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RecruitingMultiple MyelomaMonoclonal Gammopathy of Renal Significance

A Study of CyBorD (Cyclophosphamide, Bortezomib, Dexamethasone) Plus Daratumumab in People With Monoclonal Gammopathy of Renal Significance (MGRS)

Eligible age

18+ yrs

Accepts

All genders

Locations

4 states

Healthy volunteers

No

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About this study

The purpose of this study is to find out whether cyclophosphamide, bortezomib, dexamethasone (CyBorD) with daratumumab SC is a safe treatment combination for MGRS-associated kidney disease including cast nephropathy associated with multiple myeloma. In addition, the researchers will find out whether the study drug combination is an effective treatment for these conditions.

Sponsor: Memorial Sloan Kettering Cancer Center

You may qualify if…

  • ✓ Subjects must have a confirmed diagnosis of NDMM as per standard IMWG criteria
  • ✓ Subjects must have measurable disease, defined as meeting at least 1 of the following criteria ≤ 14 days prior to registration:
  • ✓ A monoclonal Immunoglobulin (M-protein) concentration on serum protein electrophoresis (SPEP) of ≥ 0.5 g/dL.
  • ✓ Measurable urinary light chain secretion by quantitative analysis using urine protein electrophoresis (UPEP) of ≥ 200 mg/24 hours.
  • ✓ Involved serum free light chain (FLC) level ≥ 10 mg/dL, provided the serum FLC ratio is abnormal.
  • ✓ eGFR must be \<40 ml/min/1.73m2
  • ✓ Subjects must have histologically confirmed diagnosis of monoclonal gammopathy associated CN by kidney biopsy OR If a kidney biopsy is not available, a percentage of urine albumin excretion (%UAE) \< 25 % AND FLC \> 50 mg/dL
  • ✓ Histologically confirmed diagnosis of MGRS-associated renal disease by kidney biopsy

You may not qualify if…

  • ✕ MGRS associated with diseases other than plasma cell dyscrasia (e.g. CLL, B-cell neoplasm, Waldenstrom's macroglobulinemia…)
  • ✕ Plasma cell leukemia, AL amyloidosis, or POEMS syndrome.
  • ✕ Treatment with prior drugs aimed at the plasma cell dyscrasia.
  • ✕ Treatment with prior or concurrent investigational agents aimed at the plasma cell dyscrasia.
  • ✕ Female patients who are lactating or have a positive serum pregnancy test during the screening period.
  • ✕ Major surgery ≤ 14 days before registration.
  • ✕ Focal radiation therapy within 14 days prior to registration with the exception of palliative- radiotherapy for symptomatic management but not on measurable extramedullary plasmacytoma.
  • ✕ Disease-related central nervous system involvement.

Where it's recruiting

New Jersey

Basking Ridge · Middletown · Montvale

New York

Commack · Harrison · New York · Uniondale

North Carolina

Chapel Hill

Source: ClinicalTrials.gov · NCT06083922 · last updated 2026-07-06

A Study of CyBorD (Cyclophosphamide, Bortezomib, Dexamethasone) Plus D · TrialPath