Male or female aged ≥18 years |
Previous diagnosis of MM based on the IMWG 2016 criteria and currently requiring treatment |
Measurable disease, defined as ≥1 of the following: serum M-protein ≥0.5 g/dl (≥5 g/l), urine M-protein ≥200 mg/24 h, SFLC assay with involved SFLC level ≥10 mg/dl (100 mg/l) and abnormal SFLC ratio |
ECOG performance status ≤2 |
Received ≥3 previous lines of therapy, including an IMiD and a PI |
Daratumumab arm: CD38+ MM with no prior anti-CD38 antibody therapy for ≤6 months prior to enrollment; no history of discontinuation of daratumumab due to toxicity |
Pomalidomide/dexamethasone arm: no history of pomalidomide discontinuation due to toxicity; prior pomalidomide therapy allowed if PR was achieved with the most recent pomalidomide therapy and pomalidomide-free interval since last dose is ≥6 months; no contraindication to dexamethasone |
Carfilzomib/dexamethasone arm: no history of discontinuation of carfilzomib due to toxicity; prior PI therapy allowed if PR was achieved with the most recent PI therapy; no contraindication to dexamethasone |
Bortezomib/dexamethasone arm: no history of discontinuation of bortezomib due to toxicity; prior PI therapy allowed if PR was achieved with the most recent PI therapy and PI-free interval since last dose is ≥6 months; no contraindication to dexamethasone; if initiated, patients only require one prior line of therapy |