Melphalan and Busulfan Followed By Donor Peripheral Stem Cell Transplant, Tacrolimus, and Methotrexate in Treating Patients With Multiple Myeloma
Multiple Myeloma and Plasma Cell Neoplasm
About this trial
This is an interventional treatment trial for Multiple Myeloma and Plasma Cell Neoplasm focused on measuring stage I multiple myeloma, stage II multiple myeloma, stage III multiple myeloma, refractory multiple myeloma
Eligibility Criteria
DISEASE CHARACTERISTICS: Diagnosis of multiple myeloma Stage I disease with disease progression during the second of ≥ 2 lines of prior therapy Stage II or III disease, meeting 1 of the following criteria: Failed to achieve at least a partial response after ≥ 2 courses of prior therapy Progressive disease after ≥ 2 courses of prior therapy Presented with high-risk features at diagnosis, including any of the following: Cytogenetic abnormality Del 13 or 4,14 by fluorescent in situ hybridization (FISH) Elevated lactic dehydrogenase Beta 2 microglobulin > 5.5 Circulating peripheral blood plasma cells Any stage disease with disease progression > 6 months after prior autologous stem cell transplantation Availability of an HLA-matched, related donor between 12 and 75 years of age* No bone marrow donors NOTE: *Donors > 75 years of age are eligible at the discretion of the principal investigator PATIENT CHARACTERISTICS: Karnofsky performance status 70-100% Creatinine clearance > 60 mL/min Bilirubin ≤ 2.5 mg/dL ALT/AST < 2 times upper limit of normal Cardiac ejection fraction ≥ 49% DLCO ≥ 50% corrected FEV_1 ≥ 60% Not pregnant or nursing Fertile patients must use effective contraception HIV negative No cirrhosis No chronic inflammatory or fibrotic liver disease PRIOR CONCURRENT THERAPY: See Disease Characteristics At least 6 months since prior autologous transplantation
Sites / Locations
- Fred Hutchinson Cancer Research Center