New cocktail aims to crush High-Risk myeloma

NCT ID NCT03104842

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

Summary

This phase 2 trial is testing a combination of four drugs—isatuximab, carfilzomib, lenalidomide, and dexamethasone—in 246 people newly diagnosed with high-risk multiple myeloma. The goal is to see if this intensive regimen can make the cancer undetectable (MRD-negative) and keep it under control. Participants receive the drugs in three phases: induction, consolidation, and maintenance.

What this could mean

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

Active substance
isatuximab, carfilzomib, lenalidomide, and dexamethasone
What this could lead to
If successful, this combination could offer a more effective way to control high-risk multiple myeloma and achieve deeper remission.
What could go wrong
This is a mid-stage trial with no control group, so results are preliminary. The drugs have significant side effects, and long-term benefits are uncertain.

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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

  • Asklepios Altona

    Hamburg, Germany

  • Campus Benjamin Franklin Charite Berlin

    Berlin, Germany

  • Johanniter-Krankenhaus Bonn

    Bonn, 53113, Germany

  • Kliniken Maria Hilf GmbH, Klinik für Hämatologie, Onkologie und Gastroenterologie

    Mönchengladbach, 41063, Germany

  • Klinikum Osnabrück

    Osnabrück, Germany

  • Philipps-Universität Marburg

    Marburg, 35032, Germany

  • St. Antonius Hospital

    Eschweiler, Germany

  • Städt. Kliniken Bielefeld Klinikum Mitte

    Bielefeld, Germany

  • Uniklinik Köln

    Cologne, Germany

  • Uniklinikum Chemnitz

    Chemnitz, Germany

  • University Hospital Hamburg Eppendorf

    Hamburg, Germany

  • University Hospital Heidelberg

    Heidelberg, Germany

  • Universitätsklinikum Essen

    Essen, Germany

  • Universitätsklinikum Tuebingen

    Tübingen, Germany

  • Universitätsmedizin der Johannes Gutenberg-Universität Mainz

    Mainz, D-55131, Germany

  • Vivantes Am Urban

    Berlin, 10967, Germany

  • Vivantes Klinikum Neukölln

    Berlin, Germany

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