Final analysis of a phase II trial of daratumumab, carfilzomib, lenalidomide, and dexamethasone in newly diagnosed multiple myeloma without transplant

Final Analysis: Phase II Trial of Daratumumab, Carfilzomib, Lenalidomide, and Dexamethasone in Newly Diagnosed Multiple Myeloma

Key Findings

We studied the effectiveness and safety of a 24-cycle treatment combining Daratumumab with carfilzomib, lenalidomide, and dexamethasone in newly diagnosed multiple myeloma patients without needing a stem cell transplant.

Our primary goal was to achieve a stringent complete response (sCR) and/or measurable residual disease (MRD) less than 10-5 after the 8th treatment cycle.

Results showed a 75% rate of sCR and/or MRD less than 10-5, meeting our effectiveness target. The percentage of patients achieving a 10-6 MRD negative rate improved with continued treatment beyond the 8th cycle.

Additionally, our estimated 3-year progression-free survival rate was 85%, with a 3-year overall survival rate of 95%.

Side effects primarily included upper respiratory infections, with 7% of cases classified as grade 3-4, and no treatment-related deaths occurred.

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