Myeloma Clinical Trial
Official title:
Treatment of Myeloma in Patients <= 65 Years Old With Response >= 50% After HSC Autotransplant by Allogenic Transplant Genoidentical or Phenoidentical After Reduced Intensity Conditioning (IFM 2005-03)
Donor mobilization :
Donor will be mobilized with G-CSF (Granocyte) sub-cutaneous 10 µg/kg/day during 5 to 6
days.
Hematopoïetic Stem Cell Harvest:
By 1, 2, or 3 aphaeresis, a number of 4 x 106 cellules CD34+ /kg is required. If the CD34+
>= 2 and <= 4x106/kg: the center must decide on the strategy Decision. In case of
insufficient graft : a Bone Marrow Harvest is recommended Conditioning : Fludarabine -
Busulfan - ATG
- D-5 : Fludarabine (30 mg/m²)
- D-4 : Fludarabine (30 mg/m²)+ Busilvex (0,8 mg/kg every 6 h)
- D-3 : Fludarabine (30 mg/m²)+ Busilvex (0,8 mg/kg every 6 h)
- D-2 : Fludarabine (30 mg/m²) + ATG (Genzyme) (2.5 mg/Kg)
- D-1 : Fludarabine (30 mg/m²) + ATG (Genzyme) (2.5 mg/Kg) GVHD Prophylaxis: CsA alone at
3 mg/ kg + Methotrexate D1, D3 and D6 only in case of minor ABO incompatibility and
with an anti A/B antibodies titer> 1/32.
Transplant : HSC at D0
• 3 months after Transplantation :
Disease Evaluation :
- If CR : Supervision. Then if progression: 4 cycles of Bortezomib.
- If no CR : Bortezomib (4 cycles)
• Evaluation after Bortezomib cycles
- If CR : Supervision. Then, if progression and no GvHD : DLI If no RC and no GVHD : DLI
n/a
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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