Could a drug combo replace stem cell transplants for some myeloma patients?
NCT ID NCT04991103
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial is testing whether a powerful four-drug combination can achieve such deep cancer remission that newly diagnosed multiple myeloma and amyloidosis patients can safely delay or avoid a stem cell transplant. Forty participants will receive six cycles of the drug combo, and those with minimal residual disease (very low cancer levels) will defer transplant. The study aims to see if this response-adapted strategy is feasible and effective.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- daratumumab, bortezomib, lenalidomide, dexamethasone, cyclophosphamide (combination drug therapy)
- What this could lead to
- If successful, this approach could allow some patients to avoid or delay intensive stem cell transplant by achieving deep remission with drugs alone.
- What could go wrong
- This is a small, early-phase trial (40 participants) testing a strategy, not a proven treatment. The drug combination has known side effects, and not all patients will achieve deep enough remission to safely defer transplant.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for AMYLOIDOSIS are added.
By submitting, you agree to our Terms of use
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
-
University of Alabama at Birmingham
RECRUITINGBirmingham, Alabama, 35294, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could muscle loss predict blood cancer outcomes?
- Can a Triple-Action antibody deepen remissions in myeloma?
- A hidden warning in your wrist? surgery may reveal heart risk
- Can a Low-Dose antifungal shield vulnerable patients from deadly fungal infections?
- Can a gentler chemo prep make stem cell transplants safer for blood cancer patients?
- Talking about the end: could guided conversations reduce futile cancer treatments?