New drug combo shows promise in battling blood cancer
NCT ID NCT03617731
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial tests whether adding the drug isatuximab to standard treatment helps people with newly diagnosed multiple myeloma achieve deeper remission and live longer without the cancer progressing. About 662 participants will receive either standard therapy or standard therapy plus isatuximab, followed by maintenance treatment. The goal is to improve disease control, not to cure the disease, as ongoing treatment is needed.
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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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662 people
The number who actually took part.
- Started
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Oct 2018
- Expected to finish
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Jun 2028
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 to 70 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: 1. Confirmed diagnosis of untreated multiple myeloma requiring systemic therapy (diagnostic criteria (IMWG updated criteria (2014)1) see appendix IA. For some patients systemic therapy may be required though these diagnostic criteria are not fulfilled. In this case the GMMG study office has to be consulted prior to inclusion.) 2. Patient is eligible for high dose therapy and autologous stem cell transplantation. 3. Measurable disease, defined as any quantifiable monoclonal protein value, defined by at least one of the following three measurements:2 * Serum M-protein ≥ 10g/l (for IgA ≥ 5g/l) * Urine light-chain (M-protein) of ≥ 200 mg/24 hours * Serum FLC assay: involved FLC level ≥ 10 mg/dl provided sFLC ratio is abnormal 4. Age 18 - 70 years inclusive 5. WHO performance status 0-2 6. Negative pregnancy test at inclusion (females of childbearing potential) 7. All patients must agree on the requirements regarding the lenalidomide pregnancy prevention plan described in section 6. For all men and females of childbearing potential: patients must be willing and capable to use adequate contraception during the complete therapy. 8. All patients must * agree to abstain from donating blood while taking lenalidomide and for 28 days following discontinuation of lenalidomide therapy * agree not to share study drug lenalidomide with another person and to return all unused study drug to the investigator or pharmacist 9. Ability of patient to understand character and individual consequences of the clinical trial 10. Provide written informed consent (must be available before enrolment in the trial) Exclusion Criteria 1. Patient has known hypersensitivity (or contraindication) to dexamethasone, sucrose histidine (as base and hydrochloride salt), boron, mannitol, and polysorbate 80 or any of the components of study therapy that are not amenable to premedication with steroids or H2 blockers that would prohibit further treatment with these agents. 2. Systemic AL amyloidosis (except for AL amyloidosis of the skin or the bone marrow) 3. Plasma cell leukemia 4. Previous chemotherapy or radiotherapy during the past 5 years except local radiotherapy in case of local myeloma progression. (Note: patients may have received a cumulative dose of up to 160 mg of dexamethasone or equivalent as emergency therapy.) Previous therapy due to smouldering myeloma may be acceptable. In this case the GMMG study office has to be consulted prior to inclusion 5. Severe cardiac dysfunction (NYHA classification III-IV), ejection fraction \< 40% 6. Significant hepatic dysfunction (ASAT and/or ALAT ≥ 3 times normal level and/or serum bilirubin ≥ 1.5 times normal level if not due to hereditary abnormalities as Gilbert's disease), unless related to myeloma. 7. Patients with active or history of hepatitis B or C 8. HIV positivity 9. Patients with active, uncontrolled infections 10. Patients with severe renal insufficiency (Creatinine Clearance \< 30ml/min) 11. Patients with peripheral neuropathy or neuropathic pain, CTC grade 2 or higher (as defined by the NCI Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 5.0) 12. Patients with a history of active malignancy during the past 5 years with the exception of following malignancies after curative therapy: basal cell carcinoma of the skin, squamous cell skin carcinoma, stage 0 cervical carcinoma or any in situ malignancy 13. Patients with acute diffuse infiltrative pulmonary and/or pericardial disease 14. Autoimmune hemolytic anemia with positive Coombs test or immune thrombocytopenia 15. Platelet count \< 75 x 109/l 16. Haemoglobin \< 8.0 g/dl, unless related to myeloma 17. Absolute neutrophil count (ANC) \< 1.0 x 109/l (the use of colony stimulating factors within 14 days before the test is not allowed) 18. Corrected serum calcium \> 14 mg/dl (\> 3.5 mmol/l) 19. Unable or unwilling to undergo thromboprophylaxis 20. Pregnancy and lactation 21. Participation in other clinical trials. This does not include long-term follow-up periods without active drug treatment of previous studies during the last 6 months. 22. Prisoners or subjects who are legally institutionalized, or those unwilling or unable to comply with scheduled visits, drug administration plan, laboratory tests, other study procedures, and study restrictions. No patients will be allowed to enrol in this trial more than once. \-
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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
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Agaplesion Markus Krankenhaus, Med. Klinik I
Frankfurt am Main, 60431, Germany
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Asklepios Klinik Hamburg Altona, II. Med. Klinik
Hamburg, D-22763, Germany
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Asklepios Klinik Hamburg St. Georg
Hamburg, 20099, Germany
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Brüderkrankenhaus St. Josef Paderborn, Klinik für Hämatologie und Onkologie
Paderborn, 33098, Germany
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Bundeswehrkrankenhaus Ulm, Abteilung Innere Medizin - Hämatologie und internistische Onkologie
Ulm, 89081, Germany
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Carl-Thiem-Klinikum Cottbus gGmbH, II. Medizinische Klinik
Cottbus, 03048, Germany
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Centrum für Hämatologie und Onkologie Bethanien
Frankfurt am Main, 60389, Germany
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Charité, Campus Benjamin Franklin , III. Medizinische Abteilung (Hämatologie/Onkologie)
Berlin, 12200, Germany
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Diakonie-Klinikum Schwäbisch Hall gGmbH, Innere Medizin III
Schwäbisch Hall, 74523, Germany
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Ev. Krankenhaus Essen-Werden gGmbH, Zentrum für Innere Medizin, Klinik für Hämatologie, Onkologie und Stammzelltransplantation
Essen, D-45239, Germany
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Gemeinschaftspraxis Prof. Dr. Michael Kiehl und Dipl. Med. Wolfgang Stein
Frankfurt (Oder), 15236, Germany
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Gemeinschaftspraxis für Hämatologie und Onkologie am Caritas Krankenhaus
Lebach, 66822, Germany
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Gemeinschaftspraxis für Hämatologie und Onkologie, Onkologisches Zentrum
Saarlouis, 66740, Germany
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HELIOS Klinikum, Klinik für Hämatologie, Onkologie und Immunologie
Berlin, 13125, Germany
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HELIOS St. Johannes Klinik, Akademisches Krankenhaus der Heinrich-Heine-Universität Düsseldorf
Duisburg, 47166, Germany
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Helios Klinikum Bad Saarow, Klinik für Hämatologie, Onkologie und Palliativmedizin
Bad Saarow, 15526, Germany
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III. Medizinische Klinik Hämatologie und Internistische Onkologie
Mannheim, 68167, Germany
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Immunologisch-onkologisches MVZ am Siloah Krankenhaus
Hanover, 30449, Germany
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Johanniter Krankenhaus Bonn
Bonn, 53113, Germany
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KRH Klinikum Siloah, Klinik für Hämatologie und Onkologie
Hanover, 30459, Germany
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Kath. Krankenhaus Hagen gGmbH, Abt. Hämatologie/Onkologie
Hagen, D-58095, Germany
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Katholisches Karl-Leisner-Klinikum gGmbH, Wilhelm-Anton-Hospital Goch, Klinik für Hämatologie - Onkologie
Goch, 47574, Germany
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Klinikum Bielefeld, Klinik für Hämatologie, Onkologie und Palliativmedizin
Bielefeld, D-33604, Germany
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Klinikum Chemnitz GmbH, Innere Medizin III
Chemnitz, D-09116, Germany
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Klinikum Darmstadt, Med. Klinik V, Hämatologie/Onkologie
Darmstadt, D-64283, Germany
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Klinikum Frankfurt (Oder) GmbH
Frankfurt (Oder), 15236, Germany
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Klinikum Fulda, Klinisches Studienzentrum GmbH
Fulda, 36043, Germany
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Klinikum Mutterhaus der Borromäerinnen gGmbH
Trier, 54290, Germany
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Klinikum Osnabrück GmbH
Osnabrück, 49076, Germany
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Klinikum Stuttgart, Stuttgart Cancer Center, Tumorzentrum Eva Mayr-Stihl
Stuttgart, 70174, Germany
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Krankenhaus Barmherzige Brüder, Klinik für Onkologie und Hämatologie
Regensburg, 93049, Germany
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Krankenhaus Maria Hilf GmbH, Franziskuskrankenhaus, Med. Klinik I
Mönchengladbach, D-41063, Germany
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Krankenhaus Nordwest, Institut für Klinisch-Onkologische Forschung
Frankfurt am Main, 60488, Germany
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Krankenhaus St. Vincentius der evangelischen Stadtmission Heidelberg, Abt. Hämatologie, Onkologie, Rheumatologie
Heidelberg, 69117, Germany
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Mannheimer Onkologie Praxis
Mannheim, D-68161, Germany
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Marien Hospital Düsseldorf GmbH, Klinik für Onkologie, Hämatologie und Palliativmedizin
Düsseldorf, 40479, Germany
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Marien Hospital Herne
Herne, 44625, Germany
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Med. Klinik A, Klinikum der Stadt Ludwigshafen am Rhein gGmbH
Ludwigshafen am Rhein, 67063, Germany
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Medizinische Universitätsklinik, Knappschaftskrankenhaus
Bochum, D-44892, Germany
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Mühlenkreiskliniken (AöR) Johannes Wesling Klinikum Minden, Hämatologie/Onkologie, Hämostaseologie und Palliativmedizin
Minden, 32429, Germany
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Onkologische Schwerpunktpraxis Heidelberg
Heidelberg, 69115, Germany
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Onkologische Schwerpunktpraxis Speyer
Speyer, D-67346, Germany
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Onkologisches Studienzentrum Darmstadt
Darmstadt, 64283, Germany
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Philipps-Universität Marburg, Hämatologie/Onkologie/Immunologie
Marburg, 35032, Germany
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Praxisklinik für Hämatologie und Onkologie
Koblenz, D-56068, Germany
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Rems-Murr-Kliniken gGmbH
Winnenden, 71364, Germany
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SLK Kliniken Heilbronn, Med. Klinik III
Heilbronn, D-74078, Germany
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Schwarzwald-Baar Klinikum, Innere Medizin II
Villingen-Schwenningen, 78052, Germany
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St. Antonius-Hospital Eschweiler, Klinik für Hämatologie / Onkologie
Eschweiler, 52249, Germany
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Studiengesellschaft Onkologie Bielefeld GbR
Bielefeld, 33604, Germany
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Städtisches Klinikum Braunschweig, Med. Klinik III, Hämatologie und Onkologie
Braunschweig, 38114, Germany
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Städtisches Klinikum Karlsruhe
Karlsruhe, 76133, Germany
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Uniklinik Köln, Klinik I für Innere Medizin
Cologne, 50937, Germany
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Uniklinik RWTH Aachen, Klinik für Hämatologie, Onkologie, Hämostaseologie und Stammzelltransplantation
Aachen, 52074, Germany
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University Hospital Heidelberg, Med. Klinik V
Heidelberg, D-69120, Germany
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University Hospital Tübingen, Med. Klinik und Poliklinik, Abt. II
Tübingen, D-72076, Germany
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Universitätsklinik Erlangen
Erlangen, 91054, Germany
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Universitätsklinik der Justus-Liebig-Universität, Medizinische Klinik IV
Giessen, 35385, Germany
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Universitätsklinikum Bonn, Medizinische Klinik und Poliklinik III, Schwerpunkt Onkologie, Hämatologie und Rheumatologie
Bonn, 53105, Germany
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Universitätsklinikum Carl Gustav Carus Dresden, an der Technischen Universität Dresden, Medizinische Klinik und Poliklinik I
Dresden, 01307, Germany
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Universitätsklinikum Düsseldorf, Klinik für Hämatologie,Onkologie und Klin. Immunologie
Düsseldorf, D-40225, Germany
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Universitätsklinikum Essen, Klinik für Hämatologie
Essen, D-45147, Germany
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Universitätsklinikum Frankfurt, Goethe-Universität Medizinische Klinik II
Frankfurt am Main, 60590, Germany
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Universitätsklinikum Hamburg Eppendorf, Zentrum für Onkologie, Studienzentrale der II. Medizinischen Klinik
Hamburg, 20246, Germany
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Universitätsklinikum Leipzig AöR, Medizinische Klinik und Poliklinik I-Hämatologie und Zelltherapie, Internistische Onkologie, Hämostaseologie
Leipzig, 04103, Germany
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Universitätsklinikum Münster, Med. Klinik A
Münster, 48149, Germany
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Universitätsklinikum des Saarlandes, Innere Medizin I
Homburg (Saar), 66421, Germany
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Universitätsmedizin der Johannes Gutenberg-Universität Mainz, III. Med. Klinik
Mainz, D-55131, Germany
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Vivantes Klinikum Neukölln, Klinik für Hämatologie und Onkologie
Berlin, 12351, Germany
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Westpfalz-Klinikum GmbH, Klinik für Innere Medizin I
Kaiserslautern, 67655, Germany
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ZAHO-Zentrum für ambulante Hämatologie und Onkologie, Standort Siegburg
Siegburg, D-53721, Germany
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Zentrum für ambulante Hämatologie und Onkologie (ZAHO)
Bonn, 53113, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Bispecific antibody combo aims to deepen myeloma responses
- Can a stronger drug cocktail give older myeloma patients a better start?
- Cheap blood count ratios eyed as window into Myeloma's inflammatory grip
- Can a t-cell engager rescue myeloma that outsmarted CAR-T?
- Can myeloma treatment work without steroids?
- Double-Drug attack on Hard-to-Treat lymphomas