CClinicalTrials.gg
RecruitingNCT07391657DURGA-4Updated Sep 29, 2026

A Study Comparing AZD0120, a Dual-targeted CAR-T Against B-cell Maturation Antigen (BCMA) and CD19, Versus Standard Regimens in Participants With Relapsed Refractory Multiple Myeloma (DURGA-4)

A Phase 3 interventional study of AZD0120 and Daratumumab in Relapsed Refractory Multiple Myeloma, sponsored by AstraZeneca. Recruiting at 143 sites in 15 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
508
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a randomised, multicentre, controlled, open-label, Phase III global study comparing the efficacy and safety of AZD0120 versus standard regimens (DKd [daratumumab, carfilzomib, and dexamethasone], DPd [daratumumab, pomalidomide, and dexamethasone], PVd [pomalidomide, bortezomib and dexamethasone], or Kd [carfilzomib and dexamethasone]) in participants with RRMM.

02

Conditions studied

  • Relapsed Refractory Multiple Myeloma

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Keywords

  • BCMA
  • CAR-T
  • CD19
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥ 18 years
  • Documented diagnosis of multiple myeloma according to the IMWG diagnostic criteria
  • Documented evidence of measurable disease:

    1. Serum M-protein level ≥ 1 g/dL
    2. Urine M-protein level ≥ 200 mg/24h
    3. Serum immunoglobulin free light chain ≥ 10 mg/dL (100 mg/L) and abnormal serum immunoglobulin kappa lambda free light chain ratio
  • Documented evidence of PD by IMWG 2016 criteria based on investigator's determination during or after the most recent line of therapy. Participants with only 1 prior line of therapy must have progressed within 47 months of a stem cell transplant, or if not transplanted, then within 42 months of starting initial therapy
  • Received 1 to 3 lines of prior therapy including an IMiD and either a PI or a CD38 antibody. Participant must have undergone at least 2 complete cycles of treatment for each line of therapy, unless PD was the best response to the line of therapy
  • Eligible to receive at least one of the standard regimens (DKd, PVd, DPd, or Kd) as determined by the Investigator.
  • ECOG performance status score of 0 to 1
  • Adequate hematology and chemistry laboratory values:

    1. Haemoglobin ≥ 8.0 g/dL
    2. Absolute neutrophil count ≥ 1 × 10\^9/L (1000 per mm3)
    3. Platelet count ≥ 75 × 10\^9/L (75000 per mm3) in participants with \< 50% of bone marrow nucleated cells are plasma cells or ≥ 50 × 10\^9/L (50000 per mm3) in participants with ≥ 50% of bone marrow nucleated cells are plasma cells
    4. Absolute lymphocyte count ≥ 300/µL (0.3 × 109/L)
    5. Total bilirubin ≤ 1.5 × ULN in the absence of Gilbert's syndrome or ≤ 3 × ULN if the participant has Gilbert's syndrome. AST and ALT≤ 3.0 × ULN. CrCl by Cockcroft and Gault method ≥ 30 mL/minute

Exclusion criteria

Exclusion Criteria:

  • Known active, or prior history of CNS involvement or exhibits clinical signs of meningeal involvement of MM.
  • Primary amyloidosis, active plasma cell leukaemia, Waldenstrom macroglobulinemia or Polyneuropathy Organomegaly Endocrinopathy M-protein and Skin (POEMS) syndrome.
  • Participants with primary refractory MM (failed to generate at least a minimal response to any prior therapy)
  • Significant neurological or psychiatric condition
  • Significant medical condition that places the participant at an unacceptable risk for treatment-related complications
  • Previously received any prior BCMA-targeted treatment
  • Previously received CAR-T or CAR-NK therapy directed at any target
  • Previously received T-cell engager therapy directed at any target
  • Previously received allogeneic stem cell transplantation at any time during prior therapy or received autologous stem cell transplantation within 12 weeks of randomization
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
508 participants (estimated)

Study arms

  • Experimental
    Arm A

    AZD0120

    Biological: AZD0120

  • Active comparator
    Arm B

    1 of the following 4 standard regimens per investigator choice; DKd, DPd, PVd, Kd.

    Drug: Daratumumab · Drug: Carfilzomib · Drug: Dexamethasone · Drug: Bortezomib · Drug: Pomalidomide

Interventions

  • BiologicalAZD0120

    CAR-T Cells

  • DrugDaratumumab

    Daratumumab

    Also known as: Darzalex

  • DrugCarfilzomib

    Carfilzomib

    Also known as: Kyprolis

  • DrugDexamethasone

    Dexamethasone

  • DrugBortezomib

    Bortezomib

    Also known as: Velcade

  • DrugPomalidomide

    Pomalidomides

    Also known as: Pomalyst and Imnovid

05

What researchers measure

Primary outcomes

  1. To demonstrate the superiority of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of PFS in participants with RRMM.

    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.

    Time frame: 3 years

  2. To demonstrate the superiority of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of MRD negativity rate at 9 months in participants with RRMM.

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

    Time frame: 2 years

Secondary outcomes

  1. To further demonstrate the effectiveness of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of CRR in participants with RRMM.

    Time frame: 2 years

  2. To further demonstrate the effectiveness of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of ORR in participants with RRMM.

    Time frame: 2 years

  3. To further demonstrate the effectiveness of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of OS in participants with RRMM.

    Time frame: 5 years

06

Study locations

40 of 143 sites recruiting
  • Research Site
    Gilbert, Arizona 85234, United States
    Not yet recruiting
  • Research Site
    Phoenix, Arizona 85054, United States
    Withdrawn
  • Research Site
    Tucson, Arizona 85719, United States
    Not yet recruiting
  • Research Site
    La Jolla, California 92093, United States
    Withdrawn
  • Research Site
    Sacramento, California 95817, United States
    Not yet recruiting
  • Research Site
    Santa Monica, California 90404, United States
    Not yet recruiting
  • Research Site
    Denver, Colorado 80218, United States
    Recruiting
  • Research Site
    New Haven, Connecticut 06510, United States
    Recruiting
  • Research Site
    Washington D.C., District of Columbia 20007, United States
    Not yet recruiting
  • Research Site
    Coral Gables, Florida 33156, United States
    Withdrawn
  • Research Site
    Tampa, Florida 33606, United States
    Not yet recruiting
  • Research Site
    Atlanta, Georgia 30322, United States
    Recruiting
  • Research Site
    Chicago, Illinois 60612, United States
    Not yet recruiting
  • Research Site
    Park Ridge, Illinois 60068, United States
    Not yet recruiting
  • Research Site
    Iowa City, Iowa 52242, United States
    Withdrawn
  • Research Site
    Kansas City, Kansas 66160, United States
    Not yet recruiting
  • Research Site
    Louisville, Kentucky 40207, United States
    Recruiting
  • Research Site
    Boston, Massachusetts 02114, United States
    Not yet recruiting
  • Research Site
    Boston, Massachusetts 02215, United States
    Not yet recruiting
  • Research Site
    Boston, Massachusetts 02215, United States
    Withdrawn
  • Research Site
    Detroit, Michigan 48201, United States
    Withdrawn
  • Research Site
    Detroit, Michigan 48202, United States
    Withdrawn
  • Research Site
    Rochester, Minnesota 55905, United States
    Withdrawn
  • Research Site
    Albany, New York 12208, United States
    Not yet recruiting
  • Research Site
    New York, New York 10016, United States
    Withdrawn
  • Research Site
    New York, New York 10029, United States
    Recruiting
  • Research Site
    New York, New York 10065, United States
    Withdrawn
  • Research Site
    New York, New York 10065, United States
    Recruiting
  • Research Site
    Rochester, New York 14642, United States
    Withdrawn
  • Research Site
    The Bronx, New York 10467, United States
    Withdrawn
  • Research Site
    Chapel Hill, North Carolina 27514, United States
    Not yet recruiting
  • Research Site
    Charlotte, North Carolina 28204, United States
    Not yet recruiting
  • Research Site
    Charlotte, North Carolina 28204, United States
    Recruiting
  • Research Site
    Winston-Salem, North Carolina 27103, United States
    Recruiting
  • Research Site
    Winston-Salem, North Carolina 27157, United States
    Not yet recruiting
  • Research Site
    Cincinnati, Ohio 45220, United States
    Not yet recruiting
  • Research Site
    Cleveland, Ohio 44195, United States
    Not yet recruiting
  • Research Site
    Portland, Oregon 97239, United States
    Not yet recruiting
  • Research Site
    Charleston, South Carolina 29425, United States
    Withdrawn
  • Research Site
    Nashville, Tennessee 37203, United States
    Recruiting
  • Research Site
    Austin, Texas 78704, United States
    Recruiting
  • Research Site
    Dallas, Texas 75235, United States
    Not yet recruiting
  • Research Site
    Houston, Texas 77030, United States
    Recruiting
  • Research Site
    Salt Lake City, Utah 84112, United States
    Not yet recruiting
  • Research Site
    Charlottesville, Virginia 22908, United States
    Withdrawn
  • Research Site
    Gainesville, Virginia 20155, United States
    Not yet recruiting
  • Research Site
    Richmond, Virginia 23298, United States
    Withdrawn
  • Research Site
    Puyallup, Washington 98373, United States
    Not yet recruiting
  • Research Site
    Seattle, Washington 98104, United States
    Recruiting
  • Research Site
    Madison, Wisconsin 53792, United States
    Not yet recruiting
  • Research Site
    Milwaukee, Wisconsin 53226, United States
    Recruiting
  • Research Site
    Camperdown, 2050, Australia
    Recruiting
  • Research Site
    Darlinghurst, 2010, Australia
    Recruiting
  • Research Site
    Fitzroy, VIC3065, Australia
    Recruiting
  • Research Site
    Liverpool, 2170, Australia
    Not yet recruiting
  • Research Site
    Melbourne, 3000, Australia
    Recruiting
  • Research Site
    Melbourne, 3004, Australia
    Recruiting
  • Research Site
    Murdoch, WA6150, Australia
    Not yet recruiting
  • Research Site
    Salvador, 41253-190, Brazil
    Recruiting
  • Research Site
    São Paulo, 01509-900, Brazil
    Recruiting
  • Research Site
    São Paulo, 05652-900, Brazil
    Recruiting
  • Research Site
    Calgary, Alberta T2N 5G2, Canada
    Not yet recruiting
  • Research Site
    Vancouver, British Columbia V5Z 4E6, Canada
    Not yet recruiting
  • Research Site
    Toronto, Ontario M5G 2M9, Canada
    Recruiting
  • Research Site
    Montreal, Quebec H3A 1A1, Canada
    Recruiting
  • Research Site
    Beijing, 100024, China
    Not yet recruiting
  • Research Site
    Beijing, 100044, China
    Not yet recruiting
  • Research Site
    Changchun, 130021, China
    Not yet recruiting
  • Research Site
    Changsha, 410008, China
    Not yet recruiting
  • Research Site
    Changsha, 410013, China
    Not yet recruiting
  • Research Site
    Chongqing, 400030, China
    Not yet recruiting
  • Research Site
    Guangzhou, 510000, China
    Not yet recruiting
  • Research Site
    Guangzhou, 510700, China
    Not yet recruiting
  • Research Site
    Hefei, 230601, China
    Not yet recruiting
  • Research Site
    Nanchang, 330000, China
    Not yet recruiting
  • Research Site
    Nanchang, 330006, China
    Not yet recruiting
  • Research Site
    Nanjing, 210000, China
    Not yet recruiting
  • Research Site
    Ningbo, 315040, China
    Not yet recruiting
  • Research Site
    Shanghai, 200025, China
    Not yet recruiting
  • Research Site
    Shanghai, 200065, China
    Not yet recruiting
  • Research Site
    Shanghai, 201210, China
    Not yet recruiting
  • Research Site
    Shenzhen, 518039, China
    Not yet recruiting
  • Research Site
    Tianjin, 300020, China
    Not yet recruiting
  • Research Site
    Wenzhou, 325000, China
    Not yet recruiting
  • Research Site
    Wuhan, 430030, China
    Not yet recruiting
  • Research Site
    Xi'an, 710004, China
    Not yet recruiting
  • Research Site
    Xi'an, 710061, China
    Not yet recruiting
  • Research Site
    Zhengzhou, 450000, China
    Not yet recruiting
  • Research Site
    Zhengzhou, 450008, China
    Not yet recruiting
  • Research Site
    Lille, 59037, France
    Not yet recruiting
  • Research Site
    Nantes, 44093, France
    Not yet recruiting
  • Research Site
    Paris, 75010, France
    Not yet recruiting
  • Research Site
    Pierre-Bénite, 69495, France
    Not yet recruiting
  • Research Site
    Poitiers, 86021, France
    Not yet recruiting
  • Research Site
    Toulouse, 31059, France
    Not yet recruiting
  • Research Site
    Berlin, 12200, Germany
    Not yet recruiting
  • Research Site
    Dresden, 01307, Germany
    Not yet recruiting
  • Research Site
    Erlangen, 91054, Germany
    Not yet recruiting
  • Research Site
    Essen, 45147, Germany
    Not yet recruiting
  • Research Site
    Freiburg im Breisgau, 79106, Germany
    Not yet recruiting

Showing the first 100 of 143 sites across 15 countries.

07

References and documents

Individual participant data

Plan to share: 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.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07391657
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Feb 6, 2026
Start date
Feb 23, 2026
Primary completion
Jun 14, 2028 (estimated)
Completion
Jul 29, 2030 (estimated)
Last update
Sep 29, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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