Multiple Myeloma
Conditions
Keywords
myeloma, stem cell mobilization, autologous stem cell transplantation, induction treatment, maintenance treatment
Brief summary
The purpose of this study is to determinate the efficacy and safety of the 3-drug induction treatment (RVD; lenalidomide plus bortezomib plus dexamethasone)followed by randomized autologous stem cell mobilization, autologous stem cell transplantation and lenalidomide maintenance. Primary endpoint is the immunophenotypic remission rate.During the randomized mobilization phase two active comparator arms Cyclophosphamide (CY)2g/m2 + Granulocyte-colony stimulating factor(G-CSF) vrs G-CSF will be compared regarding efficacy, costs and safety.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* written informed consent * symptomatic, previously untreated International Stating System (ISS) 1-3 myeloma * measurable disease * WHO perf status 0-3 * eligible for ASCT
Exclusion criteria
* previously treated * peripheral neuropathy gr \>/= 2 * significant hepatic dysfunction * severe cardiac dysfunction * severe renal failure if not in dialysis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Immunophenotypic response | Change from the start of induction treatment at 3 months, change from the start of induction at 6 months, at 9 months, at 12 months, at 16 months, at 20 months, at 24 moths | Response will be measured by International Myeloma Working Group (IMWG) guidelines, and if the response is stringent CR and immunophenotypic remission, those patients will be followed also by allele-spesific oligonucleotide-polymerase chain reaction assay (ASO-PCR) to find out molecular remission rate. |
Secondary
| Measure | Time frame |
|---|---|
| Progression free survival | From date of inclusion until the date of first documented progression or date of death from any cause whatever come first assessed up to last patient 2 years on maintenance |
Other
| Measure | Time frame |
|---|---|
| Proportion of pts collected with >/= 3 x 10e6/kg CD34+ with </= 2 apheresis after mobilization with CY 2g/m2 + filgrastim (group A) or filgrastim alone (group B) | Assessed up to 2 weeks from the start of mobilization |
Countries
Finland