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NCT02252172 · ADVERSE EVENTS

Adverse events

Study Comparing Daratumumab, Lenalidomide, and Dexamethasone With Lenalidomide and Dexamethasone in Participants With Previously Untreated Multiple Myeloma · Source last updated 2025-10-20

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Adverse events occurred during the study; they are not necessarily caused by treatment. Serious events are not interchangeable with severe/grade 3–4 events. These safety populations may differ from efficacy populations.

Collection time frame
All-cause mortality: From randomization (Day -3) up to 8.7 years; Serious and Other AEs: From start of treatment (Day 1) up to 6.6 years
Other-event reporting threshold
5%

Serious and Other AEs: Safety population was defined as participants who have received at least 1 administration of any study treatment (partial or complete).

Participants affected / participants at risk, as reported
Safety groupSerious eventsOther eventsDeaths
Lenalidomide + Dexamethasone (Rd)

Participants received Lenalidomide 25 milligrams (mg) capsule orally daily on Day 1 through Day 21 of each 28-day cycle, Dexamethasone 40 mg orally or intravenously (IV) once a week (QW) until disease progression or unacceptable toxicity up to 77.5 months. After completion of treatment, participants entered follow-up phase and were not started on subsequent anti-myeloma therapy without confirmed disease progression (assessed by the International Myeloma Working Group \[IMWG\] criteria).

262 / 365358 / 365259 / 369
Daratumumab + Lenalidomide + Dexamethasone (DRd)

Participants received Daratumumab 16 milligrams per kilograms (mg/kg) IV QW for the first 8 weeks (cycles 1-2) and then every 2 weeks (Q2W) for 16 weeks (Cycle 3-6), then every 4 weeks (Q4W) (from Cycle 7 and beyond) (each cycle of 28 days), Lenalidomide 25 mg capsule orally daily on Day 1 through Day 21 of each 28-day cycle, Dexamethasone 40 mg orally or IV QW until disease progression or unacceptable toxicity up to 77.3 months. After implementation of Amendment 8, participants who were ongoing with daratumumab IV treatment were given an option to switch to daratumumab subcutaneous (SC) injection on Day 1 of any cycle, as per investigator's discretion. After completion of treatment, participants entered follow-up phase and were not started on subsequent anti-myeloma therapy without confirmed disease progression (assessed by IMWG criteria).

289 / 364362 / 364287 / 368

Group identifiers: EG000: Lenalidomide + Dexamethasone (Rd) · EG001: Daratumumab + Lenalidomide + Dexamethasone (DRd)

Serious adverse events

Event terms and counts are source-reported; expand to read more. A reporting threshold may omit less frequent events.

  1. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      12
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      6
      num At Risk
      364
    term
    Anaemia
  2. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      364
    term
    Anaemia Macrocytic
  3. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      364
    term
    Blood Loss Anaemia
  4. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      364
    term
    Disseminated Intravascular Coagulation
  5. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      9
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      11
      num At Risk
      364
    term
    Febrile Neutropenia
  6. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      364
    term
    Heparin-Induced Thrombocytopenia
  7. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      364
    term
    Leukopenia
  8. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      364
    term
    Neutropenia
  9. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      364
    term
    Thrombocytopenia
  10. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      5
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      364
    term
    Acute Coronary Syndrome
  11. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      364
    term
    Acute Myocardial Infarction
  12. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      2
      num At Risk
      364
    term
    Angina Pectoris

Other reported adverse events

Event terms and counts are source-reported; expand to read more. A reporting threshold may omit less frequent events.

  1. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      148
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      154
      num At Risk
      364
    term
    Anaemia
  2. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      42
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      73
      num At Risk
      364
    term
    Leukopenia
  3. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      48
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      72
      num At Risk
      364
    term
    Lymphopenia
  4. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      167
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      224
      num At Risk
      364
    term
    Neutropenia
  5. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      76
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      82
      num At Risk
      364
    term
    Thrombocytopenia
  6. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      33
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      30
      num At Risk
      364
    term
    Atrial Fibrillation
  7. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Ear and labyrinth disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      19
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      22
      num At Risk
      364
    term
    Vertigo
  8. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Eye disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      78
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      88
      num At Risk
      364
    term
    Cataract
  9. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Eye disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      19
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      30
      num At Risk
      364
    term
    Vision Blurred
  10. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      43
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      59
      num At Risk
      364
    term
    Abdominal Pain
  11. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      30
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      41
      num At Risk
      364
    term
    Abdominal Pain Upper
  12. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      136
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      156
      num At Risk
      364
    term
    Constipation
Complete source fields
description
Serious and Other AEs: Safety population was defined as participants who have received at least 1 administration of any study treatment (partial or complete).
event Groups
  1. deaths Num Affected
    259
    deaths Num At Risk
    369
    description
    Participants received Lenalidomide 25 milligrams (mg) capsule orally daily on Day 1 through Day 21 of each 28-day cycle, Dexamethasone 40 mg orally or intravenously (IV) once a week (QW) until disease progression or unacceptable toxicity up to 77.5 months. After completion of treatment, participants entered follow-up phase and were not started on subsequent anti-myeloma therapy without confirmed disease progression (assessed by the International Myeloma Working Group \[IMWG\] criteria).
    id
    EG000
    other Num Affected
    358
    other Num At Risk
    365
    serious Num Affected
    262
    serious Num At Risk
    365
    title
    Lenalidomide + Dexamethasone (Rd)
  2. deaths Num Affected
    287
    deaths Num At Risk
    368
    description
    Participants received Daratumumab 16 milligrams per kilograms (mg/kg) IV QW for the first 8 weeks (cycles 1-2) and then every 2 weeks (Q2W) for 16 weeks (Cycle 3-6), then every 4 weeks (Q4W) (from Cycle 7 and beyond) (each cycle of 28 days), Lenalidomide 25 mg capsule orally daily on Day 1 through Day 21 of each 28-day cycle, Dexamethasone 40 mg orally or IV QW until disease progression or unacceptable toxicity up to 77.3 months. After implementation of Amendment 8, participants who were ongoing with daratumumab IV treatment were given an option to switch to daratumumab subcutaneous (SC) injection on Day 1 of any cycle, as per investigator's discretion. After completion of treatment, participants entered follow-up phase and were not started on subsequent anti-myeloma therapy without confirmed disease progression (assessed by IMWG criteria).
    id
    EG001
    other Num Affected
    362
    other Num At Risk
    364
    serious Num Affected
    289
    serious Num At Risk
    364
    title
    Daratumumab + Lenalidomide + Dexamethasone (DRd)
frequency Threshold
5
other Events
  1. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      148
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      154
      num At Risk
      364
    term
    Anaemia
  2. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      42
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      73
      num At Risk
      364
    term
    Leukopenia
  3. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      48
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      72
      num At Risk
      364
    term
    Lymphopenia
  4. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      167
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      224
      num At Risk
      364
    term
    Neutropenia
  5. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      76
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      82
      num At Risk
      364
    term
    Thrombocytopenia
  6. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      33
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      30
      num At Risk
      364
    term
    Atrial Fibrillation
  7. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Ear and labyrinth disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      19
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      22
      num At Risk
      364
    term
    Vertigo
  8. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Eye disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      78
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      88
      num At Risk
      364
    term
    Cataract
  9. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Eye disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      19
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      30
      num At Risk
      364
    term
    Vision Blurred
  10. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      43
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      59
      num At Risk
      364
    term
    Abdominal Pain
  11. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      30
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      41
      num At Risk
      364
    term
    Abdominal Pain Upper
  12. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      136
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      156
      num At Risk
      364
    term
    Constipation
serious Events
  1. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      12
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      6
      num At Risk
      364
    term
    Anaemia
  2. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      364
    term
    Anaemia Macrocytic
  3. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      364
    term
    Blood Loss Anaemia
  4. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      364
    term
    Disseminated Intravascular Coagulation
  5. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      9
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      11
      num At Risk
      364
    term
    Febrile Neutropenia
  6. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      364
    term
    Heparin-Induced Thrombocytopenia
  7. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      364
    term
    Leukopenia
  8. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      364
    term
    Neutropenia
  9. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      364
    term
    Thrombocytopenia
  10. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      5
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      364
    term
    Acute Coronary Syndrome
  11. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      364
    term
    Acute Myocardial Infarction
  12. assessment Type
    NON_SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    source Vocabulary
    MedDRA Version 23.0
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      365
    2. group Id
      EG001
      num Affected
      2
      num At Risk
      364
    term
    Angina Pectoris
time Frame
All-cause mortality: From randomization (Day -3) up to 8.7 years; Serious and Other AEs: From start of treatment (Day 1) up to 6.6 years

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