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Trial · NCT04181827

A Study Comparing JNJ-68284528, a CAR-T Therapy Directed Against B-cell Maturation Antigen (BCMA), Versus Pomalidomide, Bortezomib and Dexamethasone (PVd) or Daratumumab, Pomalidomide and Dexamethasone (DPd) in Participants With Relapsed and Lenalidomide-Refractory Multiple Myeloma

NCT04181827, Phase 3, Active not recruiting, Janssen Research & Development, LLC; results first posted 2025-05-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study Comparing JNJ-68284528, a CAR-T Therapy Directed Against B-cell Maturation Antigen (BCMA), Versus Pomalidomide, Bortezomib and Dexamethasone (PVd) or Daratumumab, Pomalidomide and Dexamethasone (DPd) in Participants With Relapsed and Lenalidomide-Refractory Multiple Myeloma. Trials, record NCT04181827. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04181827

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study Comparing JNJ-68284528, a CAR-T Therapy Directed Against B-cell Maturation Antigen (BCMA), Versus Pomalidomide, Bortezomib and Dexamethasone (PVd) or Daratumumab, Pomalidomide and Dexamethasone (DPd) in Participants With Relapsed and Lenalidomide-Refractory Multiple Myeloma
NCT number
NCT04181827
Status
Active not recruiting
Phases
Phase 3
Enrollment
419 participants, actual
Lead sponsor
Janssen Research & Development, LLC
Conditions
Multiple Myeloma
Interventions
Cilta-cel, Pomalidomide, Bortezomib, Dexamethasone, Daratumumab
First posted
2019-12-02
Last updated
2026-11-03
Other registries' IDs
eudract:2019-001413-16
Results first posted
2025-05-20

Source ClinicalTrials.gov

Registered outcomes20

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProgression Free Survival (PFS)From randomization (Day 1) to either progressive disease or death, whichever occurred first (up to 3.9 years)
PFS: defined as time from date of randomization to date of first documented progressed disease (PD) as per International Myeloma Working Group (IMWG) criteria, or death due to any cause, whichever occurred first. PD: increase of 25% from lowest response value: serum and urine M-component (absolute increase must be \>=0.5 grams per deciliter \[g/dL\] and \>=200 milligrams \[mg\] per 24 hours, respectively); only in participants without measurable serum and urine M-protein levels, difference between involved and uninvolved free light chain (FLC) levels (absolute increase of \>10 mg/dL); only in participants without measurable serum and urine M-protein levels and without measurable disease by FLC levels, bone marrow plasma cell (PC)% (absolute increase of \>=10%), appearance of new lesion; definite development of new bone lesions or definite increase in size of existing bone lesions, \>=50% increase in circulating PCs (minimum of 200 cells per microliter \[uL\]) if this was only measure of disease.
SecondaryPercentage of Participants Who Achieved Complete Response (CR) or Stringent Complete Response (sCR)From randomization (Day 1) up to 7 years
SecondaryPercentage of Participants Who Achieved Overall Minimal Residual Disease (MRD) Negative Status (at 10^-5)From randomization (Day 1) up to 7 years
SecondaryPercentage of Participants Who Were in CR or sCR and Achieved MRD-negative Status at 12 Months +/-3 MonthsFrom randomization (Day 1) up to 12 months +/- 3 months
SecondaryPercentage of Participants Who Achieved Sustained MRD-negative StatusFrom randomization (Day 1) up to 7 years
SecondaryOverall Survival (OS)From randomization (Day 1) up to 7 years
SecondaryTime to Worsening of Symptoms Using the Multiple Myeloma Symptom and Impact Questionnaire (MySIm-Q) Total Symptom ScoreFrom randomization (Day 1) up to 7 years
SecondaryOverall Response Rate (ORR)From randomization (Day 1) up to 7 years
SecondaryProgression Free Survival on Next-line Therapy (PFS2)From randomization (Day 1) up to 7 years
SecondaryNumber of Participants With Treatment-emergent Adverse Events (AEs)From Cycle 1 Day 1 up to 7 years

Outcomes20

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression Free Survival (PFS)From randomization (Day 1) to either progressive disease or death, whichever occurred first (up to 3.9 years)The intent-to-treat (ITT) analysis set included all participants who were randomized in the study.monthsMEDIAN
SECONDARYPercentage of Participants Who Achieved Complete Response (CR) or Stringent Complete Response (sCR)From randomization (Day 1) up to 7 years
SECONDARYPercentage of Participants Who Achieved Overall Minimal Residual Disease (MRD) Negative Status (at 10^-5)From randomization (Day 1) up to 7 years
SECONDARYPercentage of Participants Who Were in CR or sCR and Achieved MRD-negative Status at 12 Months +/-3 MonthsFrom randomization (Day 1) up to 12 months +/- 3 months
SECONDARYPercentage of Participants Who Achieved Sustained MRD-negative StatusFrom randomization (Day 1) up to 7 years
SECONDARYOverall Survival (OS)From randomization (Day 1) up to 7 years
SECONDARYTime to Worsening of Symptoms Using the Multiple Myeloma Symptom and Impact Questionnaire (MySIm-Q) Total Symptom ScoreFrom randomization (Day 1) up to 7 years
SECONDARYOverall Response Rate (ORR)From randomization (Day 1) up to 7 years
SECONDARYProgression Free Survival on Next-line Therapy (PFS2)From randomization (Day 1) up to 7 years
SECONDARYNumber of Participants With Treatment-emergent Adverse Events (AEs)From Cycle 1 Day 1 up to 7 years

Results by group2

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Progression Free Survival (PFS)Arm A: Standard Therapy: PVd or DPd11.7995% Confidence Interval 9.66 to 14.00months
Progression Free Survival (PFS)Arm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])NA95% Confidence Interval 34.50 to NAmonths

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm A: Standard Therapy: PVd or DPd211
Overall StudySTARTEDArm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])208
Overall StudyTreated (Safety Analysis Set)Arm A: Standard Therapy: PVd or DPd208
Overall StudyTreated (Safety Analysis Set)Arm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])208
Overall StudyCOMPLETEDArm A: Standard Therapy: PVd or DPd0
Overall StudyCOMPLETEDArm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])0
Overall StudyNOT COMPLETEDArm A: Standard Therapy: PVd or DPd211
Overall StudyNOT COMPLETEDArm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])208

Adverse events450

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersArm A: Standard Therapy: PVd or DPd57208
otherAnaemiaBlood and lymphatic system disordersArm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])110208
otherLeukopeniaBlood and lymphatic system disordersArm A: Standard Therapy: PVd or DPd16208
otherLeukopeniaBlood and lymphatic system disordersArm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])27208
otherLymphopeniaBlood and lymphatic system disordersArm A: Standard Therapy: PVd or DPd29208
otherLymphopeniaBlood and lymphatic system disordersArm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])47208
otherNeutropeniaBlood and lymphatic system disordersArm A: Standard Therapy: PVd or DPd178208
otherNeutropeniaBlood and lymphatic system disordersArm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])187208
otherThrombocytopeniaBlood and lymphatic system disordersArm A: Standard Therapy: PVd or DPd67208
otherThrombocytopeniaBlood and lymphatic system disordersArm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])113208

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArm A: Standard Therapy: PVd or DPd83211
Total, all-cause mortalityArm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])50208
Total, other adverse eventsArm A: Standard Therapy: PVd or DPd207208
Total, other adverse eventsArm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])208208
Total, serious adverse eventsArm A: Standard Therapy: PVd or DPd98208
Total, serious adverse eventsArm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel])98208

Papers10

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37272512DERIVEDPubMed
39110421DERIVEDPubMed
39234256DERIVEDPubMed
39756844DERIVEDPubMed
39938094DERIVEDPubMed
40613875DERIVEDPubMed
40768190DERIVEDPubMed
41519141DERIVEDPubMed
41627370DERIVEDPubMed
41824255DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Arm A: Standard Therapy: PVd or DPd vs Arm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel]): deaths from any causeTrial comparisons
Arm A: Standard Therapy: PVd or DPd vs Arm B: JNJ-68284528 (Ciltacabtagene Autoleucel [Cilta-cel]): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04181827

GET https://conductscience.org/api/trials/v1/NCT04181827/events?page=2