Multiple MyelomaPhase 3EXCALIBER-RRMMNCT04975997
Open-label Study Comparing Iberdomide, Daratumumab and Dexamethasone (IberDd) Versus Daratumumab, Bortezomib, and Dexamethasone (DVd) in Participants With Relapsed or Refractory Multiple Myeloma (RRMM)
A Phase 3 study testing Dexamethasone, Daratumumab and Bortezomib in people with Multiple Myeloma, run by Celgene at 259 sites in 31 countries.
Trial summary
This is a multicenter, two-stage, randomized, controlled, open-label, Phase 3 study comparing the efficacy and safety of iberdomide in combination with dexamethasone and daratumumab (IberDd) versus daratumumab, bortezomib, and dexamethasone (DVd) in participants with relapsed or refractory multiple myeloma (RRMM). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Multiple Myeloma
- What is being tested?
- Dexamethasone, Daratumumab and Bortezomib
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 939 participants
- Where
- 259 sitesin 31 countries
- Study dates
- 23 Jun 2022to 25 Jun 2032
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Documented diagnosis of multiple myeloma (MM) and measurable disease.
- Received 1 to 2 prior lines of anti-myeloma therapy.
- Must have documented disease progression during or after their last anti-myeloma regimen.
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1 or 2.
Who cannot join
- Any condition that confounds the ability to interpret data from the study.
- Has plasma cell leukemia, Waldenstrom's macroglobulinemia or POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes), or clinically significant amyloidosis.
- Known central nervous system involvement with MM.
- Prior therapy with iberdomide.
- Other protocol-defined Inclusion/Exclusion criteria apply.
Trial locations and contacts
259 sites in 31 countries.
259 sites in 31 countries
United States43 sites
Local Institution - 041
Alexandria, Louisiana, 71301-3841
Local Institution - 018
Atlanta, Georgia, 30322
Local Institution - 687
Austin, Texas, 78705-1165
Local Institution - 698
Baltimore, Maryland, 21204-6826
Local Institution - 682
Baton Rouge, Louisiana, 70808-4300
Local Institution - 027
Baton Rouge, Louisiana, 70809-3675
Local Institution - 014
Bethesda, Maryland, 20817
Local Institution - 046
Billings, Montana, 59102-6746
Local Institution - 010
Boston, Massachusetts, 02215
Local Institution - 645
Burnsville, Minnesota, 55337-6749
Local Institution - 641
Cerritos, California, 90703-2679
Local Institution - 030
Chattanooga, Tennessee, 37404
Local Institution - 038
Cincinnati, Ohio, 45220
Local Institution - 037
Cleveland, Ohio, 44109
Local Institution - 008
Cleveland, Ohio, 44195
Local Institution - 688
Columbia, Maryland, 21044-3128
Local Institution - 036
Columbus, Ohio, 43214
Local Institution - 039
Durham, North Carolina, 27705
Local Institution - 697
Dyer, Indiana, 46311-1596
Local Institution - 640
Elk Grove Village, Illinois, 60007-3363
Local Institution - 029
Fort Myers, Florida, 33901
Local Institution - 681
Fountain Valley, California, 92708
Local Institution - 035
Hot Springs, Arkansas, 71913
Local Institution - 695
Houston, Texas, 77025
Local Institution - 031
Kansas City, Missouri, 64132
Local Institution - 047
Los Angeles, California, 90033
Local Institution - 040
Louisville, Kentucky, 40207
Local Institution - 025
Madison, Wisconsin, 53705
Local Institution - 021
Nashville, Tennessee, 37203
Local Institution - 033
New Haven, Connecticut, 06511
Local Institution - 691
New York, New York, 10016
Local Institution - 684
Newport, California, 92663
Local Institution - 642
Newport News, Virginia, 23606-3069
Local Institution - 693
Ocala, Florida, 34471-6950
Local Institution - 043
Portland, Oregon, 97239
Local Institution - 643
Roanoke, Virginia, 24014-2419
Local Institution - 028
St. Petersburg, Florida, 33705
Local Institution - 015
Summit, New Jersey, 07901
Local Institution - 045
Tamarac, Florida, 33321-2909
Local Institution - 680
Tulsa, Oklahoma, 74146-6236
Local Institution - 034
West Palm Beach, Florida, 33401
Local Institution - 685
Weston, Florida, 33331-3609
Local Institution - 009
Worcester, Massachusetts, 01655
China25 sites
Local Institution - 140
Beijing, 100071
Local Institution - 139
Beijing, 100191
Local Institution - 138
Beijing, 100730
Local Institution - 126
Changchun, 130021
Local Institution - 141
Changsha, Hunan, 410013
Local Institution - 121
Chaoyang District, 100020
Local Institution - 135
Guangzhou, 510030
Local Institution - 136
Guangzhou, 510060
Local Institution - 128
Hangzhou, 310006
Local Institution - 120
Hangzhou, Zhejiang, 310006
Local Institution - 127
Harbin, 150081
Local Institution - 129
Nanchang, Jiangxi, 330008
Local Institution - 134
Nanjing, 210029
Local Institution - 142
Shanghai, Shanghai Municipality, 200434
Local Institution - 132
Shanghai, 200025
Local Institution - 130
Shanghai, 200032
Local Institution - 131
Shenyang, 110004
Local Institution - 124
Suzhu, 215006
Local Institution - 145
Taiyuan, Shanxi, 030032
Local Institution - 133
Tianjin, 300020
Local Institution - 144
Wenzhou, Zhejiang, 325000
Local Institution - 137
Wuhan, 430030
Local Institution - 143
Xi'an, Shaanxi, 710004
Local Institution - 125
Xi'an, 710000
Local Institution - 123
Zhengzhou, 0
Japan21 sites
Local Institution - 912
Aomori, 030-8553
Local Institution - 916
Chiba, 260-8717
Local Institution - 915
Chuo-shi, Yamanashi, 4093898
Local Institution - 911
Fukuoka, 810-8563
Local Institution - 917
Higashi-Ibaraki-gun, Ibaraki, 311-3193
Local Institution - 903
Kamogawa, 296-8602
Local Institution - 902
Kyoto, 602-8566
Local Institution - 900
Matsuyama, Ehime, 790-8524
Local Institution - 910
Nagoya, 464-8681
Local Institution - 901
Nagoya, 467-8602
Local Institution - 920
Nerima-ku, Tokyo, 179-0072
Local Institution - 905
Okayama, 701-1192
Local Institution - 907
Osaka, 545-8585
Local Institution - 908
Ōsaka-sayama, 589-8511
Local Institution - 913
Sapporo, 003-0006
Local Institution - 914
Sendai, 980-8574
Local Institution - 906
Shibuya-ku, 150-8935
Local Institution - 919
Shimotsuga, Tochigi, 321-0293
Local Institution - 918
Shinagawa-ku, Tokyo, 142-8666
Local Institution - 909
Shinagawa-ku, Tokyo, 141-8625
Local Institution - 904
Toyohashi, 441-8570
Spain17 sites
Local Institution - 505
Barcelona, 08025
Local Institution - 502
Barcelona, 08035
Local Institution - 511
Barcelona, 08916
Local Institution - 501
Cáceres, 10005
Local Institution - 509
Córdoba, 14001
Local Institution - 510
Madrid, 28006
Local Institution - 516
Madrid, 28027
Local Institution - 504
Madrid, 28034
Local Institution - 513
Madrid, 28040
Local Institution - 503
Málaga, 29010
Local Institution - 508
Murcia, 30120
Local Institution - 506
Oviedo, 33011
Local Institution - 514
Pamplona, Navarre, 31008
Local Institution - 515
Salamanca, 37007
Local Institution - 500
Santiago de Compostela, 15706
Local Institution - 512
Valencia, 46026
Local Institution - 507
Zaragoza, 50009
Australia12 sites
Local Institution - 803
Adelaide, South Australia, 5000
Local Institution - 806
Bedford Park, South Australia, 5042
Local Institution - 813
Birtinya, Queensland, 4575
Local Institution - 804
Camperdown, 2050
Local Institution - 802
Clayton, Victoria, 3168
Local Institution - 812
Douglas, Queensland, 4814
Local Institution - 809
East Melbourne, Victoria, 3001
Local Institution - 800
Fitzroy, 3065
Local Institution - 808
Garran, ACT 2605
Local Institution - 801
Melbourne, Victoria, 3004
Local Institution - 811
Murdoch, Western Australia, 6150
Local Institution - 807
West Perth, Western Australia, 6005
Italy12 sites
Local Institution - 400
Bologna, 40138
Local Institution - 408
Catania, 95124
Local Institution - 414
Genova, 16132
Local Institution - 404
Milan, 20122
Local Institution - 410
Novara, 28100
Local Institution - 412
Pavia, 27100
Local Institution - 402
Pisa, 56126
Local Institution - 405
Reggio Calabria, 89100
Local Institution - 401
Roma, 00189
Local Institution - 415
Rome, Lazio, 00193
Local Institution - 403
San Giovanni Rotondo FG, 71013
Local Institution - 406
Udine, 33100
United Kingdom11 sites
Local Institution - 705
Belfast Northern Ireland, BT9 7AD
Local Institution - 700
Birmingham, B15 2TH
Local Institution - 707
Canterbury Kent, CT1 3NG
Local Institution - 704
Lancashire Blackpool, FY3 8NR
Local Institution - 701
London, NW1 2BU
Local Institution - 709
London, SE1 9RT
Local Institution - 702
Nottingham, Nottinghamshire, NG5 1PB
Local Institution - 706
Oxford, OX3 7LE
Local Institution - 711
Portsmouth, PO6 3LY
Local Institution - 713
Sutton, SM2 5PT
Local Institution - 708
Wolverhampton, WV10 0QP
France10 sites
Local Institution - 463
Argenteuil, 95100
Local Institution - 462
La Roche-sur-Yon, 85925
Local Institution - 451
Lille, 59037
Local Institution - 458
Nancy, 54511
Local Institution - 454
Nantes, 44093
Local Institution - 456
Paris, 75013
Local Institution - 452
Paris, 75475
Local Institution - 464
Pessac, 33604
Local Institution - 465
Rouen, 76038
Local Institution - 457
Toulouse, 31059
Brazil9 sites
Local Institution - 051
Barretos, São Paulo, 14784-400
Local Institution - 056
Curitiba, Paraná, 80530-010
Local Institution - 054
Jaú, São Paulo, 17210-080
Local Institution - 050
Porto Alegre, Rio Grande do Sul, 90460-030
Local Institution - 058
Porto Alegre, Rio Grande do Sul, 90610-000
Local Institution - 053
Rio de Janeiro, 22793-080
Local Institution - 055
São Paulo, São Paulo, 05403000
Local Institution - 057
São Paulo, 01509-900
Local Institution - 052
São Paulo, 04537-080
Canada9 sites
Local Institution - 111
Calgary, Alberta, T2N 4N2
Local Institution - 103
Edmonton, Alberta, T6G 1Z2
Local Institution - 101
Halifax, Nova Scotia, B3H 1V7
Local Institution - 109
Ottawa, Quebec, K1H 8L6
Local Institution - 108
Québec, Quebec, G1J 1Z4
Local Institution - 104
Saint John, New Brunswick, E2L 3L6
Local Institution - 107
Saskatoon, Saskatchewan, S7N-0W8
Local Institution - 110
St. John's, Newfoundland and Labrador, A1B3V6
Local Institution - 112
Surrey, British Columbia, V3V 1Z2
Turkey (Türkiye)9 sites
Local Institution - 770
Ankara, 06100
Local Institution - 771
Balçova, İzmir, 35340
Local Institution - 775
Bornova, İzmir, 35100
Local Institution - 772
Gaziantep, 27310
Local Institution - 778
Kavaklıdere, Ankara, 06680
Local Institution - 774
Kayseri, 38140
Local Institution - 777
Pendik, Istanbul, 34899
Local Institution - 773
Samsun, Kurupelit, 55239
Local Institution - 776
Yenimahalle, Ankara, 6200
South Korea8 sites
Local Institution - 974
Daegu, 700-721
Local Institution - 973
Gyeonggi-do, 410-769
Local Institution - 975
Hwasun-gun, 519-809
Local Institution - 971
Seoul, 06351
Local Institution - 976
Seoul, 06591
Local Institution - 972
Seoul, 120-752
Local Institution - 970
Seoul, 3080
Local Institution - 977
Seoul, 5505
Taiwan7 sites
Local Institution - 955
Niao-Sung Hsiang Kaohsiung County, 83301
Local Institution - 952
Taichung, 40447
Local Institution - 954
Taichung, 407219
Local Institution - 951
Tainan, Taiana, 704
Local Institution - 950
Taipei, 11217
Local Institution - 956
Taipei, Zhongzheng Dist., 10002
Local Institution - 953
Taoyuan City, 33305
Austria6 sites
Local Institution - 155
Graz, 73013
Local Institution - 154
Linz, 4010
Local Institution - 153
Salzburg, 5020
Local Institution - 156
Sankt Pölten, 3100
Local Institution - 150
Vienna, 1090
Local Institution - 151
Vienna, 1160
Germany6 sites
Local Institution - 301
Frankfurt am Main, 60590
Local Institution - 300
Hamburg, 20246
Local Institution - 302
Hamburg, 22763
Local Institution - 305
Heidelberg, 69120
Local Institution - 308
Kiel, Schleswig-Holstein, 24105
Local Institution - 304
Lübeck, 23562
India6 sites
Local Institution - 930
Bangalore, Karnataka, 560054
Local Institution - 934
Ernākulam, Kerala, 682041
Local Institution - 932
Hyderabad, Andhra Pradesh, 500084
Local Institution - 935
Kolkata, West Bengal, 700014
Local Institution - 933
Mumbai, Maharashtra, 400036
Local Institution - 931
Puducherry, 605006
Poland6 sites
Local Institution - 631
Bialystok, Podlaskie Voivodeship, 15-276
Local Institution - 633
Krakow, 30-688
Local Institution - 635
Nowy Sącz, 33-300
Local Institution - 634
Poznan, 60-569
Local Institution - 636
Wałbrzych, 58-309
Local Institution - 630
Warsaw, 02-781
Greece5 sites
Local Institution - 571
Athens, 115 28
Local Institution - 573
Pátrai, Achaea, 26054
Local Institution - 574
Pátrai, Achaia, 264 43
Local Institution - 572
Thessaloniki, 54007
Local Institution - 570
Thessaloniki, 57010
Israel5 sites
Local Institution - 874
Afula, Northern District, 18101
Local Institution - 872
Haifa, 35254
Local Institution - 871
Jerusalem, 91120
Local Institution - 870
Tel Aviv, 64239
Local Institution - 873
Tel Litwinsky, 52621
Portugal5 sites
Local Institution - 545
Coimbra, 4200-072
Local Institution - 543
Lisbon, 1099-023
Local Institution - 544
Lisbon, 1400-038
Local Institution - 540
Porto, 4200-072
Local Institution - 541
Porto, 4200-319
Czechia3 sites
Local Institution - 601
Brno, 625 00
Local Institution - 600
Ostrava-Poruba, 708 52
Local Institution - 602
Prague, 128 08
Denmark3 sites
Local Institution - 371
Aalborg, 9000
Local Institution - 370
Odense, 5000
Local Institution - 372
Roskilde, 4000
Finland3 sites
Local Institution - 230
Helsinki, 290
Local Institution - 232
Oulu, 90220
Local Institution - 231
Turku, Southwest Finland, 20521
Ireland3 sites
Local Institution - 752
Cork, T12 DFK4
Local Institution - 750
Dublin, D09 V2N0
Local Institution - 751
Galway, H91 YR71
Netherlands3 sites
Local Institution - 354
Amsterdam, 1081 HV
Local Institution - 351
Dordrecht, South Holland, 3318 AT
Local Institution - 352
The Hague, 2545 CH
Norway3 sites
Local Institution - 202
Bergen, N-5053
Local Institution - 200
Oslo, 0450
Local Institution - 201
Trondheim, 7030
Argentina2 sites
Local Institution - 080
Ciudad Autanoma de Buenos Aires, Buenos Aires, C1199ABB
Local Institution - 083
Villa Elisa, Buenos Aires, B1894
Belgium2 sites
Local Institution - 172
Bruges, 8000
Local Institution - 174
Brussels, 1200
Sweden2 sites
Local Institution - 272
Borås, 50182
Local Institution - 271
Helsingborg, 25437
Switzerland2 sites
Local Institution - 851
Chur, 7000
Local Institution - 850
Sankt Gallen, CH-9007
About this study
Official title: A Phase 3, Two-Stage, Randomized, Multicenter, Open-label Study Comparing Iberdomide, Daratumumab and Dexamethasone (IberDd) Versus Daratumumab, Bortezomib, and Dexamethasone (DVd) in Subjects With Relapsed or Refractory Multiple Myeloma (RRMM)
This is a multicenter, two-stage, randomized, controlled, open-label, Phase 3 study comparing the efficacy and safety of iberdomide in combination with dexamethasone and daratumumab (IberDd) versus daratumumab, bortezomib, and dexamethasone (DVd) in participants with relapsed or refractory multiple myeloma (RRMM).
Read the detailed description
This is a multicenter, two-stage, randomized, controlled, open-label, Phase 3 study comparing the efficacy and safety of iberdomide in combination with dexamethasone and daratumumab (IberDd) versus daratumumab, bortezomib, and dexamethasone (DVd) in participants with relapsed or refractory multiple myeloma (RRMM). Approximately 200 patients randomized in stage 1 to one of three iberdomide dose levels of 1, 1.3, or 1.6 mg in combination with daratumumab and dexamethasone (Treatment Arms A1, A2, or A3), or to the DVd comparator arm (Treatment Arm B).
In Stage 2 of the study, approximately 664 additional subjects will be randomized 1:1 between 2 treatment arms:
- Approximately 332 subjects will be randomized to receive Treatment Arm A (IberDd)
- Approximately 332 subjects will be randomized to receive Treatment Arm B (DVd)
Participants in both treatment arms will continue to receive treatment until confirmed progressive disease (PD), unacceptable toxicity or withdrawal of consent. To ensure accuracy and completeness of the primary endpoint assessment of progression-free survival (PFS), participants who permanently discontinue study treatment for any reason, other than confirmed PD or withdrawal of consent, will continue to be followed for disease assessment.
The study will be conducted in compliance with International Council for Harmonisation (ICH) and Good Clinical Practices (GCPs).
- Conditions
- Multiple Myeloma
- Being tested
- Dexamethasone, Daratumumab, Bortezomib, Iberdomide
- Keywords
- Iberdomide, CC-220, Daratumumab, Darzalex Faspro, Bortezomib, Velcade, Dexamethasone, MM, Multiple Myeloma, RRMM, CELMoD, Cereblon Modulators
- Medical subject headings
- Multiple Myeloma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DexamethasoneDrug
Oral dexamethasone 40mg on days 1, 8, 15, 22 of a 28-day cycle
DaratumumabDrug
Also called DARZALEX FASPRO
Subcutaneous Daratumumab 1800mg on Days 1, 8, 15 and 22 for Cycles 1 to 2, on Days 1 and 15 for Cycles 3 to 6, and then on Day 1 for Cycle 7+ of a 28-day cycle
BortezomibDrug
Subcutaneous Bortezomib 1.3 mg/m2 on Days 1, 4, 8 and 11 of each 21-day cycle for a total of 8 cycles.
IberdomideDrug
Also called CC-220, BMS-986382
Oral Iberdomide 1.0mg on Days 1 to 21 of a 28-day cycle
IberdomideDrug
Also called CC-220, BMS-986382
Oral Iberdomide 1.3mg on Days 1 to 21 of a 28-day cycle
IberdomideDrug
Also called CC-220, BMS-986382
Oral Iberdomide 1.6mg on Days 1 to 21 of a 28-day cycle
DexamethasoneDrug
Oral dexamethasone 20mg on days 1,2, 4,5,8,9,11,12 of a 21-day cycle from cycles 1-8
DaratumumabDrug
Also called DARZALEX FASPRO
Subcutaneous daratumumab 1800mg Cycles 1 to 3 on Days 1, 8, 15 of a 21-day cycle, Cycles 4 to 8 on Day 1 of a 21-day cycle and Cycles 9+ on Day 1 of a 28-day cycle.
| Study group | Role | What they receive |
|---|---|---|
| Daratumumab in combination with Iberdomide and dexamethasone - Dose 1 | Experimental | Participants will receive oral iberdomide, subcutaneous daratumumab and oral dexamethasone. Receives: Drug: Dexamethasone; Drug: Daratumumab; Drug: Iberdomide |
| Daratumumab in combination with Iberdomide and dexamethasone - Dose 2 | Experimental | Not described Receives: Drug: Dexamethasone; Drug: Daratumumab; Drug: Iberdomide |
| Daratumumab in combination with Iberdomide and dexamethasone - Dose 3 | Experimental | Not described Receives: Drug: Dexamethasone; Drug: Daratumumab; Drug: Iberdomide |
| Daratumumab in combination with dexamethasone and bortezomib | Active comparator | Participants will receive subcutaneous daratumumab, bortezomib and oral dexamethasone Receives: Drug: Dexamethasone; Drug: Bortezomib; Drug: Daratumumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS)
To compare the efficacy of iberdomide (also known as BMS-986382), daratumumab, and dexamethasone (IberDd) to that of daratumumab, bortezomib, and dexamethasone (DVd) in participants with relapsed or refractory multiple myeloma (RRMM) in terms of progression free survival (PFS).
Measured: Up to approximately 5 years
Minimal Residual Disease (MRD) negative Complete Response (CR) at any time
To compare the efficacy of iberdomide (also known as BMS-986382), daratumumab, and dexamethasone (IberDd) to that of daratumumab, bortezomib, and dexamethasone (DVd) in participants with relapsed or refractory multiple myeloma (RRMM) in terms of minimal residual disease (MRD) negative complete response (CR) at any time.
Measured: Up to approximately 5 years
Secondary outcomes (15)
Overall Survival (OS)
To evaluate clinical efficacy in terms of overall survival (OS) in participants with relapsed or refractory multiple myeloma (RRMM) treated with iberdomide, daratumumab, and dexamethasone (IberDd) compared to daratumumab, bortezomib, and dexamethasone (DVd).
Measured: Up to approximately 5 years
Sustainability of Minimal Residual Disease (MRD) negativity
To evaluate the sustainability of minimal residual disease (MRD) negativity.
Measured: Up to approximately 5 years
Overall Response Rate (ORR)
Calculated as percentage of participants who achieve best response of partial response (PR) or better according to the IMWG Uniform Response Criteria for multiple myeloma.
Measured: Up to approximately 5 years
Time to response (TTR)
Time from randomization to the first documentation of response (PR or better).
Measured: Up to approximately 5 years
Duration of Response (DoR)
Time from the first documentation of response (PR or better) to the first documentation of progressive disease (PD) or death due to any cause, whichever occurs first.
Measured: Up to approximately 5 years
Time to Progression (TTP)
The time from randomization to the first documented disease progression.
Measured: Up to approximately 5 years
Time to Next Treatment (TTNT)
Time from randomization to the start of the next antimyeloma treatment.
Measured: Up to approximately 5 years
Progression-free Survival 2 (PFS2)
Time from randomization to progression on the next anti-myeloma treatment or death due to any cause, whichever occurs first.
Measured: Up to approximately 5 years
Safety
Type, frequency, seriousness and severity of adverse events (AEs), and relationship of AEs to study treatment.
Measured: Up to approximately 5 years
European Organization for Research and Treatment of Cancer - Quality of Life C30 Questionnaire (EORTC QLQ-C30)
Mean changes from baseline in subscale scores in subject-reported health related quality of life outcomes and multiple myeloma-related symptoms as measured by the EORTC QLQ-C30.
Measured: Up to approximately 5 years
European Quality of Life Multiple Myeloma Module (EORTC QLQ-MY20)
EORTC QLQ-MY20 is a 20-item myeloma module intended for use among participants varying in disease stage and treatment modality. Mean changes from baseline in subscale scores in subject-reported health related quality of life outcomes and multiple myeloma-related symptoms as measured by the EORTC QLQ- MY20.
Measured: Up to approximately 5 years
Recommended iberdomide dose for Stage 2
Measured: Up to approximately 1 year
Area under the plasma concentration-time curve from time zero to tau (AUC(TAU))
Measured: Up to approximately 1 year
Maximum plasma concentration (Cmax)
Measured: Up to approximately 1 year
Time to maximum plasma concentration (Tmax)
Measured: Up to approximately 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jul 2021
- Study start23 Jun 2022
- Primary completion16 Nov 2027 (estimated)
- Study completion25 Jun 2032 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Multiple MyelomaStudies of the same condition, open and under way.
- More trials run by CelgeneThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 939 participants (actual)
Sponsor and investigators
- Lead sponsor
- Celgene
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04975997
- Sponsor's protocol ID
- CC-220-MM-002
- Other IDs
- U1111-1260-2872, 2020-000431-49
- Acronym
- EXCALIBER-RRMM
- Status last verified
- Mar 2026
- First submitted
- 2 Jul 2021
- Last updated
- 3 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
Publications
Lonial S, Dimopoulos MA, Gavriatopoulou M, Kim K, Min CK, Oriol A, Moreira CCC, Quach H, Qiu L, Xia Z, Schjesvold F, Casas-Aviles I, Xu Y, Hungria V, Seval GC, Fang B, Kyriakou C, Prince HM, Zhuang J, Lin HC, Mateos MV, Spicka I, Maiolino A, Vural F, Basu S, Dytfeld D, Fu C, Ho PJ, Joseph N, Low M, Pour L, Girnius S, Berdeja JG, Otero PR, Cheng Y, Amatangelo M, Hersey S, Kazanecki C, Weisskopf MB, Kyada MJ, Abad PC, Chu S, Morando J, Maciag P, Richardson PG, van de Donk NW; EXCALIBER-RRMM Investigators. Iberdomide plus daratumumab and dexamethasone versus daratumumab, bortezomib, and dexamethasone in patients with relapsed or refractory multiple myeloma (EXCALIBER-RRMM): an open-label, randomised, controlled, phase 3 trial. Lancet Oncol. 2026 Sep 25:S1470-2045(26)00450-X. doi: 10.1016/S1470-2045(26)00450-X. Online ahead of print.
PubMed 42790445Lonial S, Dimopoulos MA, Berdeja JG, Richardson PG, Quach H, Rodriguez-Otero P, Maciag P, Hong K, Amatangelo M, Chen M, van de Donk NWCJ. EXCALIBER-RRMM: a phase III trial of iberdomide, daratumumab, and dexamethasone in relapsed/refractory multiple myeloma. Future Oncol. 2025 Jun;21(14):1761-1769. doi: 10.1080/14796694.2025.2501920. Epub 2025 May 10.
PubMed 40346992
Study at a glance
From the registry record, last updated by the sponsor on 3 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Two-Stage, Randomized, Multicenter, Open-label Study Comparing Iberdomide, Daratumumab and Dexamethasone (IberDd) Versus Daratumumab, Bortezomib, and Dexamethasone (DVd) in Subjects With Relapsed or Refractory Multiple Myeloma (RRMM)
- ClinicalTrials.gov ID
- NCT04975997
- Acronym / sponsor ID
- EXCALIBER-RRMM / CC-220-MM-002
- Conditions
- Multiple Myeloma
- Keywords
- Iberdomide, CC-220, Daratumumab, Darzalex Faspro, Bortezomib, Velcade, Dexamethasone, MM
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 939 participants (actual)
- Lead sponsor
- CelgeneIndustry (pharma, biotech, devices)
- Study start
- 23 Jun 2022 (actual)
- Primary completion
- 16 Nov 2027 (estimated)
- Study completion
- 25 Jun 2032 (estimated)
- First posted
- 26 Jul 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicenter, two-stage, randomized, controlled, open-label, Phase 3 study comparing the efficacy and safety of iberdomide in combination with dexamethasone and daratumumab (IberDd) versus daratumumab, bortezomib, and dexamethasone (DVd) in participants with relapsed or refractory multiple myeloma (RRMM).
Detailed description
This is a multicenter, two-stage, randomized, controlled, open-label, Phase 3 study comparing the efficacy and safety of iberdomide in combination with dexamethasone and daratumumab (IberDd) versus daratumumab, bortezomib, and dexamethasone (DVd) in participants with relapsed or refractory multiple myeloma (RRMM). Approximately 200 patients randomized in stage 1 to one of three iberdomide dose levels of 1, 1.3, or 1.6 mg in combination with daratumumab and dexamethasone (Treatment Arms A1, A2, or A3), or to the DVd comparator arm (Treatment Arm B).
In Stage 2 of the study, approximately 664 additional subjects will be randomized 1:1 between 2 treatment arms:
- Approximately 332 subjects will be randomized to receive Treatment Arm A (IberDd)
- Approximately 332 subjects will be randomized to receive Treatment Arm B (DVd)
Participants in both treatment arms will continue to receive treatment until confirmed progressive disease (PD), unacceptable toxicity or withdrawal of consent. To ensure accuracy and completeness of the primary endpoint assessment of progression-free survival (PFS), participants who permanently discontinue study treatment for any reason, other than confirmed PD or withdrawal of consent, will continue to be followed for disease assessment.
The study will be conducted in compliance with International Council for Harmonisation (ICH) and Good Clinical Practices (GCPs).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Daratumumab in combination with Iberdomide and dexamethasone - Dose 1 | Experimental | Drug: Dexamethasone, Drug: Daratumumab, Drug: IberdomideParticipants will receive oral iberdomide, subcutaneous daratumumab and oral dexamethasone. |
| Daratumumab in combination with Iberdomide and dexamethasone - Dose 2 | Experimental | Drug: Dexamethasone, Drug: Daratumumab, Drug: Iberdomide |
| Daratumumab in combination with Iberdomide and dexamethasone - Dose 3 | Experimental | Drug: Dexamethasone, Drug: Daratumumab, Drug: Iberdomide |
| Daratumumab in combination with dexamethasone and bortezomib | Active comparator | Drug: Dexamethasone, Drug: Bortezomib, Drug: DaratumumabParticipants will receive subcutaneous daratumumab, bortezomib and oral dexamethasone |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Documented diagnosis of multiple myeloma (MM) and measurable disease.
- Received 1 to 2 prior lines of anti-myeloma therapy.
- Must have documented disease progression during or after their last anti-myeloma regimen.
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1 or 2.
Key exclusion criteria (5 listed)
- Any condition that confounds the ability to interpret data from the study.
- Has plasma cell leukemia, Waldenstrom's macroglobulinemia or POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes), or clinically significant amyloidosis.
- Known central nervous system involvement with MM.
- Prior therapy with iberdomide.
- Other protocol-defined Inclusion/Exclusion criteria apply.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DexamethasoneOral dexamethasone 40mg on days 1, 8, 15, 22 of a 28-day cycle | Drug | Daratumumab in combination with Iberdomide and dexamethasone - Dose 1, Daratumumab in combination with Iberdomide and dexamethasone - Dose 2, Daratumumab in combination with Iberdomide and dexamethasone - Dose 3, Daratumumab in combination with dexamethasone and bortezomib |
| DaratumumabAlso: DARZALEX FASPROSubcutaneous Daratumumab 1800mg on Days 1, 8, 15 and 22 for Cycles 1 to 2, on Days 1 and 15 for Cycles 3 to 6, and then on Day 1 for Cycle 7+ of a 28-day cycle | Drug | Daratumumab in combination with Iberdomide and dexamethasone - Dose 1, Daratumumab in combination with Iberdomide and dexamethasone - Dose 2, Daratumumab in combination with Iberdomide and dexamethasone - Dose 3 |
| BortezomibSubcutaneous Bortezomib 1.3 mg/m2 on Days 1, 4, 8 and 11 of each 21-day cycle for a total of 8 cycles. | Drug | Daratumumab in combination with dexamethasone and bortezomib |
| IberdomideAlso: CC-220, BMS-986382Oral Iberdomide 1.0mg on Days 1 to 21 of a 28-day cycle | Drug | Daratumumab in combination with Iberdomide and dexamethasone - Dose 1 |
| IberdomideAlso: CC-220, BMS-986382Oral Iberdomide 1.3mg on Days 1 to 21 of a 28-day cycle | Drug | Daratumumab in combination with Iberdomide and dexamethasone - Dose 2 |
| IberdomideAlso: CC-220, BMS-986382Oral Iberdomide 1.6mg on Days 1 to 21 of a 28-day cycle | Drug | Daratumumab in combination with Iberdomide and dexamethasone - Dose 3 |
| DexamethasoneOral dexamethasone 20mg on days 1,2, 4,5,8,9,11,12 of a 21-day cycle from cycles 1-8 | Drug | Daratumumab in combination with dexamethasone and bortezomib |
| DaratumumabAlso: DARZALEX FASPROSubcutaneous daratumumab 1800mg Cycles 1 to 3 on Days 1, 8, 15 of a 21-day cycle, Cycles 4 to 8 on Day 1 of a 21-day cycle and Cycles 9+ on Day 1 of a 28-day cycle. | Drug | Daratumumab in combination with dexamethasone and bortezomib |
Primary outcome
Progression-free Survival (PFS)
Time frame: Up to approximately 5 years
To compare the efficacy of iberdomide (also known as BMS-986382), daratumumab, and dexamethasone (IberDd) to that of daratumumab, bortezomib, and dexamethasone (DVd) in participants with relapsed or refractory multiple myeloma (RRMM) in terms of progression free survival (PFS).
Minimal Residual Disease (MRD) negative Complete Response (CR) at any time
Time frame: Up to approximately 5 years
To compare the efficacy of iberdomide (also known as BMS-986382), daratumumab, and dexamethasone (IberDd) to that of daratumumab, bortezomib, and dexamethasone (DVd) in participants with relapsed or refractory multiple myeloma (RRMM) in terms of minimal residual disease (MRD) negative complete response (CR) at any time.
15 secondary outcomes
Overall Survival (OS)
Time frame: Up to approximately 5 years
Sustainability of Minimal Residual Disease (MRD) negativity
Time frame: Up to approximately 5 years
Overall Response Rate (ORR)
Time frame: Up to approximately 5 years
Time to response (TTR)
Time frame: Up to approximately 5 years
Duration of Response (DoR)
Time frame: Up to approximately 5 years
Time to Progression (TTP)
Time frame: Up to approximately 5 years
Time to Next Treatment (TTNT)
Time frame: Up to approximately 5 years
Progression-free Survival 2 (PFS2)
Time frame: Up to approximately 5 years
Safety
Time frame: Up to approximately 5 years
European Organization for Research and Treatment of Cancer - Quality of Life C30 Questionnaire (EORTC QLQ-C30)
Time frame: Up to approximately 5 years
European Quality of Life Multiple Myeloma Module (EORTC QLQ-MY20)
Time frame: Up to approximately 5 years
Recommended iberdomide dose for Stage 2
Time frame: Up to approximately 1 year
Area under the plasma concentration-time curve from time zero to tau (AUC(TAU))
Time frame: Up to approximately 1 year
Maximum plasma concentration (Cmax)
Time frame: Up to approximately 1 year
Time to maximum plasma concentration (Tmax)
Time frame: Up to approximately 1 year
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Apr 2026.
- Derived from this study: PubMed 42790445Lonial S, Dimopoulos MA, Gavriatopoulou M, Kim K, Min CK, Oriol A, Moreira CCC, Quach H, Qiu L, Xia Z, Schjesvold F, Casas-Aviles I, Xu Y, Hungria V, Seval GC, Fang B, Kyriakou C, Prince HM, Zhuang J, Lin HC, Mateos MV, Spicka I, Maiolino A, Vural F, Basu S, Dytfeld D, Fu C, Ho PJ, Joseph N, Low M, Pour L, Girnius S, Berdeja JG, Otero PR, Cheng Y, Amatangelo M, Hersey S, Kazanecki C, Weisskopf MB, Kyada MJ, Abad PC, Chu S, Morando J, Maciag P, Richardson PG, van de Donk NW; EXCALIBER-RRMM Investigators. Iberdomide plus daratumumab and dexamethasone versus daratumumab, bortezomib, and dexamethasone in patients with relapsed or refractory multiple myeloma (EXCALIBER-RRMM): an open-label, randomised, controlled, phase 3 trial. Lancet Oncol. 2026 Sep 25:S1470-2045(26)00450-X. doi: 10.1016/S1470-2045(26)00450-X. Online ahead of print.
- Derived from this study: PubMed 40346992Lonial S, Dimopoulos MA, Berdeja JG, Richardson PG, Quach H, Rodriguez-Otero P, Maciag P, Hong K, Amatangelo M, Chen M, van de Donk NWCJ. EXCALIBER-RRMM: a phase III trial of iberdomide, daratumumab, and dexamethasone in relapsed/refractory multiple myeloma. Future Oncol. 2025 Jun;21(14):1761-1769. doi: 10.1080/14796694.2025.2501920. Epub 2025 May 10.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
259 sites in 31 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Dexamethasone, Daratumumab and Bortezomib in people with Multiple Myeloma, run by Celgene at 259 sites in 31 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 3 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 259 sites in United States, China, Japan, Spain, Australia and 26 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free Survival (PFS) (time frame: Up to approximately 5 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04975997, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Apr 2026.