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Monoclonal Antibodies

Quad Regimen for Multiple Myeloma

Phase 2
Waitlist Available
Led By Suzanne George, MD
Research Sponsored by Alliance Foundation Trials, LLC.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Subject must have documented multiple myeloma with specific criteria for clonal bone marrow plasma cells or biopsy-proven bony or extramedullary plasmacytoma
Females of reproductive potential must agree to adhere to the scheduled pregnancy testing as required in the Revlimid REMS program
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 5 years
Awards & highlights

Study Summary

This trial will assess if adding ixazomib and daratumumab to lenalidomide as a maintenance treatment following induction with lenalidomide, ixazomib, dexamethasone, and daratumumab will impact progression free survival.

Who is the study for?
This trial is for adults over 18 with newly diagnosed Multiple Myeloma who can't have a stem cell transplant. They must not be pregnant, planning to become pregnant, or breastfeeding and agree to use two birth control methods if applicable. Participants need an ECOG score of 0-2 and meet specific health criteria without severe allergies or recent treatments that could interfere.Check my eligibility
What is being tested?
The study tests whether adding ixazomib and daratumumab to lenalidomide maintenance therapy after initial treatment with these drugs plus dexamethasone improves patient outcomes. It's randomized: one group gets the full combo followed by just lenalidomide; the other continues all three drugs as maintenance.See study design
What are the potential side effects?
Possible side effects include blood clots, nerve damage (neuropathy), infections due to low white blood cell counts, diarrhea, constipation, fatigue, rash, muscle cramps, fever with chills and breathing difficulties from Daratumumab infusions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have confirmed multiple myeloma with specific test results.
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I agree to follow the pregnancy testing schedule as required.
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I am 18 years old or older.
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I am able to care for myself and perform daily activities.
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I have a new diagnosis and am not eligible for high-dose chemotherapy with stem cell transplant.
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My condition has caused damage to my organs or shown specific myeloma signs.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 5 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Impact of Study Treatment on Progression Free Survival (PFS)
Secondary outcome measures
Alliance Geriatric Assessment with IMWG Fragility Score
Minimal Residual Disease (MRD)
Overall Response Rate (ORR)
+6 more
Other outcome measures
Changes in Body Composition After Induction Therapy
Circulating MM cells and circulating DNA through DNA sequencing

Side effects data

From 2013 Phase 4 trial • 122 Patients • NCT01474915
2%
Deep Vein Thrombosis
2%
Cerebrospinal fluid leak
2%
Fever
100%
80%
60%
40%
20%
0%
Study treatment Arm
Ondansetron
Aprepitant

Trial Design

2Treatment groups
Experimental Treatment
Group I: Lenalidomide, Ixazomib, Daratumumab, and DexamethasoneExperimental Treatment4 Interventions
12 cycles of lenalidomide, ixazomib, dexamethasone, and daratumumab followed by lenalidomide, ixazomib, and daratumumab until disease progression or unacceptable toxicity or a maximum of 2 year maintenance therapy.
Group II: LenalidomideExperimental Treatment4 Interventions
12 cycles of lenalidomide, ixazomib, daratumumab, and dexamethasone followed by lenalidomide until disease progression or unacceptable toxicity or a maximum of 2 years of maintenance therapy.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Ixazomib
2017
Completed Phase 4
~3370
Daratumumab Injection
2020
Completed Phase 2
~20
Dexamethasone
2007
Completed Phase 4
~2590
Lenalidomide
2005
Completed Phase 3
~1480

Find a Location

Who is running the clinical trial?

Janssen Scientific Affairs, LLCIndustry Sponsor
159 Previous Clinical Trials
580,439 Total Patients Enrolled
23 Trials studying Multiple Myeloma
2,017 Patients Enrolled for Multiple Myeloma
TakedaIndustry Sponsor
1,202 Previous Clinical Trials
4,178,183 Total Patients Enrolled
50 Trials studying Multiple Myeloma
18,154 Patients Enrolled for Multiple Myeloma
Celgene CorporationIndustry Sponsor
444 Previous Clinical Trials
58,157 Total Patients Enrolled
73 Trials studying Multiple Myeloma
10,470 Patients Enrolled for Multiple Myeloma

Media Library

Daratumumab Injection (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT04009109 — Phase 2
Multiple Myeloma Research Study Groups: Lenalidomide, Ixazomib, Daratumumab, and Dexamethasone, Lenalidomide
Multiple Myeloma Clinical Trial 2023: Daratumumab Injection Highlights & Side Effects. Trial Name: NCT04009109 — Phase 2
Daratumumab Injection (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04009109 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any other investigations which have utilized Dexamethasone?

"Currently, there are 762 active clinical trials inquiring into the efficacy of Dexamethasone with a total of 171 Phase 3 studies. While the majority is conducted in Joliet, Illinois, this medication has been tested at 26686 locations worldwide."

Answered by AI

How many health care facilities are actively conducting this experiment?

"This study is being offered in 12 distinct medical centres across the United States, such as Michigan Cancer Center Research Consortium NCORP situated Spartanburg, Gibbs Cancer Center & Research Institute/Spartanburg Regional Healthcare located in Winston-Salem and Wake Forest Baptist Health found in Chapel Hill."

Answered by AI

Who fulfills the eligibility criteria for participation in this research?

"This clinical research is recruiting 188 adults with multiple myeloma aged between 18 and 75. To be eligible, the patient must have reached legal age and a hemoglobin value of ≥20 g/L or <100 g/L below the lowest limit of normal."

Answered by AI

How many participants are being enlisted in this research endeavor?

"Affirmative. The clinicaltrials.gov database attests that this medical investigation is still recruiting patients and has been since October 21st 2020. Currently, the study requires 188 participants to be recruited from 12 distinct medical centres."

Answered by AI

Is there currently an opportunity for individuals to join the research?

"Confirmed by the clinicaltrials.gov repository, this research is actively seeking volunteers which began recruitment on October 21st 2020 and was last updated September 16th 2022."

Answered by AI

Is the age requirement for this trial under twenty years old?

"The minimum age for participants in this trial is 18 and the upper bound is 75. For minors, there are 122 trials available while adults aged 65+ have 1478 clinical tests to choose from."

Answered by AI

In what ways is Dexamethasone typically employed to treat various ailments?

"Dexamethasone is commonly prescribed to manage ophthalmic sympathetic conditions. However, it can also be used in certain cases of macular edema and branch retinal vein occlusion that have already been exposed to two systemic chemotherapies."

Answered by AI

Has the Federal Drug Administration authorized Dexamethasone for patient use?

"Our team at Power rated the safety of Dexamethasone a 2 on our scale, as Phase 2 trials have provided some evidence for its security but none to back up its efficacy."

Answered by AI
~23 spots leftby Oct 2025