About this trial
The goal of this study is to evaluate treatment of newly diagnosed multiple myeloma patients with t(11;14) suitable for transplantation using the SonKRd regimen, consisting of Sodium Thiotepa, Caffizotide, Lenalidomide, and Dexamethasone. Main objectives is to evaluate the MRD negative rate in newly diagnosed multiple myeloma patients with t(11;14) who are eligible for transplantation, treated with the SOTOKLA combined with KRd regimen.
And the secondary objective is to evaluate the ORR, CR rate, 1-year sustained MRD negative rate, 2-year PFS rate, and safety of the SOTOLA combined with KRd treatment regimen in newly diagnosed multiple myeloma patients with t(11;14) who are suitable for transplantation.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed as active multiple myeloma according to the diagnostic criteria outlined in the "Guidelines for Diagnosis and Treatment of Multiple Myeloma in China (2024 Revision)";
Aged 18 or above, male or female;
Initial diagnosis of multiple myeloma;
The FISH test confirmed by a third-party laboratory is positive for t(11;14) or the previous FISH test report is positive for t(11;14);
Disqualifiers
Have received any experimental drug treatment within 2 weeks;
Secondary plasma cell leukemia;
Transmyocardial amyloidosis with heart failure and arrhythmia;
Creatinine clearance rate < 30 ml/min;
Trial design
Single group
Treatments tested in this trial
Sotoclax
DrugSotoclax 320mg, d1\~d28
Carfilzomib
DrugCarfilzomib 56mg/㎡, d1, d8, d15 (C1d1 20 mg/㎡)
Lenalidomide
DrugLenalidomide 25mg, d1-d21 (adjust the dose of lenalidomide according to renal function)
Dexamethasone
DrugDexamethasone 40mg (halved for patients aged \>75 years), d1, d8, d15, d22, 28 days/cycle,
Treatment groups
Trial outcomes
Primary outcomes
MRD negative rate
the rate of minimal residual disease negativity
Secondary outcomes
overall response rate
the rate of overall response
CR rate
the rate of complete response
One-year continuous MRD negative rate
One-year continuous MRD negative rate
PFS
Progression-free survival
Sponsors and contacts
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