New drug cocktail aims to tame myeloma in seniors
NCT ID NCT05572229
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study is testing a new drug called teclistamab, given as a shot, together with either daratumumab (another shot) or lenalidomide (a pill) in people aged 65 and older who have just been diagnosed with multiple myeloma and cannot have a stem cell transplant. The goal is to see if these combinations are safe and can shrink the cancer significantly after four cycles of treatment. About 74 participants will be enrolled across multiple centers.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Teclistamab (a drug given as a shot under the skin) combined with either daratumumab (shot) or lenalidomide (pill)
- What this could lead to
- If successful, this could offer a new, effective treatment option for elderly patients with newly diagnosed multiple myeloma who cannot undergo a stem cell transplant.
- What could go wrong
- This is a Phase 2 trial with only 74 participants, so results are preliminary. The combination may cause side effects or not work as well as hoped.
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 74 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2023
- Expected to finish
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Sep 2030
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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65 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. Patient must be at least ≥65 years of age at the time of informed consent with documented multiple myeloma as defined by the criteria below: Multiple myeloma diagnosis according to IMWG diagnostic criteria Measurable disease at Screening as defined by any of the following: Serum monoclonal paraprotein (M-protein) level ³ 0.5 g/dL; or Urine M protein level ³ 200 mg/24 hours; or Serum Ig FLC ³ 10 mg/dL and abnormal serum Ig kappa/lambda FLC ratio 2. Have an ECOG performance status score of 0-2 3. Not considered for high-dose chemotherapy and autologous SCT 4. Have clinical laboratory values meeting the criteria during the Screening Phase. 5. A male patient must wear a condom (with spermicidal foam/gel/film/cream/suppository) when engaging in any activity that allows for passage of ejaculate to another person during the study and for a minimum of 4 weeks after the last dose of lenalidomide or for a period of 3 months after the last dose of other study treatments, whichever occurs later. If the male patient's partner is a female of childbearing potential, she must also be practicing a highly effective method of contraception. If the male patient is vasectomized, he still must wear a condom (with or without spermicidal foam/gel/film/cream/suppository), but his female partner is not required to use contraception. 7\. A male patient must agree not to donate sperm for the purpose of reproduction during the study and for a minimum of 4 weeks after the last dose of lenalidomide or for period of 3 months after receiving the last dose of other study treatments, whichever occurs later. 8\. Must sign an ICF (or their legally acceptable representative must sign in accordance with local requirements) indicating that the patient understands the purpose of, and procedures required for, the study and is willing to participate in the study. 9\. Must be willing and able to adhere to the lifestyle restrictions specified in this protocol. Exclusion Criteria: Medical Conditions 1. CNS involvement or clinical signs of meningeal involvement of multiple myeloma. If either is suspected, negative whole brain MRI and lumbar cytology are required. 2. Plasma cell leukemia, Waldenström's macroglobulinemia, POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes), or primary light chain amyloidosis. 3. Any ongoing myelodysplastic syndrome or B cell malignancy (other than multiple myeloma). 4. Any history of malignancy, other than multiple myeloma, which is considered at high risk of recurrence requiring systemic therapy 5. Any active malignancies (ie, progressing or requiring treatment change in the last 24 months) other than multiple myeloma. 6. Stroke, transient ischemic attack, or seizure within 6 months prior to signing ICF. 7. Presence of the a cardiac conditions. Tec-Dara-specific 8. COPD with a FEV1 \<50% of predicted normal. Note that FEV1 testing is required for patients with known or suspected of having COPD or asthma and patients must be excluded if FEV1 \<50% of predicted normal. 9. Moderate or severe persistent asthma within the past 2 years or uncontrolled asthma of any classification. Note that FEV1 testing is required for patients known or suspected asthma and patients must be excluded if FEV1 \<50% of predicted normal. Prior/Concomitant Therapy 10. Radiotherapy within 14 days or focal radiation within 7 days. 11. Received a cumulative dose of corticosteroids equivalent to ≥140 mg of prednisone within 14-days before the first dose of study drug (does not include pretreatment medications). 12. Received a live, attenuated vaccine within 4 weeks before the first dose of study drug. Non-live or non-replicating vaccines authorized for emergency use (eg, COVID-19) are allowed. 13. Any prior therapy for multiple myeloma or smoldering myeloma other than a short course of corticosteroids prior to signing ICF (not to exceed 40 mg of dexamethasone, or equivalent per day for a maximum of 4 days, total of 160 mg dexamethasone or equivalent). 14. Contraindications or life-threatening allergies, hypersensitivity, or intolerance to any study drug or its excipients. Diagnostic Assessments 15. HIV positive. 16. Hepatitis B infection. 17. Active hepatitis C infection as measured by positive HCV-RNA testing. Other Exclusions 18. Women of childbearing potential 19. Patient had major surgery or had significant traumatic injury within 2 weeks prior to the start of administration of study treatment, or will not have fully recovered from surgery., or has major surgery planned during the time the patient is expected to be treated in the study or within 2 weeks after administration of the last dose of study treatment. 20. Concurrent medical or psychiatric condition or disease that is likely to interfere with study procedures or results. 21. Patient plans to father a child while enrolled in this study or within 3 months after the last dose of study intervention. 22. Person under guardianship, trusteeship or deprived of freedom by a judicial or administrative decision.
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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
23 sites. 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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Aphp - Chu Henri Mondor
ACTIVE_NOT_RECRUITINGParis, France
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Aphp - Hopital Saint Antoine
NOT_YET_RECRUITINGParis, France
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Aphp - Hopital Saint Louis
NOT_YET_RECRUITINGParis, France
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Aphp Hopital Avicenne
NOT_YET_RECRUITINGBobigny, France
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Centre Hospitalier de La Cote Basque
RECRUITINGBayonne, France
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Centre Hospitalier de Versailles
RECRUITINGLe Chesnay, France
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Centre Leon Berard
NOT_YET_RECRUITINGLyon, France
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Ch D'Avignon
ACTIVE_NOT_RECRUITINGAvignon, France
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Ch de Dunkerque
ACTIVE_NOT_RECRUITINGDunkirk, France
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Chr Metz-Thionville
RECRUITINGMetz, France
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Chru Angers
RECRUITINGAngers, France
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Chru Bretonneau
RECRUITINGTours, France
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Chru de Nancy, Hopitaux de Brabois
RECRUITINGNancy, France
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Chu Amiens - Hopital Sud
RECRUITINGAmiens, France
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Chu Bordeaux
RECRUITINGPessac, France
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Chu Dijon Bourgogne
RECRUITINGDijon, France
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Chu Limoges
ACTIVE_NOT_RECRUITINGLimoges, France
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Chu Montpellier
RECRUITINGMontpellier, France
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Chu Pontchaillou
ACTIVE_NOT_RECRUITINGRennes, France
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Chu de Besancon
RECRUITINGBesançon, France
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Chu de Caen
RECRUITINGCaen, France
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Chu de Grenoble
RECRUITINGLa Tronche, France
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Chu de Lille, Hopital Claude Huriez
RECRUITINGLille, France
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Chu de Nantes Site Hotel Dieu
ACTIVE_NOT_RECRUITINGNantes, France
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Chu de Poitiers
RECRUITINGPoitiers, France
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Chu de Reims
NOT_YET_RECRUITINGReims, France
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Hopital E. Muller- Ghrmsa
NOT_YET_RECRUITINGMulhouse, France
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Hopitaux Universitaire de Strasbourg - Hopital Hautepierre
RECRUITINGStrasbourg, France
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Oncopole Chu Toulouse
RECRUITINGToulouse, France
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?