Effects of Exercise in Combination With Epoetin Alfa

NCT ID: NCT00577096

Last Updated: 2015-04-06

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-10-31

Study Completion Date

2004-06-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of the study was to determine the effect of Epoetin alfa therapy (short term versus long term) with and without a home-based individualized exercise program that incorporated aerobic and strength resistance training for patients being treated with high-dose chemotherapy and autologous peripheral bloodstem cell transplantation (PBSC T) for multiple myeloma. The endpoints for the study included the number of attempts at and total number of days of stem cell collection, number of RBC and platelet transfusions during the transplantation period, time-to-recovery after transplantation, and response to intensive therapy for multiple myeloma.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Multiple Myeloma

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Exercise

Study participants were computer randomized to an individualized exercise program. Participants were stratified within Arm according to whether or not they received thalidomide with heparin, and by age (60 and younger versus older than 60)

Group Type EXPERIMENTAL

Epoetin Alfa

Intervention Type DRUG

Epoetin alfa was administered per an IRB approved algorithm to study participants when hemoglobin levels dropped during high dose chemotherapy. The usual dose is 150 units/kg og body weight, three times per week, or 40,000 units weekly, with suggested target hemoglobin range of 10-12 g/dl.

Exercise

Intervention Type BEHAVIORAL

A home-based individualized exercise program that incorporated aerobic and strength resistance training.

Autologous Peripheral Blood Stem Cell Transplantation

Intervention Type BIOLOGICAL

Standard PBSCT for multiple myeloma

Red Blood Cell Transfusion

Intervention Type BIOLOGICAL

RBC Transfusion was administered as needed

Thalidomide

Intervention Type DRUG

Fifty percent of the participants received 400 mg daily

Heparin, Low-Molecular-Weight

Intervention Type DRUG

Patients who received thalidomide also received prophylactic low molecular weight heparin

Platelet Transfusion

Intervention Type BIOLOGICAL

Platelet transfusions were administered as needed

Melphalan

Intervention Type DRUG

Administered with autologous peripheralblood stem cell transplantation (PBSCT) for multiple myeloma

usual care

Study participants were asked to remain as active as possible but not prescribed an individualized exercise program. Participants were stratified within Arm according to whether or not they received thalidomide with heparin, and by age (60 and younger versus older than 60)

Group Type ACTIVE_COMPARATOR

Epoetin Alfa

Intervention Type DRUG

Epoetin alfa was administered per an IRB approved algorithm to study participants when hemoglobin levels dropped during high dose chemotherapy. The usual dose is 150 units/kg of body weight, three times per week, or 40,000 units weekly, with suggested target hemoglobin range of 10-12 g/dl

Total Therapy II

Intervention Type DRUG

Standard Induction chemotherapy care included: vincristine, doxorubicin, and dexamethasone (VAD) (0.5 mg, 10 mg/m2, and 40 mg, respectively);dexamethasone, cyclophosphamide,etoposide, and cisplatin (DCEP) (40 mg, 400 mg/m2, 40 mg/m2, and 15 mg/m2,respectively); and cyclophosphamide,doxorubicin, and dexamethasone (CAD) (750 mg/m2, 15 mg/m2, and 40 mg, respectively) for mobilization.

Red Blood Cell Transfusion

Intervention Type BIOLOGICAL

RBC Transfusion was administered as needed

Thalidomide

Intervention Type DRUG

Fifty percent of participants received 400 mg daily

Heparin, Low-Molecular-Weight

Intervention Type DRUG

Patients who received thalidomide also received prophylactic low molecular weight heparin

Platelet Transfusion

Intervention Type BIOLOGICAL

Platelet transfusions were administered as needed

Melphalan

Intervention Type DRUG

Administered with autologous peripheralblood stem cell transplantation (PBSCT) for multiple myeloma

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Epoetin Alfa

Epoetin alfa was administered per an IRB approved algorithm to study participants when hemoglobin levels dropped during high dose chemotherapy. The usual dose is 150 units/kg og body weight, three times per week, or 40,000 units weekly, with suggested target hemoglobin range of 10-12 g/dl.

Intervention Type DRUG

Exercise

A home-based individualized exercise program that incorporated aerobic and strength resistance training.

Intervention Type BEHAVIORAL

Autologous Peripheral Blood Stem Cell Transplantation

Standard PBSCT for multiple myeloma

Intervention Type BIOLOGICAL

Red Blood Cell Transfusion

RBC Transfusion was administered as needed

Intervention Type BIOLOGICAL

Thalidomide

Fifty percent of the participants received 400 mg daily

Intervention Type DRUG

Heparin, Low-Molecular-Weight

Patients who received thalidomide also received prophylactic low molecular weight heparin

Intervention Type DRUG

Platelet Transfusion

Platelet transfusions were administered as needed

Intervention Type BIOLOGICAL

Melphalan

Administered with autologous peripheralblood stem cell transplantation (PBSCT) for multiple myeloma

Intervention Type DRUG

Epoetin Alfa

Epoetin alfa was administered per an IRB approved algorithm to study participants when hemoglobin levels dropped during high dose chemotherapy. The usual dose is 150 units/kg of body weight, three times per week, or 40,000 units weekly, with suggested target hemoglobin range of 10-12 g/dl

Intervention Type DRUG

Total Therapy II

Standard Induction chemotherapy care included: vincristine, doxorubicin, and dexamethasone (VAD) (0.5 mg, 10 mg/m2, and 40 mg, respectively);dexamethasone, cyclophosphamide,etoposide, and cisplatin (DCEP) (40 mg, 400 mg/m2, 40 mg/m2, and 15 mg/m2,respectively); and cyclophosphamide,doxorubicin, and dexamethasone (CAD) (750 mg/m2, 15 mg/m2, and 40 mg, respectively) for mobilization.

Intervention Type DRUG

Red Blood Cell Transfusion

RBC Transfusion was administered as needed

Intervention Type BIOLOGICAL

Thalidomide

Fifty percent of participants received 400 mg daily

Intervention Type DRUG

Heparin, Low-Molecular-Weight

Patients who received thalidomide also received prophylactic low molecular weight heparin

Intervention Type DRUG

Platelet Transfusion

Platelet transfusions were administered as needed

Intervention Type BIOLOGICAL

Melphalan

Administered with autologous peripheralblood stem cell transplantation (PBSCT) for multiple myeloma

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

EPO (PBSCT) (RBC) EPO vincristine doxorubicin dexamethasone cyclophosphamide etoposide cisplatin RBC

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Those who were not at high risk for impending pathologic fracture or cord compression, as determined by magnetic resonance imaging and other radiology reports and physician assessments,and enrolled in Total Therapy treatment protocols were invited to participate in the study.

Exclusion Criteria

Patients were excluded if they showed any of the following attributes/conditions:

* Inability to understand the intent of the study
* Current diagnosis with a major psychiatric illness
* Presence of microcytic or macrocytic anemia
* Uncontrolled hypertension
* Red cell transfusions within 2 weeks; and
* Recombinant epoetin alfa within 8 weeks of study enrollment.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

Ortho Biotech Clinical Affairs, L.L.C.

INDUSTRY

Sponsor Role collaborator

University of Arkansas

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

University of Arkansas for Medical Sciences

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Sharon K Coon

Role: STUDY_DIRECTOR

University of Oklahoma

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

R01NR008937

Identifier Type: NIH

Identifier Source: secondary_id

View Link

Ortho Biotech Clinical Affairs

Identifier Type: OTHER

Identifier Source: secondary_id

IRB # 29287

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.