Multiple Myeloma
Conditions
Keywords
CD38-Targeted ImmunoPET, 20-098
Brief summary
The purpose of this study is to see if using the radioactive tracer 89Zr-DFO-daratumumab with PET/CT scans is a practical and effective way to view and monitor multiple myeloma in participants before and during their treatment with daratumumab. We also want to see if 89Zr-DFO-daratumumab PET/CT scans can predict a participant's response to therapy, and if they can better locate any leftover disease following treatment compared to the standard imaging methods.
Interventions
Patients will undergo 89Zr-DFO-daratumumab PET/CT once before standard of care therapy and once again afterward, for a total of two research scans.
Patients will undergo 89Zr-DFO-daratumumab PET/CT once before standard of care therapy and once again afterward, for a total of two research scans.
Sponsors
Study design
Intervention model description
This will be a phase II clinical trial.
Eligibility
Inclusion criteria
* Age ≥ 21 years * Histologically/immunohistochemistry-confirmed CD38-positive multiple myeloma * At least one tumor lesion on CT, MRI, or FDG PET/CT within 90 days of protocol enrollment * ECOG performance status 0 to 2 * Participant is capable of having an informed consent discussion (Legally Authorized Representatives are not permitted to sign on a participant's behalf).
Exclusion criteria
* Life expectancy \< 12 months * Pregnancy or lactation * Patients who cannot undergo PET/CT scanning because of weight limits. PET/CT scanners may not be able to function with patients over 450 pounds. * History of anaphylactic reaction to humanized or human antibodies. * Previous treatment with daratumumab. Previous treatment with other myeloma therapies will be allowed.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of patient's with positive tumors | 1 year | Uptake of FDG PET/CT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| assess if tumor uptake of 89Zr-DFO-daratumumab predicts response to daratumumab/lenalidomide therapy | 1 year | The response will be defined using IMWG criteria as complete or partial response; stable disease and progressive disease will be considered as non-response. |