Trial Outcomes & Findings for UARK 2003-33, Total Therapy III (NCT NCT00081939)

NCT ID: NCT00081939

Last Updated: 2017-10-17

Results Overview

In patients with no confirmed Partial Response, Near Complete Response, or Complete Response, progression was defined as a \>25% increase from baseline in myeloma protein production or other signs of disease progression such as hypercalcemia, etc.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

303 participants

Primary outcome timeframe

3 years

Results posted on

2017-10-17

Participant Flow

Participant milestones

Participant milestones
Measure
Study Treatment
Two cycles of VDTPACE induction (Velcade days 1, 4, 8, and 11; DTPACE days 4-7) with interim thalidomide (50 mg QD) + Dex (20 mg QD x 4 days every 21 days) following each cycle. Induction followed by single or tandem MEL200 transplant (MEL140 mg/m2 for subjects \> 70 years of age) with interim thalidomide (100mg QD) + Dex (20 mg QD x 4 days every 21 days) following each transplant. Transplants followed by two cycles of VDTPACE consolidation (Velcade days 1, 4, 8, and 11; DTPACE days 1-4) with interim thalidomide (100mg QD) + Dex (20 mg QD x 4 days every 21 days) following each cycle of VDTPACE. Consolidation followed by 3 years of maintenance therapy with VDT (velcade 1.0 mg/m2 days 1, 4, 8, 11 q 28 days; Thal 100 mg QD; and Dex 20mg days 1-4 and 8-11 q 28 days) during Year 1 and TD (Thal 100 mg QD and Dex 20 mg days 1-4, q 28 days) or VTD (velcade 1.0 mg/m2 weekly, Thal 100 mg QD, and Dex 20 mg weekly) during Years 2 and 3.
Overall Study
STARTED
303
Overall Study
COMPLETED
303
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

UARK 2003-33, Total Therapy III

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Study Treatment
n=303 Participants
Two cycles of VDTPACE induction (Velcade days 1, 4, 8, and 11; DTPACE days 4-7) with interim thalidomide (50 mg QD) + Dex (20 mg QD x 4 days every 21 days) following each cycle. Induction followed by single or tandem MEL200 transplant (MEL140 mg/m2 for subjects \> 70 years of age) with interim thalidomide (100mg QD) + Dex (20 mg QD x 4 days every 21 days) following each transplant. Transplants followed by two cycles of VDTPACE consolidation (Velcade days 1, 4, 8, and 11; DTPACE days 1-4) with interim thalidomide (100mg QD) + Dex (20 mg QD x 4 days every 21 days) following each cycle of VDTPACE. Consolidation followed by 3 years of maintenance therapy with VDT (velcade 1.0 mg/m2 days 1, 4, 8, 11 q 28 days; Thal 100 mg QD; and Dex 20mg days 1-4 and 8-11 q 28 days) during Year 1 and TD (Thal 100 mg QD and Dex 20 mg days 1-4, q 28 days) or VTD (velcade 1.0 mg/m2 weekly, Thal 100 mg QD, and Dex 20 mg weekly) during Years 2 and 3.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
219 Participants
n=5 Participants
Age, Categorical
>=65 years
84 Participants
n=5 Participants
Sex: Female, Male
Female
110 Participants
n=5 Participants
Sex: Female, Male
Male
193 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 years

In patients with no confirmed Partial Response, Near Complete Response, or Complete Response, progression was defined as a \>25% increase from baseline in myeloma protein production or other signs of disease progression such as hypercalcemia, etc.

Outcome measures

Outcome measures
Measure
Study Treatment
n=303 Participants
Two cycles of VDTPACE induction (Velcade days 1, 4, 8, and 11; DTPACE days 4-7) with interim thalidomide (50 mg QD) + Dex (20 mg QD x 4 days every 21 days) following each cycle. Induction followed by single or tandem MEL200 transplant (MEL140 mg/m2 for subjects \> 70 years of age) with interim thalidomide (100mg QD) + Dex (20 mg QD x 4 days every 21 days) following each transplant. Transplants followed by two cycles of VDTPACE consolidation (Velcade days 1, 4, 8, and 11; DTPACE days 1-4) with interim thalidomide (100mg QD) + Dex (20 mg QD x 4 days every 21 days) following each cycle of VDTPACE. Consolidation followed by 3 years of maintenance therapy with VDT (velcade 1.0 mg/m2 days 1, 4, 8, 11 q 28 days; Thal 100 mg QD; and Dex 20mg days 1-4 and 8-11 q 28 days) during Year 1 and TD (Thal 100 mg QD and Dex 20 mg days 1-4, q 28 days) or VTD (velcade 1.0 mg/m2 weekly, Thal 100 mg QD, and Dex 20 mg weekly) during Years 2 and 3.
Percentage of Participants With Progression-Free Survival (PFS) at 3 Years From Initiation of Study Treatment
77 percentage of participants

Adverse Events

Study Treatment

Serious events: 303 serious events
Other events: 303 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Study Treatment
n=303 participants at risk
Two cycles of VDTPACE induction (Velcade days 1, 4, 8, and 11; DTPACE days 4-7) with interim thalidomide (50 mg QD) + Dex (20 mg QD x 4 days every 21 days) following each cycle. Induction followed by single or tandem MEL200 transplant (MEL140 mg/m2 for subjects \> 70 years of age) with interim thalidomide (100mg QD) + Dex (20 mg QD x 4 days every 21 days) following each transplant. Transplants followed by two cycles of VDTPACE consolidation (Velcade days 1, 4, 8, and 11; DTPACE days 1-4) with interim thalidomide (100mg QD) + Dex (20 mg QD x 4 days every 21 days) following each cycle of VDTPACE. Consolidation followed by 3 years of maintenance therapy with VDT (velcade 1.0 mg/m2 days 1, 4, 8, 11 q 28 days; Thal 100 mg QD; and Dex 20mg days 1-4 and 8-11 q 28 days) during Year 1 and TD (Thal 100 mg QD and Dex 20 mg days 1-4, q 28 days) or VTD (velcade 1.0 mg/m2 weekly, Thal 100 mg QD, and Dex 20 mg weekly) during Years 2 and 3.
Immune system disorders
Grade 3 Allergic reaction/hypersensitivity
2.3%
7/303
Immune system disorders
Grade 4 Allergic reaction/Hypersensitivity
0.66%
2/303
Immune system disorders
Grade 4 Allergy-other
0.33%
1/303
Immune system disorders
Grade 3 Autoimmune reaction
0.33%
1/303
Ear and labyrinth disorders
Grade 3 Hearing
1.3%
4/303
Blood and lymphatic system disorders
Grade 3 Anemia (HGB)
45.9%
139/303
Blood and lymphatic system disorders
Grade 4 Anemia (HGB)
15.8%
48/303
Blood and lymphatic system disorders
Grade 3 CD4 count
0.33%
1/303
Blood and lymphatic system disorders
Grade 3 Lymphopenia
0.33%
1/303
Blood and lymphatic system disorders
Grade 3 Neutropenia/granulocytopenia
1.3%
4/303
Blood and lymphatic system disorders
Grade 4 Neutropenia/granulocytopenia
38.0%
115/303
Blood and lymphatic system disorders
Grade 3 Thrombocytopenia (PLT)
2.0%
6/303
Blood and lymphatic system disorders
Grade 4 Thrombocytopenia (PLT)
97.7%
296/303
Blood and lymphatic system disorders
Grade 4 Leukopenia
100.0%
303/303
Cardiac disorders
Grade 3 AV Block-Type 2
0.33%
1/303
Cardiac disorders
Grade 5 Asystole
0.33%
1/303
Cardiac disorders
Grade 3 Febrile Neutropenia
0.33%
1/303
Cardiac disorders
Grade 3 Hypertension
1.3%
4/303
Cardiac disorders
Grade 3 Hypotension
1.3%
4/303
Cardiac disorders
Grade 4 Hypotension
0.33%
1/303
Cardiac disorders
Grade 3 Left vent. systolic dysfunction
0.33%
1/303
Cardiac disorders
Grade 4 Left vent systolic dysfunction
0.33%
1/303
Cardiac disorders
Grade 3 Supra Arrhythmia: atrial fib.
2.3%
7/303
Cardiac disorders
Grade 4 Supra Arrhyth: Atrial Fib
0.33%
1/303
Cardiac disorders
Grade 3 Supra Arrhyth: Atrial Flut
0.33%
1/303
Cardiac disorders
Grade 3 Supra Arrhyth: Sinus Brady
0.33%
1/303
Cardiac disorders
Grade 4 Valvular heart disease
0.33%
1/303
Cardiac disorders
Grade 3 Vasovagal episode
0.66%
2/303
Cardiac disorders
Grade 5 Vent arrhyth: Bigeminy
0.33%
1/303
Cardiac disorders
Grade 3 Ventricular Arrythmia
2.3%
7/303
Cardiac disorders
Grade 4 Ventricular Arrythmia
0.66%
2/303
Cardiac disorders
Grade 5 Ventricular Arrythmia
0.33%
1/303
Cardiac disorders
Grade 3 Cardiac General
0.66%
2/303
Cardiac disorders
Grade 3 Cardiac ischemia/infarction
0.99%
3/303
Cardiac disorders
Grade 4 Cardiac ischemia/infarction
0.99%
3/303
Cardiac disorders
Grade 4 Cardiopulmonary arrest
0.33%
1/303
Blood and lymphatic system disorders
Grade 3 Coagulation-other
0.33%
1/303
General disorders
Grade 3 Constitutional symptoms-other
2.0%
6/303
General disorders
Grade 4 Constitutional symptoms-other
0.33%
1/303
General disorders
Grade 5 Constitutional symptoms-other
0.33%
1/303
General disorders
Grade 3 Fatigue-lethargy, malaise, asthenia
51.8%
157/303
General disorders
Grade 4 Fatigue-lethargy, malaise, asthenia
11.9%
36/303
General disorders
Grade 3 Fatigue-malaise, lethargy
0.33%
1/303
General disorders
Grade 3 Fever (in absence of neutropenia)
1.3%
4/303
General disorders
Grade 5 Fever (absence of neutropenia)
0.33%
1/303
General disorders
Grade 3 Insomnia
0.99%
3/303
General disorders
Grade 4 Insomnia
0.33%
1/303
General disorders
Grade 3 Obesity
0.33%
1/303
General disorders
Grade 3 Sweating
0.33%
1/303
General disorders
Grade 3 Weight loss
0.33%
1/303
General disorders
Grade 3 Weight gain
0.33%
1/303
Skin and subcutaneous tissue disorders
Grade 3 Dermatology-other
0.33%
1/303
Skin and subcutaneous tissue disorders
Grade 3 Dry skin
0.33%
1/303
Skin and subcutaneous tissue disorders
Grade 3 Pruritus
0.66%
2/303
Skin and subcutaneous tissue disorders
Grade 3 Skin rash/desquamation
6.9%
21/303
Skin and subcutaneous tissue disorders
Grade 4 Skin rash/desquamation
0.99%
3/303
Skin and subcutaneous tissue disorders
Grade 3 Ulceration
0.66%
2/303
Endocrine disorders
Grade 3 Diabetes
4.0%
12/303
Endocrine disorders
Grade 3 Hot flashes
0.33%
1/303
Gastrointestinal disorders
Grade 3 Anorexia
35.3%
107/303
Gastrointestinal disorders
Grade 4 Anorexia
1.7%
5/303
Gastrointestinal disorders
Grade 3 Colitis
8.6%
26/303
Gastrointestinal disorders
Grade 4 Colitis
0.99%
3/303
Gastrointestinal disorders
Grade 5 Colitis
0.66%
2/303
Gastrointestinal disorders
Grade 3 Constipation
3.3%
10/303
Gastrointestinal disorders
Grade 4 Constipation
0.66%
2/303
Gastrointestinal disorders
Grade 3 Dehydration
4.0%
12/303
Gastrointestinal disorders
Grade 3 Diarrhea
25.1%
76/303
Gastrointestinal disorders
Grade 4 Diarrhea
0.99%
3/303
Gastrointestinal disorders
Grade 3 Distension
0.66%
2/303
Gastrointestinal disorders
Grade 3 Dry mouth
0.66%
2/303
Gastrointestinal disorders
Grade 3 Dysphagia
8.3%
25/303
Gastrointestinal disorders
Grade 3 Esophagitis
7.3%
22/303
Gastrointestinal disorders
Grade 3 GI Necrosis gallblader
0.33%
1/303
Gastrointestinal disorders
Grade 3 GI Obstruction cecum
0.33%
1/303
Gastrointestinal disorders
Grade 4 GI Obstruction cecum
0.33%
1/303
Gastrointestinal disorders
Grade 3 GI Perforation appendix
0.66%
2/303
Gastrointestinal disorders
Grade 3 GI-other
2.0%
6/303
Gastrointestinal disorders
Grade 3 Gastritis
0.33%
1/303
Gastrointestinal disorders
Grade 3 Heartburn
0.33%
1/303
Gastrointestinal disorders
Grade 3 Hemorrhoids
0.66%
2/303
Gastrointestinal disorders
Grade 3 Mucositis/Stomatitis
9.2%
28/303
Gastrointestinal disorders
Grade 4 Mucositis/Stomatitis
0.99%
3/303
Gastrointestinal disorders
Grade 3 Nausea
18.5%
56/303
Gastrointestinal disorders
Grade 4 Nausea
0.33%
1/303
Gastrointestinal disorders
Grade 3 Taste alteration
0.33%
1/303
Gastrointestinal disorders
Grade 3 Vomiting
5.9%
18/303
Gastrointestinal disorders
Grade 4 Vomiting
0.33%
1/303
Blood and lymphatic system disorders
Grade 3 Hematoma
0.33%
1/303
Blood and lymphatic system disorders
Grade 3 Hemorrhage, lower GI
0.33%
1/303
Blood and lymphatic system disorders
Grade 4 Hemorrhage, lower GI
0.33%
1/303
Blood and lymphatic system disorders
Grade 3 Hemorrhage, upper GI
0.99%
3/303
Blood and lymphatic system disorders
Grade 3 Hemorrhage-other
0.33%
1/303
Hepatobiliary disorders
Grade 3 Alkaline phosphatase increase
2.6%
8/303
Hepatobiliary disorders
Grade 3 Bilirubin increase
4.0%
12/303
Hepatobiliary disorders
Grade 4 Bilirubin increase
0.33%
1/303
Hepatobiliary disorders
Grade 3 Cholecystitis
0.33%
1/303
Hepatobiliary disorders
Grade 3 Hypoalbuminemia
17.5%
53/303
Hepatobiliary disorders
Grade 3 SGOT (AST) increase
4.6%
14/303
Hepatobiliary disorders
Grade 4 SGOT (AST) increase
0.99%
3/303
Hepatobiliary disorders
Grade 3 SGPT (ALT) increase
5.9%
18/303
Hepatobiliary disorders
Grade 4 SGPT (ALT) increase
0.99%
3/303
Infections and infestations
Grade 3 Colitis infectious
4.0%
12/303
Infections and infestations
Grade 4 Colitis infectious
0.66%
2/303
Infections and infestations
Grade 3 Febrile neutropenia
0.33%
1/303
Infections and infestations
Grade 3 Febrile neutropenia (ANC, fever)
34.0%
103/303
Infections and infestations
Grade 4 Febrile neutropenia (ANC, fever)
0.99%
3/303
Infections and infestations
Grade 3 GI Infection 3-4 ANC abdomen
1.3%
4/303
Infections and infestations
Grade 3 GI Infection 3-4 ANC Appendix
0.66%
2/303
Infections and infestations
Grade 3 GI Infection 3-4 ANC Colon
0.33%
1/303
Infections and infestations
Grade 3 GI Infection Unk ANC Abdomen
0.33%
1/303
Infections and infestations
Grade 3 GU Infection 3-4 ANC Bladder
0.99%
3/303
Infections and infestations
Grade 3 GU Infection Unk ANC UTI
0.33%
1/303
Infections and infestations
Grade 3 Infection 3-4 ANC Blood
3.6%
11/303
Infections and infestations
Grade 4 Infection 3-4 ANC Blood
0.33%
1/303
Infections and infestations
Grade 3 Infection 3-4 ANC Cath-related
0.99%
3/303
Infections and infestations
Grade 3 Infection 3-4 ANC Wound
0.33%
1/303
Infections and infestations
Grade 3 Infection Unk ANC Cath-related
0.33%
1/303
Infections and infestations
Grade 3 Infection Unk ANC for body
0.33%
1/303
Infections and infestations
Grade 3 Infection (documented clinically or microbiologically)
9.6%
29/303
Infections and infestations
Grade 3 Infection w/normal ANC Musculoskeletal
0.33%
1/303
Infections and infestations
Grade 3 Infection w/normal ANC skin
0.33%
1/303
Infections and infestations
Grade 3 Infection w/normal ANC GI mild
0.66%
2/303
Infections and infestations
Grade 3 Infection w/normal ANC Dermatology
0.33%
1/303
Infections and infestations
Grade 3 Infection w/normal ANC Gastrointestinal
0.33%
1/303
Infections and infestations
Grade 3 Infection w/normal ANC General
2.3%
7/303
Infections and infestations
Grade 3 Infection w/normal ANC Neurology
0.33%
1/303
Infections and infestations
Grade 3 Infection w/normal ANC Renal/Genitourinary
0.33%
1/303
Infections and infestations
Grade 3 Infection w/unknown ANC
0.33%
1/303
Infections and infestations
Grade 5 Infection w/unknown ANC
0.33%
1/303
Infections and infestations
Grade 3 Infection Clinical Doc. w/high ANC/Pulmonary
0.66%
2/303
Infections and infestations
Grade 3 Infection Normal ANC Lung (Bronchus)
9.2%
28/303
Infections and infestations
Grade 3 Infection Normal Lung (Pneumonia)
1.7%
5/303
Infections and infestations
Grade 3 Infection other
0.33%
1/303
Infections and infestations
Grade 3 Lung infection-Bronchus
1.3%
4/303
Infections and infestations
Grade 3 Lung Infection-lung
5.0%
15/303
Infections and infestations
Grade 5 Lung infection-lung
0.33%
1/303
Infections and infestations
Grade 3 Lung infection-sinus
1.7%
5/303
Infections and infestations
Grade 3 Lung infection-upper airway
0.33%
1/303
Infections and infestations
Grade 3 Lung infection Unk ANC-bronchus
2.3%
7/303
Infections and infestations
Grade 3 Lung infection Unk ANC-lung
2.0%
6/303
Infections and infestations
Grade 3 Lung infection normal ANC-nose
0.33%
1/303
Infections and infestations
Grade 3 Opportunistic infection associated w/lymphopenia
36.3%
110/303
Infections and infestations
Grade 4 Opportunistic infection associated w/lymphopenia
0.33%
1/303
Infections and infestations
Grade 5 Opportunistic infection associated w/lymphopenia
0.33%
1/303
Infections and infestations
Grade 3 Viral hepatitis
0.33%
1/303
Infections and infestations
Grade 5 Lung infection Unk ANC-bronchus
0.33%
1/303
Infections and infestations
Grade 3 Skin infection Unk ANC-skin
0.33%
1/303
Blood and lymphatic system disorders
Grade 3 Edema-head and neck
0.33%
1/303
Blood and lymphatic system disorders
Grade 3 Edema-limb
3.0%
9/303
Blood and lymphatic system disorders
Grade 3 Edema-trunk/genital
0.33%
1/303
Blood and lymphatic system disorders
Grade 3 Lymphatics-other
0.99%
3/303
Metabolism and nutrition disorders
Grade 3 Acidosis
0.99%
3/303
Metabolism and nutrition disorders
Grade 3 Bicarbonate decrease
2.6%
8/303
Metabolism and nutrition disorders
Grade 4 Bicarbonate decrease
2.6%
8/303
Metabolism and nutrition disorders
Grade 3 GGT(Gamma-glutamyl transferase)
0.33%
1/303
Metabolism and nutrition disorders
Grade 3 Hypercalcemia
0.33%
1/303
Metabolism and nutrition disorders
Grade 4 Hypercalcemia
2.3%
7/303
Metabolism and nutrition disorders
Grade 3 Hyperglycemia
36.0%
109/303
Metabolism and nutrition disorders
Grade 4 Hyperglycemia
4.6%
14/303
Metabolism and nutrition disorders
Grade 3 Hyperkalemia
5.6%
17/303
Metabolism and nutrition disorders
Grade 4 Hyperkalemia
2.0%
6/303
Metabolism and nutrition disorders
Grade 3 Hypermagnesemia
2.3%
7/303
Metabolism and nutrition disorders
Grade 4 Hypermagnesemia
0.33%
1/303
Metabolism and nutrition disorders
Grade 3 Hypernatremia
0.66%
2/303
Metabolism and nutrition disorders
Grade 3 Hypocalcemia
32.3%
98/303
Metabolism and nutrition disorders
Grade 4 Hypocalcemia
6.6%
20/303
Metabolism and nutrition disorders
Grade 3 Hypokalemia
39.6%
120/303
Metabolism and nutrition disorders
Grade 4 Hypokalemia
5.0%
15/303
Metabolism and nutrition disorders
Grade 3 Hypomagnesemia
1.7%
5/303
Metabolism and nutrition disorders
Grade 4 Hypomagnesemia
0.66%
2/303
Metabolism and nutrition disorders
Grade 3 Hyponatremia
61.4%
186/303
Metabolism and nutrition disorders
Grade 4 Hyponatremia
3.3%
10/303
Metabolism and nutrition disorders
Grade 3 Hypophosphatemia
77.9%
236/303
Metabolism and nutrition disorders
Grade 4 Hypophosphatemia
3.6%
11/303
Musculoskeletal and connective tissue disorders
Grade 3 Device/prosthesis
0.33%
1/303
Musculoskeletal and connective tissue disorders
Grade 3 Fracture
2.6%
8/303
Musculoskeletal and connective tissue disorders
Grade 3 Gait/walking
2.6%
8/303
Musculoskeletal and connective tissue disorders
Grade 4 Gait/walking
0.33%
1/303
Musculoskeletal and connective tissue disorders
Grade 3 Muscle weakness-lower extrem.
0.99%
3/303
Musculoskeletal and connective tissue disorders
Grade 4 Muscle weakness-whole body
0.33%
1/303
Musculoskeletal and connective tissue disorders
Grade 3 Muscle weakness-whole body
4.0%
12/303
Musculoskeletal and connective tissue disorders
Grade 3 Musculoskeletal-other
1.7%
5/303
Musculoskeletal and connective tissue disorders
Grade 3 Soft tissue-abdomen
0.33%
1/303
Nervous system disorders
Grade 3 Ataxia
1.7%
5/303
Nervous system disorders
Grade 3 CNS ischemia
0.33%
1/303
Nervous system disorders
Grade 4 CNS ischemia
0.99%
3/303
Nervous system disorders
Grade 3 Confusion
5.3%
16/303
Nervous system disorders
Grade 4 Confusion
1.3%
4/303
Nervous system disorders
Grade 3 Dizziness (includes lightneadedness, disequilibrium & vertigo)
9.6%
29/303
Nervous system disorders
Grade 4 Dizziness (includes lightheadedness, disequilibrium & vertigo)
1.3%
4/303
Nervous system disorders
Grade 3 Encephalopathy
0.33%
1/303
Nervous system disorders
Grade 3 Involuntary movement
0.66%
2/303
Nervous system disorders
Grade 3 Irritability
0.33%
1/303
Nervous system disorders
Grade 4 Memory impairment
0.33%
1/303
Nervous system disorders
Grade 3 Mental status
0.99%
3/303
Nervous system disorders
Grade 3 Mood alteration (agitation, anxiety, depression, euphoria)
7.3%
22/303
Nervous system disorders
Grade 4 Mood alteration (agitation, anxiety, depression, euphoria)
0.99%
3/303
Nervous system disorders
Grade 3 Mood/conscious change
0.33%
1/303
Nervous system disorders
Grade 3 Neurology-other
0.66%
2/303
Nervous system disorders
Grade 3 Neuropathy-motor
23.4%
71/303
Nervous system disorders
Grade 4 Neuropathy-motor
3.0%
9/303
Nervous system disorders
Grade 3 Psychosis
0.99%
3/303
Nervous system disorders
Grade 3 Seizure
0.99%
3/303
Nervous system disorders
Grade 3 Sensory Neuropathy
24.1%
73/303
Nervous system disorders
Grade 4 Sensory neuropathy
1.7%
5/303
Nervous system disorders
Grade 3 Somnolence
2.6%
8/303
Nervous system disorders
Grade 4 Somnolence
0.66%
2/303
Nervous system disorders
Grade 3 Syncope
9.9%
30/303
Nervous system disorders
Grade 4 Syncope
0.33%
1/303
Nervous system disorders
Grade 3 Tremor
2.0%
6/303
Nervous system disorders
Grade 3 Weakness-motor neuropathy
0.33%
1/303
Eye disorders
Grade 3 Blurred vision
2.6%
8/303
Eye disorders
Grade 3 Cataract
2.0%
6/303
Eye disorders
Grade 3 Flashing lights
0.33%
1/303
Eye disorders
Grade 3 Ocular-other
0.33%
1/303
Eye disorders
Grade 3 Photophobia
0.33%
1/303
Eye disorders
Grade 3 Retinal detachment
0.33%
1/303
General disorders
Grade 3 Abdomen NOS
4.0%
12/303
General disorders
Grade 3 Anus
0.33%
1/303
General disorders
Grade 3 Bone
2.0%
6/303
General disorders
Grade 3 Buttock
0.66%
2/303
General disorders
Grade 3 Cardiac/heart
0.99%
3/303
General disorders
Grade 3 Chest/thorax NOS
1.3%
4/303
General disorders
Grade 3 Chest wall
0.66%
2/303
General disorders
Grade 3 Esophagus
0.66%
2/303
General disorders
Grade 3 External ear
0.33%
1/303
General disorders
Grade 3 Extremity/limb
5.9%
18/303
General disorders
Grade 4 Extremity/limb
0.33%
1/303
General disorders
Grade 3 Face
0.33%
1/303
General disorders
Grade 3 Head/headache
3.6%
11/303
General disorders
Grade 3 Hip-left
1.3%
4/303
General disorders
Grade 3 Hip-right
1.7%
5/303
General disorders
Grade 3 Joint
1.7%
5/303
General disorders
Grade 4 Joint
0.33%
1/303
General disorders
Grade 3 Kidney
0.33%
1/303
General disorders
Grade 3 Lower back
4.6%
14/303
General disorders
Grade 4 Lower back
1.3%
4/303
General disorders
Grade 3 Middle back
5.0%
15/303
General disorders
Grade 3 Muscle
2.0%
6/303
General disorders
Grade 3 Neck
2.0%
6/303
General disorders
Grade 3 Neuralgia/peripheral nerve
0.66%
2/303
General disorders
Grade 3 Oral cavity
0.66%
2/303
General disorders
Grade 3 Pain NOS
4.0%
12/303
General disorders
Grade 3 Pleura
0.66%
2/303
General disorders
Grade 3 Rectum
0.33%
1/303
General disorders
Grade 3 Rib
0.66%
2/303
General disorders
Grade 3 Sinus
0.33%
1/303
General disorders
Grade 3 Skin
0.33%
1/303
General disorders
Grade 3 Stomach
1.7%
5/303
General disorders
Grade 3 Throat pharynx/larynx
1.7%
5/303
General disorders
Grade 4 Throat pharynx/larynx
0.33%
1/303
General disorders
Grade 3 Tumor pain
0.66%
2/303
General disorders
Grade 4 Tumor pain
0.33%
1/303
General disorders
Grade 3 Upper back
8.6%
26/303
General disorders
Grade 4 Upper back
0.99%
3/303
Respiratory, thoracic and mediastinal disorders
Grade 4 ARDS
1.3%
4/303
Respiratory, thoracic and mediastinal disorders
Grade 5 Atelectasis
0.33%
1/303
Respiratory, thoracic and mediastinal disorders
Grade 3 Cough
4.6%
14/303
Respiratory, thoracic and mediastinal disorders
Grade 3 DLCO
0.33%
1/303
Respiratory, thoracic and mediastinal disorders
Grade 3 Dyspnea
9.2%
28/303
Respiratory, thoracic and mediastinal disorders
Grade 4 Dyspnea
0.33%
1/303
Respiratory, thoracic and mediastinal disorders
Grade 3 Hiccoughs
0.33%
1/303
Respiratory, thoracic and mediastinal disorders
Grade 3 Hypoxia
19.1%
58/303
Respiratory, thoracic and mediastinal disorders
Grade 4 Hypoxia
0.66%
2/303
Respiratory, thoracic and mediastinal disorders
Grade 5 Hypoxia
0.33%
1/303
Respiratory, thoracic and mediastinal disorders
Grade 3 Pneumonitis
7.3%
22/303
Respiratory, thoracic and mediastinal disorders
Grade 4 Pneumonitis
0.66%
2/303
Respiratory, thoracic and mediastinal disorders
Grade 3 Pneumothorax
0.66%
2/303
Respiratory, thoracic and mediastinal disorders
Grade 4 Pneumothorax
0.33%
1/303
Respiratory, thoracic and mediastinal disorders
Grade 3 Prolonged intubation
0.33%
1/303
Respiratory, thoracic and mediastinal disorders
Grade 3 Pulmonary-other
4.0%
12/303
Renal and urinary disorders
Grade 3 Bladder spasms
0.66%
2/303
Renal and urinary disorders
Grade 4 Bladder spasms
0.33%
1/303
Renal and urinary disorders
Grade 3 Creatinine increase
7.6%
23/303
Renal and urinary disorders
Grade 4 Creatinine increase
3.3%
10/303
Renal and urinary disorders
Grade 3 GU fistula-bladder
0.33%
1/303
Renal and urinary disorders
Grade 3 Incontinence-urinary
3.0%
9/303
Renal and urinary disorders
Grade 3 Renal failure
2.3%
7/303
Renal and urinary disorders
Grade 4 Renal failure
1.7%
5/303
Renal and urinary disorders
Grade 3 Renal-other
2.0%
6/303
Renal and urinary disorders
Grade 3 Urinary frequency/urgency
4.3%
13/303
Renal and urinary disorders
Grade 3 Urinary retention
0.33%
1/303
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Grade 3 Secondary malignancy
0.66%
2/303
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Grade 4 Secondary malignancy
0.66%
2/303
Reproductive system and breast disorders
Grade 3 Sexual-other
0.33%
1/303
Surgical and medical procedures
Grade 3 HN Operative Injury-neck
0.33%
1/303
Surgical and medical procedures
Grade 3 Muscle operative Injury-joint
0.33%
1/303
Surgical and medical procedures
Grade 3 Operative Injury-other
0.66%
2/303
Vascular disorders
Grade 3 Thrombosis/embolism
15.8%
48/303
Vascular disorders
Grade 4 Thrombosis/embolism
1.7%
5/303
Vascular disorders
Grade 3 Thrombosis/embolism (vasc acc)
1.7%
5/303
Vascular disorders
Grade 4 Thrombosis/embolism (vasc acc)
0.33%
1/303

Other adverse events

Other adverse events
Measure
Study Treatment
n=303 participants at risk
Two cycles of VDTPACE induction (Velcade days 1, 4, 8, and 11; DTPACE days 4-7) with interim thalidomide (50 mg QD) + Dex (20 mg QD x 4 days every 21 days) following each cycle. Induction followed by single or tandem MEL200 transplant (MEL140 mg/m2 for subjects \> 70 years of age) with interim thalidomide (100mg QD) + Dex (20 mg QD x 4 days every 21 days) following each transplant. Transplants followed by two cycles of VDTPACE consolidation (Velcade days 1, 4, 8, and 11; DTPACE days 1-4) with interim thalidomide (100mg QD) + Dex (20 mg QD x 4 days every 21 days) following each cycle of VDTPACE. Consolidation followed by 3 years of maintenance therapy with VDT (velcade 1.0 mg/m2 days 1, 4, 8, 11 q 28 days; Thal 100 mg QD; and Dex 20mg days 1-4 and 8-11 q 28 days) during Year 1 and TD (Thal 100 mg QD and Dex 20 mg days 1-4, q 28 days) or VTD (velcade 1.0 mg/m2 weekly, Thal 100 mg QD, and Dex 20 mg weekly) during Years 2 and 3.
Immune system disorders
Grade 1 Allergic reaction/hypersensitivity
22.8%
69/303
Immune system disorders
Grade 2 Allergic reaction/hypersensitivity
8.9%
27/303
Immune system disorders
Grade 1 Rhinitis
14.2%
43/303
Immune system disorders
Grade 2 Rhinitis
6.3%
19/303
Ear and labyrinth disorders
Grade 1 Auditory/ear-other
5.3%
16/303
Ear and labyrinth disorders
Grade 2 Hearing w/o monitoring program
5.3%
16/303
Ear and labyrinth disorders
Grade 2 Tinnitus
10.2%
31/303
Blood and lymphatic system disorders
Grade 2 Anemia
37.0%
112/303
Cardiac disorders
Grade 1 Ventricular Arrythmia
17.2%
52/303
Cardiac disorders
Grade 2 Ventricular Arrythmia
19.1%
58/303
General disorders
Grade 1 Constitutional symptoms-other
15.8%
48/303
General disorders
Grade 2 Constitutional symptoms-other
5.6%
17/303
General disorders
Grade 2 Fatigue (lethargy, malaise, asthenia)
27.7%
84/303
General disorders
Grade 1 Fever (absence of neutropenia)
43.2%
131/303
General disorders
Grade 2 Fever (absence of neutropenia)
27.1%
82/303
General disorders
Grade 1 Insomnia
17.5%
53/303
General disorders
Grade 2 Insomnia
8.6%
26/303
General disorders
Grade 1 Rigors/chills
15.5%
47/303
General disorders
Grade 1 Sweating
17.8%
54/303
General disorders
Grade 2 Sweating
7.3%
22/303
General disorders
Grade 1 Weight loss
5.6%
17/303
General disorders
Grade 1 Weight gain
14.5%
44/303
Skin and subcutaneous tissue disorders
Grade 1 Alopecia
7.3%
22/303
Skin and subcutaneous tissue disorders
Grade 2 Alopecia
20.1%
61/303
Skin and subcutaneous tissue disorders
Grade 1 Dermatology-other
12.5%
38/303
Skin and subcutaneous tissue disorders
Grade 2 Dermatology-other
5.9%
18/303
Skin and subcutaneous tissue disorders
Grade 1 Dry skin
16.5%
50/303
Skin and subcutaneous tissue disorders
Grade 2 Dry skin
9.2%
28/303
Skin and subcutaneous tissue disorders
Grade 1 Flushing
5.6%
17/303
Skin and subcutaneous tissue disorders
Grade 1 Pruritus
5.9%
18/303
Skin and subcutaneous tissue disorders
Grade 1 Skin rash/desquamation
33.0%
100/303
Skin and subcutaneous tissue disorders
Grade 2 Skin rash/desquamation
27.1%
82/303
Endocrine disorders
Grade 1 Hot flashes
5.0%
15/303
Endocrine disorders
Grade 2 Hypothyroidism
7.3%
22/303
Gastrointestinal disorders
Grade 1 Anorexia
8.9%
27/303
Gastrointestinal disorders
Grade 2 Anorexia
43.9%
133/303
Gastrointestinal disorders
Grade 1 Colitis
12.2%
37/303
Gastrointestinal disorders
Grade 2 Colitis
11.6%
35/303
Gastrointestinal disorders
Grade 1 Constipation
40.3%
122/303
Gastrointestinal disorders
Grade 2 Constipation
35.3%
107/303
Gastrointestinal disorders
Grade 1 Dehydration
5.0%
15/303
Gastrointestinal disorders
Grade 2 Dehydration
9.9%
30/303
Gastrointestinal disorders
Grade 1 Diarrhea
21.8%
66/303
Gastrointestinal disorders
Grade 2 Diarrhea
36.6%
111/303
Gastrointestinal disorders
Grade 1 Dry mouth
15.5%
47/303
Gastrointestinal disorders
Grade 2 Dry mouth
6.9%
21/303
Gastrointestinal disorders
Grade 1 Dysphagisa
10.9%
33/303
Gastrointestinal disorders
Grade 2 Dysphagia
18.5%
56/303
Gastrointestinal disorders
Grade 1 Esophagitis
7.6%
23/303
Gastrointestinal disorders
Grade 2 Esophagitis
21.5%
65/303
Gastrointestinal disorders
Grade 1 GI-other
10.9%
33/303
Gastrointestinal disorders
Grade 1 Heartburn
11.2%
34/303
Gastrointestinal disorders
Grade 1 Mucositis/Stomatitis
31.7%
96/303
Gastrointestinal disorders
Grade 2 Mucositis/Stomatitis
19.8%
60/303
Gastrointestinal disorders
Grade 1 Nausea
19.5%
59/303
Gastrointestinal disorders
Grade 2 Nausea
49.2%
149/303
Gastrointestinal disorders
Grade 1 Taste alteration
9.2%
28/303
Gastrointestinal disorders
Grade 2 Taste alteration
4.6%
14/303
Gastrointestinal disorders
Grade 1 Vomiting
22.4%
68/303
Gastrointestinal disorders
Grade 2 Vomiting
35.6%
108/303
Blood and lymphatic system disorders
Grade 1 Hemorrhage-lower GI
6.3%
19/303
Hepatobiliary disorders
Grade 1 Alkaline phosphatase increase
59.7%
181/303
Hepatobiliary disorders
Grade 2 Alkaline phosphatase increase
10.2%
31/303
Hepatobiliary disorders
Grade 1 Bilirubin increase
25.7%
78/303
Hepatobiliary disorders
Grade 2 Bilirubin increase
8.6%
26/303
Hepatobiliary disorders
Grade 1 Hypoalbuminemia
13.2%
40/303
Hepatobiliary disorders
Grade 2 Hypoalbuminemia
68.6%
208/303
Hepatobiliary disorders
Grade 1 SGOT (AST) increase
56.4%
171/303
Hepatobiliary disorders
Grade 2 SGOT (AST) increase
9.2%
28/303
Hepatobiliary disorders
Grade 1 SGPT (ALT) increase
55.4%
168/303
Hepatobiliary disorders
Grade 2 SGPT (ALT) increase
14.9%
45/303
Infections and infestations
Grade 2 Opportunistic infection
6.6%
20/303
Infections and infestations
Grade 2 Infection (documented clinically or microbiologically)
8.6%
26/303
Blood and lymphatic system disorders
Grade 1 Edema-head and neck
7.6%
23/303
Blood and lymphatic system disorders
Grade 1 Edema-limb
38.9%
118/303
Blood and lymphatic system disorders
Grade 2 Edema-limb
11.9%
36/303
Blood and lymphatic system disorders
Grade 1 Lymphatics-other
5.3%
16/303
Metabolism and nutrition disorders
Grade 1 Bicarbonate decrease
72.3%
219/303
Metabolism and nutrition disorders
Grade 2 Bicarbonate decrease
11.2%
34/303
Metabolism and nutrition disorders
Grade 1 Hypercalcemia
10.6%
32/303
Metabolism and nutrition disorders
Grade 1 Hyperglycemia
5.0%
15/303
Metabolism and nutrition disorders
Grade 2 Hyperglycemia
54.5%
165/303
Metabolism and nutrition disorders
Grade 1 Hyperkalemia
31.4%
95/303
Metabolism and nutrition disorders
Grade 2 Hyperkalemia
11.2%
34/303
Metabolism and nutrition disorders
Grade 1 Hypermagnesemia
10.2%
31/303
Metabolism and nutrition disorders
Grade 1 Hypernatremia
16.2%
49/303
Metabolism and nutrition disorders
Grade 2 Hypocalcemia
49.8%
151/303
Metabolism and nutrition disorders
Grade 1 Hypokalemia
53.5%
162/303
Metabolism and nutrition disorders
Grade 1 Hypomagnesemia
24.8%
75/303
Metabolism and nutrition disorders
Grade 2 Hypomagnesemia
11.9%
36/303
Metabolism and nutrition disorders
Grade 1 Hyponatremia
34.3%
104/303
Metabolism and nutrition disorders
Grade 2 Hypophosphatemia
17.8%
54/303
Musculoskeletal and connective tissue disorders
Grade 1 Gait/walking
5.9%
18/303
Musculoskeletal and connective tissue disorders
Grade 1 Joint-function
5.0%
15/303
Musculoskeletal and connective tissue disorders
Grade 1 Muscle weakness-whole body
11.6%
35/303
Musculoskeletal and connective tissue disorders
Grade 2 Muscle weakness-whole body
9.6%
29/303
Musculoskeletal and connective tissue disorders
Grade 1 Musculoskeletal-other
15.2%
46/303
Nervous system disorders
Grade 1 Confusion
21.8%
66/303
Musculoskeletal and connective tissue disorders
Grade 2 Confusion
8.6%
26/303
Nervous system disorders
Grade 1 Dizziness
31.7%
96/303
Nervous system disorders
Grade 2 Dizziness
23.8%
72/303
Nervous system disorders
Grade 1 Memory impairment
7.3%
22/303
Nervous system disorders
Grade 2 Memory impairment
4.6%
14/303
Nervous system disorders
Grade 1 Mood alteration
32.7%
99/303
Nervous system disorders
Grade 2 Mood alteration
32.0%
97/303
Nervous system disorders
Grade 1 Neurology-other
5.3%
16/303
Nervous system disorders
Grade 1 Neuropathy-motor
24.4%
74/303
Nervous system disorders
Grade 2 Neuropathy-motor
27.7%
84/303
Nervous system disorders
Grade 1 Sensory -neuropathy
25.4%
77/303
Nervous system disorders
Grade 2 Sensory-neuropathy
38.9%
118/303
Nervous system disorders
Grade 2 Somnolence
9.2%
28/303
Nervous system disorders
Grade 1 Tremor
18.5%
56/303
Nervous system disorders
Grade 2 Tremor
8.9%
27/303
Eye disorders
Grade 1 Blurred vision
48.2%
146/303
Eye disorders
Grade 2 Blurred vision
10.6%
32/303
Eye disorders
Grade 1 Ocular-other
7.9%
24/303
General disorders
Grade 1 Abdomen
10.2%
31/303
General disorders
Grade 2 Bone
5.3%
16/303
General disorders
Grade 1 Chest-thorax
5.3%
16/303
General disorders
Grade 1 Chest wall
5.3%
16/303
General disorders
Grade 1 Extremity-limb
11.9%
36/303
General disorders
Grade 2 Extremity-limb
13.9%
42/303
General disorders
Grade 1 Head-headache
16.8%
51/303
General disorders
Grade 2 Head-headache
8.3%
25/303
General disorders
Grade 2 Hip-left
5.3%
16/303
General disorders
Grade 1 Joint
9.6%
29/303
General disorders
Grade 2 Joint
7.6%
23/303
General disorders
Grade 1 Lower back
11.6%
35/303
General disorders
Grade 2 Lower back
18.8%
57/303
General disorders
Grade 1 Middle back
10.6%
32/303
General disorders
Grade 2 Middle back
7.9%
24/303
General disorders
Grade 1 Muscle
5.9%
18/303
General disorders
Grade 1 Neck
5.6%
17/303
General disorders
Grade 1 Pain NOS
15.8%
48/303
General disorders
Grade 2 Pain NOS
8.9%
27/303
General disorders
Grade 1 Stomach
7.6%
23/303
General disorders
Grade 1 Throat pharynx-larynx
5.0%
15/303
General disorders
Grade 1 Upper back
18.8%
57/303
General disorders
Grade 2 Upper back
25.1%
76/303
Respiratory, thoracic and mediastinal disorders
Grade 1 Cough
52.1%
158/303
Respiratory, thoracic and mediastinal disorders
Grade 2 Cough
23.8%
72/303
Respiratory, thoracic and mediastinal disorders
Grade 1 Dyspnea
15.2%
46/303
Respiratory, thoracic and mediastinal disorders
Grade 2 Dyspnea
9.2%
28/303
Respiratory, thoracic and mediastinal disorders
Grade 1 Hiccoughs
7.6%
23/303
Respiratory, thoracic and mediastinal disorders
Grade 2 Hypoxia
21.8%
66/303
Respiratory, thoracic and mediastinal disorders
Grade 1 Nasal/paranasal reactions
6.3%
19/303
Respiratory, thoracic and mediastinal disorders
Grade 2 Pneumonitis
6.6%
20/303
Respiratory, thoracic and mediastinal disorders
Grade 1 Pulmonary-other
9.9%
30/303
Respiratory, thoracic and mediastinal disorders
Grade 2 Pulmonary-other
5.6%
17/303
Renal and urinary disorders
Grade 1 Creatinine increase
37.0%
112/303
Renal and urinary disorders
Grade 2 Creatinine increase
20.5%
62/303
Renal and urinary disorders
Grade 1 Incontinence-urinary
8.9%
27/303
Renal and urinary disorders
Grade 2 Incontinence-urinary
5.6%
17/303
Renal and urinary disorders
Grade 1 Renal-other
7.6%
23/303
Renal and urinary disorders
Grade 1 Urinary frequency-urgency
24.8%
75/303
Renal and urinary disorders
Grade 2 Urinary frequency-urgency
8.9%
27/303
Vascular disorders
Grade 2 Thrombosis/embolism
9.6%
29/303

Additional Information

Director of Clinical Trials and Regulatory Affairs

The Myeloma Institute, University of Arkansas for Medical Sciences

Phone: 501-526-6990

Results disclosure agreements

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