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.

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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

  • National Institutes of Health Clinical Center, 9000 Rockville Pike

    Bethesda, Maryland, 20892, United States

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