This clinical trial is focused on studying a rare type of blood cancer called Primary Plasma Cell Leukemia. The study involves a combination of treatments, including a medication called Darzalex (daratumumab), which is given as an injection, and Revlimid (lenalidomide), which is taken as capsules. Other medications used in the study include Dexamethasone, which can be administered either as an injection or an oral solution, and Bortezomib, which is given as an injection. The purpose of the study is to determine the best overall response rate after the initial treatment phase.
Participants in the study will receive these treatments over a period of time, with the aim of understanding how well the combination works in treating the disease. The study will also look at how long patients live without the disease getting worse, overall survival rates, and the duration of response to the treatment. Additionally, the study will assess the safety of the treatments by monitoring any side effects and changes in health indicators.
The study will also evaluate the response to treatment based on specific genetic changes in the cancer cells, such as del(17p) and t(4;14). Another aspect of the study is to assess the quality of life of participants using a questionnaire known as EORTC QLQ-C30. The study is expected to continue until 2028, providing valuable insights into the effectiveness and safety of the treatment combination for Primary Plasma Cell Leukemia.



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