Can vitamin a make a failed myeloma drug effective again?

NCT ID NCT06536413

First seen Jun 27, 2026 ยท Last updated Jun 27, 2026

Summary

This study tests whether adding a vitamin A derivative (ATRA) to a standard drug combination (carfilzomib and dexamethasone) can overcome resistance in multiple myeloma patients whose cancer no longer responds to carfilzomib. About 42 adults with relapsed/refractory myeloma will receive ATRA alongside their carfilzomib-based therapy. The goal is to see if the combination is safe and can shrink tumors or slow disease progression.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
All-Trans Retinoic Acid (ATRA) combined with carfilzomib and dexamethasone
What this could lead to
If it works, this could offer a new treatment option for multiple myeloma patients whose cancer has become resistant to carfilzomib, potentially extending remission.
What could go wrong
This is an early-phase trial with only 42 participants, so results may not apply broadly. ATRA may not restore sensitivity in all patients, and side effects from the combination are still being studied.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Houston Methodist Neal Cancer Center

    RECRUITING

    Houston, Texas, 77030, United States

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