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Newly Diagnosed Multiple MyelomaPhase 3DURGA-5NCT07764978

Study of AZD0120 in Newly Diagnosed Multiple Myeloma Ineligible for ASCT

A Phase 3 study testing AZD0120, Daratumumab and Dexamethasone in people with Newly Diagnosed Multiple Myeloma, run by AstraZeneca at 124 sites in 15 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a randomised, multicentre, controlled, open-label, Phase III global study comparing the efficacy and safety of standard induction regimens (IsaVRd and DRd) followed by AZD0120 versus standard induction regimens followed by continuous therapy (IsaRd and DRd) in participants with newly diagnosed multiple myeloma… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Newly Diagnosed Multiple Myeloma
What is being tested?
AZD0120, Daratumumab and Dexamethasone
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
750 participants
Where
124 sitesin 15 countries
Study dates
26 Jun 2026to 12 May 2034
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

  • Participants must be 18 years or older, at the time of signing the ICF.
  • Participant must have documented diagnosis of MM according to the IMWG diagnostic criteria.
  • Participant must have one or more of the following measurable disease criteria: (a) Serum M-protein level ≥1.0 g/dL, (b) Urine M-protein level ≥ 200 mg/24 h, (c)Serum immunoglobulin FLC ≥ 10 mg/dL (100 mg/L) and abnormal serum immunoglobulin kappa lambda FLC ratio.
  • Participant must be deemed ineligible for ASCT while also having adequate organ function for CAR-T cell treatment.
  • Participant is a candidate to receive at least one of the regimens (IsaVRd or DRd) as determined by the Investigator.
  • ECOG performance status Grade of 0 to 2.
  • Participant must have adequate organ and bone marrow function.

Who cannot join

  • Participant has active or prior CNS or meningeal involvement of MM.
  • Participant has primary amyloidosis, active plasma cell leukemia (≥5% circulating plasma cells), Waldenström macroglobulinemia, or POEMS syndrome.
  • Participant has significant neurological or psychiatric condition posing risk or impairing evaluation.
  • Participant has any other significant medical condition that increases unacceptable risk, interferes with therapy delivery, or confounds evaluation.
  • Participant has a history of a prior non-haematologic malignancy unless the participant has been disease-free with no evidence of recurrence for ≥ 2 years.
  • Participant has a history of haematologic malignancies, other than MM, regardless of remission status.
Show all 14Show fewer
  • Participant is positive for any of the following:
  • HIV: Known to be seropositive for HIV (including any history of HIV).
  • Chronic or active hepatitis B.
  • Active hepatitis C: Hepatitis C infection.
  • Additional local requirements for the testing for infectious diseases and exclusions of applicable participants should be followed per local regulations.
  • Participant has clinically significant cardiovascular disease.
  • Participant has COPD with an FEV1 < 50% of predicted normal.
  • Additional exclusion for participants who are planned to receive IsaVRd as induction: Participant has peripheral neuropathy Grade 4, Grade 3, Grade 2, or Grade 1 with pain.

Trial locations and contacts

124 sites in 15 countries. Contact the study team or a site near you to ask about taking part.

AstraZeneca Clinical Study Information Center contact

1-877-240-9479

information.center@astrazeneca.com

124 sites in 15 countries

United States45 sites, 44 recruiting
  • Research Site

    Albany, New York, 12208

    Not yet recruiting
  • Research Site

    Atlanta, Georgia, 30322

    Not yet recruiting
  • Research Site

    Aurora, Colorado, 80045

    Not yet recruiting
  • Research Site

    Baltimore, Maryland, 21201

    Not yet recruiting
  • Research Site

    Baton Rouge, Louisiana, 70809

    Not yet recruiting
  • Research Site

    Chapel Hill, North Carolina, 27599

    Not yet recruiting
  • Research Site

    Charlotte, North Carolina, 28203

    Not yet recruiting
  • Research Site

    Chicago, Illinois, 60607

    Not yet recruiting
  • Research Site

    Cincinnati, Ohio, 45236

    Not yet recruiting
  • Research Site

    Cleveland, Ohio, 44195

    Not yet recruiting
  • Research Site

    Columbus, Ohio, 43210

    Not yet recruiting
  • Research Site

    Coral Gables, Florida, 33156

    Not yet recruiting
  • Research Site

    Dallas, Texas, 75235

    Not yet recruiting
  • Research Site

    Denver, Colorado, 80218

    Not yet recruiting
  • Research Site

    Detroit, Michigan, 48201

    Not yet recruiting
  • Research Site

    Durham, North Carolina, 27705

    Not yet recruiting
  • Research Site

    East Brunswick, New Jersey, 08816

    Not yet recruiting
  • Research Site

    Fairfax, Virginia, 22031

    Not yet recruiting
  • Research Site

    Gilbert, Arizona, 85234

    Not yet recruiting
  • Research Site

    Houston, Texas, 77030

    Not yet recruiting
  • Research Site

    Iowa City, Iowa, 52242

    Not yet recruiting
  • Research Site

    Louisville, Kentucky, 40207

    Not yet recruiting
  • Research Site

    Milwaukee, Wisconsin, 53226

    Withdrawn
  • Research Site

    Montgomery, Ohio, 45242

    Not yet recruiting
  • Research Site

    Nashville, Tennessee, 37203

    Not yet recruiting
  • Research Site

    Nashville, Tennessee, 37219

    Not yet recruiting
  • Research Site

    New Haven, Connecticut, 06510

    Not yet recruiting
  • Research Site

    New Hyde Park, New York, 11042

    Not yet recruiting
  • Research Site

    New York, New York, 10016

    Not yet recruiting
  • Research Site

    New York, New York, 10029

    Not yet recruiting
  • Research Site

    New York, New York, 10032

    Not yet recruiting
  • Research Site

    Orange, California, 92868

    Not yet recruiting
  • Research Site

    Phoenix, Arizona, 85054

    Not yet recruiting
  • Research Site

    Portland, Oregon, 97239

    Not yet recruiting
  • Research Site

    Puyallup, Washington, 98373

    Not yet recruiting
  • Research Site

    Santa Monica, California, 90404

    Not yet recruiting
  • Research Site

    Seattle, Washington, 98101

    Not yet recruiting
  • Research Site

    Seattle, Washington, 98104

    Not yet recruiting
  • Research Site

    St Louis, Missouri, 63110

    Not yet recruiting
  • Research Site

    Tampa, Florida, 33606

    Not yet recruiting
  • Research Site

    The Bronx, New York, 10467

    Not yet recruiting
  • Research Site

    Tucson, Arizona, 85719

    Not yet recruiting
  • Research Site

    Wichita, Kansas, 67214

    Not yet recruiting
  • Research Site

    Winston-Salem, North Carolina, 27103

    Not yet recruiting
  • Research Site

    Winston-Salem, North Carolina, 27157

    Not yet recruiting

Other trials in United States

Germany13 sites, 13 recruiting
  • Research Site

    Berlin, 13353

    Not yet recruiting
  • Research Site

    Cologne, 50937

    Not yet recruiting
  • Research Site

    Dresden, 01307

    Not yet recruiting
  • Research Site

    Essen, 45122

    Not yet recruiting
  • Research Site

    Freiburg im Breisgau, 79106

    Not yet recruiting
  • Research Site

    Hamburg, 20246

    Not yet recruiting
  • Research Site

    Kiel, 24105

    Not yet recruiting
  • Research Site

    Leipzig, 04103

    Not yet recruiting
  • Research Site

    Magdeburg, 39120

    Not yet recruiting
  • Research Site

    Mainz, 55131

    Not yet recruiting
  • Research Site

    München, 81675

    Not yet recruiting
  • Research Site

    Nuremberg, 90419

    Not yet recruiting
  • Research Site

    Würzburg, 97080

    Not yet recruiting

Other trials in Germany

Australia8 sites, 8 recruiting
  • Research Site

    Concord, 2139

    Not yet recruiting
  • Research Site

    Darlinghurst, 2010

    Not yet recruiting
  • Research Site

    East Melbourne, 3002

    Not yet recruiting
  • Research Site

    Fitzroy, VIC3065

    Recruiting
  • Research Site

    Liverpool, 2170

    Not yet recruiting
  • Research Site

    Melbourne, 3004

    Not yet recruiting
  • Research Site

    Murdoch, 6150

    Not yet recruiting
  • Research Site

    Waratah, 2298

    Not yet recruiting

Other trials in Australia

Japan8 sites, 8 recruiting
  • Research Site

    Fukuoka, 812-8582

    Not yet recruiting
  • Research Site

    Kyoto, 602-8566

    Not yet recruiting
  • Research Site

    Nishinomiya-shi, 663-8501

    Not yet recruiting
  • Research Site

    Okayama, 700-8558

    Not yet recruiting
  • Research Site

    Sapporo, 060-8648

    Not yet recruiting
  • Research Site

    Shibuya-ku, 150-8935

    Not yet recruiting
  • Research Site

    Shinjuku-ku, 160-8582

    Not yet recruiting
  • Research Site

    Suita-shi, 565-0871

    Not yet recruiting

Other trials in Japan

Spain8 sites, 8 recruiting
  • Research Site

    Badalona, 8916

    Not yet recruiting
  • Research Site

    Barcelona, 08036

    Not yet recruiting
  • Research Site

    Madrid, 28007

    Not yet recruiting
  • Research Site

    Madrid, 28041

    Not yet recruiting
  • Research Site

    Pamplona, 31008

    Not yet recruiting
  • Research Site

    Salamanca, 37007

    Not yet recruiting
  • Research Site

    Seville, 41013

    Not yet recruiting
  • Research Site

    Valencia, 46026

    Not yet recruiting

Other trials in Spain

Canada6 sites, 6 recruiting
  • Research Site

    Calgary, Alberta, T2N 5G2

    Not yet recruiting
  • Research Site

    Halifax, Nova Scotia, B3H 2Y9

    Not yet recruiting
  • Research Site

    Montreal, Quebec, H1T 2M4

    Not yet recruiting
  • Research Site

    Ottawa, Ontario, K1H 8L6

    Not yet recruiting
  • Research Site

    Sherbrooke, Quebec, J1G 2K7

    Not yet recruiting
  • Research Site

    Vancouver, British Columbia, V5Z 4E6

    Not yet recruiting

Other trials in Canada

Italy6 sites, 6 recruiting
  • Research Site

    Bologna, 40138

    Not yet recruiting
  • Research Site

    Milan, 20133

    Not yet recruiting
  • Research Site

    Milan, 20141

    Not yet recruiting
  • Research Site

    Rome, 00168

    Not yet recruiting
  • Research Site

    Rozzano, 20089

    Not yet recruiting
  • Research Site

    Torino, 10100

    Not yet recruiting

Other trials in Italy

Poland6 sites, 6 recruiting
  • Research Site

    Gdansk, 80-952

    Not yet recruiting
  • Research Site

    Gliwice, 44-101

    Not yet recruiting
  • Research Site

    Kielce, 25-734

    Not yet recruiting
  • Research Site

    Lublin, 20-090

    Not yet recruiting
  • Research Site

    Poznan, 60-569

    Not yet recruiting
  • Research Site

    Wroclaw, 50-367

    Not yet recruiting

Other trials in Poland

France5 sites, 5 recruiting
  • Research Site

    Lille, 59037

    Not yet recruiting
  • Research Site

    Nantes, 44093

    Not yet recruiting
  • Research Site

    Paris, 75010

    Not yet recruiting
  • Research Site

    Poitiers, 86021

    Not yet recruiting
  • Research Site

    Toulouse, 31059

    Not yet recruiting

Other trials in France

South Korea5 sites, 5 recruiting
  • Research Site

    Seoul, 03080

    Not yet recruiting
  • Research Site

    Seoul, 06351

    Not yet recruiting
  • Research Site

    Seoul, 06591

    Not yet recruiting
  • Research Site

    Seoul, 3722

    Not yet recruiting
  • Research Site

    Seoul, 5505

    Not yet recruiting

Other trials in South Korea

Taiwan4 sites, 4 recruiting
  • Research Site

    Taipei, 10002

    Not yet recruiting
  • Research Site

    Taipei, 106

    Not yet recruiting
  • Research Site

    Taipei, 112

    Not yet recruiting
  • Research Site

    Taoyuan, 33305

    Not yet recruiting

Other trials in Taiwan

Brazil3 sites, 3 recruiting
  • Research Site

    Salvador, 41253-190

    Not yet recruiting
  • Research Site

    São Paulo, 01525-001

    Not yet recruiting
  • Research Site

    São Paulo, 05651-901

    Not yet recruiting

Other trials in Brazil

Sweden3 sites, 3 recruiting
  • Research Site

    Gothenburg, 413 45

    Not yet recruiting
  • Research Site

    Huddinge, 141 57

    Not yet recruiting
  • Research Site

    Lund, 22242

    Not yet recruiting

Other trials in Sweden

United Kingdom3 sites, 3 recruiting
  • Research Site

    Edinburgh, EH4 2XU

    Not yet recruiting
  • Research Site

    London, SE5 9RS

    Not yet recruiting
  • Research Site

    Manchester, M20 4BX

    Not yet recruiting

Other trials in United Kingdom

Denmark1 site, 1 recruiting
  • Research Site

    Århus N, 8200

    Not yet recruiting

Other trials in Denmark

About this study

Official title: Phase III Open-Label, Randomised Study of Consolidation With AZD0120 (Dual-Targeting BCMA/CD19 CAR-T) vs Continuous Standard Therapy in NDMM Patients Ineligible for ASCT as Initial Therapy (DURGA-5)

This is a randomised, multicentre, controlled, open-label, Phase III global study comparing the efficacy and safety of standard induction regimens (IsaVRd and DRd) followed by AZD0120 versus standard induction regimens followed by continuous therapy (IsaRd and DRd) in participants with newly diagnosed multiple myeloma (NDMM) who are ineligible for autologous stem cell transplant (ASCT) as initial therapy.

Read the detailed description

The primary objective is to demonstrate the superiority of IsaVRd or DRd induction followed by a single administration of AZD0120 compared to IsaVRd or DRd induction followed by continuous IsaRd or DRd in terms of progression-free survival (PFS) according to IMWG 2016 criteria, and as assessed by Blinded Independent Central Review (BICR) and miminal residual disease (MRD) negative complete response (CR) rate at 9 months post-randomisation in participants with NDMM who are ineligible to receive ASCT as initial therapy.

Being tested
AZD0120, Daratumumab, Dexamethasone, Isatuximab, Lenalidomide
Keywords
Newly Diagnosed Multiple Myeloma (NDMM), Multiple Myeloma, AZD0120, Cell Therapy, CAR-T, DURGA-5, BCMA, CD19, ASCT ineligible, Transplant ineligible
Medical subject headings
Multiple Myeloma

What participants receive

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

  • AZD0120Biological

    AZD0120, is a BCMA/CD19 dual CAR T-cell product, which is administered intravenously.

  • DaratumumabBiological

    Induction, optional bridging and continuous therapy.

  • DexamethasoneDrug

    Induction, optional bridging and continuous therapy.

  • IsatuximabBiological

    Induction, optional bridging and continuous therapy.

  • LenalidomideDrug

    Induction, optional bridging and continuous therapy.

  • BortezomibDrug

    Induction therapy.

  • CyclophosphamideDrug

    Lymphodepletion

  • FludarabineDrug

    Lymphodepletion

Study groups in NCT07764978
Study groupRoleWhat they receive
Arm A: Investigational ArmExperimentalArm A is the sequence of induction with IsaVRd or DRd, apheresis, optional bridging therapy, lymphodepletion (cyclophosphamide and fludarabine), and AZD0120.
Receives: Biological: AZD0120; Biological: Daratumumab; Drug: Dexamethasone; Biological: Isatuximab; Drug: Lenalidomide; Drug: Bortezomib; Drug: Cyclophosphamide; Drug: Fludarabine
Arm B: Control ArmActive comparatorArm B is the standard therapy induction with IsaVRd or DRd, followed by continuous IsaRd or DRd until disease progression or intolerable toxicity.
Receives: Biological: Daratumumab; Drug: Dexamethasone; Biological: Isatuximab; Drug: Lenalidomide; Drug: Bortezomib

What is being measured

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

  1. PFS in NDMM who are ineligible to receive ASCT is measured to demonstrate the superiority of IsaVRd or DRd induction followed by AZD0120 compared to IsaVRd or DRd induction followed by continuous DRd or IsaRd.

    PFS: defined as time from randomisation until progression according to IMWG 2016 criteria as assessed by BICR, or death due to any cause, whichever occurs first.

    Measured: Up to 9 years.

  2. MRD negative CR rate at 9M in NDMM who are ineligible to receive ASCT is measured to demonstrate the superiority of IsaVRd or DRd induction followed by AZD0120 compared to IsaVRd or DRd induction followed by continuous DRd or IsaRd

    MRD negative CR rate at 9 months: defined as the proportion of participants with MRD negative status (at threshold of 10-5) and have a response of CR or sCR (according to the IMWG 2016 criteria) as assessed by BICR at 9 months (± 3 months) from randomisation before initiation of subsequent anti-myeloma therapy.

    Measured: Up to 9 years.

Secondary outcomes (13)
  1. Complete Response Rate

    The proportion of participants who achieved CR or better according to IMWG 2016 criteria, as assessed by BICR

    Measured: Up to 9 years.

  2. Overall Survival

    Time from randomisation until date of death due to any cause

    Measured: Up to 9 years.

  3. Number and percentage of participants with adverse events as graded by CTCAE v6 and ASTCT Consensus Grading criteria

    Adverse Event Incidence

    Measured: Up to 9 years.

  4. Concentration of Circulating CAR-T+ Cells in Peripheral Blood

    Quantification of circulating CAR-T+ cell levels by measuring CAR transgene in peripheral blood and CK parameters of AZD0120 will be measured to characterise the cellular kinetics of AZD0120 in blood.

    Measured: Up to 9 years.

  5. Number and percentage of participants with incidence of ADAs against AZD0120

    Assessment humoral immunogenicity of AZ0120 based on incidence of ADAs.

    Measured: Up to 9 years.

  6. Patient Reported Outcomes

    Change from baseline in bone pain severity measured by the European Organisation for Research and Treatment of Cancer Item Library 469 single bone pain item (EORTC IL469 - score range 0 - 100, with higher scores indicating worse bone pain) in participants with newly diagnosed multiple myeloma ineligible for autologous stem cell transplantation as initial therapy.

    Measured: Up to 9 years.

  7. Patient Reported Outcomes

    Change from baseline in fatigue severity, physical functioning, and global health status/quality of life measured by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 fatigue, physical functioning, and global health status/quality of life scales (EORTC QLQ-C30 - score range 0 to 100; higher scores indicate worse fatigue, better physical functioning, and better general health status/quality of life) in participants with newly diagnosed multiple myeloma ineligible for autologous stem cell transplantation as initial therapy.

    Measured: Up to 9 years.

  8. Overall Response Rate

    Proportion of participants who achieved PR or better according to IMWG 2016 criteria

    Measured: Up to 9 years

  9. Duration of Response

    Time from first documented confirmed response (PR or better) until date of documented PD per IMWG 2016 criteria or death due to any cause, whichever occurs first.

    Measured: Up to 9 years

  10. Time to Response

    Time from randomisation until the date of first documented objective response (PR or better), as assessed per IMWG 2016 criteria.

    Measured: Up to 9 years

  11. MRD negative CR rate

    Proportion of participants who have MRD negative status and have a response of CR or sCR (according to the IMWG 2016 criteria) at any time after the date of randomisation and before initiation of subsequent therapy.

    Measured: Up to 9 years

  12. Rate of sustained MRD negative CR

    Proportion of participants who have achieved MRD negative status and have a response of CR or sCR

    Measured: Up to 9 years

  13. Progression Free Survival 2 (PFS2)

    Time from randomisation to progression on next line of therapy, as assessed by Investigator, or death due to any cause, whichever occurs first

    Measured: Up to 9 years

Timeline

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

  1. First posted14 Aug 2026
  2. Study start26 Jun 2026
  3. Primary completion11 Jan 2029 (estimated)
  4. Study completion12 May 2034 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a randomised, multicentre, controlled, open-label, Phase III global study comparing the efficacy and safety of AZD0120 versus standard regimens (IsaVRd and DRd) in participants with NDMM who are ineligible to receive ASCT as initial therapy.
Masking
None (open label)
Enrolment
750 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07764978
Sponsor's protocol ID
D8312C00002
Acronym
DURGA-5
Status last verified
Aug 2026
First submitted
1 Jul 2026
Last updated
14 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing AZD0120, Daratumumab and Dexamethasone in people with Newly Diagnosed Multiple Myeloma, run by AstraZeneca at 124 sites in 15 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 7 inclusion and 14 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: looking for participants now, as of the sponsor's last update on 14 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 124 sites in United States, Germany, Australia, Japan, Spain and 10 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?

Contact AstraZeneca Clinical Study Information Center (1-877-240-9479, information.center@astrazeneca.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

PFS in NDMM who are ineligible to receive ASCT is measured to demonstrate the superiority of IsaVRd or DRd induction followed by AZD0120 compared to IsaVRd or DRd induction followed by continuous DRd or IsaRd. (time frame: Up to 9 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?
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 14 Aug 2026.

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