Stem Cell Transplant as Standard Therapy for Symptomatic Multiple Myeloma
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 试验地点
- 1
研究概览
简要总结
RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Peripheral stem cell transplantation may allow the doctor to give higher doses of chemotherapy drugs and kill more cancer cells.
PURPOSE: Phase III trial to study the effectiveness of melphalan followed by peripheral stem cell transplantation in treating patients who have multiple myeloma.
详细描述
OBJECTIVES:
- Administer standard, high dose melphalan safely in a closely monitored setting in patients with responsive multiple myeloma.
- Determine the cost and time effectiveness in the collection of sufficient peripheral blood stem cells (PBSC) for two high dose melphalan therapies and PBSC transplantations in this patient population.
OUTLINE: Patients not in remission receive 3-6 courses of remission induction therapy consisting of either an anthracycline/glucocorticoid regimen or high dose glucocorticoids.
At 21-45 days following induction therapy, patients receive filgrastim (G-CSF) subcutaneously daily for 4 days followed by daily peripheral blood stem cell (PBSC) collection beginning on day 4 and continuing until the target number of cells is reached.
At 5 days to 6 weeks following PBSC collection, patients receive high dose melphalan IV over 2 hours for 2 consecutive days. At 36-48 hours following completion of melphalan, patients receive infusion of PBSC followed by G-CSF subcutaneously daily until blood counts recover.
研究设计
- 研究类型
- Interventional
- 主要目的
- Treatment
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •DISEASE CHARACTERISTICS:
- •Diagnosed active multiple myeloma defined by:
- •Lytic disease
- •Hypercalcemia
- •Secondary renal insufficiency
- •More than 400 mg/24 hours of urinary protein excretion
- •Symptomatic hyperviscosity
- •If previously treated, refractory to no more than 1 regimen
- •Primary amyloidosis without subsequent multiple myeloma allowed
- •Abnormal renal function allowed if due to primary disease
- •PATIENT CHARACTERISTICS:
- •Not specified
- •Performance status:
- •Not specified
- •Life expectancy:
- •Not specified
- •Hematopoietic:
- •Not specified
- •Not specified
- •See Disease Characteristics
- •Creatinine clearance greater than 50 mL/min if no renal impairment
- •Cardiovascular:
- •No cardiac function that would preclude study
- •LVEF greater than 45%
- •No pulmonary function that would preclude study
- •FVC greater than 60% predicted
- •DLCO greater than 50% predicted
- •Not pregnant or nursing
- •Fertile patients must use effective contraception
- •PRIOR CONCURRENT THERAPY:
- •Biologic therapy
- •Not specified
- •Chemotherapy
- •No greater than 18 months of prior alkylator exposure
- •Endocrine therapy
- •Not specified
- •Radiotherapy
- •Not specified
- •Not specified
- •See Disease Characteristics
- •No more than 3 prior treatment regimens allowed
排除标准
- 未提供