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December 8, 2025Blood

Minimal residual disease dynamics in post-transplant patients with newly diagnosed multiple myeloma who received daratumumab plus lenalidomide versus lenalidomide alone as maintenance therapy in the auriga study

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Authors

ACAlfred ChungLALarry J. AndersonLFLaahn Foster

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Overview

Phase 3 trial shows daratumumab plus lenalidomide improves MRD rates in multiple myeloma, suggesting enhanced treatment outcomes.

Key Points

  • This research aims to analyze the impact of daratumumab combined with lenalidomide on minimizing residual disease in multiple myeloma patients post-transplant.
  • Phase 3 AURIGA study with randomized patients post-autologous stem cell transplant
  • Eligible patients received either lenalidomide maintenance alone or with daratumumab.
  • MRD dynamics and conversion rates were assessed using NGS at multiple time points.
  • Daratumumab plus lenalidomide led to a 60.6% MRD-neg conversion rate versus 28.7% for lenalidomide alone.
  • Sustained MRD-neg rates at 10−5 were 29.3% for the combination vs 7.9% for lenalidomide alone.
  • Fewer patients with MRD-neg conversion experienced disease recurrence compared to those with residual disease.

Cite This Study

Chung et al. (2025) studied this question.

synapsesocial.com/papers/693624d44fa91c937236d055https://doi.org/10.1182/blood-2025-97
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Patterns of minimal residual disease trajectories in 323 newly diagnosed patients with multiple myeloma and correlation with progression-free survival2025
  2. 2Daratumumab versus lenalidomide as maintenance therapy in newly diagnosed multiple myeloma – final results from a randomized investigator-initiated trial2025
  3. 3Transition to IRD maintenance after DRD induction significantly deepens response in transplant-ineligible NDMM: A prospective multicenter study2025
  4. 4Measurable residual disease in newly diagnosed multiple myeloma: Experience from a large cohort from an academic medical center2025
  5. 5Immune-MRD status informs tumor-MRD outcome prognostication in patients with multiple myeloma on lenalidomide maintenance2025 · 3 citations