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.

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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

  • University of Alabama at Birmingham

    RECRUITING

    Birmingham, Alabama, 35294, United States

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