Multiple myeloma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All of the following are required. (1)Multiple myeloma patient with evaluable lesion(s) (2)Age between 20 and 65 (3)PS 0-2 (4)A patient should receive a single high-dose chemotherapy and autologous peripheral blood stem cell transplantation within 60-270 days and achieve partial or complete response. (5)More than 1x106/kg cryopreserved autologous CD34 positive cells for backup (6)A patient should have at least one unfavorable factor at initial treatment. Unfavorable factors include ISS stage 3, del13/complex CA/hypodiploid in G-band, t(4;14)/t(14;16)/del17p in FISH. (7)Suitable donor is available: (a) HLA genotypically identical related donor or (b) HLA-ABC genotypically identical unrelated donor with HLA-DRB1 genotypically mismatched at 0-1 locus. (8)(a) PaO2>70mmHg or SatO2>90% and (b) serum creatinine <1.5xWNL (9)HCT-CI 0-2 (10)Written informed consent to participate in the trial.
Exclusion criteria
Exclusion criteria: (1)Positive for HIV antibody, HBs antigen and/or HBe antigen (2)Pregnant or during breast feeding (3)Other active cancer (4)Active psychiatric disease (5)Active infection (6)Allergic history to drugs used in the present conditioning regimen or GVHD prophylaxis regimen. (7)Cases that physicians judged as inappropriate
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Engraftment rates, regimen-related toxicities, chimerism on peripheral blood, term to hematopoietic recovery, response rates, overall survival rates at 2 years, progression free survival at 2 years, nonrelapse mortality rates at 2 years, incidence of acute GVHD, and incidence of chronic GVHD | — |
Primary
| Measure | Time frame |
|---|---|
| Cumulative incidence of nonrelapse mortality at 6 months | — |
Countries
Japan
Contacts
Nagoya University Graduate School of Medicine Department of Hematology and Oncology