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Autologous Transplantation for Multiple Myeloma

This study has been completed.
Information provided by:
University of Bologna Identifier:
First received: September 18, 2006
Last updated: NA
Last verified: September 2006
History: No changes posted
The present study was designed in an attempt to prospectively evaluate in a randomized fashion whether further cytotoxic dose intensification, as delivered with two sequential autologous stem-cell transplantations, improved the outcome of younger patients with newly diagnosed multiple myeloma in comparison with a single autologous transplantation.

Condition Intervention Phase
Multiple Myeloma Procedure: Autologous Stem Cell Transplantation Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Prospective, Randomized Study of Single Versus Double Autologous Stem Cell Transplantation for Multiple Myeloma

Resource links provided by NLM:

Further study details as provided by University of Bologna:

Primary Outcome Measures:
  • Complete or near Complete Response Rate

Secondary Outcome Measures:
  • Relapse-free Survival
  • Event-free Survival
  • Overall Survival

Estimated Enrollment: 324
Study Start Date: January 1996
Estimated Study Completion Date: November 2005
Detailed Description:
Following demonstration that single autologous transplantation for the treatment of younger patients with newly diagnosed multiple myeloma prolonged overall survival in comparison with conventional chemotherapy, double autologous transplantation was tested, initially in refractory myeloma and subsequently to include also patients with newly diagnosed disease. To explore the role of double autologous stem-cell transplantation as part of up-front therapy for multiple myeloma, in 1996 we launched a prospective, randomized trial comparing a single course of stem-cell-supported melphalan with the same regimen followed, after three to six months, by a second autologous transplantation in support of melphalan and busulfan. The study was designed to detect a 15 percent increase in complete or near complete response rate with double transplants compared to a single transplantation. With a 2-sided significance level α = 0.05 and a power 1-β = 0.80, 162 patients were required in each treatment arm of the study to detect a statistically significant increase in complete or near complete response rate from 30% in the single-transplant arm to 45% in the double-transplant arm. Primary study endpoint was the complete or near complete response rate. Secondary study endpoints were relapse-free survival, event-free survival and overall survival. The recruitment target was 324 patients.

Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Previously untreated
  • Younger than 61 years
  • Symptomatic myeloma
  • Measurable disease
  • Fit to receive high-dose chemotherapy

Exclusion Criteria:

  • M-GUS
  • Solitary plasmacytoma
  • Plasma cell leukemia
  • AL Amyloidosis
  Contacts and Locations
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Please refer to this study by its identifier: NCT00378222

Sponsors and Collaborators
University of Bologna
Principal Investigator: Michele Cavo, MD Institute of Hematology and Medical Oncology - University of Bologna
  More Information

Cavo M et al. Superiority of Double over Single Autologous Stem Cell Transplantation as First-Line Therapy for Multiple Myeloma. Blood (ASH Annual Meeting Abstracts) 2004 104: Abstract 536 Identifier: NCT00378222     History of Changes
Other Study ID Numbers: BO96
Study First Received: September 18, 2006
Last Updated: September 18, 2006

Keywords provided by University of Bologna:
Myeloma previously untreated
Single autologous transplantation
Double autologous transplantation
Complete response

Additional relevant MeSH terms:
Multiple Myeloma
Neoplasms, Plasma Cell
Neoplasms by Histologic Type
Hemostatic Disorders
Vascular Diseases
Cardiovascular Diseases
Blood Protein Disorders
Hematologic Diseases
Hemorrhagic Disorders
Lymphoproliferative Disorders
Immunoproliferative Disorders
Immune System Diseases processed this record on August 16, 2017