New combo aims to stall return of blood cancer
NCT ID NCT05083169
First seen Jun 27, 2026 · Last updated Aug 28, 2026 · Updated 3 times
Summary
This study tests whether a new two-drug combination (teclistamab plus daratumumab) works better than standard three-drug combos for people whose multiple myeloma has returned or stopped responding to treatment. About 587 adults with measurable disease will be randomly assigned to one of the treatments. The main goal is to see how long the cancer stays under control.
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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587 people
The number who actually took part.
- Started
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Oct 2021
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- 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: * Documented multiple myeloma as defined by the criteria: a. multiple myeloma diagnosis according to the International Myeloma Working Group (IMWG) diagnostic criteria, b. measurable disease at screening as defined by any of the following: 1) serum M-protein level greater than or equal to (\>=) 0.5 gram per deciliter (g/dL); or 2) urine M-protein level \>=200 milligrams (mg)/24 hours; or 3) serum immunoglobulin free light chain \>=10 mg/dL and abnormal serum immunoglobulin kappa lambda free light chain ratio * Received 1 to 3 prior line(s) of antimyeloma therapy including a proteasome inhibitor (PI) and lenalidomide; a. participants who have received only 1 line of prior line of antimyeloma therapy must be lenalidomide refractory. Stable disease or progression on or within 60 days of the last dose of lenalidomide given as maintenance will meet this criterion * Documented evidence of progressive disease based on investigator's determination of response by IMWG criteria on or after their last regimen * Have an eastern cooperative oncology group (ECOG) performance status score of 0, 1, or 2 at screening and prior to the start of administration of study treatment * Have clinical laboratory values within the specified range Exclusion Criteria: * Contraindications or life-threatening allergies, hypersensitivity, or intolerance to any study drug or its excipients. Additional exclusion criteria pertaining to specific study drugs include: 1. A participant is not eligible to receive daratumumab subcutaneous (SC) in combination with pomalidomide and dexamethasone (DPd) as control therapy if any of the following are present: 1) Contraindications or life-threatening allergies, hypersensitivity, or intolerance to pomalidomide, 2) Disease that is considered refractory to pomalidomide per IMWG, 2. A participant is not eligible to receive daratumumab SC in combination with bortezomib and dexamethasone (DVd) as control therapy if any of the following are present: 1) Contraindications or life-threatening allergies, hypersensitivity, or intolerance to bortezomib, 2) Grade 1 peripheral neuropathy with pain or Grade \>= 2 peripheral neuropathy as defined by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0, 3) Disease that is considered refractory to bortezomib per IMWG, 4) Received a strong cytochromes P450 (CYP3A4) inducer within 5 half-lives prior to randomization * Received any prior B cell maturation antigen (BCMA)-directed therapy * Has disease that is considered refractory to an anti-cluster of differentiation 38 (CD38) monoclonal antibody per IMWG * Received a cumulative dose of corticosteroids equivalent to \>=140 mg of prednisone within 14 days before randomization * Received a live, attenuated vaccine within 4 weeks before randomization * Plasma cell leukemia at the time of screening, Waldenström's macroglobulinemia, POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes), or primary amyloid light chain amyloidosis
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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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A.O.U. Citta della Salute e della Scienza di Torino - Presidio Molinette
Turin, 10126, Italy
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ASST Papa Giovanni XXIII Bergamo
Bergamo, 24127, Italy
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AZ St.-Jan Brugge-Oostende AV
Bruges, 8000, Belgium
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Aalborg University Hospital
Aalborg, DK-9000, Denmark
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Aarhus University Hospital
Aarhus N, DK-8200, Denmark
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Akademiska Sjukhuset
Uppsala, 75185, Sweden
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Alexandra General Hospital of Athens
Athens Attica, 115 28, Greece
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Algemeen Ziekenhuis Delta
Roeselare, 8800, Belgium
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Ankara University Medical Faculty
Ankara, 06590, Turkey (Türkiye)
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Anticancer Hospital of Thessaloniki Theageneio
Thessaloniki, 546 39, Greece
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Arthur J E Child Comprehensive Cancer Centre
Calgary, Alberta, T2N 5G2, Canada
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Az Groeninge
Kortrijk, 8500, Belgium
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Azienda Ospedaliera Universitaria Careggi
Florence, 50134, Italy
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BC Cancer Agency - Vancouver BC
Vancouver, British Columbia, V5Z 4E6, Canada
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Baptist Cancer Center
Memphis, Tennessee, 38120, United States
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Beijing Chaoyang Hospital
Chaoyang District, 100020, China
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Blackpool Teaching Hospitals NHS Foundation Trust
Blackpool, FY3 8NR, United Kingdom
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C.H.U. Hotel Dieu - France
Nantes, 44093, France
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CHRU Hôpital Bretonneau
Tours, 37044, France
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CHU De Poitiers
Poitiers, 86021, France
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CHU Henri Mondor
Créteil, 94000, France
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CHU de Limoges Hopital Dupuytren
Limoges, 87042, France
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Centro de Pesquisa e Ensino em Oncologia de Santa Catarina CEPEN
Florianópolis, 88034-000, Brazil
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Centrum Onkologii Ziemi Lubelskiej im sw Jana z Dukli
Lublin, 20 090, Poland
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Chang Gung Memorial Hospital
Taoyuan, 333, Taiwan
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China Medical University Hospital
Taichung, 40447, Taiwan
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Chonnam National University Hwasun Hospital
Jeollanam-do, 58128, South Korea
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City of Hope
Duarte, California, 91010, United States
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Clinica Medica Sao Germano LTDA
São Paulo, 04537 081, Brazil
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Clinica Univ. de Navarra
Pamplona, 31008, Spain
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Clinical Research Institute of Hematology and Transfusiology
Saint Petersburg, 191024, Russia
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Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2, Canada
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Dokkyo Medical University Saitama Medical Center
Koshigaya, 343-8555, Japan
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Dokuz Eylul University Medical Faculty
Izmir, 35340, Turkey (Türkiye)
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Emory University Winship Cancer Institute
Atlanta, Georgia, 30322, United States
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Evang. Krankenhaus Essen-Mitte gGmbH
Essen, 45239, Germany
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Falu Lasarett
Falun, 791 82, Sweden
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First Affiliated Hospital of Guangxi Medical University
Nanning, 530021, China
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First affiliated Hospital of Zhejiang University
Hangzhou, 310003, China
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First affiliated Hospital of Zhejiang University 1
Hangzhou, 310003, China
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Fred Hutchinson Cancer Center
Seattle, Washington, 98109, United States
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Fujian Meidical University Union Hospital
Fuzhou, 350001, China
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Fukuoka University Hospital
Fukuoka, 814-0180, Japan
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G.Papanikolaou
Thessaloniki, 57010, Greece
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Gachon University Gil Medical Center
Incheon, 21565, South Korea
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Heinrich-Heine -Universitaet Duesseldorf
Düsseldorf, 40225, Germany
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Helsingborgs lasarett
Helsingborg, 25187, Sweden
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Henan Cancer Hospital
Zhengzhou, 450008, China
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Henry Ford Health System
Southfield, Michigan, 48075, United States
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Henry Ford Hospital
Detroit, Michigan, 48202, United States
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Hokkaido University Hospital
Sapporo, 060-8648, Japan
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Hopital Claude Huriez
Lille, 59000, France
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Hopital de Jolimont
Haine Saint Paul La Louviere, 7100, Belgium
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Hosp Clinico Univ de Salamanca
Salamanca, 37007, Spain
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Hosp Univ Vall D Hebron
Barcelona, 8035, Spain
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Hosp. Clinico Univ. de Santiago
Santiago de Compostela, 15706, Spain
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Hosp. Gral. Univ. Gregorio Maranon
Madrid, 28007, Spain
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Hosp. Quiron Madrid Pozuelo
Pozuelo de Alarcón, 28223, Spain
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Hosp. Univ. 12 de Octubre
Madrid, 28041, Spain
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Hosp. Univ. I Politecni La Fe
Valencia, 46026, Spain
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Hosp. Univ. Marques de Valdecilla
Santander, 39008, Spain
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Hosp. Univ. Ramon Y Cajal
Madrid, 28034, Spain
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Hosp. Univ. Son Espases
Palma, 7120, Spain
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Hosp. Univ. de Gran Canaria Dr. Negrin
Las Palmas de Gran Canaria, 35010, Spain
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Hosp. Virgen Del Rocio
Seville, 41013, Spain
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Hosp. de Cabuenes
Gijón, 33394, Spain
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Hospices Civils de Lyon HCL
Lyon, 69002, France
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Hospitais Integradaos da Gavea S/A - DF Star
Brasília, 70390-140, Brazil
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Hospital Aleman
CABA, C1118AAT, Argentina
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Hospital Erasto Gaertner- Liga Paranaense de Combate ao Cancer
Curitiba, 81520-060, Brazil
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Hospital Italiano de Buenos Aires
Buenos Aires, C1199ABB, Argentina
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Hospital Paulistano
São Paulo, 01323-000, Brazil
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Hospital Privado Centro Medico de Cordoba
Córdoba, X5016KEH, Argentina
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Huntsman Cancer Institute
Salt Lake City, Utah, 84112, United States
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Hyogo Medical University Hospital
Nishinomiya Shi, 663 8501, Japan
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Hôpitaux Universitaires de Strasbourg - Hôpital de Hautepierre
Strasbourg, 67200, France
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IDOR - Regional Bahia
Salvador, 41253-190, Brazil
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IRCCS Policlinico San Matteo, Università degli studi di Pavi
Pavia, 27100, Italy
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Inst. Cat. Doncologia-H Duran I Reynals
Barcelona, 08908, Spain
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Instituto D Or de Pesquisa e Ensino IDOR
São Paulo, 4501000, Brazil
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Instituto de Educacao, Pesquisa e Gestao em Saude Instituto Americas (COI)
Rio de Janeiro, 22775 001, Brazil
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Irmandade Santa Casa de Misericordia de Porto Alegre
Porto Alegre, 90050-170, Brazil
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Isala Kliniek
Zwolle, 8025 AB, Netherlands
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Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
Meldola, 47014, Italy
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Iwate Medical University Hospital
Shiwa-gun, 028-3695, Japan
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Japanese Red Cross Medical Center
Shibuya-ku, 150-8935, Japan
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Kings College Hospital
London, SE5 9RS, United Kingdom
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Klinika Hematologii i Transplantologii, UCK
Gdansk, 80-214, Poland
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Kumamoto University Hospital
Kumamoto, 860-8556, Japan
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Kurume University Hospital
Kurume, 830-0011, Japan
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Kyungpook National University Hospital
Daegu, 41944, South Korea
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Liga Norte Riograndense Contra O Cancer
Natal, 59062 000, Brazil
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Medical University of South Carolina
Charleston, South Carolina, 29425-8900, United States
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Medipol University Hospital
Istanbul, 34214, Turkey (Türkiye)
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Nagoya City University Hospital
Nagoya, 467 8602, Japan
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Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy
Warsaw, 02-781, Poland
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National Cancer Center Hospital East
Kashiwa, 277 8577, Japan
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National Cheng Kung University Hospital
Tainan, 704, Taiwan
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National Hospital Organization Hiroshima-Nishi Medical Center
Ōtake, 739-0696, Japan
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National Hospital Organization Matsumoto Medical Center
Matsumoto, 399-8701, Japan
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National Hospital Organization Mito Medical Center
Higashiibaraki-gun, 311-3193, Japan
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National Hospital Organization Okayama Medical Center
Okayama, 701-1192, Japan
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National Hospital Organization Sendai Medical Center
Sendai, 983-8520, Japan
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Ninewells Hospital & Medical School
Dundee, DD1 9SY, United Kingdom
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Norrlands Universitetssjukhus
Umeå, 901 85, Sweden
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Odense Universitets Hospital
Odense, 5000, Denmark
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Ogaki Municipal Hospital
Gifu, 503-8502, Japan
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Ondokuz Mayis University
Atakum, 55280, Turkey (Türkiye)
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Oxford University Hospitals NHS Foundation Trust
Oxford, OX3 7LE, United Kingdom
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Peking University First Hospital
Beijing, 100034, China
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Peking University People's Hospital
Beijing, 100044, China
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Peking University Shenzhen Hospital
Shenzhen, 518036, China
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Peking University Third Hospital
Beijing, 100191, China
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Policlinico Sant'Orsola Malpighi
Bologna, 40138, Italy
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Pratia Onkologia Katowice
Katowice, 40 519, Poland
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Princess Margaret Cancer Centre University Health Network
Toronto, Ontario, M5G 1X6, Canada
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Pôle IUC Oncopole CHU
Toulouse, 31059, France
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QEII Health Sciences
Halifax, Nova Scotia, B3H 2Y9, Canada
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Radboudumc
Nijmegen, 6525GA, Netherlands
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Real e Benemerita Associacao Portuguesa de Beneficencia
São Paulo, 01323 900, Brazil
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Rigshospitalet
Copenhagen, 2100, Denmark
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Royal Marsden Hospital
Sutton, SM2 5PT, United Kingdom
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S.P. Botkin Moscow City Clinical Hospital
Moscow, 125284, Russia
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S.P. Botkin Moscow City Clinical Hospital 1
Moscow, 125284, Russia
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Sahlgrenska University Hospital
Gothenburg, 413 45, Sweden
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Samsung Medical Center
Seoul, 06351, South Korea
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Seoul National University Hospital
Seoul, 03080, South Korea
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Severance Hospital Yonsei University Health System
Seoul, 03722, South Korea
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Shanghai Zhongshan Hospital
Shanghai, 200032, China
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Shengjing Hospital Of China Medical University
Shenyang, 110136, China
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Shonan Kamakura General Hospital
Kamakura-shi, 247-8533, Japan
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Sint Antonius Ziekenhuis - Afd.Interne - INT
Nieuwegein, 3435 CM, Netherlands
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Skanes universitetssjukhus
Lund, 221 85, Sweden
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Specjalistyczny Szpital im dra Alfreda Sokolowskiego w Walbrzychu
Wałbrzych, 58 309, Poland
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St. Barbara-Klinik Hamm GmbH
Hamm, 59073, Germany
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Stanford University Medical Center
Stanford, California, 94305-5623, United States
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Sun Yat -Sen University Cancer Center
Guangzhou, 511363, China
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Sunderby Sjukhus
Luleå, 971 80, Sweden
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Swietokrzyskie Centrum Onkologii SPZOZ w Kielcach
Kielce, 25 734, Poland
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The Affiliated Hospital of Xuzhou Medical University
Xuzhou, 221000, China
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The Catholic University of Korea Seoul St Marys Hospital
Seoul, 06591, South Korea
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The First Hospital of Jilin University
Changchun, 130021, China
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The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an, 710004, China
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The Third Xiangya Hospital of Central Sourth University
Changshashi, 410013, China
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Tianjin Medical University Cancer Institute and Hospital
Tianjin, 300060, China
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Tianjin Medical University General Hospital
Tianjin, 300011, China
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Tohoku University Hospital
Sendai, 980 8574, Japan
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Tokai University Hospital
Isehara, 259-1193, Japan
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Tufts Medical Center
Boston, Massachusetts, 02111, United States
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U.O. Ematologia con Trapianto- AOU Policlinico di Bari
Bari, 70124, Italy
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UZ Gent
Ghent, 9000, Belgium
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UZ Leuven
Leuven, 3000, Belgium
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Universitaetsklinikum Carl-Gustav-Carus Dresden
Dresden, 01307, Germany
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Universitaetsklinikum Hamburg Eppendorf
Hamburg, 20246, Germany
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Universitaetsklinikum Heidelberg
Heidelberg, 69120, Germany
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Universitaetsklinikum Leipzig
Leipzig, 04103, Germany
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Universitaetsklinikum Schleswig Holstein Campus Kiel
Kiel, 24105, Germany
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Universitaetsklinikum Tuebingen
Tübingen, 72076, Germany
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Universitair Medisch Centrum Groningen
Groningen, 9713 GZ, Netherlands
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Universitatsklinikum Freiburg
Freiburg im Breisgau, 79106, Germany
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University Hospitals Plymouth NHS Trust
Plymouth, PL6 8DH, United Kingdom
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University of Alabama Birmingham
Birmingham, Alabama, 35294, United States
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University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15232, United States
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University of Texas Southwestern Medical Center
Dallas, Texas, 75235, United States
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University of Wisconsin Carbone Cancer Center
Madison, Wisconsin, 53792, United States
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Università di Roma 'La Sapienza' - Ospedale Umberto 1°
Roma, 00161, Italy
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Uniwersytecki Szpital Kliniczny im Jana Mikulicza Radeckiego we Wroclawiu
Wroclaw, 50 367, Poland
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VU Medisch Centrum
Amsterdam, 1081 HV, Netherlands
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Vanderbilt Ingram Cancer Center
Nashville, Tennessee, 37232, United States
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Vejle Hospital
Vejle, DK-7100, Denmark
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West China Hospital Sichuan University
Chengdu, 610041, China
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West Penn Hospital
Pittsburgh, Pennsylvania, 15224, United States
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Yale University
New Haven, Connecticut, 06510, United States
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ZAS Cadix
Antwerp, 2030, Belgium
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Zhongda Hospital Southeast University
Nanjing, 210009, China
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