Lenalidomide in Treating Patients With Multiple Myeloma Undergoing Autologous Stem Cell Transplant
DS Stage I Multiple Myeloma, DS Stage II Multiple Myeloma, DS Stage III Multiple Myeloma
About this trial
This is an interventional treatment trial for DS Stage I Multiple Myeloma
Eligibility Criteria
Inclusion Criteria: Patients must have active multiple myeloma requiring treatment (Durie-Salmon stage >= 1) and have stable disease or be responsive to at least 2 months of any induction therapy; patients with smoldering myeloma are not eligible unless the disease has progressed to >= stage 1 No more than 12 months of any prior therapy, including CC-5013 and thalidomide Within 12 months of initiation of induction therapy No prior progression after initial therapy; in addition, no more than two regimens will be allowed excluding dexamethasone alone No prior peripheral blood, bone marrow, or solid organ transplant Patients must have peripheral blood stem cell collection of >= 2 x 10^6 cluster of differentiation (CD)34+ cells/kg (patient body weight) and preferably 5 x 10^6 cells/kg (patient body weight); stem cells may be collected at any time prior to transplant; peripheral blood stem cell collection may occur before or after registration Patients must have Eastern Cooperative Oncology Group (ECOG) performance status of 0-1 Patients must have diffusing capacity of the lung for carbon monoxide (DLCO) > 50% predicted with no symptomatic pulmonary disease Patients must have left ventricular ejection fraction (LVEF) >= 40% by multi gated acquisition scan (MUGA) or echocardiogram Patients must not have uncontrolled diabetes mellitus Patients must not have an active serious infection Patients must not be human immunodeficiency virus (HIV), hepatitis B surface antigen (HBSag), or hepatitis (Hep) C positive Patients must be non-pregnant and non-nursing; women of childbearing potential must have a negative serum or urine pregnancy test with a sensitivity of at least 25 mIU/mL 10-14 days prior to registration and repeated within 24 hours prior to the first dose of lenalidomide; in addition, women of childbearing potential taking lenalidomide must have a pregnancy test performed by the doctor weekly during the first 4 weeks of treatment, and then every 4 weeks if menses are regular and every 2 weeks if menses are irregular, and then 30 days following the last dose of lenalidomide; women of childbearing potential must either commit to continued abstinence from heterosexual intercourse or begin two acceptable methods of birth control - one highly effective method (intrauterine device [IUD], hormonal, tubal ligation, or partner's vasectomy), and one additional effective method (latex condom, diaphragm, or cervical cap) - at the same time, at least 4 weeks before she begins lenalidomide therapy; "women of childbearing" potential is defined as a sexually mature woman who has not undergone a hysterectomy or who has had menses at any time in the preceding 24 consecutive months; men must agree not to father a child and must use a latex condom during any sexual contact with women of childbearing potential while taking lenalidomide and for 4 weeks after therapy is stopped, even if they have undergone a successful vasectomy Absolute neutrophil count (ANC) >= 1000/uL Platelets >= 100,000/uL Creatinine clearance* >= 40 cc/min To be calculated by method of Cockcroft-Gault or after 24-hour urine collection Creatinine =< 2 mg/dL Total bilirubin =< 2 mg/dL Aspartate aminotransferase (AST) =< 3 x upper limits of normal Alkaline phosphatase =< 3 x upper limits of normal Urine (U)-human chorionic gonadotropin (HCG) or serum HCG negative (if patient of childbearing potential)
Sites / Locations
- Mayo Clinic in Arizona
- City of Hope Comprehensive Cancer Center
- University of California Davis Comprehensive Cancer Center
- UC San Diego Medical Center - Hillcrest
- UCSF Medical Center-Mount Zion
- The Medical Center of Aurora
- Boulder Community Hospital
- Penrose-Saint Francis Healthcare
- Porter Adventist Hospital
- Presbyterian - Saint Lukes Medical Center - Health One
- SCL Health Saint Joseph Hospital
- Rose Medical Center
- Western States Cancer Research NCORP
- Swedish Medical Center
- Saint Mary's Hospital and Regional Medical Center
- North Colorado Medical Center
- Saint Anthony Hospital
- Sky Ridge Medical Center
- Longmont United Hospital
- McKee Medical Center
- Saint Mary Corwin Medical Center
- North Suburban Medical Center
- SCL Health Lutheran Medical Center
- Beebe Medical Center
- Christiana Care Health System-Christiana Hospital
- Saint Francis Hospital - Wilmington
- George Washington University Medical Center
- University of Florida Health Science Center - Gainesville
- Mayo Clinic in Florida
- University of Miami Miller School of Medicine-Sylvester Cancer Center
- Northside Hospital
- Augusta University Medical Center
- Saint Luke's Cancer Institute - Boise
- Saint Joseph Medical Center
- Graham Hospital Association
- Memorial Hospital
- Jesse Brown Veterans Affairs Medical Center
- University of Illinois
- University of Chicago Comprehensive Cancer Center
- Heartland Cancer Research NCORP
- Eureka Hospital
- Galesburg Cottage Hospital
- Illinois CancerCare-Galesburg
- Mason District Hospital
- Hopedale Medical Complex - Hospital
- Kewanee Hospital
- Mcdonough District Hospital
- Bromenn Regional Medical Center
- Carle Cancer Institute Normal
- Illinois CancerCare-Ottawa Clinic
- Ottawa Regional Hospital and Healthcare Center
- OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center
- Pekin Hospital
- Proctor Hospital
- Illinois CancerCare-Peoria
- Methodist Medical Center of Illinois
- OSF Saint Francis Medical Center
- Illinois Valley Hospital
- Perry Memorial Hospital
- Saint Margaret's Hospital
- Indiana University/Melvin and Bren Simon Cancer Center
- Providence Medical Center
- Lawrence Memorial Hospital
- Menorah Medical Center
- Radiation Oncology Practice Corporation Southwest
- Advent Health - Shawnee Mission Medical Center
- Walter Reed National Military Medical Center
- Christiana Care - Union Hospital
- Brigham and Women's Hospital
- Dana-Farber Cancer Institute
- Lahey Hospital and Medical Center
- University of Minnesota/Masonic Cancer Center
- Mayo Clinic in Rochester
- University of Mississippi Medical Center
- Centerpoint Medical Center LLC
- Truman Medical Centers
- Saint Luke's Hospital of Kansas City
- Radiation Oncology Practice Corporation South
- Saint Joseph Health Center
- North Kansas City Hospital
- Research Medical Center
- Radiation Oncology Practice Corporation - North
- Saint Luke's East - Lee's Summit
- Liberty Radiation Oncology Center
- Heartland Regional Medical Center
- Washington University School of Medicine
- University of Nebraska Medical Center
- Cooper Hospital University Medical Center
- Rutgers Cancer Institute of New Jersey
- University of New Mexico Cancer Center
- Montefiore Medical Center-Weiler Hospital
- Montefiore Medical Center-Wakefield Campus
- Montefiore Medical Center - Moses Campus
- Roswell Park Cancer Institute
- Northwell Health NCORP
- North Shore University Hospital
- Long Island Jewish Medical Center
- Mount Sinai Hospital
- Memorial Sloan Kettering Cancer Center
- NYP/Weill Cornell Medical Center
- University of Rochester
- State University of New York Upstate Medical University
- UNC Lineberger Comprehensive Cancer Center
- Carolinas Medical Center/Levine Cancer Institute
- Wake Forest University Health Sciences
- The Jewish Hospital
- Case Western Reserve University
- MetroHealth Medical Center
- Ohio State University Comprehensive Cancer Center
- Legacy Good Samaritan Hospital and Medical Center
- Providence Portland Medical Center
- Oregon Health and Science University
- Geisinger Medical Center
- Geisinger Medical Center-Cancer Center Hazleton
- University of Pennsylvania/Abramson Cancer Center
- Fox Chase Cancer Center
- West Penn Hospital
- University of Pittsburgh Cancer Institute (UPCI)
- Geisinger Medical Group
- Geisinger Wyoming Valley/Henry Cancer Center
- Saint Francis Hospital
- Prisma Health Greenville Memorial Hospital
- Prisma Health Cancer Institute - Eastside
- Vanderbilt University/Ingram Cancer Center
- Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
- Houston Methodist Hospital
- M D Anderson Cancer Center
- LDS Hospital
- Central Vermont Medical Center/National Life Cancer Treatment
- University of Vermont and State Agricultural College
- Virginia Oncology Associates-Hampton
- Virginia Commonwealth University/Massey Cancer Center
- University of Washington Medical Center - Montlake
- Saint Mary's Medical Center
- Aurora Cancer Care-Glendale
- University of Wisconsin Carbone Cancer Center
- Marshfield Medical Center-Marshfield
- Medical College of Wisconsin
- Ascension Saint Mary's Hospital
- Marshfield Medical Center-Rice Lake
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Arm I (melphalan, autologous PBSCT, lenalidomide)
Arm II (melphalan, autologous PBSCT, placebo)
Beginning between day 100-110, patients receive lenalidomide PO once daily. Treatment continues in the absence of disease progression or unacceptable toxicity.
Beginning between day 100-110, patients receive placebo PO once daily. Treatment continues in the absence of disease progression or unacceptable toxicity.