Stem Cell Translpantation in Multiple Myeloma

NCT ID: NCT05082675

Last Updated: 2023-09-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

357 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-09-30

Study Completion Date

2012-01-31

Brief Summary

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The purpose of this study is to determine whether autologous transplantation (using the patient's own stem cells from the blood), followed by non-myeloablative (i.e. less intense) allogeneic transplantation (where the blood stem cells from a sibling donor are used for the transplantation) improves the outcome in patients with newly diagnosed multiple myeloma.

Detailed Description

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This trial includes a natural (no available HLA-identical sibling donor) control arm. Patients with newly diagnosed multiple myeloma without a sibling are initially treated with conventional chemotherapy followed by conventional single or double autologous transplant (PBSCT). Data from this group is used as part of the control group.

Eligible patients with one or more sibling are offered to participate in the main trial arm. Those who decline are asked to consider taking part in the control group (autograft only).

Patients consenting to participate in the main study first receive the PBSCT, followed by the HLA-matched non-myeloablative allograft (matched for HLA -A, -B, -C, -DRB1).

All study patients receive four to six cycles of VAD (or alternative regimens specified in protocol) before PBSCT as first line treatment. Study entry starts at the time of starting conditioning for autologous transplantation. The search for an identical sibling donor begins as soon as the patient has consented to participate in the study.

The allograft is performed when the patient has restored their marrow function but no earlier than 3 months following PBSCT.

The aim is to demonstrate a difference in outcome (progression free survival, transplant related mortality, relapse rate, and survival).

Conditions

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Multiple Myeloma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Patients with an HLA-identical sibling donor were allocated to the auto-allo arm (n = 108) and patients without a matched sibling donor were allocated to the auto arm (n = 249)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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auto/RICallo treatment arm

Patients with an HLA-identical sibling donor were allocated to the auto-allo arm (n = 108)

Group Type EXPERIMENTAL

HLA Matched allogeneic transplant

Intervention Type PROCEDURE

auto arm

patients without a matched sibling donor were allocated to the auto arm (n = 249). Single (n = 145) or tandem (n = 104)

Group Type ACTIVE_COMPARATOR

HLA Matched allogeneic transplant

Intervention Type PROCEDURE

Interventions

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HLA Matched allogeneic transplant

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed Stage-II and III multiple myeloma (According to Durie and Salmon classification)
* Age under 70 years
* Life expectancy over 3 months
* Patients must be able to give informed consent

Exclusion Criteria

* Serious concomitant medical disease which would limit life span or the ability to tolerate chemotherapy
* Severe cardiac failure (ejection fraction \<40%)
* Impairment of renal function at diagnosis is not per se reason for exclusion but patients with severe impaired renal function (GFR \<50 ml/min) after initial VAD (or VAD like) induction treatment are excluded
* Severe impairment of liver function (bilirubin \>2 times upper limit of normal)
* Pregnant or lactating women
* Other major organ system dysfunction (GI, neurological, psychiatric dysfunction) that impairs tolerance of therapy or prolong hematological recovery
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Society for Blood and Marrow Transplantation

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bo Björkstrand, MD

Role: STUDY_CHAIR

Huddinge University Hospital

Locations

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Medizinische Universität Wien

Vienna, , Austria

Site Status

Québec, , Canada

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

Herlev Hospital

Herlev, , Denmark

Site Status

Helsinki University Central Hospital

Helsinki, , Finland

Site Status

Tampere University Hospital

Tampere, , Finland

Site Status

Turku University

Turku, , Finland

Site Status

CHU Lapeyronie

Montpellier, , France

Site Status

University of Heidelberg

Heidelberg, , Germany

Site Status

University of Leipzig

Leipzig, , Germany

Site Status

Ospedale Ferrarotto

Catania, , Italy

Site Status

Ospedale di Careggi

Florence, , Italy

Site Status

University of Milano

Milan, , Italy

Site Status

Uni. Modena, Policlinico

Modena, , Italy

Site Status

IRCCS, Casa Sollievo della Sofferenza

San Giovanni Rotondo, , Italy

Site Status

Rikshospitalet

Oslo, , Norway

Site Status

Tromsø, , Norway

Site Status

Trondheim, , Norway

Site Status

Sahlgrenska University Hospital

Gothenburg, , Sweden

Site Status

Huddinge University Hospital

Huddinge, , Sweden

Site Status

Stockholm, , Sweden

Site Status

University Hospital

Uppsala, , Sweden

Site Status

University Faculty of Medicine

Ankara, , Turkey (Türkiye)

Site Status

Royal Marsden Hospital

London, , United Kingdom

Site Status

Countries

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Austria Canada Denmark Finland France Germany Italy Norway Sweden Turkey (Türkiye) United Kingdom

Related Links

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http://www.ebmt.org

Sponsor's website

Other Identifiers

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NMAM2000

Identifier Type: -

Identifier Source: org_study_id

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