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Maintenance Therapy With Subcutaneous Bortezomib

Primary Purpose

Multiple Myeloma

Status
Completed
Phase
Phase 2
Locations
Italy
Study Type
Interventional
Intervention
Bortezomib
Dexamethasone
Sponsored by
European Myeloma Network
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Myeloma focused on measuring Multiple Myeloma, Refractory, Relapsed

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patient is of a legally consenting age as defined by local regulations.
  2. Patient is, in the investigator(s) opinion willing and able to comply with the protocol requirements.
  3. Patient has given voluntary written informed consent before performance of any study-related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to their future medical care.
  4. Female patient is either post-menopausal for 24 consecutive months or surgically sterilised or agree to continuous abstinence from heterosexual sexual contact or willing to use two acceptable method of birth control at the same time (one highly effective method and one additional effective method) (Highly Effective Methods: Intrauterine device -IUD-; Hormonal -birth control pills, injections, implants-; tubal ligation; partner's vasectomy; Additional Effective Methods: Latex condom; Diaphragm; Cervical Cap) for 4 weeks prior to beginning study drug therapy, during study drug therapy (including dose interruption) and for 4 weeks after discontinuation of therapy.
  5. Male patient agrees to use an acceptable method for contraception (i.e., condom or abstinence) during study drug therapy (including dose interruption) and for 4 weeks after discontinuation of bortezomib therapy.
  6. Patient was previously diagnosed with multiple myeloma based on standard criteria.
  7. Patient is relapsed or refractory after one to three lines of treatment and the last one must be a bortezomib-containing regimen, without evidence of progressive disease.
  8. Patient had previously received at least 4 cycles of a salvage treatment containing bortezomib, before enrolment, without evidence of progressive disease.
  9. Patient must be enrolled and start therapy within 45 days from the completion of the last salvage cycle containing Bortezomib.
  10. Before the salvage treatment with bortezomib-based regimens, patient must have measurable disease

Exclusion Criteria:

  1. Any serious medical condition, laboratory abnormality or psychiatric illness that prevented the subject from signing the informed consent form or placed the subjects at unacceptable risk.
  2. Pregnant or lactating females
  3. Known positive for HIV or active infectious hepatitis type A, B or C
  4. Peripheral neuropathy or neuropathic pain grade 2 or higher, as defined by National Cancer Institute Common Toxicity Criteria (NCI CTC) 4.0
  5. Infiltrative pulmonary disease.

Sites / Locations

  • Irccs Crob

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Experimental

Arm Label

No prolonged therapy is scheduled

Bortezomib Dexamethasone (Biochemical relapse)

Arm Description

Patients randomized in this group will be observed. At the occurrence of biochemical relapse, 4 VD cycles will be administered: Bortezomib (SC) and Dexamethasone (PO) weekly.

Outcomes

Primary Outcome Measures

Time to Progression

Secondary Outcome Measures

Survival
Overall Survival Progression Free Survival
Response
Objective overall response rate (ORR)
Response
Duration of response
Response
Time to response
Response
Time to the next anti-myeloma therapy (TNT)
Response
TTP measured from the beginning of the salvage treatment
Response
Role of the type of salvage treatment
Response
Role of previous treatments
Response
Incidence of grade 3 and 4 hematological and non-hematological adverse events (AEs)
Response
Exploratory assessment on prognosis (ISS, age and FISH abnormalities)

Full Information

First Posted
April 10, 2013
Last Updated
September 25, 2023
Sponsor
European Myeloma Network
Collaborators
Fondazione EMN Italy Onlus
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1. Study Identification

Unique Protocol Identification Number
NCT01913730
Brief Title
Maintenance Therapy With Subcutaneous Bortezomib
Official Title
A PHASE II MULTI-CENTRE, RANDOMIZED, OPEN LABEL STUDY OF MAINTENANCE THERAPY WITH SUBCUTANEOUS BORTEZOMIB TWICE MONTHLY ASSOCIATED WITH DEXAMETHASONE, IN RELAPSED AND REFRACTORY MULTIPLE MYELOMA PATIENTS AFTER SALVAGE WITH BORTEZOMIB-BASED THERAPY
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
November 2013 (Actual)
Primary Completion Date
April 2021 (Actual)
Study Completion Date
September 7, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
European Myeloma Network
Collaborators
Fondazione EMN Italy Onlus

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a multicenter, randomized, open label study designed to evaluate the efficacy and safety of prolonged treatment with bortezomib twice monthly and dexamethasone after a salvage treatment containing bortezomib for relapsed or refractory multiple myeloma patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma
Keywords
Multiple Myeloma, Refractory, Relapsed

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
63 (Actual)

8. Arms, Groups, and Interventions

Arm Title
No prolonged therapy is scheduled
Arm Type
No Intervention
Arm Title
Bortezomib Dexamethasone (Biochemical relapse)
Arm Type
Experimental
Arm Description
Patients randomized in this group will be observed. At the occurrence of biochemical relapse, 4 VD cycles will be administered: Bortezomib (SC) and Dexamethasone (PO) weekly.
Intervention Type
Drug
Intervention Name(s)
Bortezomib
Intervention Type
Drug
Intervention Name(s)
Dexamethasone
Primary Outcome Measure Information:
Title
Time to Progression
Time Frame
5 years
Secondary Outcome Measure Information:
Title
Survival
Description
Overall Survival Progression Free Survival
Time Frame
5 years
Title
Response
Description
Objective overall response rate (ORR)
Time Frame
5 years
Title
Response
Description
Duration of response
Time Frame
5 years
Title
Response
Description
Time to response
Time Frame
5 years
Title
Response
Description
Time to the next anti-myeloma therapy (TNT)
Time Frame
5 years
Title
Response
Description
TTP measured from the beginning of the salvage treatment
Time Frame
5 years
Title
Response
Description
Role of the type of salvage treatment
Time Frame
5 years
Title
Response
Description
Role of previous treatments
Time Frame
5 years
Title
Response
Description
Incidence of grade 3 and 4 hematological and non-hematological adverse events (AEs)
Time Frame
5 years
Title
Response
Description
Exploratory assessment on prognosis (ISS, age and FISH abnormalities)
Time Frame
5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is of a legally consenting age as defined by local regulations. Patient is, in the investigator(s) opinion willing and able to comply with the protocol requirements. Patient has given voluntary written informed consent before performance of any study-related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to their future medical care. Female patient is either post-menopausal for 24 consecutive months or surgically sterilised or agree to continuous abstinence from heterosexual sexual contact or willing to use two acceptable method of birth control at the same time (one highly effective method and one additional effective method) (Highly Effective Methods: Intrauterine device -IUD-; Hormonal -birth control pills, injections, implants-; tubal ligation; partner's vasectomy; Additional Effective Methods: Latex condom; Diaphragm; Cervical Cap) for 4 weeks prior to beginning study drug therapy, during study drug therapy (including dose interruption) and for 4 weeks after discontinuation of therapy. Male patient agrees to use an acceptable method for contraception (i.e., condom or abstinence) during study drug therapy (including dose interruption) and for 4 weeks after discontinuation of bortezomib therapy. Patient was previously diagnosed with multiple myeloma based on standard criteria. Patient is relapsed or refractory after one to three lines of treatment and the last one must be a bortezomib-containing regimen, without evidence of progressive disease. Patient had previously received at least 4 cycles of a salvage treatment containing bortezomib, before enrolment, without evidence of progressive disease. Patient must be enrolled and start therapy within 45 days from the completion of the last salvage cycle containing Bortezomib. Before the salvage treatment with bortezomib-based regimens, patient must have measurable disease Exclusion Criteria: Any serious medical condition, laboratory abnormality or psychiatric illness that prevented the subject from signing the informed consent form or placed the subjects at unacceptable risk. Pregnant or lactating females Known positive for HIV or active infectious hepatitis type A, B or C Peripheral neuropathy or neuropathic pain grade 2 or higher, as defined by National Cancer Institute Common Toxicity Criteria (NCI CTC) 4.0 Infiltrative pulmonary disease.
Facility Information:
Facility Name
Irccs Crob
City
Rionero in Vulture
State/Province
Potenza
Country
Italy

12. IPD Sharing Statement

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Maintenance Therapy With Subcutaneous Bortezomib

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