National Cancer Institute
U.S. National Institutes of Health | www.cancer.gov

NCI Home
Cancer Topics
Clinical Trials
Cancer Statistics
Research & Funding
News
About NCI
Clinical Trials (PDQ®)
Patient Version   Health Professional Version
Page Options
Print This Page
E-Mail This Document
Quick Links
Director's Corner

Dictionary of Cancer Terms

NCI Drug Dictionary

Funding Opportunities

NCI Publications

Advisory Boards and Groups

Science Serving People

Español
NCI Highlights
Maintenance Rituximab for Follicular Lymphoma

Azacitidine Improves Survival in MDS

Second Stem Cell Transplant Not Helpful in Myeloma
GEM05 for Patients With Multiple Myeloma Under 65 Years

Basic Trial Information
Trial Description
     Summary
     Further Trial Information
     Eligibility Criteria
Trial Contact Information

Basic Trial Information

PhaseTypeStatusAgeSponsorProtocol IDs
Phase IIITreatmentActive65 and underOther2005-001110-41
NCT00461747

Trial Description

Summary

The primary objective is to compare safety and efficacy of three induction treatments: VBMCP-VBAD / Velcade versus Thalidomide / Dexamethasone versus Velcade / Thalidomide / Dexamethasone. The second one is to evaluate the ability of stem cell mobilization after the treatments in order to do an autologous transplant. Otherwise this study wants to compare the safety and efficacy of the maintenance treatments: Interferón a-2b versus Thalidomide versus Thalidomide/Velcade.

Further Study Information

A total of up to 390 patients ≤ 65 years old diagnosed of Multiple Myeloma with symptomatic disease and that have not received previous chemotherapy for MM will be included. Patients will be evaluated at scheduled visits in up to three study periods: Pre-treatment, Treatment and Follow up.

The Pre-treatment includes Screening and baseline visits. After providing informed consent, patients will be evaluated for study eligibility and then Patients will be randomized (1:1:1) to receive VBMCP-VBAD+Velcade (Group A) or Thalidomide+Dexamethasone (Group B) or Thalidomide+Dexamethasone+Velcade (Group C). All of them will received the induction treatment up to 24 weeks. After 4 weeks, without progression or unacceptable toxicity, There will be stem cell mobilization to do an autologous transplant. Three months after transplant, patients will be again randomized (1:1:1) to receive maintenance treatment: Interferon-a (Group M1) or Thalidomide (Group M2) or Thalidomide+Velcade (Group M3) during three years. Once the treatment period has finished a follow up will be carry out. During this period we will evaluated response, progression-free survival and global survival every three months.

Eligibility Criteria

Inclusion Criteria:

1. Must be able to comply with the protocol requirements

2. Must voluntary sign the informed consent before performance of any study-related procedure not part of normal medical care,

3. Age <65 years and possibly to do an autologous transplant.

4. Patient recently diagnosed with symptomatic Multiple Myeloma who has not received any previous chemotherapy treatment for Multiple Myeloma.

5. Patient has a measurable disease defined as quantifiable serum monoclonal protein value and, where applicable, urine Light-chain excretion of ≥ 200 mg/24 hours.

6. ECOG < 2.

7. El patient has a life-expectancy > 3 months.

8. Patient has the following laboratory values before beginning induction treatment:

1. Platelet count ≥ 50000/mm3, hemoglobin ≥ 8 g/dl and absolute neutrophil count ≥ 1000/mm3. Lower values are allowed if they are due to marrow infiltration.

2. Corrected serum calcium <14mg/dl.

3. Aspartate transaminase (AST): ≤ 2.5 x the upper limit of normal.

4. Alanine transaminase (ALT): ): ≤ 2.5 x the upper limit of normal.

5. Total bilirubin: ≤1.5 x the upper limit of normal.

6. Serum creatinine ≤ 2 mg/dl.

9. For Patients included in Thalidomide branches: women of childbearing age must not have sex unless they use two anticonceptive methods beginning 4 weeks before the first dose, during all the study until 4 weeks after the last one.

Exclusion Criteria:

1. Non-secretor Myeloma.

2. Patients previously received treatment to Multiple Myeloma, except steroids doses for urgency or bisphosphonates or radiotherapy before beginning treatment.

3. Patients with < Grade 2 peripheral neuropathy within 14 days before enrolment.

4. Patient had major surgery within 4 weeks before enrolment.

5. Patient has hypersensitivity to bortezomib, boron or mannitol or Thalidomide.

6. Patient has received other investigational drugs within 30 days before enrolment.

7. Patient is known to be seropositive for the human immunodeficiency virus (HIV), Hepatitis B surface antigen-positive or active hepatitis C infection.

8. Patient had a myocardial infarction within 6 months of enrollment or has New York Heart Association (NYHA) Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities.

9. Patient is enrolled in another clinical research study and/or is receiving an investigational agent for any reason.

10. Pregnancy or breast-feed women.

Trial Contact Information

Trial Lead Organizations/Sponsors

Program for the Study and Treatment of Hematological Malignancies

Bladé Joan, DrPrincipal Investigator

Lahuerta Juan José, Dr
  Email: jjlahuerta@terra.es

Trial Sites

Spain
  Albacete
 Hospital General de Albacete
 Santiago José, DrPrincipal Investigator
  Alcorcón
 Fundacion Hospital Alcorcon
 Peñalver Francisco Javier, DrPrincipal Investigator
  Alicante
 Hospital General - Alicante
 Rivas Concepción, DrPrincipal Investigator
  Avila
 Hospital Nuestra Senora de Sonsoles
 Barez Abelardo, Dr
 Barez Abelardo, DrPrincipal Investigator
  Badajoz
 Hospital Regional Universitario Infanta Cristina
 Fuentes Inmaculada, DrPrincipal Investigator
  Badalona
 Hospital Universitari Germans Trias i Pujol
 Oriol Albert, DRPrincipal Investigator
  Barcelona
 Hospital Clinic de Barcelona
 Blade Joan, DrPrincipal Investigator
 Hospital de la Santa Cruz i Sant Pau
 Sureda Anna, drPrincipal Investigator
 Hospital Del Mar
 Abella Eugenia, DrPrincipal Investigator
 Vall d'Hebron University Hospital
 Callis Manuel, DrPrincipal Investigator
  Bilbao
 Hospital de Basurto
 Beltran de Heredia José Mª, Dr
 Beltran de Heredia José Mª, DrPrincipal Investigator
 Hospital de Cruces
 García Juan Carlos, DrPrincipal Investigator
  Cáceres
 Hospital Virgen del Puerto
 Lopea Rosa, DrPrincipal Investigator
  Castello
 Hospital General de Castellon
 García Raimundo, Dr
 Garcia Raimundo, DrPrincipal Investigator
  Ciudad Real
 Hospital Nuestra Senora de Alarcos
 Hernández Belén, DrPrincipal Investigator
  Cuenca
 Hospital General Virgen de la Luz
 Guerra Jose Luis, DrPrincipal Investigator
  Donostia
 Hospital Donostia
 Bengoetxea Enrique, DrPrincipal Investigator
  Elda
 Hospital General de Elda
 Borrego Domingo, DrPrincipal Investigator
  Getafe
 Hospital Universitario de Getafe
 Somolinos Nieves, DrPrincipal Investigator
  Guadalajara
 Hospital General Universitario De Guadalajara
 Diaz Miguel, DrPrincipal Investigator
  Huesca
 Hospital San Jorge
 Puente FernandoPrincipal Investigator
  Lanzarote
 Hospital General de Lanzarote
 Calvo José Manuel, DrPrincipal Investigator
  Leon
 Complejo Hospitalario de Leon
 Ramos Fernando, DrPrincipal Investigator
  Lugo
 Hospital Xeral de Lugo
 Arias Jesús, DrPrincipal Investigator
  Madrid
 Clinica Moncloa
 Perez Angeles, DrPrincipal Investigator
 Clinica Puerta de Hierro
 Krisnk Isabel, DrPrincipal Investigator
 Fundacion Jimenez Diaz
 Prieto Elena, DrPrincipal Investigator
 Hospital Central de la Defensa
 Montero Antonio, DrPrincipal Investigator
 Hospital de la Princesa
 Alegre Adrián, Dr
 Alegre Adrián, DrPrincipal Investigator
 Hospital Ramon y Cajal
 García Laraña José, DrPrincipal Investigator
 Hospital Ruber Internacional
 Martínez Carmen, DrPrincipal Investigator
 Hospital Universitario 12 de Octubre
 de la Serna Javier, DrPrincipal Investigator
 Hospital Universitario La Paz
 De Paz Raquel, DrPrincipal Investigator
 Hospital Universitario San Carlos
 Diaz Mediavilla Joaquin, Dr
 Díaz Mediavilla Joaquín, DrPrincipal Investigator
  Manresa
 Althaia Xarxa Asistencial de Manresa
 Subirà Maricel, DrPrincipal Investigator
  Martorell
 Fundacio Hospital Sant Joan de Deu
 Las Heras German, DrPrincipal Investigator
  Mérida
 Hospital de Merida
 Lopez Carlos, DrPrincipal Investigator
  Murcia
 Hospital General Universitario Morales Meseguer
 De Arriba Felipe, DrPrincipal Investigator
 Hospital Santa Maria del Rosell
 Ibañez Jerónima, DrPrincipal Investigator
 Hospital Virgen del Castillo
 Esteban Julio, DrPrincipal Investigator
  Oviedo
 Hospital Universitario Central de Asturias
 Rayón Consuelo, DrPrincipal Investigator
  Palencia
 Hospital del Rio Carrion
 Ortega Frenando, Dr
 Ortega Fernando, DrPrincipal Investigator
  Palma de Gran Canaria
 Hospital de Gran Canaria Dr. Negrin
 Suarez Alexia, DrPrincipal Investigator
  Palma de Mallorca
 Hospital Son Dureta
 Sampol AntoniaPrincipal Investigator
 Hospital Son Llatzer
 Bargay Joan, DrPrincipal Investigator
 Hospital Verge del Toro
 Galán Pilar, DrPrincipal Investigator
  Pamplona
 Clinica Universitaria
 Pérez Equiza Katy, drPrincipal Investigator
 Prosper Felipe, Dr
 Prosper Felipe, DrPrincipal Investigator
 Hospital Virgen del Camino
 Goñi Mª Angeles, DrPrincipal Investigator
  Pontevedra
 Complejo Hospitalario de Pontevedra
 Allegue Mª José, DrPrincipal Investigator
 Constela Manuel, DrPrincipal Investigator
  Sabadell
 Hospital de Sabadell
 Soler Alfonso, Dr
  Sagunto
 Hospital de Sagunto
 Navarro Isabel, DrPrincipal Investigator
  Salamanca
 University Hospital - Salamanca
 Jesus F. San MiguelPrincipal Investigator
  San Pedro de Alcántara
 Hospital San Pedro de Alcantara
 Martín Mª Luisa, DrPrincipal Investigator
  Sant Pere de Ribes
 Hospital - Residencia Sant Camil
 Asensio Antonio, DrPrincipal Investigator
  Santander
 Hospital Universitario Marques de Valdecilla
 E. CondePrincipal Investigator
  Santiago de Compostela
 Santiago de Compostela University Hospital
 Bello Jose Luis, DrPrincipal Investigator
  Segovia
 Hospital General de Segovia
 Hernández José MarianoPrincipal Investigator
  Tarragona
 Hospital Universitari de Tarragona Joan XXIII
 Escoda Lourdes, Dr
 Escoda LourdesPrincipal Investigator
  Tenerife
 Hospital Universitario de Canarias
 Bernardo Gonzalez, DrPrincipal Investigator
  Toledo
 Hospital Nuestra Senora del Prado
 Solano Fernando, DRPrincipal Investigator
 Hospital Virgen de la Salud
 Casado Luis Felipe, DrPrincipal Investigator
  Valencia
 Hospital Arnau Vilanova
 Lopez Aurelio, DrPrincipal Investigator
 Hospital Clinico Universitario de Valencia
 Terol Maria José, Dr
 Terol Mª José, DrPrincipal Investigator
 Hospital Francesc de Borja
 Ruiz Mª Angeles, DrPrincipal Investigator
 Hospital General Basico de la Defensa
 Cáceres Amparo, DrPrincipal Investigator
 Hospital Universitario Dr. Peset
 Sayas Mª JoséPrincipal Investigator
 Hospital Universitario La Fe
 Sanz Miguel Angel, DrPrincipal Investigator
 Instituto Valenciano De Oncologia
 Llorente Pablo, DrPrincipal Investigator
  Valladolid
 Universidad de Valladolid
 Fernandez Calvo Francisco, DrPrincipal Investigator
  Vigo
 Complejo Hospitalario Xeral de Vigo
 Poderós Concepción, DrPrincipal Investigator
  Vinaros
 Hospital Comarcal de Vinaros
 Montagud Mario, DrPrincipal Investigator
  Vitoria
 Hospital Txagorritxu
 Guinea Josep Mª, Dr
 Guinea José Mª, DrPrincipal Investigator
  Vizcaya
 Hospital de Galdakao
 Ojanguren Jesús, DrPrincipal Investigator
  Zamora
 Hospital Virgen de la Concha
 Martín Alejandro, DrPrincipal Investigator
  Zaragoza
 Hospital Clinico Universitario Lozano Blesa
 Palomera Luis, Dr
 Palomera Luis, DrPrincipal Investigator
 Hospital Royo Villanova
 Lopez Luis, DrPrincipal Investigator
 Hospital Universitario Miguel Servet
 Rubio Araceli, DrPrincipal Investigator

Link to the current ClinicalTrials.gov record.
NLM Identifer NCT00461747
Information obtained from ClinicalTrials.gov on March 18, 2009

Note: Information about this trial is from the ClinicalTrials.gov database. The versions designated for health professionals and patients contain the same text. Minor changes may be made to the ClinicalTrials.gov record to standardize the names of study sponsors, sites, and contacts. Cancer.gov only lists sites that are recruiting patients for active trials, whereas ClinicalTrials.gov lists all sites for all trials. Questions and comments regarding the presented information should be directed to ClinicalTrials.gov.

Back to Top

A Service of the National Cancer Institute
Department of Health and Human Services National Institutes of Health USA.gov