Stage of Disease (ISS)
STAGE III
|
12 Participants
n=43 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
9 Participants
n=44 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
21 Participants
n=87 Participants • Here, 'N' (number of subjects analyzed) signifies participants who were evaluable for this baseline characteristics.
|
PRIMARY outcome
Timeframe: Up to 3 years and 4 monthsPopulation: The response-evaluable analysis set included participants who had confirmed diagnosis of multiple myeloma and measurable disease at baseline or screening visit.
Percentage of participants achieving VGPR or better response were reported. VGPR or better rate was defined as the percentage of participants achieving VGPR, complete response (CR), or stringent complete response (sCR) in accordance with the International Myeloma Working Group (IMWG) criteria, during or after the study treatment but before the start of subsequent anti-myeloma therapy. IMWG criteria for VGPR: Serum and urine M-component detectable by immunofixation but not on electrophoresis, or greater than or equal to (\>=) 90 percent (%) reduction in serum M-protein plus urine M-protein less than (\<) 100 milligram (mg)/24 hours; for CR: Negative immunofixation on the serum and urine, and Disappearance of any soft tissue plasmacytomas (PCs), and \<5% PCs in bone marrow; for sCR: CR plus normal free light chain (FLC) ratio, and Absence of clonal PCs by immunohistochemistry, immunofluorescence or 2- to 4- color flow cytometry.
Outcome measures
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=39 Participants
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
n=41 Participants
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Percentage of Participants Achieving Very Good Partial Response (VGPR) or Better Response
|
46.2 Percentage of participants
90% Confidence Interval 32.3 • Interval 32.3 to 60.4
|
48.8 Percentage of participants
90% Confidence Interval 35.1 • Interval 35.1 to 62.6
|
SECONDARY outcome
Timeframe: Up to 3 years and 7 monthsPopulation: The response-evaluable analysis set included participants who had confirmed diagnosis of multiple myeloma and measurable disease at baseline or screening visit.
ORR was defined as the percentage of participants who achieved partial response (PR) or better responses based on the computerized algorithm, in accordance with the IMWG criteria, during or after the study treatment but before the start of subsequent anti-myeloma therapy. IMWG criteria for PR: greater than or equal to (\>=)50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by \>=90% or less than (\<)200 mg/24 hours; If the serum and urine M-protein were not measurable, a decrease of \>=50% in the difference between involved and uninvolved free light chain (FLC) levels was required in place of the M-protein criteria; If serum and urine M-protein were not measurable, and serum free light assay is also not measurable, \>=50% reduction in bone marrow plasma cells (PCs) was required in place of M-protein, provided baseline bone marrow plasma cell percentage was \>=30%; additionally, if present at baseline, \>=50% reduction in the size of soft tissue PCs was also required.
Outcome measures
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=39 Participants
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
n=41 Participants
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Overall Response Rate (ORR)
|
64.1 Percentage of participants
90% Confidence Interval 49.7 • Interval 49.7 to 76.8
|
75.6 Percentage of participants
90% Confidence Interval 62.1 • Interval 62.1 to 86.1
|
SECONDARY outcome
Timeframe: Up to 3 years and 7 monthsPopulation: The response-evaluable analysis set included participants who had confirmed diagnosis of multiple myeloma and measurable disease at baseline or screening visit.
Percentage of participants achieving CR or better were reported. CR or better rate was defined as the percentage of participants achieving CR or sCR based on the computerized algorithm, according to IMWG response criteria. IMWG criteria for CR: Negative immunofixation on the serum and urine, and Disappearance of any soft tissue plasmacytomas (PCs), and \<5% PCs in bone marrow.
Outcome measures
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=39 Participants
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
n=41 Participants
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Percentage of Participants Achieving Complete Response (CR) or Better
|
25.6 Percentage of participants
Interval 14.6 to 39.6
|
12.2 Percentage of participants
Interval 4.9 to 23.9
|
SECONDARY outcome
Timeframe: Up to 3 years and 7 monthsPopulation: Intent-to-treat (ITT) analysis set included all participants who were randomized in the study. Here, 'N' (number of participants analyzed) signifies participants who were evaluable for this outcome measure.
PFS was defined as the duration from the date of randomization to either progressive disease (PD) or death, whichever comes first. IMWG criteria for PD: \>=25% from lowest response level in serum M-component (the absolute increase must be \>=0.5 gram per deciliter \[g/dL\]) and/or in urine M-component (the absolute increase must be \>=200 mg/24 hour); only in participants without measurable serum and urine M-protein levels: increase of \>=25% in the difference between involved and uninvolved free light chain levels and the absolute increase must be \>10 mg/dL. BMPC%: the absolute % must be \>=10%; definite increase in size of existing bone lesions or soft tissue plasmacytomas; definite development of new bone lesions or soft tissue plasmacytomas; development of hypercalcemia (corrected serum calcium \>11.5 milligrams per deciliter (mg/dL) or 2.65 millimoles per liter \[mmol/L\]) that can be attributed solely to PC proliferative disorder.
Outcome measures
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=27 Participants
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
n=24 Participants
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Progression Free Survival (PFS)
|
10.61 months
90% Confidence Interval 4.70 • Interval 4.7 to 19.88
|
10.74 months
90% Confidence Interval 7.49 • Interval 7.49 to 16.16
|
SECONDARY outcome
Timeframe: Up to 3 years and 7 monthsPopulation: ITT analysis set included all participants who were randomized in the study. Here, 'N' (number of participants analyzed) signifies participants who were evaluable for this outcome measure.
OS was defined as the time from the date of randomization to the date of the participant's death due to any cause.
Outcome measures
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=12 Participants
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
n=8 Participants
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Overall Survival (OS)
|
NA months
Interval 25.4 to
Mean and upper limit of 90% CI were not estimable due to insufficient number of events.
|
NA months
Interval 27.1 to
Mean and upper limit of 90% CI were not estimable due to insufficient number of events.
|
SECONDARY outcome
Timeframe: Up to 3 years and 7 monthsPopulation: ITT analysis set included all participants who were randomized in the study.
Percentage of participants with negative MRD were reported. MRD negativity rate, defined as the percentage of participants who had MRD negative status at 10\^-5 by bone marrow aspirate after the date of randomization and prior to PD or subsequent anti-myeloma therapy.
Outcome measures
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=44 Participants
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
n=44 Participants
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Percentage of Participants With Negative Minimal Residual Disease (MRD)
|
11.4 Percentage of participants
95% Confidence Interval 3.8 • Interval 3.8 to 24.6
|
6.8 Percentage of participants
95% Confidence Interval 1.4 • Interval 1.4 to 18.7
|
SECONDARY outcome
Timeframe: Up to 3 years and 7 monthsPopulation: ITT analysis set analysis set included all participants who were randomized in the study. Here, 'N' (number of participants analyzed) signifies participants who were evaluable for this outcome measure.
Time to next treatment was defined as the time from randomization to the start of the next-line treatment.
Outcome measures
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=21 Participants
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
n=15 Participants
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Time to Next Treatment
|
20.60 months
Interval 14.06 to 25.4
|
20.14 months
Interval 11.33 to
Upper limit of 90% CI were not estimable due to insufficient number of events.
|
SECONDARY outcome
Timeframe: Day 1 of Cycles 1, 3, and 7 (each cycle of 28 days) and Follow Up (post treatment Week 8; up to 30.3 months)Population: Pharmacokinetic (PK) analysis set included all participants who had received at least 1 dose of daratumumab subcutaneous (dara-SC) and had at least 1 post-dose PK sample. Here, 'N' (number of participants analysed) signifies participants who were evaluable for this outcome measure and 'n' (number analyzed) signifies number of participants analyzed at each specified timepoints.
Serum concentrations of daratumumab were assessed. This outcome measure was planned to be analyzed for specified arm only.
Outcome measures
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=22 Participants
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Serum Concentrations of Daratumumab
Cycle 1 Day 1
|
39.1 microgram per milliliters (mcg/mL)
Standard Deviation 44.1
|
—
|
|
Serum Concentrations of Daratumumab
Cycle 3 Day 1
|
849 microgram per milliliters (mcg/mL)
Standard Deviation 329
|
—
|
|
Serum Concentrations of Daratumumab
Cycle 7 Day 1
|
715 microgram per milliliters (mcg/mL)
Standard Deviation 381
|
—
|
|
Serum Concentrations of Daratumumab
Post-treatment Week 8
|
85.5 microgram per milliliters (mcg/mL)
Standard Deviation 131
|
—
|
SECONDARY outcome
Timeframe: Up to end of study; up to 30.3 monthsPopulation: The immunogenicity analysis set for dara-SC included all randomized participants who had appropriate samples for detection of the antibodies.
The incidence of anti-rHuPH20 antibodies were summarized for all participants who received at least one dose of Dara-SC and had appropriate plasma samples for detection of antibodies to rHuPH20 (at least 1 sample after the start of the first dose of Dara-SC). This outcome measure was planned to be analyzed for specified arm only.
Outcome measures
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=35 Participants
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Number of Participants With Anti-recombinant Human Hyaluronidase (rHuPH20) Antibodies
|
1 Participants
|
—
|
SECONDARY outcome
Timeframe: Up to end of study; up to 30.3 monthsPopulation: The immunogenicity analysis set for dara-SC included all randomized participants who had appropriate samples for detection of the antibodies.
Number of participants who test positive for anti-daratumumab antibodies were reported. This outcome measure was planned to be analyzed for specified arm only.
Outcome measures
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=35 Participants
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Number of Participants With Anti-Daratumumab Antibodies
|
0 Participants
|
—
|
Adverse Events
Arm A: Carfilzomib+Dexamethasone (Kd)
Arm B: Dara-SC in Combination With Kd (DKd)
Serious adverse events
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=43 participants at risk
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
n=43 participants at risk
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Vascular disorders
Hypertension
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Vascular disorders
Hypotension
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Blood and lymphatic system disorders
Anaemia
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Blood and lymphatic system disorders
Thrombocytopenia
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Cardiac disorders
Acute myocardial infarction
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Cardiac disorders
Atrial fibrillation
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Cardiac disorders
Cardiac failure
|
4.7%
2/43 • Number of events 3 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Cardiac disorders
Cardiac failure congestive
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Gastrointestinal disorders
Diarrhoea
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Gastrointestinal disorders
Noninfective sialoadenitis
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Gastrointestinal disorders
Stomatitis
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
General disorders
General physical health deterioration
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
General disorders
Pyrexia
|
4.7%
2/43 • Number of events 4 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
Bacteraemia
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
COVID-19
|
2.3%
1/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
7.0%
3/43 • Number of events 5 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
COVID-19 pneumonia
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
Escherichia sepsis
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
Infection
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
Pneumonia
|
9.3%
4/43 • Number of events 4 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
4.7%
2/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
Sinusitis
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
Upper respiratory tract infection
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
Urinary tract infection
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Injury, poisoning and procedural complications
Rib fracture
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Injury, poisoning and procedural complications
Spinal compression fracture
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Renal and urinary disorders
Acute kidney injury
|
9.3%
4/43 • Number of events 5 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Renal and urinary disorders
Renal impairment
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Respiratory, thoracic and mediastinal disorders
Acute pulmonary oedema
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Respiratory, thoracic and mediastinal disorders
Bronchitis chronic
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnoea
|
4.7%
2/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
Other adverse events
| Measure |
Arm A: Carfilzomib+Dexamethasone (Kd)
n=43 participants at risk
Participants received carfilzomib 20 milligram per meter square (mg/m\^2) intravenously (IV) on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and thereafter on Days 1, 8, 15 from Cycle 2 onwards. Participants received dexamethasone 20 milligrams (mg) on Cycle 1 Days 1 and 2, and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed progressive disease (PD), death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
Arm B: Dara-SC in Combination With Kd (DKd)
n=43 participants at risk
Participants received daratumumab 1800 mg by SC injection (Dara-SC) on Days 1, 8, 15, 22 of Cycle 1 and 2, Days 1 and 15 of Cycle 3-6, and on Day 1 from Cycle 7 onwards. Participants received carfilzomib 20 mg/m\^2 IV on Cycle 1 Day 1 and then 70 mg/m\^2 on Cycle 1 Days 8 and 15, and Days 1, 8 and 15 from Cycle 2 onwards. Participants received dexamethasone 20 mg on Cycle 1 Days 1 and 2 and 40 mg IV or orally on Days 8, 15, 22 of Cycle 1. Participants then received dexamethasone 40 mg IV or orally on Days 1, 8, 15 and 22 of Cycles 2-9, then on Days 1, 8, 15 from Cycle 10 onwards, until confirmed PD, death, intolerable toxicity, start of a new treatment for multiple myeloma, withdrawal of consent, or end of the study, whichever occurs first. Each cycle of 28 days.
|
|---|---|---|
|
Gastrointestinal disorders
Diarrhoea
|
25.6%
11/43 • Number of events 14 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
9.3%
4/43 • Number of events 8 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Gastrointestinal disorders
Nausea
|
16.3%
7/43 • Number of events 7 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
14.0%
6/43 • Number of events 14 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Gastrointestinal disorders
Vomiting
|
11.6%
5/43 • Number of events 5 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
11.6%
5/43 • Number of events 9 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
General disorders
Asthenia
|
14.0%
6/43 • Number of events 8 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
11.6%
5/43 • Number of events 7 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
General disorders
Catheter site pain
|
7.0%
3/43 • Number of events 3 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
General disorders
Fatigue
|
7.0%
3/43 • Number of events 4 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
16.3%
7/43 • Number of events 11 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
General disorders
Malaise
|
7.0%
3/43 • Number of events 4 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
General disorders
Oedema peripheral
|
7.0%
3/43 • Number of events 3 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
11.6%
5/43 • Number of events 6 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Blood and lymphatic system disorders
Anaemia
|
32.6%
14/43 • Number of events 37 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
25.6%
11/43 • Number of events 20 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Blood and lymphatic system disorders
Leukopenia
|
2.3%
1/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
9.3%
4/43 • Number of events 5 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Blood and lymphatic system disorders
Lymphopenia
|
18.6%
8/43 • Number of events 14 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
7.0%
3/43 • Number of events 15 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Blood and lymphatic system disorders
Neutropenia
|
9.3%
4/43 • Number of events 6 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
18.6%
8/43 • Number of events 18 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Blood and lymphatic system disorders
Thrombocytopenia
|
18.6%
8/43 • Number of events 32 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
37.2%
16/43 • Number of events 77 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Eye disorders
Cataract
|
4.7%
2/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
7.0%
3/43 • Number of events 3 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Gastrointestinal disorders
Constipation
|
9.3%
4/43 • Number of events 5 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
General disorders
Pyrexia
|
9.3%
4/43 • Number of events 4 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
11.6%
5/43 • Number of events 9 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
COVID-19
|
20.9%
9/43 • Number of events 10 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
20.9%
9/43 • Number of events 9 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
Nasopharyngitis
|
7.0%
3/43 • Number of events 4 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
4.7%
2/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
Upper respiratory tract infection
|
20.9%
9/43 • Number of events 12 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
4.7%
2/43 • Number of events 3 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Infections and infestations
Urinary tract infection
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
7.0%
3/43 • Number of events 3 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Investigations
Blood creatinine increased
|
4.7%
2/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
9.3%
4/43 • Number of events 7 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Metabolism and nutrition disorders
Hyperglycaemia
|
9.3%
4/43 • Number of events 12 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
7.0%
3/43 • Number of events 4 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Musculoskeletal and connective tissue disorders
Arthralgia
|
9.3%
4/43 • Number of events 5 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
4.7%
2/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
9.3%
4/43 • Number of events 6 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
9.3%
4/43 • Number of events 5 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Musculoskeletal and connective tissue disorders
Muscle spasms
|
2.3%
1/43 • Number of events 1 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
7.0%
3/43 • Number of events 5 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Nervous system disorders
Headache
|
16.3%
7/43 • Number of events 12 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
4.7%
2/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Nervous system disorders
Peripheral sensory neuropathy
|
7.0%
3/43 • Number of events 3 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
4.7%
2/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Psychiatric disorders
Anxiety
|
4.7%
2/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
7.0%
3/43 • Number of events 4 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Psychiatric disorders
Insomnia
|
14.0%
6/43 • Number of events 11 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
4.7%
2/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Renal and urinary disorders
Dysuria
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
7.0%
3/43 • Number of events 5 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Renal and urinary disorders
Renal impairment
|
11.6%
5/43 • Number of events 5 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
2.3%
1/43 • Number of events 2 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Respiratory, thoracic and mediastinal disorders
Cough
|
11.6%
5/43 • Number of events 5 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
14.0%
6/43 • Number of events 7 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnoea
|
9.3%
4/43 • Number of events 6 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
16.3%
7/43 • Number of events 13 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
|
7.0%
3/43 • Number of events 4 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
0.00%
0/43 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
|
Vascular disorders
Hypertension
|
16.3%
7/43 • Number of events 13 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
25.6%
11/43 • Number of events 34 • Up to 3 years and 7 months
Serious and non-serious AEs were analyzed on safety population which included all participants who received at least 1 dose of study treatment; and all-cause mortality was analyzed on IIT set which included all participants who were randomized in the study.
|
Additional Information
Global Medical Head
Janssen Research & Development, LLC
Results disclosure agreements
- Principal investigator is a sponsor employee 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.
- Publication restrictions are in place
Restriction type: OTHER