Four-Drug cocktail aims to halt smoldering myeloma before it strikes

NCT ID NCT04775550

First seen Jul 02, 2026 · Last updated Jul 02, 2026

Summary

This phase 2 trial tests whether a combination of four drugs—daratumumab, bortezomib, lenalidomide, and dexamethasone—can stop high-risk smoldering multiple myeloma from progressing to active multiple myeloma. Participants must be 18 or older and meet specific high-risk criteria. The study measures how many patients achieve minimal residual disease (MRD) negativity, meaning no cancer cells are detectable in the bone marrow.

What this could mean

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

Active substance

daratumumab, bortezomib, lenalidomide, and dexamethasone

What this could lead to

If successful, this combination could prevent or delay smoldering multiple myeloma from progressing to active multiple myeloma, potentially reducing the need for more intensive treatments later.

What could go wrong

This is a phase 2 trial with only 61 participants, so results may not apply to everyone. The drugs can cause side effects like infections, nerve damage, and blood clots, and the combination may not work for all patients.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

smoldering plasma cell myeloma plasma cell myeloma prevention target

As listed by the trial registrant

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

More trials for these conditions

Other studies related to the condition(s) this trial covers.

Contacts and locations

Locations

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115, United States

  • Dana-Farber Brigham Cancer Center

    South Weymouth, Massachusetts, 02190, United States

  • Dana-Farber Brigham Cancer Center - Foxborough

    Foxborough, Massachusetts, 02035, United States

  • Dana-Farber Cancer Institute

    Boston, Massachusetts, 02215, United States

  • Dana-Farber Cancer Institute - Merrimack Valley

    Methuen, Massachusetts, 01844, United States

  • Stamford Hospital

    Stamford, Connecticut, 06902, United States