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Chemotherapy with BCNU/CTX/PRED vs L-PAM/PRED with FXM/Sodium Fluoride/Calcium Gluconate/Vitamin D for Myeloma
Basic Trial Information
Objectives I. Compare the response rate and survival of a BCNU/CTX/PRED regimen with L-PAM/PRED after 6 courses of therapy. II. Compare the quality of response obtained by the addition of an ancillary regimen of fluoxymesterone, sodium fluoride, calcium gluconate and vitamin D with a placebo regimen and vitamin D after 13 months. III. Determine the superiority of either regimen in patients who fail to improve by crossing over to the other combination after 6 courses. Entry Criteria Disease Characteristics: See General Eligibility Criteria Patient Characteristics: See General Eligibility Criteria General Eligibility Criteria: All previously treated and untreated myeloma patients. Expected Enrollment Protocol closed 05/76. Outline Randomized study. Induction: Arm I: 2-Drug Combination Chemotherapy plus Hormone Therapy. BCNU, NSC-409962; Cyclophosphamide, CTX, NSC-26271; Prednisone, PRED, NSC-10023. Arm II: Chemotherapy plus Hormone Therapy. Melphalan, L-PAM, NSC-8806; PRED. Maintenance: Arm III: Hormone Therapy and Nutritional Therapy. Fluoxymesterone, FXM, NSC-12165; Sodium fluoride, NAFL, NSC-77385; Calcium gluconate, CAGL, and Vitamin D (Addendum I, July 1973). Arm IV: Placebo and Vitamin D (Addendum I, July 1973).Published Results Abramson N, Lurie P, Mietlowski WL, et al.: Phase III study of intermittent carmustine (BCNU), cyclophosphamide, and prednisone versus intermittent melphalan and prednisone in myeloma. Cancer Treat Rep 66 (6): 1273-7, 1982.[PUBMED Abstract] Trial Lead Organizations Eastern Cooperative Oncology Group
Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol. |
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