One-shot CAR-T therapy takes on stem cell transplant for multiple myeloma
NCT ID NCT07735637
First seen Jul 30, 2026 · Last updated Jul 31, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether a single infusion of AZD0120, a CAR-T cell therapy that targets two proteins on myeloma cells, can outperform the standard approach of high-dose chemotherapy followed by a stem cell transplant. The study enrolls adults newly diagnosed with multiple myeloma who have already completed initial treatment. Researchers will compare how long the cancer stays under control and whether the CAR-T approach leads to deeper remissions.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- an experimental dual-targeting CAR-T cell therapy called AZD0120, which targets two proteins (BCMA and CD19) on myeloma cells
- What this could lead to
- If successful, this could offer a less intensive, one-time treatment alternative to stem cell transplant for newly diagnosed multiple myeloma, potentially improving long-term remission rates.
- What could go wrong
- This is an early-phase trial comparing a new therapy to a standard procedure. CAR-T therapy can cause serious side effects like cytokine release syndrome and neurological issues, and it is not yet proven to be better than stem cell transplant.
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
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 750 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2039
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 130 years
- Sex
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Anyone
- Healthy volunteers
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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: * ≥18 years of age. * Documented diagnosis of NDMM according to IMWG diagnostic criteria. * Documented measurable disease at diagnosis (serum M-protein ≥ 1.0 g/dL, urine M-protein 200 mg/24 hour, or serum Ig FLC 10 mg/dL (100 mg/L) and abnormal serum Ig kappa lambda FLC ratio) * Must have completed 4 to 6 cycles of induction therapy with any of the following approved regimens: anti-CD38+VRd, DVTd, DRd or VRd * Participant must have at least SD or better per IMWG response criteria (2016) after completion of induction, and prior to randomisation. * ECOG performance status score of 0 or 1. * Eligible for treatment with high-dose melphalan (200 mg/m²) followed by ASCT. * Adequate organ and bone marrow function. Exclusion Criteria: * Known active, or prior history of CNS involvement or exhibits clinical signs of meningeal involvement of MM. * Primary amyloidosis, active plasma cell leukaemia (at diagnosis and/or at time of screening), Waldenstrom macroglobulinemia or POEMS syndrome. * Significant neurological or psychiatric condition * Significant medical condition that places the participant at an unacceptable risk for treatment-related complications * Participants who required the introduction of an additional agent therapy due to inadequate response. * Prior T-cell engager therapy directed at any target. * Prior CAR-T and/or CAR-NK cell therapy directed at any target for any indications * Prior any therapy that is targeted to BCMA and CD19.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Newly diagnosed multiple myeloma (NDMM) are added.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
65 sites in 15 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Research Site
Tampa, Florida, 33612, United States
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Atlanta, Georgia, 30322, United States
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Atlanta, Georgia, 30342, United States
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Chicago, Illinois, 60637, United States
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Detroit, Michigan, 48201, United States
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Rochester, Minnesota, 55905, United States
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Cleveland, Ohio, 44195, United States
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San Antonio, Texas, 78229, United States
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Seattle, Washington, 98104, United States
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Milwaukee, Wisconsin, 53226, United States
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Brisbane, 4102, Australia
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Camperdown, 2050, Australia
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Darlinghurst, 2010, Australia
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Fitzroy, VIC3065, Australia
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Melbourne, 3004, Australia
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Nedlands, 6009, Australia
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Salvador, 41253-190, Brazil
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São Paulo, 01509-900, Brazil
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São Paulo, 05652-900, Brazil
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Calgary, Alberta, T2N 5G2, Canada
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Aarhus, 8200, Denmark
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København Ø, 2100, Denmark
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Odense, 5464, Denmark
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Lille, 59037, France
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Nantes, 44093, France
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Paris, 75012, France
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Paris, 75475, France
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Toulouse, 31059, France
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Berlin, 10117, Germany
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Dresden, 01307, Germany
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Essen, 45122, Germany
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Freiburg im Breisgau, 79106, Germany
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Hamburg, 20246, Germany
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Leipzig, 04103, Germany
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München, 81675, Germany
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Oldenburg, 26133, Germany
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Bologna, 40138, Italy
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Milan, 20133, Italy
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Milan, 20141, Italy
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Rome, 00168, Italy
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Rozzano, 20089, Italy
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Torino, 10100, Italy
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Oslo, 0450, Norway
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Gdansk, 80-214, Poland
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Gliwice, 44-100, Poland
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Kielce, 25-734, Poland
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Krakow, 30-688, Poland
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Lublin, 20-090, Poland
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Wroclaw, 50-556, Poland
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Singapore, 119228, Singapore
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Singapore, 169608, Singapore
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Seoul, 03080, South Korea
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Seoul, 06351, South Korea
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Seoul, 06591, South Korea
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Seoul, 5505, South Korea
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Badalona, 08916, Spain
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Barcelona, 08035, Spain
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El Palmar, 30120, Spain
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Madrid, 28034, Spain
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Salamanca, 37007, Spain
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Santander, 39008, Spain
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Seville, 41013, Spain
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Taipei, 106, Taiwan
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Cambridge, CB2 0QQ, United Kingdom
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London, W12 0HS, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Engineered immune cells take aim at multiple myeloma from the start
- New hope for myeloma: experimental drug combo aims to beat standard care
- New drug cocktail shows promise against blood cancer
- 500 myeloma patients to be tracked in Real-World immunotherapy study
- New scan could spot hidden myeloma earlier