Could a Triple-Drug cocktail prevent multiple myeloma?

NCT ID NCT01572480

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This phase 2 pilot study tested a combination of three drugs—carfilzomib, lenalidomide, and dexamethasone—in 55 people with high-risk smoldering multiple myeloma, a condition that often leads to active myeloma. The goal was to see if the treatment could eliminate signs of the disease in the bone marrow (minimal residual disease) and delay progression. Participants received eight 28-day cycles of all three drugs, followed by up to 12 more cycles of lenalidomide alone if their disease did not worsen.

What this could mean

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

Active substance

carfilzomib, lenalidomide, and dexamethasone

What this could lead to

If successful, this combination could delay or prevent smoldering myeloma from turning into active multiple myeloma, potentially reducing the need for more aggressive treatments later.

What could go wrong

This is a small, early-phase pilot study (55 participants) with no control group, so results may not apply broadly. The drugs have side effects like fatigue, low blood counts, and infection risk.

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.

plasma cell myeloma smoldering plasma cell myeloma

As listed by the trial registrant

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

Contacts and locations

Locations

  • National Institutes of Health Clinical Center, 9000 Rockville Pike

    Bethesda, Maryland, 20892, United States