Expired Study
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New York, New York 10021


Purpose:

PRIMARY STUDY OBJECTIVES - To evaluate the efficacy of the combination of bortezomib, dexamethasone, with and without DOXIL, followed by high-dose cyclophosphamide as a therapy for two different subsets of multiple myeloma patients: 1. Patients post first line therapy 2. Patients with relapsed/refractory disease who are bortezomib-naïve - To evaluate the safety of the combination of bortezomib and dexamethasone, with and without DOXIL, followed by high-dose cyclophosphamide as therapy for patients with multiple myeloma. SECONDARY STUDY OBJECTIVES - To evaluate the role of the combination of bortezomib dexamethasone, with and without DOXIL, followed by high-dose cyclophosphamide on the ability to collect > 10 x 106 CD34+ cells/kg in < 7 collections (for both subsets of multiple myeloma patients). - To evaluate the survival of patients who receive the combination of bortezomib dexamethasone, with and without DOXIL, followed by high-dose cyclophosphamide (for both subsets of patients).


Criteria:

Inclusion Criteria: - Subject must voluntarily sign and understand written informed consent. - Confirmed diagnosis of multiple myeloma as specified by the SWOG criteria and is detailed in Appendix I. - Measurable disease as defined the following: 1. For patients post induction therapy, any measurable paraprotein in the serum or urine and/or any plasmacytoma present on physical exam or imaging. 2. For patients with relapsed/refractory disease, > 0.5 g/dL serum monoclonal protein, > 0.1 g/dL serum free light chains, > 0.2 g/24 hrs urinary M-protein excretion, and/or measurable plasmacytoma(s). - Age > or = than 18 years at the time of signing the informed consent form. - Karnofsky performance status> or =70% (>60% if due to bony involvement of myeloma). - Group A (post-induction therapy)- patients who have received only one prior treatment regimen (eg VAD, Thal/Dex, BLT-D, MP, BiRD, or DVd) with at least 20 patients having received a Revlimid based regimen or Group B(>1st line of therapy)- patients with relapsed/refractory multiple myeloma who have received two or more prior treatment regimens . - If the patient is a woman of childbearing age, she must have a negative serum or urine pregnancy test within 7 days of starting study and must use effective contraception throughout the course of the study. - Life expectancy > 12 weeks. - Absolute neutrophil count (ANC)> or = 1500 cells/mm3 (> or = 1000 for patients with bone marrow biopsy displaying > 50% involvement by myeloma) - Platelets count > or = 50,000/mm3 (> or = 30,000 for patients with bone marrow biopsy displaying > 50% involvement by myeloma) - Hemoglobin > 9.0 g/dL - Serum SGOT/AST <3.0 x upper limits of normal (ULN) - Serum SGPT/ALT <3.0 x upper limits of normal (ULN) - Serum creatinine < 2.5 mg/dL or creatinine clearance > 40ml/min - Serum total bilirubin < 1.5 x ULN - Patients must have a MUGA scan with LVEF >50% Exclusion Criteria: - Patients with non-secretory MM (no measurable monoclonal protein, free light chains, and/or M-spike in blood or urine) unless measurable disease is available with imaging techniques such as MRI and PET scan. - Prior treatment with bortezomib. - Peripheral neuropathy of > Grade 2 as defined by CTCAE Version 3.0 (see Appendix II) - History of allergic reactions to compounds containing mannitol, bortezomib, conventional formulation of doxorubicin HCL or the components of DOXIL. - Prior history of other malignancies (except for basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix or breast) unless disease free for ³ 5 years. - NYHA Class III or IV heart disease. History of active unstable angina, congestive heart disease, serious uncontrolled cardiac arrhythmia or myocardial infarction within 6 months. - Female patients who are pregnant or breastfeeding. Women of childbearing potential and men must agree to use adequate contraception prior to study entry and for the duration of study participation. - Known HIV or hepatitis A, B, or C positivity - Active viral or bacterial infections or any coexisting medical problem that would significantly increase the risks of this treatment program. - Any concurrent, uncontrolled medical condition, laboratory abnormality, or psychiatric illness which could place him/her at unacceptable risk, including, but not limited to, uncontrolled hypertension, uncontrolled diabetes, active uncontrolled infection, and/or acute chronic liver disease (i.e., hepatitis, cirrhosis). - No prior anti-myeloma therapy within 2 weeks of treatment initiation.


NCT ID:

NCT00148317


Primary Contact:

Principal Investigator
Ruben Niesvizky, MD
Weill Medical College of Cornell University


Backup Contact:

N/A


Location Contact:

New York, New York 10021
United States



There is no listed contact information for this specific location.

Site Status: N/A


Data Source: ClinicalTrials.gov

Date Processed: October 09, 2019

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