Aplidin - Dexamethasone in Relapsed/Refractory Myeloma

NCT ID: NCT01102426

Last Updated: 2020-11-10

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

255 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2017-11-30

Brief Summary

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Study of Plitidepsin in combination with dexamethasone versus dexamethasone alone in patients with relapsed/refractory multiple myeloma.

Detailed Description

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Phase III Study in Patients with Relapsed/Refractory Multiple Myeloma to compare the efficacy of plitidepsin in combination with dexamethasone vs. dexamethasone alone measured by progression-free survival (PFS) and to evaluate tumor response, duration of response (DR), overall survival (OS) and to rule out any effect of plitidepsin on the duration of the QT/QTc interval (time corresponding to the beginning of depolarization to re-polarization of the ventricles).

Conditions

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Relapsed/Refractory Multiple Myeloma

Keywords

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Multiple Myeloma Aplidin plitidepsin dexamethasone

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Plitidepsin+Dexamethasone

plitidepsin + dexamethasone combination

Group Type EXPERIMENTAL

Plitidepsin

Intervention Type DRUG

plitidepsin: powder and solvent for concentrate for solution for infusion. 2 mg vial + 4 ml ampoule. 5 mg/m2 intravenously (i.v.) over three hours on Day 1 and 15 every 4 weeks. dexamethasone: 4 mg tablet. 40 mg orally on Day 1, 8, 15 and 22 every four weeks at least one hour before plitidepsin infusion.

Dexamethasone

Intervention Type DRUG

4 mg tablet. 40 mg orally on Day 1, 8, 15 and 22 every four weeks.

Dexamethasone

dexamethasone single agent

Group Type ACTIVE_COMPARATOR

Dexamethasone

Intervention Type DRUG

4 mg tablet. 40 mg orally on Day 1, 8, 15 and 22 every four weeks.

Interventions

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Plitidepsin

plitidepsin: powder and solvent for concentrate for solution for infusion. 2 mg vial + 4 ml ampoule. 5 mg/m2 intravenously (i.v.) over three hours on Day 1 and 15 every 4 weeks. dexamethasone: 4 mg tablet. 40 mg orally on Day 1, 8, 15 and 22 every four weeks at least one hour before plitidepsin infusion.

Intervention Type DRUG

Dexamethasone

4 mg tablet. 40 mg orally on Day 1, 8, 15 and 22 every four weeks.

Intervention Type DRUG

Other Intervention Names

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APLIDIN (plitidepsin) DXN

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years.
* Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) ≤ 2
* Life expectancy ≥ 3 months.
* Patients previously diagnosed with multiple myeloma
* Patients must have relapsed or relapsed and refractory multiple myeloma (MM) after at least three but not more than six prior therapeutic regimens for MM, including induction therapy and stem cell transplant in candidate patients, which will be considered as only one regimen.
* Patients must have received previous bortezomib-containing and lenalidomide-containing regimens (or thalidomide where lenalidomide is not available)
* Women must have a negative serum pregnancy test
* Voluntarily signed and dated written informed consent

Exclusion Criteria

* Concomitant diseases/conditions
* Women who are pregnant or breast feeding.
* Concomitant medications that include corticosteroids, chemotherapy, or other therapy that is or may be active against MM
* Known hypersensitivity to any involved study drug or any of its formulation components
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PharmaMar

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Óscar F. Ballester, M.D.

Role: PRINCIPAL_INVESTIGATOR

Edwards Comprehensive Cancer Center, Marshall University (Huntington)

Rubén Niesvizky, M.D.

Role: PRINCIPAL_INVESTIGATOR

NY Presbyterian Hosp. - Cornell University - NY

Locations

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1107

Tuscaloosa, Alabama, United States

Site Status

1103

Los Angeles, California, United States

Site Status

1105

Jacksonville, Florida, United States

Site Status

1102

New York, New York, United States

Site Status

1104

Canton, Ohio, United States

Site Status

108

Adelaide, , Australia

Site Status

102

Canberra, , Australia

Site Status

101

Geelong, , Australia

Site Status

105

Parkville, , Australia

Site Status

106

Perth, , Australia

Site Status

104

South Brisbane, , Australia

Site Status

109

Woodville, , Australia

Site Status

202

Graz, , Austria

Site Status

204

Innsbruck, , Austria

Site Status

203

Salzburg, , Austria

Site Status

201

Vienna, , Austria

Site Status

205

Vienna, , Austria

Site Status

208

Vienna, , Austria

Site Status

304

Bruges, , Belgium

Site Status

301

Brussels, , Belgium

Site Status

303

Brussels, , Belgium

Site Status

302

Ghent, , Belgium

Site Status

502

Brno, , Czechia

Site Status

503

Hradec Králové, , Czechia

Site Status

501

Prague, , Czechia

Site Status

601

Lille, , France

Site Status

602

Nantes, , France

Site Status

606

Rouen, , France

Site Status

604

Vandœuvre-lès-Nancy, , France

Site Status

709

Düsseldorf, , Germany

Site Status

705

Essen, , Germany

Site Status

706

Frankfurt, , Germany

Site Status

707

Frankfurt, , Germany

Site Status

708

Freiburg im Breisgau, , Germany

Site Status

703

Heidelberg, , Germany

Site Status

702

München, , Germany

Site Status

704

Würzburg, , Germany

Site Status

1301

Athens, , Greece

Site Status

1303

Pátrai, , Greece

Site Status

1302

Thessaloniki, , Greece

Site Status

1401

Dublin, , Ireland

Site Status

806

Bari, , Italy

Site Status

801

Genova, , Italy

Site Status

805

Reggio Emilia, , Italy

Site Status

803

Rozzano, , Italy

Site Status

804

San Giovanni Rotondo, , Italy

Site Status

802

Torino, , Italy

Site Status

901

Rotterdam, , Netherlands

Site Status

902

Rotterdam, , Netherlands

Site Status

1601

Christchurch, , New Zealand

Site Status

1602

Takapuna, , New Zealand

Site Status

1704

Opole, , Poland

Site Status

1703

Warsaw, , Poland

Site Status

1802

Braga, , Portugal

Site Status

1801

Porto, , Portugal

Site Status

2001

San Juan, , Puerto Rico

Site Status

1502

Anyang, , South Korea

Site Status

1501

Daejeon, , South Korea

Site Status

1507

Hwasun, , South Korea

Site Status

1506

Incheon, , South Korea

Site Status

1505

Jeonju, , South Korea

Site Status

1508

Seongnam, , South Korea

Site Status

1503

Seoul, , South Korea

Site Status

1504

Seoul, , South Korea

Site Status

1509

Seoul, , South Korea

Site Status

1201

Barcelona, , Spain

Site Status

1203

Barcelona, , Spain

Site Status

1209

Barcelona, , Spain

Site Status

1207

Madrid, , Spain

Site Status

1210

Madrid, , Spain

Site Status

1206

Murcia, , Spain

Site Status

1204

Palma de Mallorca, , Spain

Site Status

1208

Salamanca, , Spain

Site Status

1202

San Sebastián, , Spain

Site Status

1205

Valencia, , Spain

Site Status

1901

Taipei, , Taiwan

Site Status

1902

Taipei, , Taiwan

Site Status

1903

Taipei, , Taiwan

Site Status

1003

Bournemouth, , United Kingdom

Site Status

1004

Bradford, , United Kingdom

Site Status

1001

London, , United Kingdom

Site Status

1005

Nottingham, , United Kingdom

Site Status

Countries

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United States Australia Austria Belgium Czechia France Germany Greece Ireland Italy Netherlands New Zealand Poland Portugal Puerto Rico South Korea Spain Taiwan United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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APL-C-001-09

Identifier Type: -

Identifier Source: org_study_id