Can a powerful drug cocktail halt multiple myeloma before it starts?

NCT ID NCT04933539

First seen Jun 25, 2026 · Last updated Aug 14, 2026 · Updated 9 times

Summary

This phase 2 trial tests a combination of three drugs—daratumumab, carfilzomib, and dexamethasone (DKd)—in people with high-risk smoldering multiple myeloma, a pre-cancer condition. The goal is to see if this treatment can prevent or delay the disease from turning into active multiple myeloma and causing organ damage. Fourteen participants will receive the drugs in cycles, followed by daratumumab alone, and will be monitored for life.

What this could mean

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

Active substance
daratumumab, carfilzomib, and dexamethasone
What this could lead to
If successful, this could offer a way to delay or prevent smoldering multiple myeloma from turning into active disease, potentially reducing organ damage.
What could go wrong
This is a small, early-phase trial with only 14 participants, so results may not apply broadly. The drug combination can cause side effects like heart or lung issues.

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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

    Bethesda, Maryland, 20892, United States

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