Comparing Intermediate-dose CTX+ G-CSF Plus or Not rhTPO for PB CD34+ Cells Mobilization in MM Patients
Multiple Myeloma
About this trial
This is an interventional treatment trial for Multiple Myeloma focused on measuring Hematopoietic Stem Cell Mobilization, Thrombopoietin
Eligibility Criteria
Inclusion Criteria:
- Diagnosed MM fulfill the International Myeloma Working Group (IMWG) criteria for MM diagnosis
- Eastern Cooperative Oncology Group (ECOG) performance status smaller than 2 and a life expectancy of more than 6 months
- Age at least 18 ys , no more than 70 ys old
- No active infectious disease; no severe organ failure (except renal failure secondary to MM)
- All screening procedures and evaluations should be completed
- All patients should provide written informed consent.
Exclusion Criteria:
- severe impaired liver function; HIV positive or had active hepatitis A, B or C infection; hepatitis B virus-DNA more than 10^4/L;aspartate aminotransferase ( AST) and alanine aminotransferase (ALT) more than 2.5 upper limit of normal (ULN)
- any disease that could put patients at high risk, including but not limited to unstable cardiac disease, defined as myocardial infarction in the previous 6 months, New York Heart Association (NYHA) class III-IV heart failure, uncontrolled atrial fibrillation or hypertension
- severe prior thrombosis-event
- history of other malignancy, unless cured for more than 3 years
- pregnancy, lactation or disagreement to take contraceptive measures
- severe infectious disease (uncured tuberculosis, pulmonary aspergillosis)
- epilepsia, dementia or any mental disease requiring treatment.
Sites / Locations
- Beijing Chaoyang HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
rhTPO treatment group
non- rhTPO treatment group
Subject will receive chemotherapy with intermediate-dose CTX 2.5/m2 for 2 days. 10 ug/kg/d of G-CSFwas administered from the WBC was lower than 1×10^9/L following bejing of chemotherapy or no later than day 7after chemotherapy. G-CSF was subcutaneously administered once daily until the stem cell collection was completed. rhTPO was administered 15 000 U/d once daily by subcutaneous injection from day 5-7 after chemotherapy and until the stem cell collection was completed.
Subject will receive chemotherapy with intermediate-dose CTX 2.5/m2 for 2 days. 10 ug/kg/d of G-CSF was administered from the WBC was lower than 1×10^9/L following bejing of chemotherapy or no later than day 7after chemotherapy. G-CSF was subcutaneously administered once daily until the stem cell collection was completed.