Refractory Multiple Myeloma Clinical Trial
Official title:
MC1082: A Phase I/II Trial of Pomalidomide (CC-4047), Bortezomib, and Dexamethasone in Patients With Relapsed or Refractory Multiple Myeloma
RATIONALE: Pomalidomide and bortezomib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Bortezomib may also stop the growth of tumor cells by blocking blood flow to the tumor. Drugs used in chemotherapy, such as dexamethasone, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving pomalidomide and bortezomib together with dexamethasone may kill more tumor cells. PURPOSE: This phase I/II trial is studying the side effects and best dose of bortezomib when given together with pomalidomide and dexamethasone and to see how well it works in treating patients with relapsed or refractory multiple myeloma.
PRIMARY OBJECTIVES:
I. Determine the maximum tolerated dose (MTD) of bortezomib in combination with pomalidomide
and dexamethasone.
II. To evaluate the hematologic response rate (PR, VGPR, or CR) of pomalidomide, bortezomib
and dexamethasone in patients with relapsed or refractory myeloma.
SECONDARY OBJECTIVES:
I. Time to progression.
II. To assess the toxicity of pomalidomide, bortezomib and dexamethasone in this patient
population.
OUTLINE : This is a phase I, dose-escalation study of bortezomib followed by a phase II
study. Patients receive oral pomalidomide on days 1-21; bortezomib IV on days 1, 8,15, 22;
and oral dexamethasone on days 1, 8, 15, 22 . Treatment repeats every 28 days for 8 courses.
Patients then receive maintenance therapy comprising oral pomalidomide on days 1-21. Courses
repeat every 28 days in the absence of disease progression or unacceptable toxicity. After
completion of study treatment, patients are followed up every 6 months.
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