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Bortezomib/Adriamycine/Melfalan/Prednisone (VAMP)/Thalidomide/Cyclophosphamide/Dexamethasone (TaCyDex) or Bortezomib/Melfalan/Prednisone (V-MP)/TaCyDex) in Refractary or Relapsed Multiple Myeloma

Thalidomide-Cyclophosphamide-Dexamethasone in Patients < 75 Years or Velcade-Melfalan-Prednisone (V-MP)/Thalidomide-Cyclophosphamide-Dexamethasone in Patients >75 Years, in Refractary or Relapsed Multiple Myeloma

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00652041
Acronym
TaCyDexVMP7
Enrollment
40
Registered
2008-04-03
Start date
2007-01-31
Completion date
2010-06-30
Last updated
2011-09-19

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

Conditions

Multiple Myeloma

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

DRUGBortezomib

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

DRUGThalidomide

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

PETHEMA Foundation
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

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

MeasureTime 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 patients1 year

Secondary

MeasureTime frame
Evaluate the response type in function to different initial situation (primary resistance, relapse, progression)1 year
To analyze the response duration2 years

Countries

Spain

Outcome results

None listed

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