Superiority of VCD Versus CTD in Patients With Newly Diagnose Multiple Myeloma Eligible for Transplantation
Phase 3
Completed
- Conditions
- Multiple MyelomaEffects of Chemotherapy
- Interventions
- Registration Number
- NCT03402295
- Brief Summary
This study compared two main different induction protocols used to treat myeloma eligible patients in Brazil. VCD against CTD.
- Detailed Description
The primary aim was observe response rate after 4 induction cycles.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 311
Inclusion Criteria
- multiple myeloma newly diagnose elegible to autologous transplantation Patients submitted to ctd or vcd Myeloma patients newly diagnose >18yo
Exclusion Criteria
- other chemotherapy induction protocol
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Ctd- Cyclophosphamide, thalidomide and dexamethasone Bortezomib, cyclophosphamide, thalidomide, dexamethasone Intervention- Cyclophosphamide 900-2000mg intravenously or orally total dose monthly Intervention- Thalidomide 100-200mg orally- daily dose Intervention -Dexamethasone 40mg once a week for four weeks each month- total dose per cycle was 160mg Total of four cycles (cycles of 28 each one) 28 days each cycles- total of four cycles Vcd- (Bortezomibe, cyclophosphamide and dexamethasone) Bortezomib, cyclophosphamide, thalidomide, dexamethasone Intervention - Bortezomib 1.3mg/m2 Intra venous or Subcutaneous once a week (D1-8-15-22) 35days cycle Intervention- Dexamethasone 40mg once a week for four weeks orally or Intravenously- total dose per cycle was 160mg. Intervention- Cyclophosphamide 900-2000mg- intravenously or orally- total dose monthly Total of four cycles
- Primary Outcome Measures
Name Time Method Response rate better than very good partial response after 4 induction cycles Response rate after induction phase - at the end of cycle 4- (28 days each cycle)- time frame trough study completion The primary outcome is to observe the difference response rate between VCD and CTD induction myeloma elegible patient
- Secondary Outcome Measures
Name Time Method
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms drive Bortezomib's proteasome inhibition versus Thalidomide's immunomodulatory effects in NCT03402295 multiple myeloma trial?
How does the VCD regimen compare to CTD in achieving complete response rates for transplant-eligible multiple myeloma patients in Phase 3 trials?
Which biomarkers predict differential response to VCD versus CTD in newly diagnosed multiple myeloma patients with high-risk cytogenetics?
What are the key adverse events associated with Bortezomib and Thalidomide in NCT03402295 and their management strategies in transplant-eligible populations?
Are there alternative proteasome inhibitor-based combinations to VCD for induction therapy in transplant-eligible multiple myeloma beyond the Grupo de Estudos Multicentricos trial?