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MyelomaPhase 2CONPETNCT03314636

Intensified Treatment With Carfilzomib in Myeloma Patients Still PET-positive After First Line Treatment.

A Phase 2 study testing Carfilzomib, Lenalidomide and PET-CT in people with Myeloma, run by Oslo University Hospital at 4 sites in 3 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

A PET-CT will be performed on patients with myeloma after a standard first-line treatment. The PET-positive patients will receive 4 cycles of Carfilzomb-Revlimid-Dexamethason (KRd), before a new PET-CT will be performed. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Myeloma
What is being tested?
Carfilzomib, Lenalidomide and PET-CT
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
53 participants
Where
4 sitesin 3 countries
Study dates
16 Mar 2018to 1 Nov 2026
Phase
Phase 2
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

  • Prior confirmed diagnosis of multiple myeloma (2014).
  • Received standard first line treatment with at least partial response. Standard first line treatment is defined as
  • VRD, VTD or VCD followed by ASCT, or
  • MPV at least 6 cycles, or no further reduction in monoclonal component the last 2 cycles, or
  • Rd at least 9 cycles or no further reduction in monoclonal component the last 2 cycles.
  • Carfilzomib naïve.
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  • Eastern Cooperative Oncology Group (ECOG) performance status 0-2.
  • Absolute neutrophil count (ANC) ≥ 0,5 x 109/L) and platelet count >35 x 109/L.
  • At least very good partial remission (VGPR) from first line treatment

Who cannot join

  • Change of first line treatment because of stabile or progressive disease.
  • Major surgery within 28 days before enrollment.
  • Radiotherapy within 14 days before enrollment, but if the involved field is small, 7 days will be considered a sufficient interval before onset of the treatment.
  • Glucocorticoid therapy within the 14 days prior to inclusion that exceeds a cumulative dose of 160 mg dexamethasone or 1000 mg prednisone.
  • Central nervous system involvement.
  • Uncontrolled heart disease, including congestive heart failure (NYHA III-IV), uncontrolled angina pectoris, uncontrolled conduction abnormalities, acute diffuse infiltrative pulmonary disease, pericardial disease or myocardial infarction within 6 months prior to enrollment
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  • Uncontrolled hypertension or uncontrolled diabetes despite medication
  • Active hepatitis B or C infection or known human immunodeficiency virus (HIV) positivity.
  • Another active malignancy. Patients with non-melanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection.
  • Primary plasma cell leukemia, systemic AL amyloidosis, Waldenströms macroglobulinemia, POEMS syndrome

Trial locations and contacts

4 sites in 3 countries.

4 sites in 3 countries

Denmark2 sites
  • Copenhagen University Hospital, Rigshospitalet

    Copenhagen

  • Odense University Hospital

    Odense

Other trials in Denmark

Norway1 site
  • Oslo University Hospital

    Oslo

Other trials in Norway

Sweden1 site
  • Skåne University Hospital

    Lund

Other trials in Sweden

About this study

Official title: KRd Consolidation in Myeloma Patients With a Positive PET-CT After Standard First Line Treatment. A Phase II Study

A PET-CT will be performed on patients with myeloma after a standard first-line treatment. The PET-positive patients will receive 4 cycles of Carfilzomb-Revlimid-Dexamethason (KRd), before a new PET-CT will be performed.

Read the detailed description

Patients will be evaluated for inclusion after finishing first-line therapy, or after a sufficient amount of treatment in first-line, and a sufficient respons (VGPR). Eligible performed regimens are defined in the protocol. All patients will perform a PET-CT, and PET-negative patients will be excluded from protocol treatment. The PET-positive patients will do a minimal residual disease (MRD-)evaluation in the bone marrow before entering treatment. After 4 28day cycles of Carfilzomib-Revlimid-Dexamethason, a new MRD and a new PET-CT will be performed, as measures of outcome. Patients will continue treatment as written in the protocol.

Conditions
Myeloma
Being tested
Carfilzomib, Lenalidomide, PET-CT, Dexamethasone
Medical subject headings
Neoplasms, Plasma Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT03314636
Study groupRoleWhat they receive
PET-CT-positive patientsExperimentalCarfilzomib 20/36mg/m2 days 1,2,8,9,15,16 Lenalidomide 25mg days 1-21 Dexamethasone 40mg days 1,8,15,22 28 day cycles 4 cycles
Receives: Drug: Carfilzomib; Drug: Lenalidomide; Device: PET-CT; Drug: Dexamethasone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. PET negativity after induction

    How many of PET positive patients will become PET negative after treatment

    Measured: 1 month after induction

Secondary outcomes (1)
  1. PET correlation with MRD Euroflow

    Before intervention all patients are PET-CT positive. The investigators will measure minimal residual disease (MRD) with immuno-flow cytometry, at the same timepoint, and describe how many of the PET-CT patients, are MRD-negative and how many are MRD-positive. After the intervention the investigators will again do PET-CT and MRD by flow cytometry. The investigators will then describe how many PET-positive patients are MRD-positive and how many are MRD-negative. As well, the investigators will describe the same in the PET-CT negative patients.

    Measured: 1 month after induction

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Oct 2017
  2. Study start16 Mar 2018
  3. Primary completion1 Nov 2021
  4. Study completion1 Nov 2026 (estimated)

Resources

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
53 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03314636
Sponsor's protocol ID
NMSG25/16
Acronym
CONPET
Status last verified
Mar 2025
First submitted
8 Sep 2017
Last updated
8 Aug 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Rosenberg T, Moller S, Abildgaard N, Norgaard JN, Lysen A, Tsykonova G, Joao C, Vangsted A, Schjesvold F, Nielsen LK. Health-Related Quality of Life During Carfilzomib-Lenalidomide-Dexamethasone Consolidation: Findings From the Multiple Myeloma CONPET Study. Eur J Haematol. 2025 Mar;114(3):517-527. doi: 10.1111/ejh.14358. Epub 2024 Dec 5.

    PubMed 39638553

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Carfilzomib, Lenalidomide and PET-CT in people with Myeloma, run by Oslo University Hospital at 4 sites in 3 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 9 inclusion and 10 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 8 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Denmark, Norway, Sweden. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

PET negativity after induction (time frame: 1 month after induction). 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 NCT03314636, which also lists 1 linked publication.

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 8 Aug 2025.

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