To hear about similar clinical trials, please enter your email below
Trial Title:
Early Response-adapted Intensification of Induction Chemotherapy in Patients With Newly Diagnosed Multiple Myeloma (MM)
NCT ID:
NCT01114048
Condition:
Multiple Myeloma
Conditions: Official terms:
Multiple Myeloma
Neoplasms, Plasma Cell
Thalidomide
Dexamethasone
Cyclophosphamide
Bortezomib
Conditions: Keywords:
age under 65
Previous untreated
Study type:
Interventional
Study phase:
Phase 2
Overall status:
Unknown status
Study design:
Allocation:
N/A
Intervention model:
Single Group Assignment
Primary purpose:
Treatment
Masking:
None (Open Label)
Intervention:
Intervention type:
Drug
Intervention name:
Thalidomide, cyclophosphamide, dexamethasone, bortezomib
Description:
1. Induction therapy with CTD regimen for 4 cycles Thalidomide 50-100 mg P.O. HS D 1~28
Cyclophosphamide 150 mg/m² P.O. D 1~4 Dexamethasone 20 mg/ m² IV or P.O. D 1~4,
15-18 Repeated every 28 days
2. Intensification with Vel-CD regimen for 4 cycles (patients who fail to achieve more
than PR after 2 cycles of CTD) Velcade 1.3 mg/m2 IV D1, 4, 8, 11 Cyclophosphamide
150 mg/m² P.O. D 1~4 Dexamethasone 20 mg/ m² IV or P.O. D1, 4, 8, 11 Repeated every
21 days
- Bactrim prophylaxis during dexamethasone administration Acyclovir prophylaxis
during velcade administration Aspirin medication during thalidomide
administration
Summary:
In this study, the investigators will analyze the long-term outcomes of remission and
survival, and identify those with primary resistant disease as more likely to benefit
from CTD (thalidomide, cyclophosphamide, dexamethasone) and early intensification of
Vel-CD (bortezomib and CD) as induction chemotherapy followed by autologous stem cell
transplantation for the patients with newly diagnosed multiple myeloma.
Detailed description:
This study aims to assess the efficacy and toxicities of CTD and Vel-CD induction
followed by high-dose therapy with autologous stem cell transplantation as a first line
treatment for the patients with multiple myeloma.The investigators already investigated
the thalidomide-based chemotherapy in patients with newly diagnosed MM. The combined
regimen consisted of cyclophosphamide, thalidomide and dexamethasone (CTD) for induction
treatment. CTD chemotherapy resulted in a favorable response with 79.4% overall response
rate including 42.6% complete response (CR) or very good partial complete response
(VGPR), and tolerable toxicity in MM patients. Moreover, CTD chemotherapy did not affect
the yield of the stem cell collection.The investigators also published that the clinical
efficacy and safety of a four-drug combination of bortezomib, cyclophosphamide,
thalidomide, and dexamethasone was assessed for patients with relapsed or refractory
multiple myeloma Vel-CTD chemotherapy.
Criteria for eligibility:
Criteria:
Inclusion Criteria:
1. Newly diagnosed MM
2. Aged between 18 and 65 years old
3. With following measurable lesions (serum M-protein ≥ 1 g/dL or urine M-protein ≥ 400
mg/day, or free light chain ≥ 100 mg/L)
Exclusion Criteria:
1. Smoldering or indolent myeloma
2. ECOG performance status > 3 point
3. Known hypersensitivity to cyclophosphamide, thalidomide or dexamethasone
4. Peripheral neuropathy or neuropathic pain Grade 2 or higher as defined by NCI CTCAE
version 3
5. Uncontrolled or severe cardiovascular disease, including MI within 6 months of
enrolment, NYHA Class III or IV heart failure, uncontrolled angina, clinically
significant pericardial disease, or cardiac amyloidosis, cardiac ejection fraction
<0.5 : Severe conduction disorder : Hypotension (sitting systolic BP ≤ 100 mmHg
and/or sitting diastolic BP ≤ 60 mmHg
6. Impaired hepatic function (AST or ALT ≥ x 3 upper normal, T-bilirubin ≥ x 2 upper
normal)
7. Creatinine clearance < 20 ml/min
8. Corrected serum calcium ≥ 14 mg/dL
9. Sepsis or current active infection
10. Pregnancy or breast feeding
11. Uncontrolled Diabetes Mellitus
12. Previous history of Recurrent DVT or pulmonary embolism
13. Active ulcers detected by gastroscopy
14. Serious medical or psychiatric illness likely to interfere with participation in
this clinical study.
15. Receipt of extensive radiation therapy within 4 weeks
Gender:
All
Minimum age:
18 Years
Maximum age:
65 Years
Healthy volunteers:
No
Locations:
Facility:
Name:
Chonnam National University Hwasun Hospital
Address:
City:
Hwasun-gun
Zip:
519-809
Country:
Korea, Republic of
Status:
Recruiting
Investigator:
Last name:
Je-Jung Lee, M.D. and Ph.D.
Email:
Principal Investigator
Start date:
March 2010
Lead sponsor:
Agency:
Chonnam National University Hospital
Agency class:
Other
Source:
Chonnam National University Hospital
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT01114048