Multiple Myeloma
Conditions
Keywords
Multiple Myeloma, Relapsed, Refractary
Brief summary
Multicentric study, open, single arm, designed to evaluate the efficacy(response rate and response duration) and security of a sequential scheme of treatment with Bortezomib in combination with Melfalan and Prednisone (V-MP) (patients \> 75 years) or Bortezomib and Adriamycine in combination with Melfalan and Prednisone (VAMP) (patients \<= 75 years) follow by Thalidomide in combination with Cyclophosphamide and Dexamethasone (TaCyDex) in patients with refractary or relapse multiple myeloma.
Detailed description
Multicentric study, open, single arm, designed to evaluate the efficacy(response rate and response duration) and security of a sequential scheme of treatment with Bortezomib in combination with Melfalan and Prednisone (V-MP) (patients \> 75 years) or Bortezomib and Adriamycine in combination with Melfalan and Prednisone (VAMP) (patients \<= 75 years) follow by Thalidomide in combination with Cyclophosphamide and Dexamethasone (TaCyDex) in patients with refractary or relapse multiple myeloma.
Interventions
Bortezomib, 1,3 mg/ m2 iv twice a week in combination with Melfalán 9 mg/m2 oral, days 1 to 4 and Prednisone, 60 mg/m2 oral, days 1 to 4
Thalidomide, day 1 cycle 1, 100 mg/24 h. oral, in combination with cyclophosphamide and dexamethasone. If toxicity is \<Grade 2, dose should be increased to 200 mg/24 h. in day 15
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with refractary or relapsed multiple myeloma * ECOG ≤ 3 * Life expectancy \> 3 months * Neutrophils account ≥ 0.5 X 10\^9/L, platelets ≥ 30 X 10\^9/L. * Transaminases \<3 times upper normal limit, bilirubin \< 2 times upper normal limit * Age \> 18 years * Time after last chemotherapy or radiotherapy \> 1 month or time after transplantation \> 2 months. * No possible other actual treatment * Written consent form
Exclusion criteria
* Candidate to second transplantation * No following criteria * Other neoplasties * Peripheral neuropathy \> Grade 2. * Previous ileus paralytic * Hepatic failure * No controlled infection * No controlled high calcium levels * Any organic insufficiency that no permit follow the correct treatment * Pregnancy, breast feeding or fertility without anticonceptive method * Any psychological, social and/or familiar event that no permit follow the correct treatment * Diabetes mellitus not controled
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Efficacy of a sequential scheme treatment with Bortezomib, Melfalan,Prednisone (V-MP) or Bortezomib, Adriamycine, Melfalan,Prednisone (VAMP) followed by Thalidomide, Cyclophosphamide and Dexamethasone (TaCyDex) in relapsed or refractory MM patients | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate the response type in function to different initial situation (primary resistance, relapse, progression) | 1 year |
| To analyze the response duration | 2 years |
Countries
Spain