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. 2023 May 9;13:1173701. doi: 10.3389/fonc.2023.1173701

Table 2.

Trials utilizing MRD to guide initial and maintenance therapy.

Study Primary endpoint Population Treatment administered Based on
1. MRD testing utilizing NGF (10-5)
RADAR PFS Standard risk patients after auto SCT Randomization to arms including R maint, RVd consolidation + R maint, R-isa maint, or isa-RVd consolidation + R isa maint Patients who received Isa main were MRD -ve after initial treatment. The remaining tested +ve.
REMNANT PFS MRD -ve patients randomized to two arms Dara-Kd Patients who received Dara-Kd tested MRD +ve vs those who were only continuously observed every 4 months
NCT04221178 MRD -ve at one year Patients on 3 years of continuous maint Maint treatment None of the patients tested MRD +ve
PREDATOR EFS Patients after 1-2 prior lines of therapy who are MRD negative Dara vs. observation Patients who were on Dara tested MRD+ve while those on observation were MRD-ve
2. MRD testing utilizing NGS
NCT04140162 MRD Patients who got induction with dara-R Following induction, received either consolidation with dara-RVd vs. maint dara Patients on dara-RVd tested +ve vs.-ve for those who received maint dara
AURGIA* MRD Patients who got auto-SCT Patients received DARA-R vs R only. Patients on DARA-R only tested MRD+ve.
MASTER* MRD Patients who received dara-KRd Additional dara_KRd vs. observation after achieved MRD-ve twice Patients receiving additional dara-KRd were those who tested MRD+ve.

EFS, event-free survival.

*denotes (10-5).