Velcade Combined With High-Dose Dexamethasone in Patients With Newly Diagnosed Multiple Myeloma
- Conditions
- Multiple Myeloma
- Registration Number
- NCT00337506
- Lead Sponsor
- Nantes University Hospital
- Brief Summary
The objective of this study is to evaluate the efficacy and safety of Velcade plus dexamethasone used as induction chemotherapy prior to autologous transplantation.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 50
- diagnosis of MM according to the SWOG criteria (annex 1)
- previously untreated (localized radiotherapy is allowed)
- symptomatic MM stage II or III according to Durie-Salmon staging system (annex 2) or stage I with one symptomatic osteolytic lesion
- with measurable levels of paraprotein in the serum (> 1g/dl) or in the urine (> 0.2g/24h)
- age < 75 years
- able to understand and to given an informed consent
- male, female without childbearing potential or negative urine pregnancy test within 72 hours prior to beginning the treatment. Women of childbearing potential must be following adequate contraceptive measures.
- no active systemic infection. In the presence of any active systemic infection, adequate broad-spectrum or organism-specific antibiotic coverage must be administered. Patients must be a febrile with stable vital signs while receiving antibiotics for at least 48 hours prior to beginning the treatment with Velcade plus dexamethasone.
-
life expectancy < 2 months
-
ECOG performance status > 2 (annex 3)
-
proven amyloidosis
-
positive HIV serology
-
antecedents of severe psychiatric disease
-
severe diabetes contraindicating the use of high-dose corticoĆÆds
-
> NCI grade 2 peripheral neuropathy (Annex IV)
-
serum biochemical values as follow
- creatinin level > 200mmol/l
- bilirubin, transaminases or gGT > 3 the upper normal limit
-
use of any experimental drugs within 30 days of baseline
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Complete remission after 4 cycles: disappearance of serum and/or urine M-component (confirmed by immunofixation) < 5% plasma cells in the bone marrow resolution of all extra-osseous plasmacytomas no evidence of bone progression
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Jean-Luc HAROUSSEAU
š«š·Nantes, France