New hope for myeloma: experimental drug linvoseltamab faces off against standard care in major trial
NCT ID NCT06932562
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 study is testing whether adding the experimental drug linvoseltamab after initial treatment can improve outcomes for people newly diagnosed with multiple myeloma who are not eligible for a stem cell transplant. About 1,000 participants will receive either standard therapy (daratumumab, lenalidomide, and dexamethasone) or the same drugs followed by linvoseltamab. The goal is to see if the new approach leads to deeper remission and longer survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Linvoseltamab (also called REGN5458), a drug given after initial treatment with daratumumab, lenalidomide, and dexamethasone
- What this could lead to
- If it works, this could offer a more effective treatment option for people with newly diagnosed multiple myeloma who cannot have a stem cell transplant, potentially leading to longer remission and survival.
- What could go wrong
- This is an early-phase 3 trial, so results are not yet known. Linvoseltamab may not be more effective than standard care and could have side effects. The study is large but still experimental.
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 1,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Dec 2036
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
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. Participants must have confirmed diagnosis of symptomatic MM per IMWG criteria. 2. Participants must not be considered a candidate for high-dose chemotherapy (HDT) and ASCT, as described in the protocol. 3. Participants must have measurable disease as defined in the protocol. 4. Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2. 5. Participants must have clinical laboratory values within a prespecified range. Exclusion Criteria: 1. International Myeloma Working Group Frailty Index of 2 with the exception of participants who have a score of 2 based on age alone. 2. Participants who defer transplant due to personal preference. 3. Participants with non-secretory MM, active plasma cell leukemia, known light-chain (AL) amyloidosis in the presence of a concurrent diagnosis of myeloma, any other form of amyloidosis, Waldenström macroglobulinemia, or known POEMS syndrome. 4. Any prior therapy for monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), or MM, with the exception of: * focal radiation and/or * a short course of corticosteroids as defined in the protocol. 5. Participants who have received or are receiving any investigational agent or cell therapy with known or suspected activity against MM 6. Participants who have known central nervous system (CNS) or meningeal involvement with MM or known or suspected progressive multifocal leukoencephalopathy (PML), a history of a neurocognitive condition or CNS movement disorder, OR a history of seizure, transient ischemic attack (TIA), stroke or seizure within 12 months prior to study C1D1. 7. Participants who have uncontrolled intercurrent illness. 8. Known contraindications to the use of daratumumab or lenalidomide per local prescribing information. 9. History of allogeneic hematopoietic stem cell transplantation or solid organ transplant at any time. NOTE Other protocol defined inclusion/exclusion criteria apply.
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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
59 sites in 18 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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A.O.U. Careggi
RECRUITINGFlorence, Italy
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AOU Ospedali Riuniti di Ancona
RECRUITINGAncona, Italy
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ASST Grande Ospedale Metropolitano Niguarda
RECRUITINGMilan, Italy
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Aarhus Universitetshospital
RECRUITINGAarhus, Denmark
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Alexandra General Hospital -Department of Clinical Therapeutics N.K. Univ. of Athens
RECRUITINGAthens, Greece
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Ankara University Faculty of Medicine, Department of Hematology
RECRUITINGAnkara, Turkey (Türkiye)
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Austin Hospital
RECRUITINGHeidelberg, Australia
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Azienda Ospedaliera Santa Croce e Carle - Ematologia
RECRUITINGCuneo, Italy
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Azienda USL IRCCS Di Reggio Emilia
RECRUITINGReggio, Italy
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Barwon Health, University Hospital Geelong
RECRUITINGGeelong, Australia
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Beaumont Hospital
RECRUITINGDublin, Ireland
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Box Hill Hospital
RECRUITINGBox Hill, Australia
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CHUC
RECRUITINGCoimbra, Portugal
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Canberra Hospital
RECRUITINGCanberra, Australia
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Cork University Hospital
RECRUITINGCork, Ireland
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Ege Universitesi Tip Fakultesi - Hematology
RECRUITINGIzmir, Turkey (Türkiye)
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Ege University Medicine Faculty, Izmir
RECRUITINGIzmir, Turkey (Türkiye)
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Erasmus MC
RECRUITINGRotterdam, Netherlands
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Evaggelismos Hospital
RECRUITINGAthens, Greece
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Fakultni Nemocnice Hradec Kralove
RECRUITINGHradec Králové, Czechia
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Fakultni Nemocnice Ostrava
RECRUITINGOstrava, Czechia
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Fakultni Nemocnice Plzen
RECRUITINGPilsen, Czechia
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Flinders Medical Centre
RECRUITINGAdelaide, Australia
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Helsinki University Hospital Comprehensive Cancer Center
RECRUITINGHelsinki, Finland
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Hospital Clinic De Barcelona - Myeloma and Amyloidosis Unit
RECRUITINGBarcelona, Spain
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Hospital Quirón Salud Madrid
RECRUITINGMadrid, Spain
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Hospital Universitario Marques De Valdecilla -Hematology and Hemotherapy Service
RECRUITINGSantander, Spain
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Hospital Universitario la Fe, Valencia
RECRUITINGValencia, Spain
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Hospital da Luz Lisboa
RECRUITINGLisbon, Portugal
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I.R.C.C.S. Ospedale Casa Sollievo della Sofferenza
RECRUITINGSan Giovanni Rotondo, Italy
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IRCCS Ospedale Policlinico San Martino
RECRUITINGGenova, Italy
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Institut Catala D'oncologia (Badalona)
RECRUITINGBadalona, Spain
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Kantonsspital St. Gallen
RECRUITINGSankt Gallen, Switzerland
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Klinik Ottakring
RECRUITINGVienna, Austria
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Kuopio University Hospital
RECRUITINGKuopio, Finland
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Liv Hospital Ankara
RECRUITINGAnkara, Turkey (Türkiye)
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Meldola-Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (I.R.S.T.)
RECRUITINGMeldola, Italy
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Nepean Cancer Centre
RECRUITINGKingswood, Australia
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North Estonia Medical Centre Foundation
RECRUITINGTallinn, Estonia
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Northern Hospital
RECRUITINGMelbourne, Australia
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Ordensklinikum Linz
RECRUITINGLinz, Austria
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Ospedale "Infermi" di Rimini
RECRUITINGRimini, Italy
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Ospedale Maggiore Policlinico, Fondazione IRCCS Ca' Granda - Oncologia
RECRUITINGMilan, Italy
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Ospedale di Legnano, ASST Ovest Milanese
RECRUITINGLegnano, Italy
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Skåne University Hospital, Region Skåne
RECRUITINGLund, Sweden
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St. Olavs hospital HF
RECRUITINGTrondheim, Norway
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Stavanger University Hospital
RECRUITINGStavanger, Norway
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Sunshine Coast Health
RECRUITINGSunshine Coast, Australia
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Tartu University Hospital
RECRUITINGTartu, Estonia
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Theagenion Cancer Hospital
RECRUITINGThessaloniki, Greece
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Universitaetsklinikum Schleswig-Holstein -Campus Luebeck - Klinik fuer Haematologie und Onkologie
RECRUITINGLübeck, Germany
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Universitaetsmedizin Greifswald
RECRUITINGGreifswald, Germany
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Universitaetsspital Basel - Zentrum fur Hamato-Onkologie
RECRUITINGBasel, Switzerland
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University Hospital Centre Zagreb - Clinic for Internal Medicine
RECRUITINGZagreb, Croatia
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University Hospital Limerick - Department of Haematology
RECRUITINGLimerick, Ireland
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University Hospital Olomouc
RECRUITINGOlomouc, Czechia
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University Hospital of Alexandroupolis
RECRUITINGAlexandroupoli, Greece
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University Hospital of Würzburg
RECRUITINGWürzburg, Germany
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Vestfold Hospital Trust
RECRUITINGTønsberg, Norway
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?
- 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?