Multiple Myeloma Clinical Trial
Official title:
A Prospective Randomized Trial Comparing Three Different Peripheral Stem Cell Mobilization Regimens in Patients With Symptomatic Multiple Myeloma or Lymphoma
This phase III randomized trial compares three different peripheral stem cell mobilization
regimens for patients with multiple myeloma who have received primary induction therapy or
other therapies. Up to 180 patients will be enrolled. Patients eligible for treatment will be
randomized to one of the three following mobilization regimens:
Arm A = VELCADE, CYCLOPHOSPHAMIDE, & G-CSF Arm B = VELCADE & G-CSF Arm C = CYCLOPHOSPHAMIDE &
G-CSF Arm D = PLERIXAFOR & G-CSF Arm E = PLERIXAFOR, VELCADE, & G-CSF
PRIMARY STUDY OBJECTIVES
• To compare the efficacy of the following peripheral stem cell mobilization regimens for MM:
i. High dose cyclophosphamide, VELCADE, and G-CSF ii. VELCADE and G-CSF iii. High dose
cyclophosphamide and G-CSF
SECONDARY STUDY OBJECTIVES
• To evaluate biomarkers as surrogate markers of mobilization in each arm To evaluate changes
in tumor mass as defined by standard response parameters. To evaluate the safety of each of
the arms.
This phase III randomized trial compares three different peripheral stem cell mobilization
regimens for patients with multiple myeloma who have received primary induction therapy
Primary Endpoints
a) Percentage of patients able to collect >6 x 106 CD34+ cells/kg in < 2 collections.
Secondary Endpoints
1. Engrafting: Neutrophil recovery (ANC >0.5 of <12 days), Plt recovery (>20K untransfused
<20 days)) after mel 200 based transplant.
2. Toxicities
;
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