Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT06182774

Fixed Duration vs Continuous Anti-CD38 Antibody Therapy Among Transplant Ineligible Older Adults With Newly-Diagnosed Multiple Myeloma

Led by Canadian Cancer Trials Group · Updated on 2026-05-12

570

Participants Needed

28

Research Sites

433 weeks

Total Duration

On this page

Sponsors

C

Canadian Cancer Trials Group

Lead Sponsor

C

Canadian Institutes of Health Research (CIHR)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Currently, daratumumab or isatuximab are given continuously (non-stop), along side lenalidomide, and dexamethasone as part of multiple myeloma treatment. are given continuously (non-stop). Recent observations suggest that stopping daratumumab or isatuximb after about a year and a half of treatment may work just as well as giving them continuously with lenalidomide and dexamethasone. Sometimes, bortezomib is also given. This study is being done to answer the question: is less daratumumab or isatuximab treatment as good as more?

CONDITIONS

Official Title

Fixed Duration vs Continuous Anti-CD38 Antibody Therapy Among Transplant Ineligible Older Adults With Newly-Diagnosed Multiple Myeloma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants with newly diagnosed multiple myeloma who are transplant-ineligible
  • Measurable disease at diagnosis defined by one or more of: Serum monoclonal protein 65 5 g/L; Urine M-protein 65 200 mg/24 hours; Involved serum free light chain 65 100 mg/L with abnormal ratio; IgA patients with serum quantitative immunoglobulin 65 750 mg/dL
  • Completed 18-20 cycles of daratumumab-lenalidomide-dexamethasone or isatuximab-lenalidomide-dexamethasone
  • Achieved at least partial response per 2016 IMWG criteria
  • ECOG performance status 0 to 3
  • Able and willing to complete quality of life or health utility questionnaires in English, French, or provided language
  • Consent obtained per local and regulatory requirements
  • Accessible for treatment and follow-up
  • Protocol treatment to begin within 2 working days of enrollment
  • Participants of childbearing potential agree to use highly effective contraception
Not Eligible

You will not qualify if you...

  • Known history of amyloid light chain amyloidosis, POEMS syndrome, or Waldenstrom's macroglobulinemia
  • Receiving other anti-cancer therapy that interferes with protocol treatment
  • Active uncontrolled bacterial, fungal, or viral infection within 7 days before enrollment
  • Known HIV infection with CD4 count below 350 cells/microliter
  • HIV positive patients must be on antiretroviral therapy for at least 4 weeks before enrollment with acceptable drug interactions
  • HIV viral load must be below 400 copies/ml within 16 weeks before enrollment
  • No history of opportunistic infections within the past year

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 28 locations

1

Cross Cancer Institute

Edmonton, Alberta, Canada, T6G 1Z2

Actively Recruiting

2

BCCA - Kelowna

Kelowna, British Columbia, Canada, V1Y 5L3

Actively Recruiting

3

BCCA - Vancouver

Vancouver, British Columbia, Canada, V5Z 4E6

Actively Recruiting

4

CancerCare Manitoba

Winnipeg, Manitoba, Canada, R3E 0V9

Actively Recruiting

5

The Moncton Hospital

Moncton, New Brunswick, Canada, E1C 6Z8

Actively Recruiting

6

Regional Health Authority B, Zone 2

Saint John, New Brunswick, Canada, E2L 4L2

Actively Recruiting

7

Dr. H. Bliss Murphy Cancer Centre

St. John's, Newfoundland and Labrador, Canada, A1B 3V6

Actively Recruiting

8

Royal Victoria Regional Health Centre

Barrie, Ontario, Canada, L4M 6M2

Actively Recruiting

9

William Osler Health System

Brampton, Ontario, Canada, L6R 3J7

Actively Recruiting

10

Juravinski Cancer Centre at Hamilton Health Sciences

Hamilton, Ontario, Canada, L8V 5C2

Actively Recruiting

11

Kingston Health Sciences Centre

Kingston, Ontario, Canada, K7L 2V7

Actively Recruiting

12

Waterloo Regional Health Network (WRHN)

Kitchener, Ontario, Canada, N2G 1G3

Actively Recruiting

13

London Health Sciences Centre Research Inc.

London, Ontario, Canada, N6A 5W9

Actively Recruiting

14

Stronach Regional Health Centre at Southlake

Newmarket, Ontario, Canada, L3Y 2P9

Actively Recruiting

15

Lakeridge Health Oshawa

Oshawa, Ontario, Canada, L1G 2B9

Actively Recruiting

16

Ottawa Hospital Research Institute

Ottawa, Ontario, Canada, K1H 8L6

Actively Recruiting

17

Algoma District Cancer Program

Sault Ste. Marie, Ontario, Canada, P6B 0A8

Actively Recruiting

18

Niagara Health System

St. Catharines, Ontario, Canada, L2S 0A9

Actively Recruiting

19

St. Michael's Hospital

Toronto, Ontario, Canada, M5B 1W8

Actively Recruiting

20

St. Joseph's Health Centre

Toronto, Ontario, Canada, M6R 1B5

Actively Recruiting

21

Windsor Regional Cancer Centre

Windsor, Ontario, Canada, N8W 2X3

Actively Recruiting

22

CIUSSS de l'Est-de-I'lle-de-Montreal

Montreal, Quebec, Canada, H1T 2M4

Actively Recruiting

23

The Jewish General Hospital

Montreal, Quebec, Canada, H3T 1E2

Actively Recruiting

24

St. Mary's Hospital

Montreal, Quebec, Canada, H3T 1M5

Actively Recruiting

25

The Research Institute of the McGill University

Montreal, Quebec, Canada, H4A 3J1

Actively Recruiting

26

CHU de Quebec-Hopital l'Enfant-Jesus (HEJ)

Québec, Quebec, Canada, G1J 1Z4

Actively Recruiting

27

Allan Blair Cancer Centre

Regina, Saskatchewan, Canada, S4T 7T1

Actively Recruiting

28

Saskatoon Cancer Centre

Saskatoon, Saskatchewan, Canada, S7N 4H4

Actively Recruiting

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Research Team

A

Annette Hay

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Fixed Duration vs Continuous Anti-CD38 Antibody Therapy Among Transplant Ineligible Older Adults With Newly-Diagnosed Multiple Myeloma | DecenTrialz