New drug cocktail aims to keep multiple myeloma in check
NCT ID NCT03173092
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether adding the drug ixazomib to lenalidomide and dexamethasone can help people with multiple myeloma stay in remission longer after their first round of chemotherapy. About 141 adults who had already completed 3 cycles of a bortezomib-based regimen took part. The goal was to see how long it took for the cancer to progress or for death to occur.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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141 people
The number who actually took part.
- Started
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Nov 2017
- Finished
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Mar 2026
- 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 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: 1. Must have a diagnosis of a MM using current IMWG diagnostic criteria and have received 1 prior line of therapy. * Participants must have completed 3 cycles of a bortezomib-based induction regimen (as defined by current NCCN guidelines) and have no evidence of disease progression as defined by IMWG criteria. * Participants with light chain and free light chain (FLC) only may be enrolled if they meet all the criteria for a diagnosis of MM. * Participants must be considered by their physician eligible to receiving the IRD regimen. 2. Must be transplant ineligible as determined by their physician, or if transplant eligible, not expect to undergo transplant for at least 24 months after study enrollment. o Stem cell harvest and mobilization regimen is acceptable if clinically indicated, but must first be confirmed by the Takeda Medical Monitor. 3. Eastern Cooperative Oncology Group (ECOG) performance status and/or other performance status 0, 1, or 2 at time of enrollment. 4. Female participants who: * Are postmenopausal for at least 1 year before the screening visit, OR * Are surgically sterile, OR * If they are of childbearing potential, agree to practice 2 effective methods of contraception, at the same time, from the time of signing the informed consent form through 90 days after the last dose of study drug, OR * Agree to practice true abstinence when this is in line with the preferred and usual lifestyle of the participant (periodic abstinence \[example, calendar, ovulation, symptothermal, post-ovulation methods\] and withdrawal are not acceptable methods of contraception). 5. Male participants, even if surgically sterilized (that is, status post-vasectomy), must agree to one of the following: * Agree to practice effective barrier contraception during the entire study treatment period and through 90 days after the last dose of study drug, OR * Agree to practice true abstinence when this is in line with the preferred and usual lifestyle of the participant. (Periodic abstinence (example, calendar, ovulation, symptothermal, post-ovulation methods\] and withdrawal are not acceptable methods of contraception). Exclusion Criteria: 1. Participation in other interventional clinical trials, including those with other investigational agents not included in this trial, within 30 days of the start of this trial and throughout the duration of this trial. Non-interventional trials (that is, observational trials) are permitted at any time point. 2. Failure to have fully recovered (that is, less than or equal to \[\<=\] Grade 1 toxicity) from the reversible effects of prior chemotherapy. 3. Major surgery within 14 days before enrollment. 4. Radiotherapy within 14 days before enrollment (if the involved field is small, 7 days will be considered a sufficient interval between treatment and administration of the ixazomib). 5. Central nervous system involvement by MM. 6. Infection requiring systemic antibiotic therapy or other serious infection within 14 days before study enrollment. 7. Evidence of current uncontrolled cardiovascular conditions, including uncontrolled hypertension, uncontrolled cardiac arrhythmias, symptomatic congestive heart failure, unstable angina, or myocardial infarction within the past 6 months. 8. Systemic treatment, within 14 days before the first dose of ixazomib, with strong cytochrome P450 3A (CYP3A) inducers (rifampin, rifapentine, rifabutin, carbamazepine, phenytoin, phenobarbital), or use of Ginkgo biloba or St. John's wort. 9. Ongoing or active systemic infection, active hepatitis B or C virus infection, or known human immunodeficiency virus positive. 10. Diagnosed or treated for another malignancy within 2 years before study enrollment or previously diagnosed with another malignancy and have any evidence of residual disease. Participants with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection. 11. Has greater than or equal to (\>=) Grade 2 peripheral neuropathy, or Grade 1 with pain on clinical examination during the screening period. 12. Have previously been treated with ixazomib, or participated in a study with ixazomib whether treated with ixazomib or not. 13. PD on first-line therapy.
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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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American Oncology Partners of Maryland P.A
Bethesda, Maryland, 20817, United States
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Arizona Oncology Associates
Tucson, Arizona, 85704, United States
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Avera Cancer Institute
Sioux Falls, South Dakota, 57105, United States
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Central Care Cancer Center
Bolivar, Missouri, 65613, United States
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Compassionate Care Research Group, Inc.
Fountain Valley, California, 92708, United States
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Comprehensive Cancer Center of Nevada
Henderson, Nevada, 89074, United States
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Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111, United States
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Innovative Clinical Research
Santa Ana, California, 92705, United States
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Investigator Clinical Research - Indiana
Indianapolis, Indiana, 46260-2082, United States
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Kansas City Veterans Affairs Medical Center
Kansas City, Missouri, 64128, United States
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Los Angeles Cancer Network/(Formerly -Pacific Cancer Medical Center)
Anaheim, California, 92801-1824, United States
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Millennium Physicians Association
Shenandoah, Texas, 77380-3256, United States
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Saint Agnes Hospital
Baltimore, Maryland, 21229, United States
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Texas Oncology -Tyler
Tyler, Texas, 75702, United States
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Texas Oncology- Presbyterian Cancer Center Dallas
Dallas, Texas, 75231, United States
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Texas Oncology-San Antonio Northwest
San Antonio, Texas, 78240, United States
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Tri-Health Cancer Institute-Medical Oncology and Hematology Westside
Cincinnati, Ohio, 45247, United States
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US Oncology Research
Colorado Springs, Colorado, 80907, United States
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Willamette Valley Cancer Institute and Research Center - Springfield
Springfield, Oregon, 97477, United States
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Winship Cancer Institute of Emory University
Atlanta, Georgia, 30303-001, United States
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Woodlands Medical Specialists- Pensacola
Pensacola, Florida, 32503, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- 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
- Banking blood and bone marrow to decode plasma cell disorders
- Which scan sees hidden myeloma better: PET or MRI?