Trial Outcomes & Findings for Combination Chemo, Peripheral Stem Cell Transplant, Biological Therapy, Pamidronate and Thalidomide for Multiple Myeloma (NCT NCT00004088)

NCT ID: NCT00004088

Last Updated: 2019-07-02

Results Overview

Response gradations are specified in the "Blade criteria", Br J Haematol 1998; 102: 1115-1123. Serum myeloma protein is measured 2x at least six weeks apart, and urine M-component is measured 2x at least 3 weeks apart. Complete response (CR): less than 3% plasma cells in bone marrow or blood. Very good partial response (VGPR): Greater than 90% decrease in myeloma protein, and urine M-component less than 0.1 gm/day. Partial response (PR) Greater than 50% decrease in myeloma protein; urine M-component less than 0.2 gm/day. Lytic skeletal lesions must not increase, and serum calcium level must remain normal. Stable disease (SD): 25-49% decrease in protein and 25% decrease in urine M-component. Progressive disease (PD): Greater than 25% increase in myeloma protein, or hypercalcemia. Relapse: 1) increase greater than 100% of myeloma protein; 2) More than 25% increase of myeloma protein; 3) reappearance of the myeloma peaks; 4) increase in lytic bone lesions on radiographs.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

77 participants

Primary outcome timeframe

From enrollment in the study until day -8: before dilantin given pre-first high-dose chemo preceeding first cycle of tandem autologous cell transplant

Results posted on

2019-07-02

Participant Flow

Participant milestones

Participant milestones
Measure
High-dose Chemotherapy Followed by PBPC Rescue
Priming and Apheresis: Cyclophosphamide (CTX) 1.5 g/m2 and Filgrastim, 5 microgram/kg, t2x/day, until enough PBPC have been collected. This is day -10 to the first transplant. Cycle (transplant) 1: day -1: Melphalan 150 mg/m2 IV; day 0: reinfusion of half of the collected stem cells; day +1: Filgrastim 5 micrograms/kg/day IV until ANC\>1000 per microliter. Day 0 of cycle 2 (C2) is at least 12 weeks and not past 18 weeks from day 1 of cycle 1. Day -8 C2: Start Dilantin 1000 mg IV. Days -7 through -4 of C2: Busulfan 0.8 mg/kg every 6 hours, 4 x per day. Dilantin 300 micrograms/day. Day -3 C2: CTX 60 mg/kg; start IV Mesna. Day -2 C2: CTX 60 mg/kg; continue Mesna IV. Day 0 C2: Reinfuse PBPC. Start Filgrastim 5 microgram/kg daily. 12-18 weeks from day 0 of C2: alpha interferon 3 x 10 E 6 units/m2 3x per week (TIW) for 3 years. At 6 months following day 0 of C2, Thalidomide 400 mg/m2 will be administered orally to patients not in Complete Remission.
Overall Study
STARTED
77
Overall Study
COMPLETED
68
Overall Study
NOT COMPLETED
9

Reasons for withdrawal

Reasons for withdrawal
Measure
High-dose Chemotherapy Followed by PBPC Rescue
Priming and Apheresis: Cyclophosphamide (CTX) 1.5 g/m2 and Filgrastim, 5 microgram/kg, t2x/day, until enough PBPC have been collected. This is day -10 to the first transplant. Cycle (transplant) 1: day -1: Melphalan 150 mg/m2 IV; day 0: reinfusion of half of the collected stem cells; day +1: Filgrastim 5 micrograms/kg/day IV until ANC\>1000 per microliter. Day 0 of cycle 2 (C2) is at least 12 weeks and not past 18 weeks from day 1 of cycle 1. Day -8 C2: Start Dilantin 1000 mg IV. Days -7 through -4 of C2: Busulfan 0.8 mg/kg every 6 hours, 4 x per day. Dilantin 300 micrograms/day. Day -3 C2: CTX 60 mg/kg; start IV Mesna. Day -2 C2: CTX 60 mg/kg; continue Mesna IV. Day 0 C2: Reinfuse PBPC. Start Filgrastim 5 microgram/kg daily. 12-18 weeks from day 0 of C2: alpha interferon 3 x 10 E 6 units/m2 3x per week (TIW) for 3 years. At 6 months following day 0 of C2, Thalidomide 400 mg/m2 will be administered orally to patients not in Complete Remission.
Overall Study
No C2 given due to study on hold by IRB
4
Overall Study
Withdrawal by Subject
1
Overall Study
Protocol Violation
3
Overall Study
Physician Decision
1

Baseline Characteristics

Combination Chemo, Peripheral Stem Cell Transplant, Biological Therapy, Pamidronate and Thalidomide for Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
HD Chemo Followed by PBPC Rescue
n=77 Participants
HD Melphalan/Cyclophosphamide followed by PBPC Rescue, alpha-interferon, \& pamidronate
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
75 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
Age, Continuous
54 years
n=5 Participants
Sex: Female, Male
Female
27 Participants
n=5 Participants
Sex: Female, Male
Male
50 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
72 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
Race (NIH/OMB)
White
69 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
77 participants
n=5 Participants
Stage of Multiple Myeloma
Stage I (Low Tumor Mass)
6 Participants
n=5 Participants
Stage of Multiple Myeloma
Stage II (Intermediate Tumor Mass)
12 Participants
n=5 Participants
Stage of Multiple Myeloma
Stage III (High Tumor Mass)
50 Participants
n=5 Participants
Stage of Multiple Myeloma
unrecorded
9 Participants
n=5 Participants
M protein type
IgG
36 Participants
n=5 Participants
M protein type
IgA
22 Participants
n=5 Participants
M protein type
unrecorded
19 Participants
n=5 Participants
Prior Anthracycline Chemotherapy
No
6 Participants
n=5 Participants
Prior Anthracycline Chemotherapy
Yes
62 Participants
n=5 Participants
Prior Anthracycline Chemotherapy
not recorded
9 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From enrollment in the study until day -8: before dilantin given pre-first high-dose chemo preceeding first cycle of tandem autologous cell transplant

Response gradations are specified in the "Blade criteria", Br J Haematol 1998; 102: 1115-1123. Serum myeloma protein is measured 2x at least six weeks apart, and urine M-component is measured 2x at least 3 weeks apart. Complete response (CR): less than 3% plasma cells in bone marrow or blood. Very good partial response (VGPR): Greater than 90% decrease in myeloma protein, and urine M-component less than 0.1 gm/day. Partial response (PR) Greater than 50% decrease in myeloma protein; urine M-component less than 0.2 gm/day. Lytic skeletal lesions must not increase, and serum calcium level must remain normal. Stable disease (SD): 25-49% decrease in protein and 25% decrease in urine M-component. Progressive disease (PD): Greater than 25% increase in myeloma protein, or hypercalcemia. Relapse: 1) increase greater than 100% of myeloma protein; 2) More than 25% increase of myeloma protein; 3) reappearance of the myeloma peaks; 4) increase in lytic bone lesions on radiographs.

Outcome measures

Outcome measures
Measure
HD Chemo Followed by PBPC Rescue
n=68 Participants
Patients receive high-dose melphalan IV on day -1. PBSCs are reinfused on day 0. G-CSF is administered IV or SC daily beginning on day 1 and continuing until blood counts recover. Between 8 and 14 weeks later, patients receive high-dose busulfan IV every 6 hours on days -7 to -4 and cyclophosphamide IV over 2 hours on days -3 and -2. PBSCs are reinfused on day 0 and G-CSF is administered IV or SC daily until blood counts recover. filgrastim recombinant interferon alfa busulfan cyclophosphamide melphalan pamidronate disodium thalidomide peripheral blood stem cell transplantation
Best Response Prior to Tandem Autologous Stem Cell Transplant
CR
1 Participants
Best Response Prior to Tandem Autologous Stem Cell Transplant
VGPR
4 Participants
Best Response Prior to Tandem Autologous Stem Cell Transplant
PR/SD
62 Participants
Best Response Prior to Tandem Autologous Stem Cell Transplant
PD
1 Participants

PRIMARY outcome

Timeframe: After second cycle of tandem autologous stem cell transplant: Day 0 of second transplant to 12 weeks post-cycle 2 cell infusion of the tandem transplant.

Response gradations are specified in the "Blade criteria", Br J Haematol 1998; 102: 1115-1123. Serum myeloma protein is measured 2x at least six weeks apart, and urine M-component is measured 2x at least 3 weeks apart. Complete response (CR): less than 3% plasma cells in bone marrow or blood. Very good partial response (VGPR): Greater than 90% decrease in myeloma protein, and urine M-component less than 0.1 gm/day. Partial response (PR) Greater than 50% decrease in myeloma protein; urine M-component less than 0.2 gm/day. Lytic skeletal lesions must not increase, and serum calcium level must remain normal. Stable disease (SD): 25-49% decrease in protein and 25% decrease in urine M-component. Progressive disease (PD): Greater than 25% increase in myeloma protein, or hypercalcemia. Relapse: 1) increase greater than 100% of myeloma protein; 2) More than 25% increase of myeloma protein; 3) reappearance of the myeloma peaks; 4) increase in lytic bone lesions on radiographs.

Outcome measures

Outcome measures
Measure
HD Chemo Followed by PBPC Rescue
n=65 Participants
Patients receive high-dose melphalan IV on day -1. PBSCs are reinfused on day 0. G-CSF is administered IV or SC daily beginning on day 1 and continuing until blood counts recover. Between 8 and 14 weeks later, patients receive high-dose busulfan IV every 6 hours on days -7 to -4 and cyclophosphamide IV over 2 hours on days -3 and -2. PBSCs are reinfused on day 0 and G-CSF is administered IV or SC daily until blood counts recover. filgrastim recombinant interferon alfa busulfan cyclophosphamide melphalan pamidronate disodium thalidomide peripheral blood stem cell transplantation
Response After Tandem Autologous Stem Cell Transplant
CR
27 Participants
Response After Tandem Autologous Stem Cell Transplant
VGPR
11 Participants
Response After Tandem Autologous Stem Cell Transplant
PR/SD
24 Participants
Response After Tandem Autologous Stem Cell Transplant
PD
3 Participants

PRIMARY outcome

Timeframe: Estimate reported at three years after day 0 of the first cycle of infusion of cells of the tandem transplant.

Kaplan-Meier estimate at three years post-first transplant of survival. Outcome is death or alive at follow-up (censored). 95 percent confidence interval of the point estimate is calculated using Greenwood's variance.

Outcome measures

Outcome measures
Measure
HD Chemo Followed by PBPC Rescue
n=68 Participants
Patients receive high-dose melphalan IV on day -1. PBSCs are reinfused on day 0. G-CSF is administered IV or SC daily beginning on day 1 and continuing until blood counts recover. Between 8 and 14 weeks later, patients receive high-dose busulfan IV every 6 hours on days -7 to -4 and cyclophosphamide IV over 2 hours on days -3 and -2. PBSCs are reinfused on day 0 and G-CSF is administered IV or SC daily until blood counts recover. filgrastim recombinant interferon alfa busulfan cyclophosphamide melphalan pamidronate disodium thalidomide peripheral blood stem cell transplantation
Three-year Overall Survival
0.662 proportion of participants
Interval 0.536 to 0.761

PRIMARY outcome

Timeframe: Estimate reported at three years after day 0 of the first cycle of infusion of cells of the tandem transplant.

Kaplan-Meier estimate at three years post-first transplant of survival. Event of interest is the first of Death or Progression. Censoring is Alive in Continuous Complete Remission at date of last follow-up. 95 percent confidence interval of the point estimate is calculated using Greenwood's variance.

Outcome measures

Outcome measures
Measure
HD Chemo Followed by PBPC Rescue
n=68 Participants
Patients receive high-dose melphalan IV on day -1. PBSCs are reinfused on day 0. G-CSF is administered IV or SC daily beginning on day 1 and continuing until blood counts recover. Between 8 and 14 weeks later, patients receive high-dose busulfan IV every 6 hours on days -7 to -4 and cyclophosphamide IV over 2 hours on days -3 and -2. PBSCs are reinfused on day 0 and G-CSF is administered IV or SC daily until blood counts recover. filgrastim recombinant interferon alfa busulfan cyclophosphamide melphalan pamidronate disodium thalidomide peripheral blood stem cell transplantation
Progression-free Survival
0.456 proportion of participants
Interval 0.335 to 0.539

PRIMARY outcome

Timeframe: Six months after day 0 of the first cycle of the tandem autologous stem cell transplant. This will be used to determine administration of thalidomide.

Response gradations are specified in the "Blade criteria", Br J Haematol 1998; 102: 1115-1123. Serum myeloma protein is measured 2x at least six weeks apart, and urine M-component is measured 2x at least 3 weeks apart. Complete response (CR): less than 3% plasma cells in bone marrow or blood. Very good partial response (VGPR): Greater than 90% decrease in myeloma protein, and urine M-component less than 0.1 gm/day. Partial response (PR) Greater than 50% decrease in myeloma protein; urine M-component less than 0.2 gm/day. Lytic skeletal lesions must not increase, and serum calcium level must remain normal. Stable disease (SD): 25-49% decrease in protein and 25% decrease in urine M-component. Progressive disease (PD): Greater than 25% increase in myeloma protein, or hypercalcemia. Relapse: 1) increase greater than 100% of myeloma protein; 2) More than 25% increase of myeloma protein; 3) reappearance of the myeloma peaks; 4) increase in lytic bone lesions on radiographs.

Outcome measures

Outcome measures
Measure
HD Chemo Followed by PBPC Rescue
n=63 Participants
Patients receive high-dose melphalan IV on day -1. PBSCs are reinfused on day 0. G-CSF is administered IV or SC daily beginning on day 1 and continuing until blood counts recover. Between 8 and 14 weeks later, patients receive high-dose busulfan IV every 6 hours on days -7 to -4 and cyclophosphamide IV over 2 hours on days -3 and -2. PBSCs are reinfused on day 0 and G-CSF is administered IV or SC daily until blood counts recover. filgrastim recombinant interferon alfa busulfan cyclophosphamide melphalan pamidronate disodium thalidomide peripheral blood stem cell transplantation
Best Response at 6 Months Post Tandem Autologous Stem Cell Transplant
CR
18 Participants
Best Response at 6 Months Post Tandem Autologous Stem Cell Transplant
VGPR
5 Participants
Best Response at 6 Months Post Tandem Autologous Stem Cell Transplant
PR/SD
29 Participants
Best Response at 6 Months Post Tandem Autologous Stem Cell Transplant
PD
11 Participants

PRIMARY outcome

Timeframe: Response after six months after day 0 of the first cycle of the tandem transplant, after administration of maintenance thalidomide if necessary, until three years post-day 0 of the first cycle of the tandem transplant.

Response gradations are specified in the "Blade criteria", Br J Haematol 1998; 102: 1115-1123. Serum myeloma protein is measured 2x at least six weeks apart, and urine M-component is measured 2x at least 3 weeks apart. Complete response (CR): less than 3% plasma cells in bone marrow or blood. Very good partial response (VGPR): Greater than 90% decrease in myeloma protein, and urine M-component less than 0.1 gm/day. Partial response (PR) Greater than 50% decrease in myeloma protein; urine M-component less than 0.2 gm/day. Lytic skeletal lesions must not increase, and serum calcium level must remain normal. Stable disease (SD): 25-49% decrease in protein and 25% decrease in urine M-component. Progressive disease (PD): Greater than 25% increase in myeloma protein, or hypercalcemia. Relapse: 1) increase greater than 100% of myeloma protein; 2) More than 25% increase of myeloma protein; 3) reappearance of the myeloma peaks; 4) increase in lytic bone lesions on radiographs.

Outcome measures

Outcome measures
Measure
HD Chemo Followed by PBPC Rescue
n=16 Participants
Patients receive high-dose melphalan IV on day -1. PBSCs are reinfused on day 0. G-CSF is administered IV or SC daily beginning on day 1 and continuing until blood counts recover. Between 8 and 14 weeks later, patients receive high-dose busulfan IV every 6 hours on days -7 to -4 and cyclophosphamide IV over 2 hours on days -3 and -2. PBSCs are reinfused on day 0 and G-CSF is administered IV or SC daily until blood counts recover. filgrastim recombinant interferon alfa busulfan cyclophosphamide melphalan pamidronate disodium thalidomide peripheral blood stem cell transplantation
Best Response After Tandem Autologous Stem Cell Transplant and Maintenance
CR
3 Participants
Best Response After Tandem Autologous Stem Cell Transplant and Maintenance
VGPR
1 Participants
Best Response After Tandem Autologous Stem Cell Transplant and Maintenance
PR/SD
6 Participants
Best Response After Tandem Autologous Stem Cell Transplant and Maintenance
PD
6 Participants

Adverse Events

HD Chemo Followed by PBPC Rescue

Serious events: 0 serious events
Other events: 68 other events
Deaths: 23 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
HD Chemo Followed by PBPC Rescue
n=68 participants at risk
Patients receive high-dose melphalan IV on day -1. PBSCs are reinfused on day 0. G-CSF is administered IV or SC daily beginning on day 1 and continuing until blood counts recover. Between 8 and 14 weeks later, patients receive high-dose busulfan IV every 6 hours on days -7 to -4 and cyclophosphamide IV over 2 hours on days -3 and -2. PBSCs are reinfused on day 0 and G-CSF is administered IV or SC daily until blood counts recover. filgrastim recombinant interferon alfa busulfan cyclophosphamide melphalan pamidronate disodium thalidomide peripheral blood stem cell transplantation
Metabolism and nutrition disorders
Weight gain
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Weight gain - Veno-Occlusive Disease (VOD) for BMT studies if specified in the protocol.
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Weight loss
5.9%
4/68 • Number of events 5 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Anorexia
10.3%
7/68 • Number of events 19 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
ALT, SGPT (serum glutamic pyruvic transaminase)
10.3%
7/68 • Number of events 15 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
AST, SGOT(serum glutamic oxaloacetic transaminase)
10.3%
7/68 • Number of events 16 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
10.3%
7/68 • Number of events 20 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Alkaline phosphatase
8.8%
6/68 • Number of events 13 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Alkalosis (metabolic or respiratory)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Blood and lymphatic system disorders
Hemoglobin
10.3%
7/68 • Number of events 20 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Blood and lymphatic system disorders
Leukocytes (total WBC) for BMT studies, if specified in the protocol.
10.3%
7/68 • Number of events 18 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Blood and lymphatic system disorders
Lymphopenia
1.5%
1/68 • Number of events 3 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC) for BMT studies, if specified in the protocol.
10.3%
7/68 • Number of events 30 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Blood and lymphatic system disorders
Platelets for BMT studies, if specified in the protocol.
10.3%
7/68 • Number of events 24 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Blood and lymphatic system disorders
Transfusion: Platelets for BMT studies, if specified in the protocol.
10.3%
7/68 • Number of events 11 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Blood and lymphatic system disorders
Transfusion: pRBCs for BMT studies, if specified in the protocol.
8.8%
6/68 • Number of events 9 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Blood and lymphatic system disorders
INR (International Normalized Ratio of prothrombin time)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Blood and lymphatic system disorders
PTT (Partial Thromboplastin Time)
1.5%
1/68 • Number of events 2 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Cardiac disorders
Palpitations
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Cardiac disorders
Supraventricular and nodal arrhythmia
2.9%
2/68 • Number of events 3 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Cardiac disorders
Vasovagal episode
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Cardiac disorders
Hypertension
7.4%
5/68 • Number of events 7 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Cardiac disorders
Hypotension
2.9%
2/68 • Number of events 2 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Ear and labyrinth disorders
Auditory/Ear - Other (Specify, __) AUDITORY/EAR CONGESTION
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Endocrine disorders
Cushingoid appearance (e.g., moon face, buffalo hump, centripetal obesity, cutaneous striae)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Endocrine disorders
Hot flashes/flushes
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Eye disorders
Vision-blurred vision
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Ascites (non-malignant)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Constipation
5.9%
4/68 • Number of events 5 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Dehydration
4.4%
3/68 • Number of events 4 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Diarrhea
2.9%
2/68 • Number of events 4 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Diarrhea associated with graft versus host disease (GVHD)
4.4%
3/68 • Number of events 5 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Dry mouth/salivary gland (xerostomia)
5.9%
4/68 • Number of events 7 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Dysphagia, esophagitis, odynophagia
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Esophagitis
5.9%
4/68 • Number of events 5 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Flatulence
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Gastrointestinal - Other (Specify, __) BENIGN PAPILLOMA
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Gastrointestinal - Other (Specify, __) DECREASED GASTRIC MOTILITY
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Gastrointestinal - Other (Specify, __) INCREASED SALIVA PRODUCTION
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Gastrointestinal - Other (Specify, __) TONGUE DISCOLORATION
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Heartburn/dyspepsia
4.4%
3/68 • Number of events 4 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Nausea
10.3%
7/68 • Number of events 17 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Proctitis
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Salivary gland changes/saliva
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Stomatitis/pharyngitis (oral/pharyngeal mucositis) for BMT studies, if specified in the protocol.
10.3%
7/68 • Number of events 15 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Taste alteration (dysgeusia)
4.4%
3/68 • Number of events 6 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Gastrointestinal disorders
Vomiting
10.3%
7/68 • Number of events 11 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Fatigue (asthenia, lethargy, malaise)
10.3%
7/68 • Number of events 19 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L)
8.8%
6/68 • Number of events 7 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Insomnia
7.4%
5/68 • Number of events 8 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Rigors/chills
2.9%
2/68 • Number of events 3 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Pain
10.3%
7/68 • Number of events 35 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Pain - Other (Specify, __) ARM PAIN
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Pain - Other (Specify, __) BACK PAIN
2.9%
2/68 • Number of events 2 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Pain - Other (Specify, __) BURNING SENSATION AROUND MOUTH
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Pain - Other (Specify, __) BURNING SENSATION IN MOUTH
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Pain - Other (Specify, __) JAW PAIN
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Pain - Other (Specify, __) LOW BACK PAIN
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Pain - Other (Specify, __) PAIN AT CATHETER SITE
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Pain - Other (Specify, __) SEVERE MOUTH PAIN
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
General disorders
Pain - Other (Specify, __) TOOTHACHE
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Hepatobiliary disorders
Hepatobiliary/Pancreas - Other (Specify, __) LOW ALKALINE PHOSPHATASE
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Immune system disorders
Allergic reaction/hypersensitivity (including drug fever)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Immune system disorders
Allergic rhinitis (including sneezing, nasal stuffiness, postnasal drip)
4.4%
3/68 • Number of events 4 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Immune system disorders
Graft versus host disease
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Infections and infestations
Febrile neutropenia (fever without clinically or microbiologically documented infection)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Infections and infestations
Infection (documented clinically or microbiologically) with grade 3 or 4 neutropenia
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Infections and infestations
Infection without neutropenia
2.9%
2/68 • Number of events 4 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Infections and infestations
Infection, Viral
2.9%
2/68 • Number of events 2 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Bilirubin (hyperbilirubinemia)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Calcium, serum-high (hypercalcemia)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Calcium, serum-low (hypocalcemia)
10.3%
7/68 • Number of events 19 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Cholesterol, serum-high (hypercholesteremia)
8.8%
6/68 • Number of events 12 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Creatinine
2.9%
2/68 • Number of events 4 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Glucose, serum-high (hyperglycemia)
10.3%
7/68 • Number of events 11 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Glucose, serum-low (hypoglycemia)
4.4%
3/68 • Number of events 3 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Magnesium, serum-high (hypermagnesemia)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Magnesium, serum-low (hypomagnesemia)
7.4%
5/68 • Number of events 7 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Phosphate, serum-low (hypophosphatemia)
10.3%
7/68 • Number of events 11 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Potassium, serum-high (hyperkalemia)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Potassium, serum-low (hypokalemia)
10.3%
7/68 • Number of events 12 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Sodium, serum-low (hyponatremia)
5.9%
4/68 • Number of events 6 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Metabolism and nutrition disorders
Uric acid, serum-high (hyperuricemia)
4.4%
3/68 • Number of events 5 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Nervous system disorders
Cognitive disturbance
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Nervous system disorders
Confusion
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Nervous system disorders
Dizziness
7.4%
5/68 • Number of events 6 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Nervous system disorders
Extrapyramidal/involuntary movement/restlessness
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Nervous system disorders
Neuropathy: sensory
4.4%
3/68 • Number of events 4 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Nervous system disorders
Somnolence/depressed level of consciousness
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Nervous system disorders
Speech impairment (e.g., dysphasia or aphasia)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Nervous system disorders
Tremor
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Nervous system disorders
Vertigo
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Psychiatric disorders
Mood alteration
8.8%
6/68 • Number of events 15 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Renal and urinary disorders
Urinary frequency/urgency
2.9%
2/68 • Number of events 2 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Renal and urinary disorders
Urinary retention (including neurogenic bladder)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Respiratory, thoracic and mediastinal disorders
Cough
7.4%
5/68 • Number of events 9 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
7.4%
5/68 • Number of events 5 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Respiratory, thoracic and mediastinal disorders
Hiccoughs (hiccups, singultus)
2.9%
2/68 • Number of events 2 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (Specify, __) DERMATOLOGY, SKIN OTHER (CHELIOSIS)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (Specify, __) DERMATOLOGY/ SI. ERYTHEMA AROUND HICKMAN
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Skin and subcutaneous tissue disorders
Dry skin
2.9%
2/68 • Number of events 3 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Skin and subcutaneous tissue disorders
Flushing
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Skin and subcutaneous tissue disorders
Hair loss/alopecia (scalp or body)
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Skin and subcutaneous tissue disorders
Injection site reaction/extravasation changes
2.9%
2/68 • Number of events 2 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Skin and subcutaneous tissue disorders
Pigmentation changes (e.g., vitiligo)
2.9%
2/68 • Number of events 2 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Skin and subcutaneous tissue disorders
Pruritus/itching
8.8%
6/68 • Number of events 9 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Skin and subcutaneous tissue disorders
Rash/desquamation associated with graft versus host disease (GVHD)
8.8%
6/68 • Number of events 11 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Vascular disorders
Edema
7.4%
5/68 • Number of events 6 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Vascular disorders
Hemorrhage/bleeding with grade 3 or 4 thrombocytopenia
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Vascular disorders
Petechiae/purpura (hemorrhage/bleeding into skin or mucosa)
1.5%
1/68 • Number of events 2 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.
Vascular disorders
Thrombosis/thrombus/embolism
1.5%
1/68 • Number of events 1 • From initial high dose (HD) chemotherapy up to three years post-initial HD chemotherapy, or death, or date taken off-study.
When evaluating a toxicity, a modified National Cancer Institute (NCI) autologous bone marrow toxicity scale will be used.

Additional Information

Brenda Williams, Senior Director, Clinical Trials Office

City of Hope

Phone: 626-218-2702

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place