multiple myeloma patients with relapse or progression of their disease after receiving an allogeneic stem cell transplantation MedDRA version: 8.1 Level: LLT Classification code 10028228 Term: Multiple myeloma
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Male or female and at least 18 years-of-age - MM patients with any type of relapse or progressive disease following (non) myeloablative allo-SCT for which DLI is considered a treatment option (including patients previously participating in Hovon 54 or Hovon 65 studies) - Informed consent - Haematological parameters; Hb > 4.0 mmol/L, leucocytes > 1.0×109/L , thrombocytes > 25 ×109/L, with or without transfusion Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - use of immunosuppressive drugs, for example cyclosporin, MMF, corticosteroids - existing GvHD > grade A - any non-hematological toxicity CTC grade = 3 - neuropathy CTC grade = 2 - pregnancy - previous use of bortezomib is not an exclusion criterion, however patients refractory to bortezomib during previous treatment are excluded from this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Investigation of the efficacy of bortezomib combined with Donor Lymphocyte Infusion in patients with relapsed or progressive multiple myeloma following (non) myeloablative allo-SCT as measured by - response rate including percentage of complete remission according to EBMT criteria - event free survival (EFS) (i.e. time from registration to progression or death from any cause whichever occurs first) and overall survival (OS). ;Secondary Objective: Investigation of the - toxicity of DLI in combination with bortezomib including evaluation of GvHD and CTC grade toxicity - evaluation of immune modulating effects of combined treatment consisting of DLI and bortezomib as measured by serial blood samples ;Primary end point(s): -CTC toxicity grade 4 -GvHD grade D -Response | — |
Countries
Netherlands