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

NCT ID NCT04933539

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

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.

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.

Contacts and locations

Locations

  • National Institutes of Health Clinical Center

    Bethesda, Maryland, 20892, United States