Multiple Myeloma
Conditions
Keywords
primary treatment, allogeneic stem-cell transplantation, high-dose therapy, cytogenetics
Brief summary
The study is evaluating whether risk-stratification by the means of a chromosomal aberration provides a tool to discriminate between standard and high risk. Risk-adapted therapy is based on allogeneic stem-cell transplantation for high-risk subjects instead of a second autograft in patients with deletion of chromosome 13 who have an HLA-identical stem cell donor available.
Detailed description
The DSMM V protocol is to compare a consolidation treatment for standard-risk patients not displaying del(13) at initial diagnosis following two cycles of high-dose melphalan 200 mg/m² each supported by autologous stem cell retransfusion with interferon versus PEG-interferon. Patients with del(13) are screened for availability of a fully HLA-matched related or unrelated donor. If patient's informed consent is obtained additionally, he is scheduled to undergo an allogeneic SCT following the first cycle of high-dose melphalan. All other subjects are to proceed to a second course of high-dose melphalan similar to the standard-risk group. Initial cytoreduction is foreseen with four cycles of anthracycline-dexamethasone combination followed by combination therapy with ifosfamide/epirubicine/etoposide for stem-cell collection.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Primary diagnosis of multiple myeloma * Salmon-and-Durie stage II or III * Less than or equal to 60 years * Signed informed consent
Exclusion criteria
* Relevant comorbidities * Unable to adhere to study protocol * Pregnancy * Not received subject's informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Response rate after high-dose therapy | one year |
Secondary
| Measure | Time frame |
|---|---|
| Response rate and treatment-related mortality after allogeneic transplantation | one year |
Countries
Austria, Germany