Can myeloma treatment work without steroids?
NCT ID NCT04635189
First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time
Summary
Researchers are testing whether daratumumab and lenalidomide can treat newly diagnosed multiple myeloma without adding steroids. The trial enrolls patients who are not candidates for high-dose chemotherapy and have not received prior treatment. The goal is to see how often infusion reactions occur and how many patients need steroids added back to their regimen.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- daratumumab combined with lenalidomide, given without steroids
- What this could lead to
- If successful, this approach could offer a treatment option that avoids the side effects of steroids for people with multiple myeloma who cannot undergo a transplant.
- What could go wrong
- This is a small phase II trial with only 28 participants, so results may not apply broadly. Removing steroids could lead to more infusion reactions or weaker responses, requiring steroids to be added back.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
About 28 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Jul 2021
- Expected to finish
-
Sep 2027
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 75 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of multiple myeloma with diagnosis * Must not have received previous therapy for multiple myeloma * Newly diagnosed and not considered candidate for high-dose chemotherapy * Adequate organ system function * A performance status ≤ 3 * Ability to swallow and retain oral medication * Female subjects of child bearing potential must be surgically sterile, be post-menopausal Exclusion Criteria: * A diagnosis of primary amyloidosis; monoclonal gammopathy of undetermined significance, smoldering multiple myeloma; non-secretory myeloma * A diagnosis of Waldenström's disease * Receiving cancer therapy * Radiation therapy within 14 days of enrollment * Major surgery within 2 weeks before enrollment * Human immunodeficiency virus -infected patients must be on effective anti-retroviral therapy with undetectable viral load within the past 6 months * Seropositive for hepatitis B, or seropositive for hepatitis C * Ongoing systemic bacterial, fungal or viral infection * Severe and/or uncontrolled medical conditions * Malignancy within 2 years of study enrollment * Women who are pregnant or lactating * Contraindications to required prophylaxis for deep vein thrombosis and pulmonary embolism.
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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 Rochester Medical Center
Rochester, New York, 14642, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Cheap blood count ratios eyed as window into Myeloma's inflammatory grip
- Can a t-cell engager rescue myeloma that outsmarted CAR-T?
- Double-Drug attack on Hard-to-Treat lymphomas
- Banking blood and bone marrow to decode plasma cell disorders
- Which scan sees hidden myeloma better: PET or MRI?
- Which drug cocktail best primes myeloma for transplant?