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A Study of Combination Thalidomide Plus Dexamethasone Therapy vs. Dexamethasone Therapy Alone in Previously Untreated Subjects With Multiple Myeloma

Phase 3
Completed
Conditions
Multiple Myeloma
Interventions
Drug: A (Thalidomide + Dexamethasone)
Drug: B (Placebo + Dexamethasone)
Registration Number
NCT00057564
Lead Sponsor
Celgene Corporation
Brief Summary

To compare the efficacy of combination oral thalidomide plus oral dexamethasone treatment to that of oral dexamethasone-alone treatments as induction (first-line) therapy for subjects with active multiple myeloma

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
470
Inclusion Criteria
  • Active Multiple Myeloma Stage II or III Durie Salmon
  • Measurable levels of myeloma paraprotein in serum (≥1.0g/dL) or urine (≥ 0.2g excreted in a 24-hour collection sample)
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, 2
  • Women of child bearing potential must agree to abstain for heterosexual intercourse or use 2 methods of contraception, one effective (for example hormonal or tubal ligation) and one barrier (for example latex condom, diaphragm)
  • Males must agree to use barrier contraception (latex condoms) when engaging in reproductive activity
Exclusion Criteria
  • Pregnant or lactating females
  • Peripheral neuropathy ≥ to grade 2 of the NCI CTC.
  • Prior history of malignancy unless subject has been free of disease for ≥ 3 years
  • Lab abnormality: Absolute neutrophil count (ANC) <1,000 cells/mm^3 (1.0 x 10^9/L)
  • Lab abnormality: Platelet count <50,000/mm^3 (50.0 x 10^9/L)
  • Lab abnormality: Serum creatinine >3.0 mg/dL (265 µmol/L)
  • Lab abnormality: Serum glutamic oxaloacetic transaminase (SGOT) /Aspartate aminotransferase (AST) or Serum glutamic pyruvic transaminase (SGPT)/Alanine transaminase (ALT) >3.0 x upper limit of normal (ULN)
  • Lab abnormality: Serum total bilirubin > 2.0 mg/dL (34 µmol/L)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
A (Thalidomide & Dexamethasone)A (Thalidomide + Dexamethasone)Thalidomide 50mg/day + Dexamethasone 40mg
B (Dexamethasone and placebo)B (Placebo + Dexamethasone)Dexamethasone and placebo
Primary Outcome Measures
NameTimeMethod
Time to tumor progression (TTP)Up to 3 years

Time to tumor progression (TTP)

Secondary Outcome Measures
NameTimeMethod
Time to first symptomatic skeletal-related event (SRE)(clinical need for radiation therapy or surgery to bone)Up to 3 years

Time to first symptomatic skeletal-related event (SRE)(clinical need for radiation therapy or surgery to bone)

Myeloma response rateUp to 3 years

Myeloma response determination criteria developed by Bladé et al 1998

Number of patients who survivedUp to 3 years

Number of patients who survived

Number of participants with adverse eventsUp to 3 years

Number of participants with adverse events

Trial Locations

Locations (98)

Clinical Research Consultants, Inc.

🇺🇸

Hoover, Alabama, United States

Arizona Clinical Research Center

🇺🇸

Tucson, Arizona, United States

UCLA School of Medicine

🇺🇸

Los Angeles, California, United States

James Berenson

🇺🇸

West Hollywood, California, United States

Mayo Clinic

🇺🇸

Jacksonville, Florida, United States

Melbourne Internal Medicine Associates Oncology

🇺🇸

Melbourne, Florida, United States

Jackson Memorial Hospital and Clinics

🇺🇸

Miami, Florida, United States

University of Miami Miller School/Jackson Memorial Hospital

🇺🇸

Miami, Florida, United States

University of Miami

🇺🇸

Miami, Florida, United States

Oncology Hematology Group of South Florida

🇺🇸

Miami, Florida, United States

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Clinical Research Consultants, Inc.
🇺🇸Hoover, Alabama, United States

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