June 14, 2026 · Lancet (London, England) · DOI: 10.1016/S0140-6736(26)01088-3

Mezigdomide, carfilzomib, and dexamethasone versus carfilzomib and dexamethasone in patients with relapsed or refractory multiple myeloma (SUCCESSOR-2): a phase 3, open-label, randomised controlled trial

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The SUCCESSOR-2 trial aimed to evaluate the efficacy and safety of mezigdomide in combination with carfilzomib and dexamethasone compared to carfilzomib and dexamethasone alone in patients with relapsed or refractory multiple myeloma. Results showed that the mezigdomide combination significantly improved progression-free survival (18.0 months vs. 8.3 months) but was associated with higher rates of grade 3 or 4 adverse events. These findings suggest that mezigdomide-carfilzomib-dexamethasone is a promising treatment option for patients with limited therapeutic options due to prior exposure to anti-CD38 antibodies and lenalidomide.

Meletios A Dimopoulos, Fredrik Schjesvold, Chengcheng Fu, Monique A Hartley-Brown, Cesar Gomez, Donna Reece, Gabor Mikala, Omar Alkharabsheh, Christopher Parrish, Edvan de Queiroz Crusoé, Kenny Gálvez, Henry Idrobo, Darrell White, Ridhi Gupta, Cindy Lee, Chia-Jen Liu, Hang Quach, Yafei Wang, Claudio Cerchione, Cecily Forsyth, Vania Hungria, Pritam Kalaskar, Vasko Graklanov, Phoebe Joy Ho, Maika Klaiber-Hakimi, Yok Lam Kwong, Martha Louzada, Amitabha Mazumder, Oliver Miles, Chandramouli Nagarajan, Sripada V S S Prasad, Marc S Raab, Gergely Varga, Eyck von der Heyde, Zhongjun Xia, Paola Andrea Ochoa, Albert Oriol, Junichiro Yuda, Junya Kuroda, Jing Gong, Zehua Zhou, Paulo Maciag, Brian Yu, Alberto Rocci, Phillip Koo, Jessica Katz, Paul G Richardson, SUCCESSOR-2 Trial Investigators

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