Comparing initial therapies for multiple myeloma

PRAGMMATIC: A Comparative Clinical Trial to Determine the BEST Initial Therapy for Multiple Myeloma

Observational Mayo Clinic · NCT06151717

This study is testing which of three different treatment combinations helps people with newly diagnosed multiple myeloma live longer and feel better.

Quick facts

Study typeObservational
Enrollment2370 (estimated)
SexAll
SponsorMayo Clinic Academic / other
Drugs / interventionsdaratumumab
Locations4 sites (Scottsdale, Arizona and 3 other locations)
Trial IDNCT06151717 on ClinicalTrials.gov

What this trial studies

This observational study evaluates the outcomes of patients with newly diagnosed multiple myeloma who are starting treatment with one of three established regimens: bortezomib, lenalidomide, and dexamethasone (VRd), daratumumab, lenalidomide, and dexamethasone (DRd), or daratumumab, bortezomib, lenalidomide, and dexamethasone (DVRd). The primary objective is to compare overall survival rates among these treatment options. Patient medical records will be reviewed to gather data on treatment outcomes and effectiveness.

Who should consider this trial

Good fit: Ideal candidates are patients with newly diagnosed active multiple myeloma who have not received any prior treatment.

Not a fit: Patients who have previously received treatment for multiple myeloma or are currently undergoing treatment for another active malignancy may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could help identify the most effective initial therapy for patients with multiple myeloma, potentially improving survival rates.

How similar studies have performed: Other studies have shown success in comparing treatment regimens for multiple myeloma, indicating that this approach is supported by prior research.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Previously untreated active multiple myeloma starting a new treatment for the disease with one of the three established treatment regimens: VRd (bortezomib, lenalidomide, dexamethasone), DRd (daratumumab lenalidomide dexamethasone), or DVRd (daratumumab, bortezomib, lenalidomide, and dexamethasone)
* No prior treatment for myeloma
* Not receiving concurrent treatment for another active malignancy
* No more than 3 months from start of treatment

Exclusion Criteria:

* Does not meet all inclusion criteria

Where this trial is running

Scottsdale, Arizona and 3 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Multiple Myeloma
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.