About this trial
This phase I trial tests the safety, side effects, and best dose of actinium Ac 225-DOTA-daratumumab (225Ac-DOTA-daratumumab) in combination with daratumumab and indium In 111-DOTA-daratumumab (111In-DOTA-daratumumab) in treating patients with multiple myeloma that does not respond to treatment (refractory) or that has come back (recurrent). Daratumumab is a monoclonal antibody that may interfere with the ability of cancer cells to grow and spread. 111In-DOTA-daratumumab and 225Ac-DOTA-daratumumab are forms of radioimmunotherapy in which a monoclonal antibody, daratumumab, has been linked to a radiotracer to allow for targeted delivery of the treatment to cancer cells. Giving all three together may kill more cancer cells.
Eligibility criteria
Qualifiers
Documented informed consent of the participant and/or legally authorized representative
Assent, when appropriate, will be obtained per institutional guidelines
Age >= 18 years
Karnofsky performance status (KPS) > 60%
Disqualifiers
Daratumumab or other anti CD38 antibody treatment < 3 months prior to study enrollment
Prior radiopharmaceutical therapy
Detectable antibodies directed against daratumumab
Subject has received previous radiation to > 25% of their bone marrow
Trial design
Treatments tested in this trial
- Actinium Ac 225-DOTA-Daratumumab
- Daratumumab
- Indium In 111-DOTA-Daratumumab
Treatment groups
Sponsors and collaborators
City of Hope Medical Center
Lead sponsor
National Cancer Institute (NCI)
Collaborator