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OncoMatch/Clinical Trials/NCT04566328

Testing the Use of Combination Therapy in Adult Patients With Newly Diagnosed Multiple Myeloma, the EQUATE Trial

Is NCT04566328 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including Daratumumab and Hyaluronidase-fihj and Bortezomib for plasma cell myeloma.

Phase 3RecruitingECOG-ACRIN Cancer Research GroupNCT04566328Data as of May 2026

Treatment: Bortezomib · Daratumumab and Hyaluronidase-fihj · Dexamethasone · LenalidomideThis phase III trial compares the combination of four drugs (daratumumab, bortezomib, lenalidomide and dexamethasone) to the use of a three drug combination (daratumumab, lenalidomide and dexamethasone). Bortezomib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Chemotherapy drugs, such as lenalidomide, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Daratumumab is a monoclonal antibody that may interfere with the ability of cancer cells to grow and spread. Anti-inflammatory drugs, such as dexamethasone lower the body's immune response and are used with other drugs in the treatment of some types of cancer. Adding bortezomib to daratumumab, lenalidomide, and dexamethasone may be more effective in shrinking the cancer or preventing it from returning, compared to continuing on daratumumab, lenalidomide, and dexamethasone.

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Extracted eligibility criteria

Cancer type

Multiple Myeloma

Disease stage

Required: Stage I, II

Excluded: Stage III

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Max 1 prior line

Cannot have received: daratumumab (daratumumab)

Patient must not have been exposed to daratumumab for treatment of symptomatic myeloma

Cannot have received: stem cell transplant

Patient must not have received any non-protocol therapy outside of the assigned Step 1 Induction treatment including stem cell transplant

Lab requirements

Blood counts

ANC ≥ 1000/mm^3; untransfused platelet count ≥ 75,000/mm^3 (Step 1), ≥ 50,000/mm^3 (Step 2); hemoglobin ≥ 8.0 g/dL

Kidney function

Calculated creatinine clearance > 30 mL/min

Liver function

Total bilirubin ≤ 1.5 x ULN; ALT and AST ≤ 3 x ULN

Cardiac function

NYHA class 2B or better; no evidence of current uncontrolled cardiovascular conditions, including hypertension, cardiac arrhythmias, congestive heart failure, unstable angina, or myocardial infarction within 6 months

Calculated creatinine clearance > 30 mL/min; ANC ≥ 1000/mm^3; untransfused platelet count ≥ 75,000/mm^3; hemoglobin ≥ 8.0 g/dL; Total bilirubin ≤ 1.5 x ULN; ALT and AST ≤ 3 x ULN; NYHA class 2B or better

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Virginia Cancer Institute · Richmond, Virginia
  • Virginia Commonwealth University/Massey Cancer Center · Richmond, Virginia
  • VCU Community Memorial Health Center · South Hill, Virginia
  • Providence Regional Cancer System-Aberdeen · Aberdeen, Washington
  • PeaceHealth Saint Joseph Medical Center · Bellingham, Washington

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