Trial Outcomes & Findings for Busulfan, Cyclophosphamide, and Autologous Stem Cell Transplant in Treating Patients With Multiple Myeloma (NCT NCT00941720)

NCT ID: NCT00941720

Last Updated: 2020-07-24

Results Overview

Number of participants without progressive disease at the end of the study period, using the definitions for complete response, partial response and progressive disease from the International Myeloma Working Group .

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

71 participants

Primary outcome timeframe

at 6 months

Results posted on

2020-07-24

Participant Flow

Participant milestones

Participant milestones
Measure
Busulfan Treatment
busulfan: IV busulfan 0.8 mg/kg every 6 hours x 16 doses cyclophosphamide: IV cyclophosphamide 60 mg/kg over 4 hours x 2 days autologous hematopoietic stem cell transplantation: infusion of autologous hematopoietic stem cells of at least 2.0 x 106 CD34+ cells/kg on day 0
Overall Study
STARTED
71
Overall Study
COMPLETED
57
Overall Study
NOT COMPLETED
14

Reasons for withdrawal

Reasons for withdrawal
Measure
Busulfan Treatment
busulfan: IV busulfan 0.8 mg/kg every 6 hours x 16 doses cyclophosphamide: IV cyclophosphamide 60 mg/kg over 4 hours x 2 days autologous hematopoietic stem cell transplantation: infusion of autologous hematopoietic stem cells of at least 2.0 x 106 CD34+ cells/kg on day 0
Overall Study
Withdrawal by Subject
1
Overall Study
Insurance denied participation
11
Overall Study
ineligible
2

Baseline Characteristics

Busulfan, Cyclophosphamide, and Autologous Stem Cell Transplant in Treating Patients With Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Busulfan Treatment
n=57 Participants
busulfan: IV busulfan 0.8 mg/kg every 6 hours x 16 doses cyclophosphamide: IV cyclophosphamide 60 mg/kg over 4 hours x 2 days autologous hematopoietic stem cell transplantation: infusion of autologous hematopoietic stem cells of at least 2.0 x 106 CD34+ cells/kg on day 0
Age, Continuous
58 years
STANDARD_DEVIATION 8 • n=5 Participants
Sex: Female, Male
Female
24 Participants
n=5 Participants
Sex: Female, Male
Male
33 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
9 Participants
n=5 Participants
Race (NIH/OMB)
White
47 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
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
57 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
57 participants
n=5 Participants

PRIMARY outcome

Timeframe: at 6 months

Number of participants without progressive disease at the end of the study period, using the definitions for complete response, partial response and progressive disease from the International Myeloma Working Group .

Outcome measures

Outcome measures
Measure
Busulfan Treatment
n=57 Participants
busulfan: IV busulfan 0.8 mg/kg every 6 hours x 16 doses cyclophosphamide: IV cyclophosphamide 60 mg/kg over 4 hours x 2 days autologous hematopoietic stem cell transplantation: infusion of autologous hematopoietic stem cells of at least 2.0 x 106 CD34+ cells/kg on day 0
Relapse-free Survival
48 participants

PRIMARY outcome

Timeframe: at 6 months

Number of patients alive at the end of the study period

Outcome measures

Outcome measures
Measure
Busulfan Treatment
n=57 Participants
busulfan: IV busulfan 0.8 mg/kg every 6 hours x 16 doses cyclophosphamide: IV cyclophosphamide 60 mg/kg over 4 hours x 2 days autologous hematopoietic stem cell transplantation: infusion of autologous hematopoietic stem cells of at least 2.0 x 106 CD34+ cells/kg on day 0
Overall Survival
53 participants

SECONDARY outcome

Timeframe: At 6 months

Toxicity criteria will be assessed and graded according to the National Cancer Institute (NCI) Common Terminology Criteria (CTC) v3.0. Estimated using exact 95% binomial confidence intervals.

Outcome measures

Outcome measures
Measure
Busulfan Treatment
n=57 Participants
busulfan: IV busulfan 0.8 mg/kg every 6 hours x 16 doses cyclophosphamide: IV cyclophosphamide 60 mg/kg over 4 hours x 2 days autologous hematopoietic stem cell transplantation: infusion of autologous hematopoietic stem cells of at least 2.0 x 106 CD34+ cells/kg on day 0
Pulmonary Toxicity
3.5 percentage of participants
Interval 0.4 to 12.1

Adverse Events

Busulfan Treatment

Serious events: 12 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Busulfan Treatment
n=57 participants at risk
busulfan: IV busulfan 0.8 mg/kg every 6 hours x 16 doses cyclophosphamide: IV cyclophosphamide 60 mg/kg over 4 hours x 2 days autologous hematopoietic stem cell transplantation: infusion of autologous hematopoietic stem cells of at least 2.0 x 106 CD34+ cells/kg on day 0
Respiratory, thoracic and mediastinal disorders
Adult Respiratory Distress Syndrome
1.8%
1/57 • Number of events 1 • 100 days after off treatment
Immune system disorders
Allergic reaction - Angioedemia due to ACE Inhibitors
1.8%
1/57 • Number of events 1 • 100 days after off treatment
Blood and lymphatic system disorders
Blood and lymphatic system disorders - other (Relapsed disease)
1.8%
1/57 • Number of events 2 • 100 days after off treatment
General disorders
Death NOS
8.8%
5/57 • Number of events 5 • 100 days after off treatment
Respiratory, thoracic and mediastinal disorders
Dyspenia
1.8%
1/57 • Number of events 1 • 100 days after off treatment
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications - Other (patient fell and hit head. Never recovered)
1.8%
1/57 • Number of events 2 • 100 days after off treatment
Respiratory, thoracic and mediastinal disorders
Laryngeal edema
1.8%
1/57 • Number of events 2 • 100 days after off treatment
Infections and infestations
Lung Infection
1.8%
1/57 • Number of events 1 • 100 days after off treatment

Other adverse events

Other adverse events
Measure
Busulfan Treatment
n=57 participants at risk
busulfan: IV busulfan 0.8 mg/kg every 6 hours x 16 doses cyclophosphamide: IV cyclophosphamide 60 mg/kg over 4 hours x 2 days autologous hematopoietic stem cell transplantation: infusion of autologous hematopoietic stem cells of at least 2.0 x 106 CD34+ cells/kg on day 0
Infections and infestations
Catheter related infection
1.8%
1/57 • Number of events 1 • 100 days after off treatment
Gastrointestinal disorders
Colitis - diverticulitis
1.8%
1/57 • Number of events 1 • 100 days after off treatment
Respiratory, thoracic and mediastinal disorders
Dyspenia
1.8%
1/57 • Number of events 1 • 100 days after off treatment
General disorders
Fever
1.8%
1/57 • Number of events 3 • 100 days after off treatment
Gastrointestinal disorders
Gastrointestinal disorders - Clostridium difficile in urine and diarrhea
1.8%
1/57 • Number of events 1 • 100 days after off treatment

Additional Information

Dr. Ronald Sobecks

CCCC

Phone: 216-444-6833

Results disclosure agreements

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