Can two common compounds supercharge CAR-T against myeloma?
NCT ID NCT06940297
First seen Jun 27, 2026 · Last updated Aug 27, 2026 · Updated 4 times
Summary
This phase II trial at Mayo Clinic is testing whether adding dasatinib and quercetin to standard CAR-T therapy can improve outcomes for people with multiple myeloma that has returned or not responded to prior treatments. The study will enroll 44 adults who have already tried at least three other therapies. Participants receive the drug combination along with chemotherapy and CAR-T cells, and researchers will measure how many achieve undetectable cancer levels.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dasatinib and quercetin
- What this could lead to
- If successful, this combination could improve the effectiveness of CAR-T therapy for multiple myeloma, helping more patients achieve deep remission.
- What could go wrong
- This is a small, early-phase trial with only 44 participants. The added benefit of dasatinib and quercetin is unproven, and side effects from the combination are not yet well understood.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 44 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2025
- Expected to finish
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Aug 2031
An estimate. End dates often move.
- Lead sponsor
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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
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18 years and older
- 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: * Age ≥ 18 years * Relapsed or refractory multiple myeloma who has had at least 3 prior lines of therapies including a proteasome inhibitor, immunomodulatory drug (IMiD) and anti-CD38 monoclonal antibody (mAb) * Ciltacabtagene autoleucel (Carvykti) available for patient * Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0, 1 or 2 * Life expectancy ≥ 12 weeks * Hemoglobin ≥ 8.0 g/dL (obtained ≤ 14 days prior to registration) * Absolute neutrophil count (ANC) ≥ 1,000/mm\^3 (obtained ≤ 14 days prior to registration) * Platelet count ≥ 50,000/mm\^3 (obtained ≤ 14 days prior to registration) * Total bilirubin ≤ 1.5 x upper limit of normal (ULN) (obtained ≤ 14 days prior to registration) * Note: Patients with Gilbert's syndrome must have a total bilirubin of ≤ 3 x ULN (obtained ≤ 14 days prior to registration) * Alanine aminotransferase (ALT) and aspartate transaminase (AST) ≤ 2 x ULN (obtained ≤ 14 days prior to registration) * Alkaline phosphatase ≤ 1.5 x ULN (obtained ≤ 14 days prior to registration) * Calculated creatinine clearance ≥ 30 ml/min using the Cockcroft-Gault formula (obtained ≤ 14 days prior to registration) * Negative pregnancy test done ≤ 7 days prior to registration, for persons of childbearing potential only * Note: If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required * Sexually active patients and their partners must use an effective method of contraception associated with a low failure rate prior to study entry and for the duration of study participation and for at least 30 days after the last dose of study drug * Provide written informed consent * Willingness to provide mandatory blood and bone marrow specimens for correlative research * Willingness to provide mandatory bone marrow cores and/or tissue specimens for correlative research * Willing to return to enrolling institution for follow-up (during the Active Monitoring Phase of the study) Exclusion Criteria: * Monoclonal gammopathy of undetermined significance, smoldering multiple myeloma, or AL amyloidosis * Failure to recover from acute, reversible effects of prior therapy regardless of interval since last treatment. * EXCEPTION: Grade 1 peripheral (sensory) neuropathy that has been stable for at least 1 month since completion of prior treatment * Any of the following because this study involves an agent that has known genotoxic, mutagenic, and teratogenic effects: * Pregnant persons * Nursing persons * Persons of childbearing potential (and persons able to father a child) who are unwilling to employ adequate contraception * Major surgery ≤ 28 days prior to registration * Co-morbid systemic illnesses or other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study or interfere significantly with the proper assessment of safety and toxicity of the prescribed regimens * Immunocompromised patients and patients known to be HIV positive. * NOTE: Patients known to be HIV positive, but without clinical evidence of an immunocompromised state, or those currently receiving antiretroviral therapy with good control of HIV, are eligible for this trial * Evidence of cardiovascular disease risk, as defined by any of the following: * Evidence of current clinically significant uncontrolled arrhythmias, including clinically significant ECG abnormalities such as 2nd degree (Mobitz Type II) or 3rd degree atrioventricular (AV) block * History of myocardial infarction, acute coronary syndromes (including unstable angina), coronary angioplasty, or stenting or bypass grafting within three (3) months of screening. * Class III or IV heart failure as defined by the New York Heart Association functional classification system * Uncontrolled hypertension * History of life-threatening ventricular arrhythmias * Uncontrolled intercurrent illness including, but not limited to: * Ongoing or active infection * Any medical condition that would make participation unduly hazardous * Receiving any other investigational agent which would be considered as a treatment for the primary neoplasm * Live vaccine ≤ 6 weeks prior to registration * Has taken a strong inhibitor or inducer of CYP3A4/5, including grapefruit, St. John's Wort or related products ≤ 14 days prior to registration. * Note: If required, patients may receive a short course of strong inhibitors or inducers for treatment of symptoms, but dasatinib dose must be adjusted as indicated * Known hypersensitivity or allergy to dasatinib or quercetin * Patients on therapeutic doses of anticoagulants (e.g. warfarin, heparin, low molecular weight heparin, factor Xa inhibitors, etc). * On antiplatelet agents (e.g. full dose aspirin, clopidogrel etc.) * NOTE: Baby aspirin, if necessary for cardioprotection, will be allowed * On quinolone antibiotic therapy for treatment or for prevention of infections products ≤10 days prior to registration
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
1 site. 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
Show contact details
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Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Mayo Clinic in Rochester
RECRUITINGRochester, Minnesota, 55905, United States
Contact Email: •••••@•••••
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Other studies related to the condition(s) this trial covers.
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- Can a One-Two drug punch beat back Hard-to-Treat myeloma?
- CAR-T breakthroughs come with infection risks – new study aims to decode them
- Double-barreled CAR t therapy takes aim at hard-to-treat myeloma
- Can a drug stop dangerous side effects of new myeloma therapies?