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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1000 (estimated) |
| Sponsor | Janssen Research & Development, LLC Industry-sponsored |
| Drugs / interventions | chemotherapy |
| Locations | 103 sites (Darlinghurst and 102 other locations) |
| Status | Recruiting |
| Started | September 9, 2026 |
| Main results expected | September 4, 2030 |
| Study ends | February 2, 2035 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT07665450 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
- Study coordinator: Study Contact
- Email: Participate-In-This-Study1@its.jnj.com
- Phone: 844-434-4210
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
6MW5311 in adults with relapsed or refractory blood cancers
This study tests increasing doses of 6MW5311 in adults with multiple myeloma, AML, or CMML to see if it is safe and tolerable and to find a suitable dose for later studies.
-
Tailored exercise program to improve quality of life for adults with hematologic cancers
This pilot trial tests a personalized 16-week exercise program to see if it’s feasible and helpful for adults with acute myeloid leukemia, lymphoma, or multiple myeloma after first-line treatment.
-
Aspirin vs. rivaroxaban for blood clot prevention in newly diagnosed multiple myeloma
In newly diagnosed multiple myeloma patients on IMiD-based therapy, this study tests whether aspirin or rivaroxaban is better at preventing blood clots.
-
Exercise phenotyping before chemotherapy in newly diagnosed multiple myeloma
This observational study tests whether some newly diagnosed multiple myeloma patients with normal resting heart function already show limited exercise capacity, and whether that limitation relates to subtle heart tissue changes and future heart-related outcomes.
-
SMS text check-ins to track symptoms for people with plasma cell disorders
This study tests whether daily SMS symptom prompts are feasible and acceptable for adults starting treatment for multiple myeloma or AL amyloidosis.
-
Cevostamab with Pomalidomide and Dexamethasone after BCMA-directed CAR T therapy in multiple myeloma
This study tests if Cevostamab combined with pomalidomide and dexamethasone can help people with multiple myeloma who have already had CAR T therapy and several prior treatments.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.