Elranatamab/Lenalidomide Consolidation and/or Elranatamab Maintenance Versus Standard of Care After D-VRd Induction in Transplant-eligible NDMM Patients
NCT06918002 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 824
Last updated 2026-04-02
Summary
This study is designed as a multicenter, randomized, parallel groups, open-label, phase 3 study in subjects with untreated newly diagnoses Multiple Myeloma eligible for ASCT.
824 patients will be enrolled in this study from approximately 70 study sites.
The 2 parts in the Treatment Phase are described below.
Part 1: Induction/ASCT/Consolidation Phase (1:1 Randomization)
After the screening period, patients will be randomly allocated (1:1) to either:
* Arm A (standard of care arm): standard induction therapy with 4 cycles of D-VRd, followed by HDCT (Melphalan) + ASCT, D-VRd consolidation therapy
* Arm B (experimental arm): standard induction therapy with 4 cycles of D-VRd, followed by elranatamab and lenalidomide consolidation therapy.
Part 2: Maintenance Phase (1:1 Re-randomization) Patients will be re-randomized (1:1) and will enter the Maintenance Phase upon completion of consolidation therapy.
* Arm C (standard of care arm): lenalidomide
* Arm D (experimental arm): elranatamab
Conditions
- Multiple Myeloma, Newly Diagnosed
Interventions
- DRUG
-
Elranatamab is given to arm B patients in association with lenalidomide (for consolidation) and arm D patients in monotherapy (for maintenance) as experimental arms
- DRUG
-
Lenalidomide (Revlimid®)
In association with daratumumab, bortezomib and dexamethasone (Arm A), in association with elranatamab (Arm B), in monotherapy (Arm C)
- DRUG
-
Daratumumab SC (Darzalex)
Daratumumab is given in association with bortezomib, lenalidomide and dexamethasone in induction therapy (all patients) and consolidation arm A
- PROCEDURE
-
Autologous Stem Cell Transplantation
ASCT is performed in consolidation for Arm A patients after induction therapy with D-VRD
- DRUG
-
Bortezomib (Velcade®)
Bortezomib is given in associtaion with daratumumab, lenalidomide and dexamethasone in induction (all patients) and consolidation Arm A
- DRUG
-
Dexamethasone is given in association with daratumumab, bortezomib and lenalidomide in induction (all patients) and consolidation Arm A
Sponsors & Collaborators
- collaborator INDUSTRY
-
Intergroupe Francophone du Myelome
lead NETWORK
Principal Investigators
-
Chanaz LOUNI · The Institute for Functional Medicine
-
Aurore PERROT, Prof · IUCT Toulouse France
-
Cyrille TOUZEAU, Prof · CHU Nantes France
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-09
- Primary Completion
- 2036-05-31
- Completion
- 2036-05-31
- FDA Drug
- Yes
Countries
- France
Study Locations
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