Multiple Myeloma
Conditions
Keywords
Hematopoietic Stem Cell Transplantation, Multiple Myeloma
Brief summary
The purpose of this study is to determine whether a reduced intensity conditioning regimen followed by allogeneic stem cell transplantation from unrelated donors is a feasible and effective treatment for patients with multiple myeloma who failed a previous autologous stem cell transplantation.
Detailed description
The purpose of this study is to determine whether a reduced intensity conditioning regimen followed by allogeneic stem cell transplantation from unrelated donors is a feasible and effective treatment for patients with multiple myeloma who failed a previous autologous stem cell transplantation.
Interventions
dose-reduced conditioning regimen
Sponsors
Study design
Eligibility
Inclusion criteria
* Multiple Myeloma stage II or III acc. to Salmon and Durie (chemosensitive or refractory) and relapse or progression after high dose chemotherapy with autologous stem cell support * Age 18-60 years * ECOG-performance status 0-1 * Availability of a HLA-compatible unrelated donor (HLA-A, -B, -DRB1, -DQB1)
Exclusion criteria
* Serious concomitant medical disease that would limit life span or ability to tolerate chemotherapy * Severe cardiac failure (ejection fraction \< 40%) * Severe impairment of renal function (Creatinine clearance \< 50ml/min) * Severe impairment of liver function (bilirubine \> 2 fold of upper limits of normal) * Pregnant or lactating women * Other major organ or system dysfunctions(GI, neurological, psychiatric dysfunctions that would impair tolerance of chemotherapy or prolonged haematological recovery) * Positivity for HIV
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Engraftment, chimerism, toxicity, non-relapse mortality | Follow-up until day +1095 |
Secondary
| Measure | Time frame |
|---|---|
| Evaluation of response/GvHD/ infectious complications/ disease-free survival, Prognostic impact of cytogenetic, Evaluation of incidence and prognostic impact of molecular remission in patients with clinically complete remission. | Follow-up until day +1095 |
Countries
Germany