A Phase III Trial on the Effect of Elotuzumab in VRD Induction /Consolidation and Lenalidomide Maintenance in Patients With Newly Diagnosed Myeloma (GMMG-HD6)
Multiple Myeloma

About this trial
This is an interventional treatment trial for Multiple Myeloma
Eligibility Criteria
Inclusion Criteria:
- Patients meeting all of the following criteria will be considered for admission to the trial:
- Confirmed diagnosis of untreated multiple myeloma requiring systemic therapy (diagnostic criteria (IMWG updated criteria (2014) )
Measurable disease, defined as any quantifiable monoclonal protein value, defined by at least one of the following three measurements:
- Serum M-protein ≥ 10g/l (for IgA ≥ 5g/l)
- Urine light-chain (M-protein) of ≥ 200 mg/24 hours
- Serum FLC assay: involved FLC level ≥ 10 mg/dl provided sFLC ratio is abnormal
- Age 18 - 70 years inclusive
- WHO performance status 0-3 (WHO=3 is allowed only if caused by MM and not by co-morbid conditions)
- Negative pregnancy test at inclusion (women of childbearing potential)
- For all men and women of childbearing potential: patients must be willing and capable to use adequate contraception during the complete therapy. Patients must agree on the requirements regarding the lenalidomide pregnancy prevention programme described in chapter 6.
All patients must
- agree to abstain from donating blood while taking lenalidomide and for 28 days following discontinuation of lenalidomide therapy
- agree not to share study drug lenalidomide with another person and to return all unused study drug to the investigator or pharmacist
- Ability of patient to understand character and individual consequences of the clinical trial
- Written informed consent (must be available before enrollment in the trial)
Exclusion Criteria:
- Patients presenting with any of the following criteria will not be included in the trial:
- Patient has known hypersensitivity to any drugs given in the protocol, notably bortezomib, lenalidomide, dexamethasone and elotuzumab or to any of the constituent compounds (incl. boron and mannitol).
- Systemic AL amyloidosis (except for AL amyloidosis of the skin or the bone marrow)
- Previous chemotherapy or radiotherapy during the past 5 years except local radiotherapy in case of local myeloma progression.
- Severe cardiac dysfunction (NYHA classification III-IV)
- Significant hepatic dysfunction (serum bilirubin ≥ 1,8mg/dl and/or ASAT and/or ALAT ≥ 2.5 times normal level), unless related to myeloma.
- Patients with renal insufficiency requiring hemodialysis
- HIV positivity
- Patients with active or history of hepatitis B or C
- Patients with active, uncontrolled infections
- Patients with peripheral neuropathy or neuropathic pain, CTC grade 2 or higher (as defined by the NCI Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.0)
- Patients with a history of active malignancy during the past 5 years with the exception of basal cell carcinoma of the skin or stage 0 cervical carcinoma treated with curative intent
- Patients with acute diffuse infiltrative pulmonary and/or pericardial disease
- Autoimmune hemolytic anemia with positive Coombs test or immune thrombocytopenia
- Platelet count < 75 x 109/l, or, dependent on bone marrow infiltration by plasma cells, platelet count < 30 x 109/l (patients with platelet count < 75 x 109/l, but > 30 x 109/l may be eligible if percentage of plasma cells in bone marrow is ≥ 50%), (transfusion support within 14 days before the test is not allowed)
- Haemoglobin ≤ 8.0 g/dl, unless related to myeloma
- Absolute neutrophil count (ANC) < 1.0 x 10^9/l (the use of colony stimulating factors within 14 days before the test is not allowed), unless related to myeloma
- Pregnancy and lactation
- Participation in other clinical trials. This does not include long-term follow-up periods without active drug treatment of previous studies during the last 6 months.
No patients will be allowed to enrol in this trial more than once.
Sites / Locations
- Studienzentrum Aschaffenburg
- MVZ Onkologie gGmbH der Klinikum Mittelbaden gGmbH
- HELIOS Klinikum, Klinik für Hämatologie, Onkologie und Immunologie
- Onkologisches MVZ Berlin Tegel
- Charité Campus Benjamin Franklin, III. Med. Abt. (Hämatologie/Onkologie)
- Klinikum Bielefeld, Klinik für Hämatologie, Onkologie und Palliativmedizin
- Studiengesellschaft Onkologie Bielefeld GbR
- Hämatologisch-onkologische Schwerpunktpraxis
- Medizinische Universitätsklinik, Knappschaftskrankenhaus
- Universitätsklinikum Bonn, Medizinische Klinik und Poliklinik III, Schwerpunkt Onkologie, Hämatologie und Rheumatologie
- ZAHO, Zentrum für ambulante Hämatologie und Onkologie
- Schwerpunktpraxis für Onkologie/Hämatologie
- Klinikum Chemnitz GmbH, Innere Medizin III
- Onkologisches Studienzentrum Darmstadt
- Klinikum Darmstadt, Med. Klinik V, Hämatologie/Onkologie
- HELIOS St. Johannes Klinik, Akademisches Krankenhaus der Heinrich-Heine-Universität Düsseldorf
- MVZ Düsseldorf GmbH
- Sana Kliniken Düsseldorf GmbH
- Universitätsklinikum Düsseldorf, Klinik für Hämatologie,Onkologie und Klin. Immunologie
- Universitätsklinik Erlangen
- St.-Antonius-Hospital Klinik f. Hämatologie und Onkologie
- Universitätsklinikum Essen, Klinik für Hämatologie
- Ev. Krankenhaus Essen-Werden gGmbH, Zentrum für Innere Medizin, Klinik für Hämatologie, Onkologie und Stammzelltransplantation
- Centrum für Hämatologie und Onkologie Bethanien
- Universitätsklinikum Frankfurt, Goethe-Universität Medizinische Klinik II
- Agaplesion Markus Krankenhaus
- Praxis und Tagesklinik Friedrichshafen
- Gemeinschaftspraxis Schmitt/Eulenbuch
- Justus-Liebig-Universität, Medizinische Klinik IV
- Kath. Krankenhaus Hagen gGmbH, Abt. Hämatologie/Onkologie
- Universitätsklinikum Hamburg-Eppendorf, II - Med. Klinik und Poliklinik
- Asklepios Klinik Hamburg Altona, II. Med. Klinik
- Evangelisches Krankhaus Hamm gGmbH
- Onkologische Schwerpunktpraxis
- University Hospital Heidelberg, Med. Klinik V
- Onkologische Schwerpunktpraxis
- SLK Kliniken Heilbronn, Med. Klinik III
- Universitätsklinikum des Saarlandes, Innere Medizin I
- Westpfalz-Klinikum GmbH
- Onkologische Schwerpunktpraxis Karlsruhe
- Onkologische Gemeinschaftspraxis Kassel
- Praxisklinik für Hämatologie und Onkologie
- Universitätsklinikum Köln, Klinik I - Innere Medizin
- Onkologisches Zentrum, Gemeinschaftspraxis f. Hämatologie u. Onkologie im Caritas KH
- Klinikum Lippe GmbH, Hämatologie-Onkologie
- Schwerpunktpraxis für Hämatologie und Onkologie
- Med. Klinik A, Klinikum der Stadt Ludwigshafen am Rhein gGmbH
- Internistische Schwerpunktpraxis für Hämatologie und Onkologie
- Universitätsmedizin der Johannes Gutenberg-Universität Mainz, III. Med. Klinik
- III. Medizinische Klinik Hämatologie und Internistische Onkologie
- Mannheimer Onkologie Praxis
- Philipps-Universität Marburg, Hämatologie/Onkologie/Immunologie
- Mühlenkreiskliniken (AöR) Johannes Wesling Klinikum Minden, Hämatologie/Onkologie, Hämostaseologie und Palliativmedizin
- Krankenhaus Maria Hilf GmbH, Franziskuskrankenhaus, Med. Klinik I
- Praxis für Hämatologie und internistische Onkologie
- Internistisch, Onkologische Gemeinschaftspraxis Dres. Balló
- Onkologische Praxis Oldenburg
- Krankenhaus Barmherzige Brüder, Klinik für Onkologie und Hämatologie
- Klinikum am Steinenberg, Ermstalklinik, Medizinische Klinik I
- Diakonie-Klinikum Schwäbisch Hall gGmbH, Innere Medizin III
- ZAHO-Zentrum für ambulante Hämatologie und Onkologie, Standort Siegburg
- Diakonie Klinikum Jung-Stilling-Krankenhaus, Medizinische Klinik
- Onkologische Schwerpunktpraxis für Onkologie und Gastroenterologie
- Onkologische Schwerpunktpraxis Speyer
- Klinikum Mutterhaus der Borromäerinnen gGmbH
- University Hospital Tübingen, Med. Klinik und Poliklinik, Abt. II
- Schwarzwald-Baar Klinikum, Klinik für Innere Medizin II
- Rems-Murr-Klinikum gGmbH Winnenden
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Active Comparator
Experimental
Experimental
Experimental
A1
A2
B1
B2
Induction therapy with 4 cycles VRD (Velcade, Revlimid, Dexamethasone), 21 days per cycle, intensification (mobilization and autologous stem cell transplantation), consolidation therapy with 2 cycles VRD (Velcade, Revlimid, Dexamethasone), 21 days per cycle. Maintenance therapy: 26 cycles (28 days) with lenalidomide (Dexamethasone on day 1 and 15 in cycles 1-6 and on day 1 in cycles 7 to 26).
Induction therapy with 4 cycles VRD (Velcade, Revlimid, Dexamethasone) 21 days per cycle, intensification (mobilization and autologous stem cell transplantation), consolidation therapy with 2 cycles VRD (Velcade, Revlimid, Dexamethasone) + elotuzumab, 21 days per cycle. Maintenance therapy: 26 cycles (28 days) with lenalidomide + elotuzumab (Dexamethasone on day 1 and 15 in cycles 1-6 and on day 1 in cycles 7 to 26).
Induction therapy with 4 cycles VRD (Velcade, Revlimid, Dexamethasone) + elotuzumab , 21 days per cycle, intensification (mobilization and autologous stem cell transplantation), consolidation therapy with 2 cycles VRD (Velcade, Revlimid, Dexamethasone) 21 days per cycle. Maintenance therapy: 26 cycles (28 days) with lenalidomide (Dexamethasone on day 1 and 15 in cycles 1-6 and on day 1 in cycles 7 to 26).
Induction therapy with 4 cycles VRD (Velcade, Revlimid, Dexamethasone) + elotuzumab, 21 days per cycle, intensification (mobilization and autologous stem cell transplantation), consolidation therapy with 2 cycles VRD (Velcade, Revlimid, Dexamethasone) + elotuzumab, 21 days per cycle. Maintenance therapy: 26 cycles (28 days) with lenalidomide + elotuzumab (Dexamethasone on day 1 and 15 in cycles 1-6 and on day 1 in cycles 7 to 26).