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Multiple MyelomaJanuary 2021Summary reviewed August 2026

A Four-Drug Combo Kept High-Risk Blood Cancer Stable for 31 Months

100 patients with aggressive multiple myeloma (a blood cancer) tried a three-drug combo or a four-drug combo. Both groups stayed cancer-free for about 2.5 years — much longer than doctors expected. The extra drug didn't add benefit, but the results show that combining these types of medicines and staying on them long-term helps patients with the toughest cases.

What the trial was testing

The SWOG-1211 enrolled 142 patients with multiple myeloma. The study was sponsored by SWOG Cancer Research Network and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was initial testing (phase 2). Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

Patients with high-risk multiple myeloma stayed progression-free for over 31 months on continuous combination therapy.

The Lancet. Haematology · 2021 · NCT01668719

These findings — that high-risk patients stayed cancer-free for about 2.5 years with continuous treatment — were published in the The Lancet. Haematology and represent the headline result of the study.

Researchers tracked outcomes across 142 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with multiple myeloma, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

If you have high-risk multiple myeloma, this study shows that staying on a combination of two or three drugs long-term can keep the cancer under control for years — even in aggressive cases. These treatments are FDA-approved and widely used. Talk to your oncologist about continuous maintenance therapy if you haven't already started it.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.

Open multiple myeloma trials

RecruitingSafety & dosing / Early efficacy

A Study to Assess Adverse Events and Change in Disease Activity of Oral Surzetoclax Alone or in Combination With Subcutaneous and/or Oral Antimyeloma Agents in Adult Participants With Multiple Myeloma (MM)

Multiple myeloma (MM) is a plasma cell disease characterized by the growth of clonal plasma cells in the bone marrow. The purpose of this study is to assess the safety and change in disease activity of surzetoclax in adult participants with relapsed/refractory (R/R) MM. Adverse events and change in disease activity will be assessed. Surzetoclax is an investigational drug being developed for the treatment of R/R MM. In Substudy 1 there will be a dose escalation phase where participants will receive various doses of surzetoclax in combination with daratumumab + dexamethasone, to determine the best dose of surzetoclax. This will be followed by a dose expansion and selection phase where participants will receive 1 of 2 doses of surzetoclax in combination with daratumumab + dexamethasone, or daratumumab + dexamethasone + pomalidomide (only during the expansion phase). In Substudy 2, there will be a dose escalation phase where participants will receive various doses of surzetoclax alone. Approximately 130 adult participants with R/R MM will be enrolled in the study in approximately 40 sites worldwide. In Substudy 1 escalation phase, participants will receive oral surzetoclax tablets in combination with subcutaneous (SC) daratumumab injections + oral dexamethasone tablets and in the expansion phase, will receive oral surzetoclax tablets in combination with SC daratumumab injections + oral dexamethasone tablets or daratumumab injections + oral pomalidomide + oral dexamethasone tablets. In Substudy 2, Japanese participants will receive oral surzetoclax tablets. The total study duration is approximately 4.5 years. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution. The effect of the treatment will be frequently checked by medical assessments, blood tests, and side effects.

Los Angeles, California, United States +24 more
RecruitingObservational study

Prospective Cohort With Hemopathy in Languedoc-Roussillon

Prospective Cohort Study of clinical and laboratory data of patients with hemopathy.

Montpellier, France