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OncoMatch/Clinical Trials/NCT05907759

Daratumumab for Relapsed/Refractory Primary Effusion Lymphoma, Plasmablastic Lymphoma, and Multicentric Castleman Disease

Official title: A Phase II Study of Daratumumab for Relapsed/Refractory Primary Effusion Lymphoma, Plasmablastic Lymphoma, and Multicentric Castleman Disease

Is NCT05907759 recruiting? Yes, currently enrolling (Oct 2026). This Phase 2 trial studies Daratumumab SC for lymphoma, primary effusion.

Phase 2RecruitingNational Cancer Institute (NCI)NCT05907759Data as of Oct 2026

Treatment: Daratumumab SC — Background: Primary effusion lymphoma (PEL), plasmablastic lymphoma (PBL), and Multicentric Castleman Disease (MCD) are aggressive forms of cancer that affects cells in the immune system and lymph nodes. How they develop is not well understood, and these diseases do not respond well to standard treatments for other types of lymphomas. Objective: To test a drug treatment (daratumumab SC) in people with PEL, PBL, or MCD. Eligibility: People aged 18 and older with PEL, PBL, or MCD who must have failed to respond to therapy or they must be unable to receive standard treatment for the disease. Design: Participants will be screened. They will have a physical exam with blood tests. They will have imaging scans and tests of their heart and lung function. They may need to have a biopsy: tissue or fluid will be collected. They will have an eye exam. Daratumumab SC is given as an injection into the fat under the skin in the abdomen. This takes 3 to 5 minutes. Participants will receive the treatment once a week for 8 weeks; then every 2 weeks for 16 weeks; then every 4 weeks for up to 24 months. Participants will have other tests during the study period. These may include lumbar punctures: A needle will be inserted between the bones of the spine to draw some fluid from the area around the spinal cord. Participants may also have a thoracentesis: A needle or plastic tube will be inserted into the space around the lungs to withdraw fluid. Participants will have more imaging scans and blood tests. Follow-up visits will continue after treatment ends. Participants will be in the study for up to 5 years.

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Extracted eligibility criteria

Treatments studied

Immunotherapy

Daratumumab SC

Cancer type

Non-Hodgkin Lymphoma

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Demographics

Ages ≤ 120

Prior therapy

Must have received: anthracycline-containing chemotherapy — first-line curative-intent therapy for PEL or PBL

Must have received first-line curative-intent therapy (anthracycline-containing chemotherapy) for PEL or PBL, unless such therapy is contraindicated due to infection that precludes combination chemotherapy (such as progressive multifocal leukoencephalopathy) or if there is a contraindication to receiving CHOP or EPOCH (such as multi-organ failure).

Lab requirements

Blood counts

Hemoglobin (Hgb) > 7 g/dL; ANC ≥ 1000/mm^3 and platelets ≥ 75,000/mm^3 unless related to lymphoma and/or KSHV-MCD or prior therapy

Kidney function

Creatinine clearance (CrCl) ≥ 15 mL/min/1.73 m^2

Liver function

Bilirubin (total) ≤ 1.5x ULN (exceptions: total bilirubin ≥ 5 mg/dL in Gilbert's syndrome as defined by >80% unconjugated; if elevated total bilirubin or AST/ALT are due to ART or lymphoma); AST/ALT ≤ 3x ULN (exceptions: if due to ART or lymphoma)

Adequate hematological and renal functions as defined below: Hemoglobin (Hgb) > 7 g/dL; Creatinine clearance (CrCl) ≥ 15 mL/min/1.73 m^2. Bilirubin (total) > 1.5x ULN; AST/ALT > 3x ULN [excluded]; exceptions for Gilbert's syndrome, ART, or lymphoma. ANC < 1000/mm^3 and platelets < 75,000/mm^3 unless related to lymphoma and/or KSHV-MCD or prior therapy.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • National Institutes of Health Clinical Center · Bethesda, Maryland

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Frequently asked questions

Is NCT05907759 currently recruiting?

Yes, this trial is currently recruiting patients.

Is prior treatment required for enrollment?

Yes. Patients must have previously received anthracycline-containing chemotherapy.

Is there an age limit?

Yes. Patients must be 120 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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