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Optimizing the duration of maintenance therapy based on the Minimal Residual Disease (MRD) tests after autologous hematopoietic stem cell transplantation in multiple myeloma

Optimizing the duration of maintenance therapy based on the Minimal Residual Disease (MRD) tests after autologous hematopoietic stem cell transplantation in multiple myeloma

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CRIS
Registry ID
KCT0010496
Enrollment
196
Registered
2025-05-22
Start date
2025-05-26
Completion date
Unknown
Last updated
2025-05-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

None listed

Sponsors

Yonsei University Health System, Severance Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. 19 years of age or older 2. Multiple myeloma with symptoms diagnosed according to IMWG(International Myeloma Working Group) criteria 3. a patient who underwent autologous hematopoietic stem cell transplantation after the first induction therapy 4. Patients within 10-14 months of receiving lenalidomide maintenance therapy after autologous hematopoietic stem cell transplantation 5. Patients who have achieved more than complete response after autologous hematopoietic stem cell transplantation (However, regardless of the screening time Bone Marrow and Serum & Urine Immunofixation results, the Serum & Urine M-protein value is "0" and only normal FLC ratio can be considered as Complete Response and participate.) 6. Multiple myeloma patients with measurable lesions at diagnosis - Serum M-protein = 0.5 g/dL - M-protein = 200 mg/24 hr - Serum free light chain (FLC) assay: difference between Involved FLC and Involved FLC = 10 mg/dL (100 mg/L) (If serum electrophoresis or urine electrophoresis cannot be measured, serum FLC ratio should be abnormal (Kappa/Lambda ratio 1.65)) 7. Acquisition of voluntary consent

Exclusion criteria

Exclusion criteria: 1. A history of acute coronary syndrome (myocardial infarction, unstable angina) within 6 months, heart failure in NYHA(New York Heart Association) Class III to IV, uncontrolled ventricular arrhythmia, uncontrolled cardiac conduction without pacemaker insertion (motor failure syndrome, complete atrioventricular block, etc.) 2. uncontrolled hypertension 3. plasma cell leukemia, amyloidosis, POEMS syndrome, Valdenstrom macroglobulinemia 4. If the screening test identifies the plasmodium 5. Patients with HIV infection, hepatitis B and C (permitted if they are receiving adequate antiviral therapy for hepatitis B and C) 6. If the researcher deems it difficult to participate in this study due to severe or uncontrolled medical conditions, abnormal test results, or psychiatric abnormalities 7. If necessary combination drug administration or conservative treatment is contraindicated 8. Where a malignant tumor other than multiple myeloma is diagnosed within the last three years. Non-melanoma skin cancer properly treated with exceptions, intraepithelial cancer of the cervix or breast, early gastric cancer, prostate cancer that does not require treatment, or differentiated thyroid cancer that is well resected or does not require immediate treatment, etc 9. In women of fertile or men who have not undergone vasectomy, medically recognized contraception (partner's infertility surgery, partner's intrauterine contraceptive device, liver wall contraception, septum or condom combination) is not available during the study period 10. a pregnant or nursing woman

Design outcomes

Primary

MeasureTime frame
Progression free survival rate, 4.5 year

Secondary

MeasureTime frame
AE(Adverse Event) caused by lenalidomide maintenance therapy;Overall survival;Development of prognostic biomarkers

Countries

Korea, Republic of

Contacts

Public ContactJIN SEOK KIM

Yonsei University Health System, Severance Hospital

ynkim0420@yuhs.ac+82-2-2228-0555

Outcome results

None listed

Source: CRIS (via WHO ICTRP) · Data processed: Feb 4, 2026