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A Study of Subcutaneous and Intravenous VELCADE in Patients With Previously Treated Multiple Myeloma

Registration Number
NCT00722566
Lead Sponsor
Millennium Pharmaceuticals, Inc.
Brief Summary

Randomized, open-label, international, multi-center, Phase 3 study in which patients are randomized to receive VELCADE administered by subcutaneous injection or intravenous infusion.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
222
Inclusion Criteria
  1. Male or female subjects 18 years or older
  2. Diagnosis of multiple myeloma
  3. Measurable, secretory multiple myeloma defined as serum monoclonal IgG of ≥10 g/L, serum monoclonal IgA or IgE ≥5 g/L, or serum monoclonal IgD ≥0.5g/L; or urine M-protein of ≥200 mg/24 hr
  4. Relapse or progression of myeloma following prior systemic antineoplastic therapy.
Exclusion Criteria
  1. Previous treatment with VELCADE

  2. More than 3 previous lines of therapy (separate lines of therapy are defined as single or combination therapies that are either separated by disease progression or by a greater than 6 month treatment-free interval)

  3. Peripheral neuropathy or neuropathic pain of NCI CTCAE Grade ≥2

  4. Any of the following within 3 weeks prior to randomization:

    antineoplastic or experimental therapy, corticosteroid use above 10mg a day (prednisone or equivalent), or plasmapheresis

  5. Any of the following within 2 weeks prior to randomization:

    radiation therapy, major surgery (kyphoplasty is not considered major surgery)

  6. Prior malignancy other than multiple myeloma diagnosed or treated within the last 2 years, with the exception of completely resected carcinoma in situ or basal/squamous carcinoma of the skin

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1VELCADE Administered by subcutaneous injectionVELCADE administered by subcutaneous injection
2VELCADE Administered by intravenous infusionVELCADE administered by intravenous infusion
Primary Outcome Measures
NameTimeMethod
Number of Patients With Overall Response (Complete Response + Partial Response)Over 4 cycles (prior to the addition of dexamethasone)

Disease response was measured according to European Group for Blood and Marrow Transplantation (EBMT) criteria with the addition of the response categories of nCR and VGPR.

Complete response requires disappearance of monoclonal protein from the blood and urine and \<5% plasma cells in the bone marrow on at least 2 determinations for a minimum of 6 weeks.

Partial Response requires ≥50% reduction in serum m-protein for at least 2 determinations at least 6 weeks apart and if present, reduction in 24-hour urinary light chain excretion by either ≥90% or to \<200 mg

Secondary Outcome Measures
NameTimeMethod
Number of Patients With Complete ResponseOver 4 cycles (prior to the addition of dexamethasone)

Disease response was measured according to European Group for Blood and Marrow Transplantation (EBMT) criteria with the addition of the response categories of nCR and VGPR.

Complete response requires disappearance of monoclonal protein from the blood and urine and \<5% plasma cells in the bone marrow on at least 2 determinations for a minimum of 6 weeks.

Trial Locations

Locations (3)

UZ Brussel Department Medical Oncology Laarbeeklaan 101

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Brussel, Belgium

Universitätsklinikum Münster Onkologische Ambulanz West Albert-Schweitzer-Str. 33

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Münster, Germany

Hôtel DIEU, Service D'Hématologie Place Alexis RICORDEAU

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NANTES Cedex 01, France

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