Personalising Treatment for Myeloma Patients Based on Initial Response to NHS Treatment and Their Overall Fitness Level
NCT07649525 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 1226
Last updated 2026-07-15
Summary
iFIT is a trial for newly diagnosed transplant-ineligible patients with the bone marrow cancer myeloma. These patients are generally older and have a lower level of fitness than others. Patients can take part if their doctor would otherwise recommend the standard NHS treatment daratumumab, lenalidomide and dexamethasone (DRd). After six months of DRd, the subsequent treatment a patient receives in iFIT is based on two factors: the patient's fitness level and treatment response. The trial compares different treatment strategies to determine whether outcomes can be improved for specific patient groups.
Conditions
- Multiple Myeloma (MM)
- Plasma Cell Leukemia (PCL)
Interventions
- DRUG
-
Participants will receive teclistamab by subcutaneous injection. Each cycle is 28 days.
- DRUG
-
Participants will receive talquetamab by subcutaneous injection. Each cycle is 28 days.
- DRUG
-
Taken orally as capsules. Each cycle is 28 days. Dose can be adjusted for frailty and renal function.
- DRUG
-
Taken as oral tablets, oral solution, or given by IV. Each cycle is 28 days. Dose can be adjusted for frailty and renal function.
- DRUG
-
Participants will receive daratumumab by subcutaneous injection. Each cycle is 28 days.
Sponsors & Collaborators
- collaborator OTHER
-
Blood Cancer UK
collaborator UNKNOWN - collaborator INDUSTRY
-
University of Leeds
lead OTHER
Principal Investigators
-
Gordon Cook · Leeds Institute of Clinical Trials Research
-
Charlotte Pawlyn · Institute of Cancer Research, United Kingdom
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-31
- Primary Completion
- 2033-06-30
- Completion
- 2037-06-30
Countries
- United Kingdom
Study Locations
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