Multiple Myeloma
Conditions
Keywords
Multiple Myeloma - Nonmyeloablative transplantation - Autologous Transplant - Graft versus myeloma, Newly diagnosed multiple myeloma, Tandem Auto-Allo Transplant, Overall survival, Event free survival, Disease response
Brief summary
To evaluate toxicity profile and efficacy of a tandem autologous-nonmyeloablative transplant approach in newly diagnose myeloma patients younger than 65 years
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Durie-Salmon stage IIA-IIIB multiple myeloma * Age \> 18 and ≤ 65 years * Previously untreated myeloma * Presence of a sibling (potential donor) * Bilirubins \< twice normal;ALAT and ASAT \< four times normal * Left ventricular ejection fraction \> 40% * Creatinine clearances \> 40 mL/min * Pulmonary dysfunction with diffusing capacity for carbon monoxide (DLCO) \> 40% and/or need for continuous oxygen supplementation * Karnofsky performance status \> 60% * Patients must give written informed consent
Exclusion criteria
* Age \> 65 years * Previously treated myeloma * Absence of a sibling (genetic randomisation cannot be applied) * Karnofsky performance status score \< 60% * HIV-infection * Pregnancy * Refusal to use contraceptive techniques during and for 12 months following treatment * Patients unable to give written informed consent * PS. Informed consent is obtained from each patient according to the Institutional Review Boards of the participating centers. The study is conducted according to the Declaration of Helsinki.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| overall survival | yearly |
Secondary
| Measure | Time frame |
|---|---|
| event free survival | yearly |
Countries
Italy