- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00099047
Celecoxib in Preventing Multiple Myeloma in Patients With Monoclonal Gammopathy or Smoldering Myeloma
Biologic and Clinical Role of COX-2 Inhibitor (Celecoxib)in the Management of MGUS and Smoldering Myeloma
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
PRIMARY OJBECTIVES:
I. Determine the efficacy of celecoxib vs placebo in reducing serum levels of M-component in patients with monoclonal gammopathy of undetermined significance or smoldering myeloma.
SECONDARY OBJECTIVES:
I. Determine the effects of this drug on secondary biomarkers as surrogate endpoints in these patients.
OUTLINE:
This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to participating center and type of monoclonal gammopathy (monoclonal gammopathy of undetermined significance vs smoldering myeloma). Patients are randomized to 1 of 2 treatment arms.
ARM I: Patients receive celecoxib orally (PO) twice daily (BID) for 6 months in the absence of unacceptable toxicity or progression to malignancy.
ARM II: Patients receive placebo PO BID for 6 months in the absence of unacceptable toxicity or progression to malignancy.
After completion of study treatment, patients are followed at 1, 6, and 12 months.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
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Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic Foundation
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Criteria:
- M-protein >= 30 g/L
- No clinical evidence of chronic infectious or inflammatory disease
- No present evidence of active malignancy (nonmelanoma skin cancer or cervical intraepithelial neoplasia allowed)
- No hypersensitivity (e.g., asthma, urticaria, or acute rhinitis induced by NSAIDs) to aspirin or other NSAIDs
- No hypersensitivity to sulfonamides
- No uncontrolled diabetes
- No history of diabetic retinopathy
- No condition that would preclude study participation
- No condition that would preclude the use of NSAIDs
- New or preexisting diagnosis of 1 of the following for at least 2 months:
- Monoclonal gammopathy of undetermined significance as defined by the following criteria:
- M-protein =< 30 g/L
- Bone marrow clonal plasma cells < 10% and low level of plasma cell infiltration in a trephine biopsy (if done)
- Smoldering myeloma as defined by at least 1 of the following criteria:
- Bone marrow clonal plasma cells >= 10%
- No related organ or tissue impairment (i.e., end organ damage) or symptoms
- Asymptomatic patients with =< 3 lytic lesions (without other organ damage) attributable to plasma cell dyscrasia allowed
- No condition associated with a secondary monoclonal gammopathy
- IgG, IgA, or light chain M-component >= 1.0 g/dL for at least 2 consecutive lab readings taken at least 4 weeks apart
- No anemia
- No hepatic insufficiency
- AST or ALT < 1.5 times upper limit of normal (ULN)
- Bilirubin =< 1.5 times ULN
- Creatinine =< 1.8 mg/dL
- No hypercalcemia
- No renal insufficiency
- No uncontrolled congestive heart failure
- No history of cerebrovascular or cardiovascular accident
- No history of gastrointestinal hemorrhage
- No active or suspected peptic ulcer disease
- Previously treated H. pylori infection allowed
- More than 12 months since limited chemotherapy
- More than 28 days since prior chronic or frequent use of glucocorticoids (> 5 mg of prednisone or equivalent per day)
- More than 28 days since prior chronic or frequent use of non-steroidal anti-inflammatory drugs (NSAIDs) (> 100 mg of aspirin per day)
- More than 28 days since prior bisphosphonate therapy
- More than 28 days since prior investigational agents
- Concurrent low-dose aspirin ( =< 100 mg/day) allowed
- No evidence of other B-cell proliferative disorders (e.g., multiple myeloma, Waldenstrom's macroglobulinemia, primary amyloidosis, or lymphoproliferative disease)
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- AND/OR
- ECOG 0-1 or Zubrod 0-1
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Arm I (celecoxib)
Patients receive celecoxib PO BID for 6 months in the absence of unacceptable toxicity or progression to malignancy.
|
Correlative studies
Given PO
Other Names:
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Placebo Comparator: Arm II (placebo)
Patients receive placebo PO BID for 6 months in the absence of unacceptable toxicity or progression to malignancy.
|
Correlative studies
Given PO
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in M-protein Levels
Time Frame: Baseline and 6 months
|
For a given biomarker (or a suitable transformation of it, e.g.
log transform) t-tests and Wilcoxon tests (2-sample t-test and Wilcoxon rank sum test for between treatment comparisons, and paired 1-sample t-test and Wilcoxon signed rank test for within treatment comparisons) will be used to detect statistically significant differences between (or within) treatments.
|
Baseline and 6 months
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Matt Kalaycio, MD, The Cleveland Clinic
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
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
- Blood Protein Disorders
- Precancerous Conditions
- Hypergammaglobulinemia
- Multiple Myeloma
- Neoplasms, Plasma Cell
- Smoldering Multiple Myeloma
- Paraproteinemias
- Monoclonal Gammopathy of Undetermined Significance
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Cyclooxygenase Inhibitors
- Cyclooxygenase 2 Inhibitors
- Celecoxib
Other Study ID Numbers
- NCI-2009-00866 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- CDR0000393514
- UARK-18697
- MAYO-206904
- CCF-IRB-7029 (Other Identifier: Cleveland Clinic Foundation)
- N01-CN-25140 (Other Identifier: DCP)
- N01CN25140 (Other Identifier: US NIH Grant/Contract Award Number)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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