The Relapse from MRD Negativity As Indication for Treatment (REMNANT) Study
- Sponsor
- Oslo University Hospital
- Study ID
- NCT04513639
- Phase
- PHASE2/PHASE3
- Status
- Recruiting
Conditions
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 75 Years
- Healthy Volunteers
- Not accepted
Interventions
- Early treatment of relapse with carfilzomib, dexamethasone, daratumumab — DRUGSecond line treatment will start at MRD reapperance
- Standard treatment of relapse with carfilzomib, dexamethasone, daratumumab — DRUGSecond line treatment will start at progressive disease
Study Details
The REMNANT study will evaluate whether treating minimal residual disease (MRD) relapse after first line treatment prolongs progression free survival and overall survival for myeloma patients versus treating relapse after first line treatment at progressive disease. To establish a homogenous group of MRD negative patients after first line treatment including autologous stem cell transplantation, patients are enrolled at diagnosis and treated with Norwegian standard of care first line treatment. MRD negative patients will move on to the randomized part.
Key Dates
- Start date
- Aug 27, 2020
- Status verified
- Mar 2025
- Primary completion
- Jun 1, 2031
- Completion
- Jun 1, 2032
Study Design
- Enrollment
- 176 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: Arm APatients will be followed with MRD assessment every 4 month and start 2.L treatment at loss of MRD negative complete response.
- Active Comparator: Arm BPatients will be followed up by standard criteria and start 2.L treatment at progressive disease.
Primary Outcome Measure
Progression Free Survival (PFS) [ Time Frame: 10 years ]
Central Contacts
- Anne-Marie Rasmussen, PhD+4799791064
- Anna Lysen, MSC+4747246569
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