Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Combination High Dose Melphalan and Autologous Peripheral Blood Stem Cell (PBSC) Transplant With Bortezomib for Multiple Myeloma: A Dose and Schedule Finding Study
This study is currently recruiting participants.
Verified by Emory University, November 2008
Sponsors and Collaborators: Emory University
Millennium Pharmaceuticals, Inc.
Information provided by: Emory University
ClinicalTrials.gov Identifier: NCT00793650
  Purpose

The goal of this study is to evaluate the safety of melphalan and autologous PBSCT (peripheral blood stem cell transplantation - stem cells that come from your own body) in combination with bortezomib, a new FDA approved drug used to treat myeloma.


Condition Intervention Phase
Cancer
Multiple Myeloma
Drug: Bortezomib
Phase I
Phase II

Genetics Home Reference related topics: aceruloplasminemia hemophilia
MedlinePlus related topics: Cancer Multiple Myeloma
Drug Information available for: Melphalan Bortezomib Melphalan hydrochloride Sarcolysin
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Parallel Assignment, Safety Study
Official Title: Combination High Dose Melphalan and Autologous PBSC Transplant With Bortezomib for Multiple Myeloma: A Dose and Schedule Finding Study

Further study details as provided by Emory University:

Primary Outcome Measures:
  • Safety and engraftment [ Time Frame: Day 30 after transplant ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Response rate using EBMT criteria at Day +100 after transplant [ Time Frame: 100 days after transplant ] [ Designated as safety issue: No ]

Estimated Enrollment: 40
Study Start Date: August 2008
Estimated Study Completion Date: September 2009
Estimated Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Arm A: Active Comparator
Bortezomib before HD melphalan
Drug: Bortezomib
Escalating doses of bortezomib 1.0, 1.3, or 1.6 mg/m2 in Arm A and Arm B.
Arm B: Active Comparator
Bortezomib after HD melphalan
Drug: Bortezomib
Escalating doses of bortezomib 1.0, 1.3, or 1.6 mg/m2 in arm A and arm B.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients with multiple myeloma who are eligible for an autologous peripheral blood progenitor transplant
  • Male and female subjects between the age of 18 and 70 years.
  • Patient has given informed consent prior to any study related procedures with the knowledge that consent can be withdrawn at anytime without prejudice to future medical care
  • Patient is, in the investigator's opinion, willing and able to comply with the protocol requirements
  • Female subject is either post-menopausal or surgically sterilized or willing to use an acceptable method of birth control (i.e., a hormonal contraceptive, intra-uterine device, diaphragm with spermicide, condom with spermicide, or abstinence) for the duration of the study.
  • Male subjects agrees to use an acceptable method for contraception for the duration of the study.
  • Biopsy proven diagnosis of multiple myeloma from bone marrow aspirate and biopsy prior to study initiation
  • Patient has achieved less than 90% disease reduction from previous treatment prior to transplant (as measured by serum or urine protein electrophoresis) and has more than 5% plasma cells in the bone marrow, or patient has progressed and has more than 5% plasma cells in the bone marrow.
  • Karnofsky Performance Status score of ≥ 60%
  • Patient has met the following laboratory requirements prior to Day -4
  • Platelet count ≥ 50, 000/mm3
  • Absolute Neutrophil Count ≥ 500/mm3
  • Hemoglobin ≥ 10 g/dL (transfusion allowed to meet this criterion)
  • Calculated creatinine clearance ≥ 30mL/min
  • Toxic effects of previous therapy or surgery resolved to Grade 2 or better

Exclusion Criteria:

  • Unsupportable anemia with < 10b/dL
  • Patient has a calculated or measured creatinine clearance of < 30mL/min within 14 days before enrollment
  • Patient has ≥ Grade 2 peripheral neuropathy within 14 days before enrollment
  • Patient has hypersensitivity to bortezomib, boron or mannitol
  • Patient has had an allergic reaction to melphalan or chlorambucil
  • Female subject is pregnant or breast-feeding. Confirmation that the subject is not pregnant must be established by a negative serum β-human chorionic gonadotropin (β-hCG) pregnancy test result obtained during screening. Pregnancy testing is not required for post-menopausal or surgically sterilized women.
  • Patient has received other investigational drugs with 14 days before enrollment
  • Serious medical or psychiatric illness likely to interfere with participation in this clinical study
  • Cardiac or pulmonary dysfunction such that patients do not meet institutional pre-transplant evaluation criteria
  • Known central nervous system involvement or suspicion of involvement with Myeloma
  • Other active malignancies (with the exception of basal and squamous cell skin cancer) within 5 years of study entry. Patients with treated prostate or cervical cancer in situ who are 2 or more years from therapy and remain free of disease may be entered into the study at the investigator's discretion.
  • Known to be HIV positive, HIV-1 positive
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00793650

Locations
United States, Georgia
Emory University Winship Cancer Institute Recruiting
Atlanta, Georgia, United States, 30322
Contact: Sagar Lonial, MD     888-946-7447     sloni01@emory.edu    
Principal Investigator: Sagar Lonial, MD            
Sponsors and Collaborators
Emory University
Millennium Pharmaceuticals, Inc.
Investigators
Principal Investigator: Sagar Lonial, MD Emory University Winship Cancer Institute
  More Information

Responsible Party: Emory University Winship Cancer Institute ( Sagar Lonial, MD )
Study ID Numbers: 080-2005
Study First Received: November 17, 2008
Last Updated: November 18, 2008
ClinicalTrials.gov Identifier: NCT00793650  
Health Authority: United States: Institutional Review Board

Keywords provided by Emory University:
Cancer
Multiple Myeloma
Peripheral Blood Stem Cell Transplant

Study placed in the following topic categories:
Melphalan
Immunoproliferative Disorders
Blood Protein Disorders
Hematologic Diseases
Blood Coagulation Disorders
Bortezomib
Vascular Diseases
Paraproteinemias
Hemostatic Disorders
Multiple Myeloma
Signs and Symptoms
Hemorrhagic Disorders
Multiple myeloma
Lymphoproliferative Disorders
Neoplasms, Plasma Cell

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Immune System Diseases
Antineoplastic Agents
Therapeutic Uses
Enzyme Inhibitors
Cardiovascular Diseases
Pharmacologic Actions
Protease Inhibitors

ClinicalTrials.gov processed this record on January 15, 2009