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Vaccine Therapy for Multiple Myeloma Utilizing Idiotype-Pulsed Allogeneic Dendritic Cells

This study is ongoing, but not recruiting participants.
Study NCT00186316.   Last updated on October 23, 2008.   Information provided by Stanford University

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Descriptive Information Fields
Brief Title  Vaccine Therapy for Multiple Myeloma Utilizing Idiotype-Pulsed Allogeneic Dendritic Cells
Official Title  A Phase I/II Study of Vaccine Therapy for Multiple Myeloma Utilizing Idiotype-Pulsed Allogeneic Dendritic Cells
Brief Summary

Patients with Multiple myeloma who have undergone non-myeloablative allogeneic stem cell transplant will receive 6 vaccinations of donor derived dendritic cells combined with specific protein produced by multiple myeloma.

Detailed Description

To evaluate feasibility and safety of vaccination with allogeneic idiotype-pulsed dendritic cells following mixed chimeric allogeneic transplantation for multiple myeloma.

Study Phase Phase I, Phase II
Study Type  Interventional
Study Design  Treatment, Non-Randomized, Open Label, Active Control, Single Group Assignment
Primary Outcome Measure  Patient will complete 4 vaccinations of monthly interval
Secondary Outcome Measure  Evaluation of immune response. Immune response analysis will be done on all patients who are enrolled in the study. Patients who completed a minimum of 4 vaccinations will be included in immune response.
Condition  Multiple Myeloma
Intervention  Biological: Idiotype-pulsed allogeneic dendritic cells
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Active, not recruiting
Enrollment  30
Start Date  April 2003
Completion Date
Eligibility Criteria 

Inclusion Criteria:1. For specimen collection and idiotype protein development:

  • Must be secretory myeloma with at least .5g/dl serum IgG protein
  • Clinically stage 2 or 3 multiple myeloma
  • Karnofsky performance status of 70 or greater

    2. For Vaccination:

  • Eligible patients must have completed tandem autologous and nonmyeloablative allogeneic transplant for multiple myeloma at Stanford University Medical Center with stable disease or complete response to prevaccine therapy
  • Karnofsky performance status of 70 or greater.
  • ALT and AST must be <2X upper limit of normal. Total blilirubin < 1.5X upper limit of normal.
  • Serum creatinine <1.5X upper limit of normal.
  • Hemoglobin >9g/dl
  • Patients must be HIV negative.
  • Patients must provide signed, informed consent

Donor Inclusion Criteria (allodonor is the same donor used for non-myeloablative transplant)

  • Age >17 years
  • HIV negative
  • Must provide signed, informed consent&#xA;

Exclusion Criteria:1. For specimen collection and idiotype protein development:

  • Patients with non-secretory myeloma
  • Severe psychological or medical illness
  • Pregnant or lactating women
  • Subjects with > Grade I toxicity by NCI-CTC v 3.0
  • Subjects with prognosis < 6 months

    2. For Vaccination:

  • < 75 mg of idiotype protein purified from the patients serum
  • < 25 million allogeneic idiotype-pulsed dendritic cells produced for vaccination
  • Evidence of grade II-IV acute GVHD (defined in section 5E)
  • Patients with evidence of myeloma disease progression as (defined below)
  • Severe psychological or medical illness or concomitant medications which may interfere with the study as determined by the clinical investigator
  • Patients on any other investigational agents
  • Pregnant or lactating women
  • Patients on any therapy for multiple myeloma or any chemotherapy drug, or immunomodulatory agent for treatment of multiple myeloma (e.g. thalidomide)
  • Any patient on more than two of the following immunosuppressive agents or at a dose greater than that indicated for a single immunosuppressive agent:

    1. Mycophenylate Mofetil (MMF)- no greater than 1000mg twice a day
    2. Prednisone- no greater than .5mg/kg/day
    3. Cyclosporine- no greater than 300mg/day
    4. Tacrolimis (FK506)- no greater than 4mg/day
Gender Both
Ages 17 Years to 70 Years
Accepts Healthy Volunteers No
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00186316
Organization ID BMT155
Secondary IDs †† 79000, BMT155, NCT00186316
Study Sponsor  Stanford University
Collaborators †† National Cancer Institute (NCI)
Investigators 
Principal Investigator:     Ronald Levy     Stanford University    
Information Provided By Stanford University
Verification Date October 2008
First Received Date  September 13, 2005
Last Updated Date October 23, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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