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NCT00792142

Bortezomib, Thalidomide, and Dexamethasone After Melphalan and Stem Cell Transplant in Treating Patients With Stage I-III Multiple Myeloma

Completed Phase 2 Results posted Last updated 19 August 2021
What this trial tests

Phase 2 trial testing bortezomib in Multiple Myeloma and Plasma Cell Neoplasm in 45 participants. Completed in 21 April 2014.

Timeline
16 January 2008
Primary endpoint
21 April 2014
21 April 2014

Quick facts

Lead sponsorCity of Hope Medical Center
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment45
Start date16 January 2008
Primary completion21 April 2014
Estimated completion21 April 2014
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

City of Hope Medical Center

Who can join

Under 70, any sex, with Multiple Myeloma and Plasma Cell Neoplasm or Neurotoxicity. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Adverse Events Primary · After 4 months of maintenance therapy

All grade 3 and above treatment-related adverse events (AEs) during bortezomib/dexamethasone treatment cycles.

Leukopenia
GroupValue95% CI
Treatment (Stem Cell Transplant, Maintenance Treatment)1
Lymphopenia
GroupValue95% CI
Treatment (Stem Cell Transplant, Maintenance Treatment)13
Neutropenia
GroupValue95% CI
Treatment (Stem Cell Transplant, Maintenance Treatment)2
Thrombocytopenia
GroupValue95% CI
Treatment (Stem Cell Transplant, Maintenance Treatment)1
Cataract
GroupValue95% CI
Treatment (Stem Cell Transplant, Maintenance Treatment)1
Fatigue
GroupValue95% CI
Treatment (Stem Cell Transplant, Maintenance Treatment)2
Upper respiratory infection
GroupValue95% CI
Treatment (Stem Cell Transplant, Maintenance Treatment)1
Anxiety
GroupValue95% CI
Treatment (Stem Cell Transplant, Maintenance Treatment)1
One Year Overall Survival Primary · From date of treatment initiation until death from any cause, assessed up to one year.

One year overall survival estimated using the product-limit method of Kaplan and Meier. Defined as the percentage of patients alive at year one after starting treatment.

GroupValue95% CI
Treatment (Stem Cell Transplant, Maintenance Treatment)9589 – 100
Count of Response in Patients Started on Maintenance Therapy Secondary · Post-Thalidomide at 1 year.

Complete Response (CR): Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and \< 5% plasma cells in bone marrow. Very Good Partial Response (VGPR): Serum and urine M-protein detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-protein plus urine M-protein level \< 100mg per 24-h. Partial Response (PR): \> 50% reduction of serum M-protein and reduction in 24-h urinary M-protein by \> 90% or to \< 200mg per 24-h In addition to the above listed criteria, if present at baseline, a . 50% reduction in the siz

GroupValue95% CI
Treatment (Stem Cell Transplant, Maintenance Treatment)20
Treatment (Stem Cell Transplant, Maintenance Treatment)2
Treatment (Stem Cell Transplant, Maintenance Treatment)3
Treatment (Stem Cell Transplant, Maintenance Treatment)6
One Year Progression-free Survival (PFS) Secondary · From start of treatment initiation until disease progression, relapse or death from any cause, assessed up to 1 year.

PFS estimated using the product-limit method of Kaplan and Meier. Defined as the percentage of patients progression-free at year one after starting treatment. International Myeloma Working Group uniform response criteria for disease progression: Increase of \> 25% from baseline in Serum M-component and/or (the absolute increase must be \> 0.5 g/dl); Urine M-component and/or (the absolute increase must be \> 200 mg/24 h; Only in patients without measurable serum and urine M-protein levels: the difference between involved and uninvolved FLC levels. The absolute increase must be \>l0mg/dl. Bo

GroupValue95% CI
Treatment (Stem Cell Transplant, Maintenance Treatment)8879 – 98

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected over a period of 3 years and 11 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Stem Cell Transplant, Maintenance Treatment)
Serious: 9/45 (20%)
Deaths:

Serious adverse events (10 terms)

ReactionSystemTreatment (Stem Cell Trans…
Myocardial ischemiaCardiac disorders
Sinus bradycardiaCardiac disorders
Gastrointestinal disorderGastrointestinal disorders
Disease progressionGeneral disorders
BronchitisInfections and infestations
Peripheral nerve infectionInfections and infestations
Serum phosphate decreasedMetabolism and nutrition disorders
Chest wall painMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Vascular disorderVascular disorders
Other adverse events (137 terms — click to expand)

ReactionSystemTreatment (Stem Cell Trans…
Peripheral sensory neuropathyNervous system disorders
Hemoglobin decreasedBlood and lymphatic system disorders
Leukocyte count decreasedInvestigations
Serum albumin decreasedMetabolism and nutrition disorders
Lymphocyte count decreasedInvestigations
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
Aspartate aminotransferase increasedInvestigations
Serum calcium decreasedMetabolism and nutrition disorders
Blood glucose increasedMetabolism and nutrition disorders
FatigueGeneral disorders
Alanine aminotransferase increasedInvestigations
Serum glucose decreasedMetabolism and nutrition disorders
Creatinine increasedInvestigations
Serum sodium decreasedMetabolism and nutrition disorders
Rash desquamatingSkin and subcutaneous tissue disorders
Serum potassium decreasedMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
Edema limbsGeneral disorders
Upper respiratory infectionInfections and infestations
Pain in extremityMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Serum phosphate decreasedMetabolism and nutrition disorders
FeverGeneral disorders
Alkaline phosphatase increasedInvestigations
Serum triglycerides increasedMetabolism and nutrition disorders
DizzinessNervous system disorders
DiarrheaGastrointestinal disorders
Joint painMusculoskeletal and connective tissue disorders
AnxietyPsychiatric disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Serum cholesterol increasedInvestigations
Serum calcium increasedMetabolism and nutrition disorders
Musculoskeletal disorderMusculoskeletal and connective tissue disorders
Respiratory disorderRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
MyalgiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Myocardial ischemia, Sinus bradycardia, Gastrointestinal disorder, Disease progression, Bronchitis, Peripheral nerve infection, Serum phosphate decreased, Chest wall pain.

Data from ClinicalTrials.gov NCT00792142 adverse events section.

Sponsor's own description

RATIONALE: Bortezomib and thalidomide may stop the growth of multiple myeloma by blocking blood flow to the cancer. Bortezomib may also stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving bortezomib together with thalidomide and dexamethasone may kill any cancer cells that remain after high-dose melphalan and stem cell transplant in patients with multiple myeloma. PURPOSE: This phase II trial is studying the side effects of giving bortezomib together with thalidomide and dexamethasone after melphalan and stem cell transplant and to see how well it works in treating patients with stage I-III multiple myeloma.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of bortezomib

Trials testing the same drug.

Other recruiting trials for Multiple Myeloma and Plasma Cell Neoplasm

Currently open trials in the same condition.

Other City of Hope Medical Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00792142.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing