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Comparison of Melphalan-Prednisone (MP) to MP Plus Thalidomide in the Treatment of Newly Diagnosed Very Elderly Patients (> 75 Years) With Multiple Myeloma

Comparison of Melphalan-Prednisone (MP) to MP Plus Thalidomide in the Treatment of Newly Diagnosed Very Elderly Patients (> 75 Years) With Multiple Myeloma

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00644306
Acronym
IFM 01/01
Enrollment
232
Registered
2008-03-26
Start date
2002-04-30
Completion date
2007-05-31
Last updated
2008-03-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Newly Diagnosed, Multiple Myeloma

Keywords

Multiple Myeloma, very elderly patients, thalidomide

Brief summary

In multiple myeloma, combination chemotherapy with melphalan plus prednisone has been usedsince the 1960s and is regarded as the standard of care in very elderly patients. We assess whether the addition of thalidomide at 100 mg/day to this combination would improve survival.

Interventions

DRUGThalidomide

100 mg/day continuously for 18 months

DRUGmelphalan, prednisone

12 cycles every 6 weeks :melphalan 0.2 mg/kg day 1 to 4, prednisone 2 mg/kg/d day 1 to 4 plus placebo 100mg/d continuously for 18 months

DRUGmelphalan, prednisone, thalidomide

12 cycles every 6 weeks :melphalan 0.2 mg/kg day 1 to 4, prednisone 2 mg/kg/d day 1 to 4 plus thalidomide 100mg/d continuously for 18 months

Sponsors

Central Hospital, Nancy, France
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE

Eligibility

Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Stage II or III multiple myeloma according to Durie and Salmon criteria, patients older than 75 years, previously untreated patients.

Exclusion criteria

* Prior history of another neoplasm (except basocellular cutaneous or cervical epithelioma) * Primary or associated amyloïdosis * World Health organisation performance index of at least 3 * Significant renal insufficiency with creatinine serum levels of 5.0 mg per deciliter or more * Cardiac or hepatic dysfunction * Cerebral circulatory insufficiency * Absolute contraindication to corticosteroids * Peripheral neuropathy clinically significant * History of venous thrombosis during the last 6 months * HIV or hepatitis B or C positivity * Patients who had geography, social, or psychological conditions which might prevent adequate follow-up.

Design outcomes

Primary

MeasureTime frame
overall SurvivalMay 2007

Secondary

MeasureTime frame
Progression Free SurvivalMay 2007
Response ratesMay 2007
SafetyMay 2007

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026