Multiple Myeloma
Conditions
Brief summary
To investigate the efficacy of a modified bortezomib based combination therapy for patients with multiple myeloma.
Detailed description
Multiple myeloma (MM) is a common hematological malignancy in Chinese elderly population. The application of novel drugs improved the clinical outcome and survival of MM patients,even though MM remains an incurable hematological malignancy. Bortezomib is a typical one among these novel agents, its application resulted in great success, but its adverse events and high expense restricted its widely usage. Investigators modified the dose and frequency of bortezomib administration in combination therapy: Patients in the modified group received regimen with bortezomib (1.6mg/㎡) as an intravenous bolus once weekly on day 1, 8 in a 3 weeks cycle, in combination with dexamethasone,with or without doxorubicin/ cyclophosphamide/mitoxsnteone/thalidomide，while patients in the control group received similar combination therapy except with conventional bortezomib (1.3mg/㎡) administration twice weekly on day 1,4, 8,11. The aim of this study is to investigate whether the modified bortezomib-based therapy may attain a similar efficacy as the conventional ones.
Interventions
DRUGThalidomide
DRUGMitoxsnteone
DRUGBortezomib
DRUGDexamethasone
DRUGDoxorubicin
DRUGCyclophosphamide
Sponsors
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosis of multiple myeloma based on standard diagnosis criteria: * plasmacytomas on tissue biopsy * bone marrow plasmacytosis * monoclonal immunoglobulin spike on serum electrophoresis * lytic bone lesions. * Must have relapsed or relapsed/refractory disease * 18 years of age or older * All baseline studies must be performed within 21 days of enrollment. * ECOG performance status of 0 to 2
Exclusion criteria
* Renal insufficiency (serum creatinine levels \> 2mg/dL) * Concomitant therapy medications that include corticosteroids * Peripheral neuropathy of Grade 3 or greater or painful Grade 2 * Evidence of mucosal or internal bleeding and/or platelet refractory * ANC \< 1000 cells/mm3 * Hemoglobin \< 8.0 g/dL * AST (SGOT and ALT) \> 2 x ULN * Intolerance to bortezomib or CC-5013 in the past or significant allergy to either compound, boron or mannitol * Known hypersensitivity to thalidomide or the development of erythema nodosum * Active infection or serious co-morbid medical condition * Pregnant or breast-feeding women * Prior malignancy with the last three years except adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, in situ breast cancer, on in-situ prostate cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| disease responses to treatment | one year | Response evaluated by changes of serum M-component(g/L) through Serum quantitative immunoglobulins and Serum immunofixation electrophoresis. (g/L) |
Countries
China
Outcome results
None listed