Clinical trial Recruiting at 103 sites Phase 3 Interventional Ages 18 and up

Ramantamig plus Daratumumab vs standard regimens in newly diagnosed multiple myeloma without planned stem cell transplant

Official title: A Phase 3 Randomized Study Comparing Ramantamig Plus Daratumumab Versus Investigator's Choice of Daratumumab, Bortezomib, Lenalidomide, and Dexamethasone (DVRd) or Daratumumab, Lenalidomide, and Dexamethasone (DRd) in Participants With Newly Diagnosed Multiple Myeloma for Whom Hematopoietic Stem Cell Transplant is Not Planned as Initial Therapy

Run by Janssen Research & Development, LLC · NCT07665450 · Data updated 2026-11-12

This study tests whether ramantamig-D plus Daratumumab works better than DVRd or DRd in newly diagnosed myeloma patients who won’t have a stem cell transplant.

More Multiple Myeloma trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment1000 (estimated)
SponsorJanssen Research & Development, LLC
Industry-sponsored
Drugs / interventionschemotherapy
Locations103 sites (Darlinghurst and 102 other locations)
StatusRecruiting
StartedSeptember 9, 2026
Main results expectedSeptember 4, 2030
Study endsFebruary 2, 2035
Registry record updatedNovember 3, 2026
Trial IDNCT07665450 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with newly diagnosed multiple myeloma who are not planning autologous stem cell transplant and have measurable disease, ECOG 0-2, and suitable for the trial regimens.

Probably not a fit

Patients who do not respond to ramantamig-D or who experience intolerable side effects may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

In this Phase 3 trial, participants with newly diagnosed multiple myeloma who are not planned for autologous stem cell transplant will be randomized to receive ramantamig-D plus Daratumumab or standard regimens (DVRd or DRd). The main goals are to compare progression-free survival and the rate of 12-month MRD-negative complete responses. Eligible patients will have measurable disease, good performance status, and no conditions that would preclude high-dose therapy if later considered. Safety, tolerability, and treatment-emergent adverse events will be monitored. The study is sponsored by Janssen and will be conducted at multiple international sites.

Why it matters

Potential benefit: If successful, this treatment could extend the time patients live without disease progression and increase the number achieving deep, MRD-negative responses.

How similar studies have gone: Historically, similar antibody- and proteasome-inhibitor–based combinations have shown benefit in myeloma, but this specific ramantamig-D combination is being tested for its added value.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria:

* Documented diagnosis of multiple myeloma (MM) according to the IMWG diagnostic criteria
* Not considered for high-dose chemotherapy with autologous stem cell transplantation (ASCT) due to: i. ineligible due to advanced age; or ii. ineligible due to presence of comorbid condition(s) likely to have a negative impact on tolerability of high-dose chemotherapy with ASCT
* Have an eastern cooperative oncology status (ECOG) performance status of 0 to 2
* Must sign an informed consent form (ICF)
* Measurable disease at screening as assessed by central laboratory as defined in the protocol

Exclusion criteria:

* Myeloma Frailty Score of greater than or equal to (\>=) 2 with the exception of participants who have a score of 2 based on age alone
* Suspected or known allergies, hypersensitivity, intolerance or other contraindications to any trial intervention or its excipients
* Had major surgery (for example, requiring general anesthesia) or had significant traumatic injury within 2 weeks prior to first dose of trial intervention or will not have fully recovered from surgery, or has surgery planned during the time the participant is expected to participate in the trial
* Known active or prior CNS involvement or exhibits clinical signs of meningeal involvement of MM
* Received any prior therapy(ies) for treatment of MM or smoldering myeloma, with the exception of emergency use of a short course of corticosteroids

Where it's running

  • St Vincent s Hospital Sydney
    Darlinghurst, Australia
    Recruiting
  • Mater Hospital Brisbane
    South Brisbane, Australia
    Recruiting
  • Fakultni nemocnice Brno
    Brno, Czechia
    Recruiting
  • Fakultni nemocnice Hradec Kralove
    Hradec Králové, Czechia
    Recruiting
  • Fakultni Nemocnice Ostrava
    Ostrava, Czechia
    Recruiting
  • Fakultni nemocnice Plzen
    Pilsen, Czechia
    Recruiting
Show 44 more locations
  • Fakultni nemocnice Kralovske Vinohrady
    Prague, Czechia
    Recruiting
  • Vseobecna fakultni nemocnice v Praze
    Prague, Czechia
    Recruiting
  • Hopital Claude Huriez
    Lille, France
    Recruiting
  • CHU de Montpellier Hopital Saint Eloi
    Montpellier, France
    Recruiting
  • CHU Nantes
    Nantes, France
    Recruiting
  • Aphp Hopital Saint Antoine
    Paris, France
    Recruiting
  • CHU de Bordeaux - Hospital Haut-Leveque
    Pessac, France
    Recruiting
  • CHU Lyon Sud
    Pierre-Bénite, France
    Recruiting
  • IUCT Oncopole Institut Claudius Regaud
    Toulouse, France
    Recruiting
  • CHRU Tours Hopital Bretonneau
    Tours, France
    Recruiting
  • CHU Nancy Brabois
    Vandœuvre-lès-Nancy, France
    Recruiting
  • St. Barbara-Klinik Hamm GmbH
    Hamm, Germany
    Recruiting
  • Universitaetsklinikum Wuerzburg
    Würzburg, Germany
    Recruiting
  • Uni General Hospital of Alexandroupolis
    Alexandroupoli, Greece
    Recruiting
  • Evangelismos S A
    Athens, Greece
    Recruiting
  • Laiko General Hospital of Athens
    Athens, Greece
    Recruiting
  • Alexandra General Hospital of Athens
    Athens, Greece
    Recruiting
  • Theageneio Cancer Hospital
    Thessaloniki, Greece
    Recruiting
  • Geniko Nosokomeio Thessalonikis George Papanikolaou
    Thessaloniki, Greece
    Recruiting
  • Rambam Med.Center - Hematology Institute
    Haifa, Israel
    Recruiting
  • Carmel Medical Center
    Haifa, Israel
    Recruiting
  • Shaare Zedek Medical Center
    Jerusalem, Israel
    Recruiting
  • Rabin Medical Center
    Petah Tikva, Israel
    Recruiting
  • Sheba Medical Center
    Ramat Gan, Israel
    Recruiting
  • Tel Aviv Sourasky Medical Center
    Tel Aviv, Israel
    Recruiting
  • A O U Sant Orsola Malpighi
    Bologna, Italy
    Recruiting
  • S.C. Ematologia Azienda Ospedaliera S. Croce e Carle
    Cuneo, Italy
    Recruiting
  • Fondazione IRCCS Ca Granda Ospedale Policlinico Di Milano
    Milan, Italy
    Recruiting
  • Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone
    Palermo, Italy
    Recruiting
  • Catharina Ziekenhuis
    Eindhoven, Netherlands
    Recruiting
  • Universitair Medisch Centrum Groningen
    Groningen, Netherlands
    Recruiting
  • Sint Antonius Ziekenhuis
    Nieuwegein, Netherlands
    Recruiting
  • Zuyderland Medical Center
    Sittard-Geleen, Netherlands
    Recruiting
  • Umcu
    Utrecht, Netherlands
    Recruiting
  • Jan Biziel's University Hospital
    Bydgoszcz, Poland
    Recruiting
  • Samodzielny Publiczny Zaklad Opieki Zdrowotnej Zespol Szpitali Miejskich
    Chorzów, Poland
    Recruiting
  • Uniwersyteckie Centrum Kliniczne Uniwersytet Medyczny
    Gdansk, Poland
    Recruiting
  • Pratia Onkologia Katowice
    Katowice, Poland
    Recruiting
  • Swietokrzyskie Centrum Onkologii SPZOZ w Kielcach
    Kielce, Poland
    Recruiting
  • Pratia MCM Krakow
    Krakow, Poland
    Recruiting
  • Uniwersytecki Szpital Kliniczny Nr 1 w Lublinie
    Lublin, Poland
    Recruiting
  • Uniwersytecki Szpital Kliniczny Nr 1 PUM im prof Tadeusza Sokolowskiego w Szczecinie
    Szczecin, Poland
    Recruiting
  • Uniwersytecki Szpital Kliniczny im Jana Mikulicza Radeckiego we Wroclawiu
    Wroclaw, Poland
    Recruiting
  • Uls Braga - Hosp. Braga
    Braga, Portugal
    Recruiting

+53 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.