Efficacy of Quadruplet Therapy with Daratumumab, Bortezomib, Lenalidomide, and Dexamethasone as Initial Treatment for High-Risk Multiple Myeloma Patients in China: Findings from a Multi-Center Real-World Study - Report - MDSpire

Efficacy of Quadruplet Therapy with Daratumumab, Bortezomib, Lenalidomide, and Dexamethasone as Initial Treatment for High-Risk Multiple Myeloma Patients in China: Findings from a Multi-Center Real-World Study

  • By

  • Lili Cheng

  • Dong Liang

  • Jing Jia

  • Runfeng Zhang

  • Yang Yang

  • Peng Liu

  • Hongli Sun

  • Xiaoqi Qin

  • Yanping Ma

  • Yin Wu

  • Hua Wang

  • Junling Zhuang

  • March 10, 2026

  • 0 min

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Clinical Report: Efficacy of Quadruplet Therapy with Daratumumab in High-Risk MM

Overview

This study evaluates the efficacy of quadruplet therapy with daratumumab, bortezomib, lenalidomide, and dexamethasone (D-VRd) as initial treatment for high-risk multiple myeloma patients in China. Findings suggest that D-VRd may improve progression-free survival compared to standard VRd therapy.

Background

Multiple myeloma (MM) is a prevalent hematological malignancy with significant advancements in treatment over the past two decades. High-risk cytogenetic abnormalities are associated with poorer prognoses, necessitating more effective treatment strategies. The incorporation of daratumumab in quadruplet therapy has shown promise in enhancing clinical outcomes for high-risk patients.

Data Highlights

This study is ongoing, and specific numerical data will be available upon completion of the trial.

Key Findings

  • Daratumumab combined with VRd (D-VRd) is being evaluated for its efficacy in high-risk NDMM patients.
  • Patients with multiple high-risk cytogenetic abnormalities (≥2 HRCAs) are classified as ultra-high-risk (UHiR) MM.
  • Quadruplet therapy has shown potential to improve clinical outcomes in high-risk and UHiR patient subgroups.
  • The study aims to compare D-VRd with standard VRd therapy in terms of progression-free survival and overall survival.
  • Real-world data on the application of D-VRd in China is currently limited, highlighting the need for this study.

Clinical Implications

The findings from this study may support the use of D-VRd as a preferred frontline therapy for high-risk multiple myeloma patients. Clinicians should consider the potential benefits of intensified quadruplet therapy in improving patient outcomes.

Conclusion

The ongoing investigation into D-VRd therapy for high-risk multiple myeloma patients aims to provide critical insights into its efficacy and safety. Results may influence future treatment guidelines and clinical practice.

References

  1. Blood Cancer Journal, 2025 -- Comparative Analysis of Daratumumab-Enhanced Quadruplet and Triplet Induction Therapies in Newly Diagnosed Multiple Myeloma Patients Eligible for Transplantation
  2. The ASCO Post, 2021 -- Daratumumab in Combination With Carfilzomib, Lenalidomide, and Dexamethasone in Newly Diagnosed Multiple Myeloma KEY POINTS
  3. The ASCO Post, 2017 -- Monoclonal Antibody Therapy With Daratumumab in Multiple Myeloma: Expanding Therapeutic Horizons
  4. EHA–EMN Evidence-Based Guidelines for diagnosis, treatment and follow-up of patients with multiple myeloma | Nature Reviews Clinical Oncology
  5. International Myeloma Society/International Myeloma Working Group Consensus Recommendations on the Definition of High-Risk Multiple Myeloma
  6. The ASCO Post — Cutting-Edge Induction Strategies and Novel Approach to Reducing Skeletal-Related Events Explored in Multiple Myeloma
  7. Darzalex Faspro, Sarclisa Approvals for Multiple Myeloma - NCI
  8. EHA–EMN Evidence-Based Guidelines for diagnosis, treatment and follow-up of patients with multiple myeloma | Nature Reviews Clinical Oncology
  9. International Myeloma Society/International Myeloma Working Group Consensus Recommendations on the Definition of High-Risk Multiple Myeloma - PubMed

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