Vulnerability and Therapeutic Changes in Older Patients With Multiple Myeloma.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Multiple Myeloma in Older Patients
- Sponsor
- Nantes University Hospital
- Enrollment
- 48
- Locations
- 2
- Primary Endpoint
- The occurrence of the events
- Status
- Terminated
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of this study is to determine whether the presence of vulnerability detected by geriatricians is associated with treatment discontinuation in older patient. During the comprehensive geriatric assessment realized before the decision-treatment, the following data are recorded and their impact in the therapeutic changes will also be analysed: comorbidity, age, depression, functional status, the cognitive impairment and malnutrition.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients aged 70 years and older
- •Patients referred for a assessment of a newly diagnosed multiple myeloma
- •Patients for who the initial therapy proposed is either melphalan-prednisone-thalidomide or melphalan-prednisone-bortezomib or included in a phase 3 trial.
- •Patients who provide informed written consent
Exclusion Criteria
- •Patients who refuse the study
- •Patients who won't have therapy
- •Patients can't respond to geriatric assessment because of severe cognitive disorder
- •Patients with a legal guardian
Outcomes
Primary Outcomes
The occurrence of the events
Time Frame: 6 MONTHS
The primary outcome is either : * early interruption of treatment * dose reduction \> 20% during treatment * discontinuous treatment These outcomes will be measured every 6 months during the 2 years of follow up
Secondary Outcomes
- Progression to 1 and 2 years(1 year/2year)
- Type of Vulnerability(6 MONTHS)
- Therapeutic changes(6 MONTHS)
- Toxicity during treatment(6 months)
- Complete response at 1 and 2 years(1 year/2 years)