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CTRI Number  CTRI/2025/08/092681 [Registered on: 08/08/2025] Trial Registered Prospectively
Last Modified On: 08/06/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   This is a study to Investigate Safety, Efficacy, Pharmacokinetics and Immunogenicity of Intas Daratumumab (INTP33) Compared of DARZALEX® in Transplant-Ineligible Participants with Newly Diagnosed Multiple Myeloma 
Scientific Title of Study   A Prospective, Randomized, Double-Blind, Active-Controlled, Multi-Centre, Two-Arm, Phase-I/III Study to Investigate Safety, Efficacy, Pharmacokinetics and Immunogenicity of Intas Daratumumab (INTP33) Compared of DARZALEX® in Transplant-Ineligible Participants with Newly Diagnosed Multiple Myeloma 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Protocol Number: 0327-24, Version: 1.0, Dated: 01-Jan-2025  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Naman Shah 
Designation  Associate Vice President 
Affiliation  Lambda Therapeutic Research Ltd 
Address  Lambda House, Plot No. 38, Survey no. 388, Near Silver Oak Club, S. G. Highway, Gota, Ahmadabad, Gujarat, India

Ahmadabad
GUJARAT
382481
India 
Phone  07940202389  
Fax  07940202021  
Email  namanshah@lambda-cro.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jogesh Mahajan 
Designation  Senior Vice President 
Affiliation  Lambda Therapeutic Research Ltd 
Address  Lambda House, Plot No. 38, Survey no. 388, Near Silver Oak Club, S. G. Highway, Gota, Ahmadabad, Gujarat, India

Ahmadabad
GUJARAT
382481
India 
Phone  07940202288  
Fax  07940202021  
Email  jogeshmahajan@lambda-cro.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jogesh Mahajan 
Designation  Senior Vice President 
Affiliation  Lambda Therapeutic Research Ltd 
Address  Lambda House, Plot No. 38, Survey no. 388, Near Silver Oak Club, S. G. Highway, Gota, Ahmadabad, Gujarat, India

Ahmadabad
GUJARAT
382481
India 
Phone  07940202288  
Fax  07940202021  
Email  jogeshmahajan@lambda-cro.com  
 
Source of Monetary or Material Support  
Intas Pharmaceuticals Limited, Corporate House, Near Sola Bridge, S.G. Highway, Thaltej, Ahmedabad, Gujarat, India. Pin code- 380054 
 
Primary Sponsor  
Name  Intas Pharmaceuticals Limited 
Address  corporate House, Near Sola Bridge, S.G. Highway, Thaltej, Ahmedabad, Gujarat, India. Pin code- 380054 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
Intas Pharmaceuticals Limited  corporate House, Near Sola Bridge, S.G. Highway, Thaltej, Ahmedabad, Gujarat, India. Pin code- 380054 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 32  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Rohit Mangal  "Pushpanjali Hospital and Research Center private limited"  Department of Clinical research, Room No. NA, First floor,Clinical Research Department, Pushpanjali hospital and researcch center pvt. ltd. near pushpanjali palace.
Agra
UTTAR PRADESH 
7020617254

dr.mangalrohit@gmail.com 
Dr Sourav Mishra  AIIMS, Bhubaneshwar   Department of Clinical research, Room No. NA, All India Institute of Medical Sciences, OPD Building, Department of medical oncology & haematology, Ground floor,G block, Sijua, Patrapada, Bhubaneswar 751019, Odisha, India
Khordha
ORISSA 
7008651823

drskmishra.trial@gmail.com 
Dr Ashish Gupta  Amerix Cancer Hospital-Society of Unique hospital & Research Institute  Opposite-Welcome Hotel, Sector-19, Dwarka, New Delhi-110075
New Delhi
DELHI 
9899258492

drashishgupta.onco@gmail.com 
Dr T Deenadayalan  Apollo Speciality Hospitals  Department of Clinical research, Room No. NA, Lake view road, K.K. Nagar Madurai-625020. Tamilnadu, India
Madurai
TAMIL NADU 
9952347659

drdeena06@gmail.com 
Dr Pankaj Malhotra  Department of Clinical haematology and medical oncology., Nehru hospital,   Department of Clinical research, Room No. NA, Post Graduate Institute of Medical Education Research Nehru hospital PGIMER Sector 12 Chandigarh-160012 India
Chandigarh
CHANDIGARH 
7087009680

malhotrapankaj@hotmail.com 
Dr Akash Tiwari   DNS Hospital Pvt. Ltd  Department of Clinical research, Room No. NA, 14 Anoop Nagar, LIG Square, A.B. Road, Indore-452008, MP, India
Indore
MADHYA PRADESH 
9968721696

akash07tiwari@gmail.com 
Dr Varun Bafna  Dr. Bafnas Star Superspeciality Hospital  Department of Clinical research, Room No. NA, Dr. Bafnas Star Superspeciality Clinic and Hospital, Rukmini Nagar, E ward, Near LIC Ground, Kolhapur-416005 Maharashtra, India
Kolhapur
MAHARASHTRA 
9422415378

starresearch22@gmail.com 
Dr M Pandidurai  Government Royapettah Hospital  No. 01, West Cott Road, Royapettah, Chennai-600014, Tamil Nadu
Chennai
TAMIL NADU 
8248461542

pandi19@gmail.com 
Dr Divyesh Patel  HCG Cancer Centre  Department of Clinical research, Room No. NA, Opp. Satsang Party Plot, Sun Pharma road, Vadodara-390012, Gujarat India
Vadodara
GUJARAT 
9978906225

drdivyesh.p@hcgel.com 
Dr Jitendra Pehaljani  HCG Cancer Centre  Department of Clinical research, Room No. NA,, Shipra Path 52/36, Ward 27, Sector 5, Mansarovar, Jaipur-302020, Rajasthan, India
Jaipur
RAJASTHAN 
9902743251

jitendrakumar.p@hcgel.com 
Dr LP Bhaskar Bhuvan   HCG Cancer Centre  Department of Clinical research, Room No. NA, HCG Cancer Center plot no.10, Survey no. 13 P, APIIC Health City, Chinagadili, Arilova, Visakha Patnam-530040. AP India.
Visakhapatnam
ANDHRA PRADESH 
9154144100

drbhaskarbhuvan.lp@hcgel.com 
Dr Ankit Raiyani  HCG Hospitals  Department of Clinical research, Room No. NA, Mithakhali Six Roads, Kalyan Society, Maharashtra Society, Ellisbridge, Ahmedabad, Gujarat - 380006
Ahmadabad
GUJARAT 
7798438250

adraiyani@gmail.com 
Dr Raj Nagarkar  HCG Manavata Cancer Centre  Department of Clinical research, Room No. NA, HCG Manavata Cancer Center, Behind Shivang Auto, Mumbai Naka, Nashik-422002, Maharashtra India.
Nashik
MAHARASHTRA 
9823061929

drraj@manavatacancercentre.com 
Dr Abhijit Baheti  Indrayani Hospital & Cancer Institute  Department of Clinical research, Room No. NA, Indrayani Hospital and Cancer Institute Alandi chakan Road, Alandi Devachi, Tel. Khed, Pune 412105
Pune
MAHARASHTRA 
9822426177

abhijitbaheti15@gmail.com 
Dr Manoj M Toshniwal  Jeevan Amrut Hematology Centre  Department of Clinical research, Room No. NA, Jeevan Amrut Hospital, Plot no. 47, Parijat Nagar, Sector N-4 CIDCO, Near Gokul sweets, Chhatrapati Sambhajinagar(Aurangabad), Maharashtra, India 431001
Aurangabad
MAHARASHTRA 
9225300842

dr.manojtwal@gmail.com 
Dr Riya Ballikar  KIMS Kingsway Hospitals  Department of Clinical research, Room No. NA, KIMS Kingsway Hospitals, 44, Parwana Bhawan,Kingsway, Nagpur -440001 Maharashtra, India
Nagpur
MAHARASHTRA 
8334988584

riabalikar86@gmail.com 
Dr Rohan Bhise  KLES Dr Prabhakar Kore Hospital & Medical Research Centre   Department of Clinical research, Room No. NA, Department of Clinical research, Room No. NA, Nehrunagar, Belgavi 590010, Karnataka, India
Belgaum
KARNATAKA 
9448866712

rohanbhise30@gmail.com 
Dr Ankit Jitani  Marengo CIMS Hospital  Department of Clinical research, Room No. NA, Plot No. 67/1, Opp. Panchamrut bunglow, Near Shukan Mall, Off. Science City Road, Sola, Ahmedabad, Gujarat-380060, India
Ahmadabad
GUJARAT 
8794601030

ankit.jitani@marengoasia.com 
Dr P Krishna Chaitanya  MNJ Institute of Oncology & Regional Cancer Centre  Department of Clinical research, Room No. NA, Old Building, 3rd Floor, Clinical Trial Room No 11, Red Hills, Hyderabad- 500004, Telangana, India
Hyderabad
TELANGANA 
8897199994

mnjiorccchaithanya@gmail.com 
Dr Ashray Kole  MOC Cancer care & Research Center (Unit of cellular Cancer Centre Pvt. Ltd)  Department of Clinical research, Room No. NA, 1st floor, Blue nile building Junction of Almeda Road, LBC Road, Next to pinnacle hospital, charai chandwadi signal, Thane-400601, maharashtra, India
Thane
MAHARASHTRA 
9148282422

dr.ashraykole@mocindia.co.in 
Dr Tuphan Kanti Dolai  Nilratan Sirkar Medical College & Hospital   Department of Clinical research, Room No. NA, 138, A.J.C Bose Road, Kolkata-700014, West Bengal, India
Kolkata
WEST BENGAL 
9874890275

tkdolai75@gmail.com 
Dr Rushabh Kothari  Oncowin Cancer Centre  Department of Clinical research, Room No. NA, Oncowin Cancer Centre, 7th floor,HR Elanza, vikas Gruh Road Nr. mahalaxmi five Roads, Paldi, Ahmedabad-380007, Gujarat, India
Ahmadabad
GUJARAT 
9167196692

rushabhkothari13@yahoo.com 
Dr Aditi Thanky  Rajkot Cancer Society  Department of Clinical research, Room No. NA, Rajkot Cancer Society 1-Tirupati Nagar,Opp. Nirmala Convent school, Rajkot-360007, Gujrat India
Rajkot
GUJARAT 
9925025381

aditik2008@yahoo.com 
Dr Sandeep Jasuja  RK Birla Cancer center, SMS Medical college and attached hospital  Department of Clinical research, Room No. NA, RK Birla Cancer center, SMS Medical college and attached hospital, JLN Marg Jaipur 302004, Rajasthan India.
Jaipur
RAJASTHAN 
9660121475

sandeepjasuja@gmail.com 
Dr Shashikant Apte  Sahyadri Speciality Hospitals   Department of Clinical research, Room No. NA, Survey No. 185A, Shastri Nagar, Near MSEB Office Yerwada, Nagar Road, Pune-411006, Maharashtra, India
Pune
MAHARASHTRA 
9822404983

shashikant.apte@gmail.com 
Dr Nirali Trivedi  Shankush Hospitals Private Limited  Department of Clinical research, Room No. NA, B/h Divine Child school, Near Shankus water park, Ahmedabad-Mehsana highway, Baliyasan Mehsana-382732, India.
Mahesana
GUJARAT 
8980008109

dr.nirali@shankushospitals.com 
Dr Alpesh Kikani  Shashwat Hemato-Onco Associates LLP  Department of Clinical research, Room No. NA, 2nd Floor, CIGIS Hospital, Near Balaji Hall, 150 Feet ring road, Rajkot-360004 Gujarat, India.
Rajkot
GUJARAT 
9601649096

alpesh.kikani@shashwat.one 
Dr Ghanashyam Biswas  Sparsh Hospitals & Critical Care (Pvt) Ltd   Department of Clinical research, Room No. NA, Sparsh Hospitals & Critical Care(P) Ltd. A/ 407, Saheed Nagar Bhubaneswar, Odisha, India-751007
Khordha
ORISSA 
9937500878

drgbiswas@gmail.com  
Dr Avriti Baveja  SRHU Medical College & Hospital, Dehradun  Department of Clinical research, Room No. NA, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Swami Rama Nagar, Jolly Grant, Dehradun
Dehradun
UTTARANCHAL 
8923328257

avritibaveja@gmail.com 
Dr Karthick R G  Sri Shankara Cancer Hospital & Research Centre (SSCHRC)  Department of Clinical research, Room No. NA, Sri Shankara Cancer Hospital & Research Centre (SSCHRC), 1st cross Shankarapuram, Shankara Math primises, Basavangudi, Bengaluru urban, Karnataka, India 560004
Bangalore
KARNATAKA 
8105824400

drkarthickrg@sschrc.org 
Dr Rakesh Taran  Taran Onco care   Department of Clinical research, Room No. NA, 1, Ravindra Nagar, Near Patrakar Square, Indore-452018
Indore
MADHYA PRADESH 
9009779517

rakeshtaran@yahoo.com 
Dr Sachin Jadhav  Trustwell hospital private limited  Department of Clinical research, Room No. NA, 5, J C Road, Vinobha Nagar, Sudhama Nagar, Bengaluru-560002, Karnataka
Bangalore
KARNATAKA 
9741351357

drsachinjadhav@hotmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 32  
Name of Committee  Approval Status 
Ethics Committee of Marengo Asia Healthcare Pvt Ltd, Dr. Ankit Jitani  Approved 
Ethics Committee S.M.S. Medical College and Attached Hospitals, Dr. Sandeep Jasuja  Submittted/Under Review 
Ethics Committee, N.R.S. Medical College, Dr. Tuphan Kanti Dolai  Approved 
Ethics Committee, Swami Rama Himalayan University, Dr. Avriti Baveja  Approved 
Good society for ethical research, Dr. Ashish Gupta  Approved 
HCG Multi Specialty Ethics Committee, Dr. Ankit Raiyani  Approved 
HCG Vadodara Ethics Committee, Dr. Divyesh Patel  Approved 
HCGEL Jaipur Institutional Ethics Committee, Dr. Jitendra Pehaljani  Approved 
IEC- Shankush Hospital, Dr Nirali Trivedi  Approved 
Instititional Ethics Committee (IEC), Dr Karthick R G  Approved 
Institutional Ethics Comittee, BGS Global Institute of medical science, Dr. Sachin Jadhav   Approved 
Institutional Ethics Committee Sparsh Hospitals and Critical Care Private Limited, Dr. Ghanashyam Biswas  Approved 
Institutional Ethics Committee HCG Cancer Centre, Dr. Ramesh Uppada  Approved 
Institutional Ethics Committee Human, Gokul Lifecare Private Limited, Dr. Alpesh Kikani  Approved 
Institutional Ethics Committee Post Graduate Institute of Medical Education and Research, Dr. Pankaj Malhotra  Approved 
Institutional Ethics Committee, AlIMS, Dr Sourav Mishra   Approved 
Institutional Ethics Committee, Clinical Studies apollo speciality hospitals, Dr. T Deenadayalan  Approved 
Institutional Ethics Committee, Government Kilpauk Medical College & Hospital, Dr. Pandi Durai  Approved 
Institutional Ethics Committee, KLE University, Dr Rohan Bhise   Approved 
KIMS Kingsway Hospitals Ethics Committee, Dr. Riya Ballikar  Approved 
Manavata Clinical Research Institute Ethics Committee, Dr. Raj Nagarkar  Submittted/Under Review 
MNJ Institute of Oncology and Regional Cancer Centre Ethics Committee, Dr. P Krishna Chaitanya  Approved 
Mumbai Oncocare Centre IEC Cellcure, Dr. Ashray Kole  Approved 
Narsimha Saraswati Medical Foundation Indrayani Hospital And Cancer Institute, Dr. Abhijit Baheti  Approved 
Oriion Citicare Hospital Institutional EC, Dr. Manoj M Toshniwal  Approved 
Puspanjali Hospital Ethics Commitee, Dr. Rohit Mangal  Approved 
Rajkot Cancer society Ethics Commitee, Dr. Aditi Thanky   Approved 
Rectitude Ethics Committee, Dr Akash Tiwari   Approved 
Rectitude Ethics Committee, Dr. Rakesh Taran  Approved 
Sahyadri Hospitals Pvt. Ltd. Ethics committee, Dr. Shashikant Apte  Approved 
Sangini Hospital Ethics Committee, Dr. Rushabh Kothari  Approved 
Zenith Institutional Ethics Committee, Dr. Varun Bafna  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-D49||Neoplasms,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  DARZALEX Injection, for intravenous use  Dose: Each 5 mL vial contains 100 mg of daratumumab (20 mg daratumumab per mL). Each 20 mL vial contains 400 mg of daratumumab (20 mg daratumumab per mL). Route of Administration: IV infusion Duration of Dose: 06 cycles, each cycle is 28 days 
Intervention  Intas daratumumab (INTP33) Injection, for intravenous use  Dose: Each 5 mL vial contains 100 mg of daratumumab (20 mg daratumumab per mL). Each 20 mL vial contains 400 mg of daratumumab (20 mg daratumumab per mL). Route of Administration: IV infusion Duration of Dose: 06 cycles, each cycle is 28 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1) Must sign an ICF indicating that the participant understands the purpose of and procedures required for the study as described in section 10.1.3 and in this protocol and is willing to participate in the study.
2) Male and Female participants must be greater than or equal to 18 years (completed) when signing the informed consent.
3) Participants must have documented diagnosis of multiple myeloma as defined by International Myeloma Working Group updated criteria (Appendix 9).
4) Evidence of measurable disease, as assessed by local laboratory, defined by any of the
following: Serum monoclonal paraprotein (M-protein) level greater than or equal to 1.0 g per dL measured using serum protein immunoelectrophoresis (sPEP) OR urine M-protein level reater than or equal to 200 mg per 24 hours measured using urine protein immunoelectrophoresis (uPEP) AND OR Serum free light chain multiple myeloma without measurable disease in serum or urine as per previous criteria: Serum Ig involved free light chain greater than or equal to 10 mg per dL and abnormal serum Ig kappa to lambda free light chain ratio.
5) Be newly diagnosed and not considered candidate for high-dose chemotherapy with ASCT as
per investigator’s assessment due to any of the following: Ineligible due to advanced age; OR Ineligible due to the presence of important comorbid condition(s) likely to have impact
on tolerability of high dose chemotherapy with ASCT; OR Deferral of high-dose chemotherapy with ASCT as initial treatment for any other reasons
6) Participants must have an Eastern Cooperative Oncology Group (ECOG) performance status
score of 0, 1, or 2 (Refer to Appendix 5)
7) Participants must have screening clinical laboratory values meeting the following criteria:
a) Haemoglobin greater than or equal to 7.5 g per dL (prior transfusion support or ESA is permitted but must be without transfusion support or ESA use within 7 days before the screening laboratory assessment)
b) Absolute neutrophil count (ANC) greater than or equal to 1.0 into 109 per L (prior growth factor support is permitted but must be without support within 7 days for G-CSF or GM-CSF and 14 days for pegylated-GCSF of the screening laboratory assessment)
c) Platelet count greater than or equal to 70,000 per uL if less than 50 percentage of BM nucleated cells are plasma cells, or greater than or equal to 50,000 per uL if greater than or equal to 50 percentage of BM nucleated cells are plasma cells (without transfusion support or thrombopoietin
receptor agonist within 3 days of the screening laboratory assessment)
d) Aspartate aminotransferase (AST) less than or equal to 2.5 into upper limit of normal (ULN)
e) Alanine aminotransferase (ALT) less than or equal to 2.5 into ULN
f) Total bilirubin less than or equal to 2 into ULN, except in participants with congenital bilirubinaemia, such as Gilbert syndrome (in which case direct bilirubin less than or equal to 2.0 into ULN is required).
g) Creatinine clearance greater than 30 mL per min based on Cockcroft-Gault (Refer to Appendix 6 for details).
h) Potassium level greater than or equal to 3.0 mEq per L
i) Corrected serum calcium less than 14 mg per dL (less than 3.5 mmol per L); or free ionized calcium less than 6.5 mg per dL (less than 1.6
mmol per L) (Appendix 7)
8) A female participant is eligible to participate if she is not pregnant or breastfeeding and at least one of the following conditions applies: Is not a woman of childbearing potential (WOCBP) as defined in Appendix 4 OR Is a WOCBP and agrees to remain on an acceptable contraceptive method that is highly
effective (with a failure rate of less than 1 percentage per year), preferably with low user dependency when used consistently and correctly, as described in Appendix 4 during the intervention period and for at least 03 months after the last dose of the study intervention. The investigator
should evaluate the effectiveness and the potential for contraceptive method failure (e.g.,
noncompliance, recently initiated) of the contraceptive method in relation to the first dose
of the study intervention. A WOCBP agrees not to donate eggs (ova, oocytes), freeze them for future use for reproduction or retrieve them for their use during the recommended period of
contraception. A WOCBP must have a negative highly sensitive pregnancy test serum as required by
local regulations within at screening and urine pregnancy test on day 1 randomization,
before the first dose of the study intervention. If a urine test cannot be confirmed as negative (e.g., an ambiguous result), a serum
pregnancy test is required. In such cases, the participant must be excluded from
participation if the serum pregnancy result is positive. Additional requirements for pregnancy testing during and after study intervention are
located in section 8.3.8. The investigator is responsible for reviewing medical history, menstrual history, and recent
sexual activity to decrease the risk of inclusion of a woman with early undetected pregnancy.
Contraceptive use by participants or participant’s partners should be consistent with local
regulations regarding the methods of contraception for those participating in clinical studies.
9) Male participants are eligible to participate if they agree to the following during the
intervention period and for at least 04 months after the last dose of study intervention: Must agree not to plan to father a child or donate sperm for reproduction. PLUS, either of the following: Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) and agree to remain abstinent. OR Must agree to use contraception barrier as detailed below a male participant must wear a condom when engaging in any activity that allows for the passage of ejaculate to another person with female partner use of an additional highly effective contraceptive method with a failure rate of less than 1 percentage per year as described in Appendix 4
10) Willing and able to adhere to the lifestyle restrictions specified in this protocol. 
 
ExclusionCriteria 
Details  1) Known allergies, hypersensitivity, or intolerance to any of the study interventions
(daratumumab, lenalidomide and dexamethasone) or components excipients thereof (refer to
the IB of daratumumab and local prescribing information documents of DARZALEX,
lenalidomide and dexamethasone), or drug or other allergies to monoclonal antibodies or
human proteins, or known sensitivity to mammalian-derived products, that in the opinion of the investigator or medical monitor, contraindicate participation in the study.
2) Contraindications to the use of lenalidomide and dexamethasone per local prescribing
information.
3) Diagnosis of plasma cell leukaemia at the time of screening; systemic light chain amyloidosis; POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes); or Waldenström’s disease or other conditions in which IgM M-protein is present in the absence of a clonal plasma cell infiltration with lytic bone lesions.
4) Any treated plasma cell dyscrasia [e.g., multiple myeloma, smoldering multiple myeloma
(SMM), monoclonal gammopathy of undefined significance (MGUS)] with following
exceptions: a short course of corticosteroids (not to exceed 40 mg of dexamethasone, or
equivalent per day for a maximum of 4 days, total of 160 mg dexamethasone or equivalent). In
addition, received a cumulative dose of systemic corticosteroids equivalent to greater than or equal to 20 mg of dexamethasone during the Screening Phase.
5) Prior or current systemic therapy or stem cell transplant (SCT) for MM, with the exception of
an emergency use of a short course (equivalent of dexamethasone 40 mg per day for a maximum
4 days) of corticosteroids before treatment.
6) Participants will be excluded if they have any of the following: Any history of malignancy in the last 3 years prior to randomization, other than multiple myeloma, SMM and MGUS which is considered at high risk of recurrence requiring
systemic therapy OR Any active malignancy (i.e., progressing or requiring treatment change) in the last 3 years prior to randomization other multiple myeloma, SMM and MGUS. The only allowed exceptions are malignancies treated within the last 3years that are considered cured: Non-muscle invasive bladder cancer Nonmelanoma skin cancer or lentigo maligna who underwent adequate treatment with
no active disease at present Non-invasive cervical cancer Breast cancer: Adequately treated lobular carcinoma in situ or ductal carcinoma in situ,
or history of localized breast cancer and receiving antihormonal agents and considered
to have a very low risk of recurrence Adequately treated carcinoma in situ Localized non-invasive primary disease under surveillance Localized prostate cancer (Any T, N0M0): Very-low, low or intermediate risk group, treated (radical prostatectomy/radiation
therapy focal treatment; with or without ADT) or untreated and under either
observation or active surveillance; OR High or very-high risk group who have completed the treatment with curative intent
(including adjuvant ADT) more than 6 months prior to full study screening and
considered to have a very low risk of recurrence; Other malignancy that is considered cured with minimal risk of recurrence with low
potential risk for risk of metastasis or death (e.g., 5-year OS rate greater than 90 percentage) in consultation with the sponsor’s medical monitor
7) Received focal radiation therapy within 14 days of randomization. However, if the radiation is
given for palliative purposes and the radiation portal covered less than or equal to 5 percentage of the bone marrow reserve5, the participant is eligible irrespective of the end date of radiotherapy. Radiotherapy within 14
days on measurable soft-tissue plasmacytoma(s) is not permitted even in the setting of
palliation for symptomatic management.
8) Any major procedure within 14 days before the initiation of the study treatment:
plasmapheresis, major surgery (kyphoplasty is not considered a major procedure).
9) Clinical signs of CNS or meningeal involvement of multiple myeloma. If either is suspected,
negative brain and total spine MRI (with and without contrast) and cerebral spinal fluid
cytology are required.
10) Has moderate or severe persistent asthma within the past 2 years OR uncontrolled asthma of
any classification (Participants who have controlled intermittent asthma or control mild
persistent asthma are allowed in the study).
11) Has COPD with an FEV1 less than 50 percentage of predicted (FEV1 testing is required only for participants suspected of having COPD).
12) Presence of hepatitis B surface antigen (HBsAg) and hepatitis B core antibody (anti-HBc) total
immunoglobulin (Ig) or IgG at screening or within 3 months prior to the first dose of
investigational intervention.
13) Positive hepatitis C antibody test result at screening or within 3 months prior to starting the
investigational intervention. NOTE: Participants with positive hepatitis C antibody due to prior
resolved disease can be enrolled only if a confirmatory negative hepatitis C RNA test is
obtained.
14) Has known human immunodeficiency virus (HIV) seropositive status or positive HIV antibody
test at screening. For participants with unknown HIV status, HIV testing will be performed at
screening unless prohibited by local regulations.
15) Presence of medical or psychiatric diseases (e.g., active systemic infection, uncontrolled
diabetes, acute diffuse infiltrative pulmonary disease) that is a safety risk or interfere with
assessment as per investigator assessment.
16) Participant with clinically significant current or recent (within the past 6 months before
randomization [unless otherwise specified below]) cardiac conditions as defined below:
a) Acute coronary syndrome, stroke (including transient ischemic attack [TIA]) or other ischemic
event or thromboembolic event (e.g., deep vein thrombosis [DVT], pulmonary embolism)
b) Clinical risk assessment of cardiac function using the New York Heart Association Functional
Classification of Class III or greater
c) Clinically significant cardiac arrhythmia (serious cardiac arrhythmia not controlled by adequate medication, severe conduction abnormality) as per investigator assessment
d) Electrocardiographic evidence of clinically significant acute ischemic or active conduction
system abnormalities which is medically relevant and affect safety as per investigator
assessment.
e) Any other cardiac illness that could lead to a safety risk to the participant
f) Participants with a known left ventricular ejection fraction (LVEF) less than 40 percentage at the screening assessment. Note: Participants with known coronary artery disease, congestive heart failure not meeting the above criteria, or LVEF less than 50 percentage must be on a stable medical regimen that is optimized in the opinion of the treating physician, in consultation with a cardiologist, if appropriate.
17) Participants are not expected to comply with the requirement of the protocol as per the
investigator assessment (alcoholics, drug addicts, psychiatric patients, or medical condition).
Participant as per investigator is not medically fit or have a situation which can affect safety or
efficacy assessment.
18) Had major surgery within 2 weeks before randomization or has not fully recovered from
surgery as per investigators assessment.
19) Contraindications to prophylaxis for deep vein thrombosis and pulmonary embolism.
20) Past or intended use of any disallowed therapies as noted in section 6.9, Prior and Concomitant
Therapy within 30 days prior to the first dose of the study intervention.
21) Presence of gastrointestinal disease that can affect absorption of drugs.
22) Woman who is pregnant, or breastfeeding, or planning pregnancy during study. OR, Man
wanting to father a child during study.
23) Received any other investigational intervention or used an invasive investigational medical device within 04 weeks or 5 half-lives prior to the first dose of study intervention, whichever is longer. 24 Documented medical history of uncontrolled, clinically significant intercurrent medical
condition(s) for which, in the opinion of the investigator, participation would not be in the best interest of the participant (e.g., compromise the well-being) or that could prevent, limit, or
confound the protocol-specified assessments. 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   On-site computer system 
Blinding/Masking   Double Blind Double Dummy 
Primary Outcome  
Outcome  TimePoints 
To establish the non-inferiority of Intas
daratumumab (INTP33), lenalidomide and
dexamethasone against DARZALEX, lenalidomide and dexamethasone in terms of overall response rate (ORR) in transplant-ineligible participants with newly diagnosed
multiple myeloma 
0.000 (Pre-dose), 0.500, 1.000 and 3.000 hours after start of infusion, End of infusion, 0.500, 1.000, 2.000, 3.000, 5.000 hours after completion of infusion, 24.000, 48.000 hours after start of infusion, 120.000, 144.000 hours after start of infusion, 168.000 hours after start of infusion 
 
Secondary Outcome  
Outcome  TimePoints 
To establish the anti-tumour activity of Intas
daratumumab (INTP33), lenalidomide and
dexamethasone against DARZALEX,
lenalidomide and dexamethasone in
transplant-ineligible participants with newly
diagnosed multiple myeloma

To establish the anti-tumour activity of Intas
daratumumab (INTP33), lenalidomide and
dexamethasone against DARZALEX,
lenalidomide and dexamethasone in
transplant-ineligible participants with newly
diagnosed multiple myeloma

To compare pharmacokinetic parameters
after 1st dose of Intas daratumumab with
DARZALEX, both given in combination
with lenalidomide and dexamethasone in
transplant-ineligible participants with newly
diagnosed multiple myeloma

To compare trough blood levels during the
treatment cycles in transplant-ineligible
participants with newly diagnosed multiple
myeloma 
0.000 (Pre-dose), 0.500, 1.000 and 3.000 hours after start of infusion, End of infusion, 0.500, 1.000, 2.000, 3.000, 5.000 hours after completion of infusion, 24.000, 48.000 hours after start of infusion, 120.000, 144.000 hours after start of infusion, 168.000 hours after start of infusion 
 
Target Sample Size   Total Sample Size="238"
Sample Size from India="238" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   18/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="7"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
To establish the non-inferiority of Intas daratumumab (INTP33), lenalidomide and dexamethasone against DARZALEX, lenalidomide and dexamethasone in terms of overall response rate (ORR) in transplant
 
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