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Phase 3 Completed N=395 Randomized Treatment

A Study Comparing Daratumumab, VELCADE (Bortezomib), Lenalidomide, and Dexamethasone (D-VRd) With VELCADE, Lenalidomide, and Dexamethasone (VRd) in Participants With Untreated Multiple Myeloma and for Whom Hematopoietic Stem Cell Transplant is Not Planned as Initial Therapy

Source: ClinicalTrials.gov NCT03652064 ↗
Enrolled (actual)
395
Serious AEs
69.6%
Results posted
Apr 2026
Primary outcomePrimary: Primary Analysis: Overall Minimal Residual Disease (MRD) Negative Rate — 35.4; 53.3 Percentage of participants — p==0.0004
◆ Published Evidence
Highly cited
111citations · ~111 / year
Daratumumab plus bortezomib, lenalidomide and dexamethasone for transplant-ineligible or transplant-deferred newly diagnosed multiple myeloma: the randomized phase 3 CEPHEUS trial.
Nature medicine · 2025 · Open access · Likely link

Summary

The purpose of this study to determine if the addition of daratumumab to bortezomib + lenalidomide + dexamethasone (VRd) will improve overall minimal residual disease (MRD) negativity rate compared with VRd alone.

Linked Publications (3)

  • Daratumumab plus bortezomib, lenalidomide and dexamethasone for transplant-ineligible or transplant-deferred newly diagnosed multiple myeloma: the randomized phase 3 CEPHEUS trial.
    Nature medicine · 2025 · 111 citations · Open access · Likely link
  • Up-Front Treatment of Elderly (Age ≥75 Years) and Frail Patients With Multiple Myeloma.
    Journal of the National Comprehensive Cancer Network : JNCCN · 2024 · 4 citations · Likely link
  • Daratumumab in Transplant-Ineligible or -Deferred Newly Diagnosed Multiple Myeloma: Minimal Residual Disease in CEPHEUS.
    Blood advances · 2026 · 0 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Primary Analysis: Overall Minimal Residual Disease (MRD) Negative Rate
35.4; 53.3 =0.0004 sig
PRIMARY
Final Progression-Free Survival (PFS) Analysis : Overall Minimal Residual Disease (MRD) Negative Rate
39.4; 60.9 <0.0001 sig
SECONDARY
Complete Response (CR) or Better Rate
SECONDARY
Progression-Free Survival (PFS)
SECONDARY
MRD Negativity Rate at 1 Year
SECONDARY
Overall Response Rate (ORR)
SECONDARY
Durable MRD Negative Rate
SECONDARY
Very Good Partial Response (VGPR) or Better Rate
SECONDARY
Duration of Response (DOR)
SECONDARY
Time to Response
SECONDARY
PFS on the Next Line of Therapy
SECONDARY
Overall Survival (OS)
SECONDARY
Overall MRD Negativity Rate in High-risk Molecular Subgroups
SECONDARY
PFS in High-risk Molecular Subgroups
SECONDARY
Maximum Observed Serum Concentration (Cmax) of Daratumumab
SECONDARY
Minimum Observed Serum Concentration (Cmin) of Daratumumab
SECONDARY
Number of Participants With Anti-daratumumab Antibodies
SECONDARY
Number of Participants With Anti-recombinant Human Hyaluronidase PH20 (Anti-rHuPH20) Antibodies
SECONDARY
Mean Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 Item (EORTC QLQ-C30)
SECONDARY
Mean Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Multiple Myeloma 20-item (EORTC QLQ-MY20)
SECONDARY
Mean Change From Baseline in EuroQol Five Dimension Five Level Questionnaire (EQ-5D-5L)

Eligibility Criteria

Inclusion Criteria

  • Diagnosis of multiple myeloma as documented per International Myeloma Working Group (IMWG) criteria Monoclonal plasma cells in the bone marrow greater than or equal to (>=)10 percentage (%) or presence of a biopsy proven plasmacytoma and documented multiple myeloma satisfying at least one of the calcium, renal, anemia, bone (CRAB) criteria or biomarkers of malignancy criteria. CRAB criteria: Hypercalcemia: serum calcium greater than (>) 0.25 millimoles per liter (mmol/L) (>1 milligram per deciliter [mg/dL]) higher than upper limit of normal (ULN) or >2.75 mmol/L (>11 mg/dL); Renal insufficiency: creatinine clearance less than ( 177 micro millimoles per liter (umol/L) (>2 mg/dL); Anemia: hemoglobin >2 g/dL below the lower limit of normal or hemoglobin =60%; Involved: uninvolved serum free light chain (FLC) ratio >=100; >1 focal lesion on magnetic resonance imaging (MRI) studies
  • Must have measurable disease, as assessed by central laboratory
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1, or 2
  • A woman of childbearing potential must have 2 negative serum or urine pregnancy tests at Screening, first within 10 to 14 days prior to dosing and the second within 24 hours prior to dosing
  • A woman must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for a period of 3 months after receiving the last dose of any component of the treatment regimen

Exclusion Criteria

  • Frailty index of >=2 according to Myeloma Geriatric Assessment score
  • Prior therapy for multiple myeloma other than a short course of corticosteroids (not to exceed 40 mg of dexamethasone, or equivalent per day, total of 160 mg dexamethasone or equivalent)
  • Prior or concurrent invasive malignancy (other than multiple myeloma) within 5 years of date of randomization (exceptions are adequately treated basal cell or squamous cell carcinoma of the skin, carcinoma in situ of the cervix or breast, or other non-invasive lesion that in the opinion of the investigator, with concurrence with the sponsor's medical monitor, is considered cured with minimal risk of recurrence within 3 years)
  • Peripheral neuropathy or neuropathic pain Grade 2 or higher, as defined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5
  • Focal radiation therapy within 14 days of randomization with the exception of palliative radiotherapy for symptomatic pain management. Radiotherapy within 14 days prior to randomization on measurable extramedullary plasmacytoma is not permitted even in the setting of palliation for symptomatic management
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03652064) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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