Can a radioactive drug outperform standard therapy in waldenstrom macroglobulinemia?

NCT ID NCT07766421

First seen Aug 14, 2026 · Last updated Aug 14, 2026

Summary

This phase 3 trial is testing whether a radioactive drug called iopofosine I 131 can keep Waldenstrom macroglobulinemia (a rare blood cancer) from getting worse for longer than the standard combination of rituximab, cyclophosphamide, and dexamethasone (R-CD). The study enrolls about 219 adults who have already been treated with a BTK inhibitor and now need further therapy. Participants are randomly assigned to receive either iopofosine I 131 (given by infusion over two cycles) or R-CD (up to six cycles), and the main goal is to compare how long people live without their disease progressing.

What this could mean

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

Active substance
iopofosine I 131 (also called CLR 131), a radioactive drug given by infusion
What this could lead to
If iopofosine I 131 works better than the standard combination, it could offer a new, more effective treatment option for people with Waldenstrom macroglobulinemia who have already tried a BTK inhibitor.
What could go wrong
This is a phase 3 trial, but results are not guaranteed. The drug may not prove superior, and it carries risks like radiation exposure and side effects. The trial is still recruiting and has not yet reported outcomes.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

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