multiple myeloma (symptomatic, newly diagnosed)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • newly-diagnosed symptomatic multiple myeloma ("CRAB" criteria) • measurable disease • age 18 - 70 years (both included) • WHO performance status 0-2 (WHO=3 is allowed when caused by myeloma) • negative pregnacy test • patients must be willing and capable to use adequate contraception • written informed consent 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 540 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 60
Exclusion criteria
Exclusion criteria: • hypersensitivity to any relevant medication within the trial • systemic AL-amyloidosis • previous chemotherapy or radiotherapy during the past 5 years • severe cardiac dysfunction • significant hepatic dysfunction • patients known to be HIV-positive • other malignancy during the past 5 years • peripheral neuropathy CTC grade 2 or higher
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: 1.) Demonstration of non-inferiority of VCD induction therapy compared to PAd induction therapy with respect to response rate (very good partial remission or better; response criteria of the International Myeloma Working Group, IMWG). 2.) Determination of the best of four treatment strategies with respect to progression-free survival (PFS). The four treatment strategies are defined by PAd vs. VCD induction treatment, standard intensification therapy, lenalidomide consolidation and maintenance treatment with lenalidomide for 2 years vs. lenalidomide until CR. ; Secondary Objective: - overall survival rates (OS) - response rates after lenalidomide consolidation treatment - best response rates - toxicity during induction treatment, lenalidomide consolidation and maintenance treatment with respect to adverse events of CTCAE grade >= 3 Additional descriptive and explorative analysis of Bortezomib administration i.v. versus s.c. ; Primary end point(s): Primary endpoints: 1) Response to treatment (very good partial remission or better) after induction therapy 2) Progression free survival (i.e., time from randomisation to progression or death from any cause whichever occurs first). ; Timepoint(s) of evaluation of this end point: 1) After induction therapy 2) Progression free survival (i.e., time from randomisation to progression or death from any cause whichever occurs first). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1) Overall survival rates 2) response after lenalidomide consolidation treatment 3) best response rates 4) toxicity during induction treatment, lenalidomide consolidation and maintenance treatment with respect to adverse events CTC grade 3 or higher Additional descriptive and explorative analysis of Bortezomib administration i.v. versus s.c. ;Timepoint(s) of evaluation of this end point: any time | — |
Countries
Germany
Contacts
GMMG Study Office