Study in Myeloma Patients Newly Diagnosed Treated as an Induction With Velcade-Dex or Velcade (Bortezomib) Thalidomide Dexamethasone (VTD)
A Phase 3 Study of Velcade (Bortezomib) Dexamethasone (VD) Versus Velcade (Bortezomib) Thalidomide Dexamethasone (VTD) as an Induction Treatment Prior to Autologous Stem Cell Transplantation in Patients With Newly Diagnosed Multiple Myeloma
Primary objective:
- Compare the complete remission (CR) rates (i.e., the true CR, with negative immunofixation) achieved with either four courses of VD or four courses of VTD.
Secondary objectives:
Compare the following parameters following 4 cycles of VD or VTD induction treatment:
- CR rate+ very good partial remission (VGPR) rate
- Overall remission rate (CR + VGPR + partial remission (PR) rate)
- K/l light chain ratio in patients in CR.
- Safety (quality of the sampled stem cells, extrahaematological and haematological toxicity: specially neurological toxicity, length of hospitalization).
- Compare the CR rate and the CR + VGPR rates after post-induction autologous stem cell transplantation (ASCT).
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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-
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Anvers, Belgium
- ANVERS Centrumziekenhuis
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Anvers, Belgium
- Anvers Uza
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Bruxelles, Belgium
- Bruxelles Erasme
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Bruxelles, Belgium
- Bruxelles I Bordet
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Bruxelles, Belgium
- BRUXELLES St LUC
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Gilly, Belgium
- GILLY
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Yvoir, Belgium
- YVOIR MontGodinne
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-
-
-
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Angers, France
- CHU Angers
-
Annecy, France
- CH Annecy
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Avignon, France
- CH Avignon
-
Bayonne, France
- CH Bayonne
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Besancon, France
- CHU Besancon
-
Blois, France
- CH Blois
-
Bobigny, France
- Bobigny Avicenne
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Bordeaux, France
- CHU Bordeaux
-
Brest, France
- CHU Brest
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Caen, France
- Caen M Interne Baclèse
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Chartres, France
- CH Chartres
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Clamart, France
- Clamart Percy
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Clermont Ferrand, France
- CHU Clermont Ferrand
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Colmar, France
- CH Colmar
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Dijon, France
- CHU Dijon
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Dunkerque, France
- CH Dunkerque
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Grenoble, France
- CHU Grenoble
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La Roche Sur Yon, France
- Ch La Roche Sur Yon
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Le Mans, France
- Le Mans Victor Hugo
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Lille, France
- Chru Lille
-
Lorient, France
- CH Lorient
-
Lyon, France
- CHU Lyon Edouard Herriot
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Lyon, France
- CHU Lyon Sud Pierre Bénite
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Lyon, France
- Lyon Léon Berard
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Marseille, France
- Marseille IPC
-
Metz, France
- CHR Metz Bonsecours
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Nancy, France
- Chu Nancy
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Nantes, France
- CHU Nantes
-
Nantes, France
- Nantes Catherine De Sienne
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Nice, France
- CHU Nice M Interne
-
Orleans, France
- CHR Orléans
-
Paris, France
- Paris Cochin
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Paris, France
- Paris Hôtel Dieu
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Paris, France
- Paris Necker
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Paris, France
- Paris St Antoine
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Paris, France
- Paris St Louis
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Poitiers, France
- CHU Poitiers hemato
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Reims, France
- CHU Reims
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Rennes, France
- CHU Rennes Hemato
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Rennes, France
- CHU Rennes M interne
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Roanne, France
- CH Roanne
-
Rouen, France
- Rouen Becquerel
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St Brieuc, France
- CH St Brieuc
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St ETIENNE, France
- St Etienne
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Strasbourg, France
- CHRU Strasbourg
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Toulouse, France
- Chu Toulouse
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Tours, France
- CHU Tours
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Valence, France
- CH Valence
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Vannes, France
- CH Vannes
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Newly diagnosed symptomatic multiple myeloma (MM) patient
- Aged under 65
- Candidate for ASCT, with measurable levels of paraprotein in the serum (³ 10 g/L) or the urine (³ 200 mg/day)
- Using effective contraceptive methods (for fertile men, women of childbearing potential)
- Provision of informed consent
- No evidence of active infection
Exclusion Criteria:
- Asymptomatic MM
- Non-secretory MM
- Aged 66 years or over
- ECOG performance status over 2 (see Appendix 2)
- Proven amyloidosis
- A personal medical history of cancer (except for basocellular skin cancer or in situ cervical cancer)
- Positive HIV serology
- A personal medical history of severe psychiatric disease
- Severe diabetes contraindicating the use of high-dose dexamethasone
- NCI grade ³ 2 peripheral neuropathy
Serum clinical chemistry:
- creatinine level > 300 µmol/L or requiring dialysis
- bilirubin, transaminases or GamaGT > 3 the upper normal limit (UNL)
- Prior or current systemic therapy for MM, including steroids (except for emergency use of a 4-day block of dexamethasone between the screening phase and randomization)
- Radiation therapy in the 2 weeks preceding randomization
- A personal medical history of allergic reactions to compounds containing boron or mannitol
- Non-controlled or severe cardiovascular disease (including a myocardial infarction in the 6 months prior to recruitment) or NYHA class III or IV renal failure
- Use of any investigational drug in the 30 days preceding randomization
- Pregnant or lactating women; a serum Beta-hCG pregnancy test must be performed during the screening phase for female patients of childbearing potential
- Severe pulmonary troubles (including acute infiltrative pneumopathy)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
ACTIVE_COMPARATOR: Velcade-Dexamethasone
|
|
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ACTIVE_COMPARATOR: Velcade-Thalidomide-Dexamethasone
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ANTICIPATED)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Hematologic Diseases
- Hemorrhagic Disorders
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Multiple Myeloma
- Neoplasms, Plasma Cell
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Autonomic Agents
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Anti-Inflammatory Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Antiemetics
- Gastrointestinal Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Protease Inhibitors
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Anti-Bacterial Agents
- Leprostatic Agents
- Dexamethasone
- Dexamethasone acetate
- BB 1101
- Thalidomide
- Bortezomib
Other Study ID Numbers
Other Study ID Numbers
- IFM 2007-02
- Eudract 2007-005204-40
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