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Stage I Multiple Myeloma Treatment (IFM-01-04)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00733538
Recruitment Status : Unknown
Verified February 2009 by Centre Hospitalier Universitaire de Nice.
Recruitment status was:  Active, not recruiting
First Posted : August 13, 2008
Last Update Posted : March 26, 2012
Information provided by (Responsible Party):
Centre Hospitalier Universitaire de Nice

Brief Summary:
  • Assessment of survival without progression of stage I MM in two groups: arm A: simple survey and arm B: administration of Zoledronate.
  • Describe different progression's type noticed and define the prognosis factors of a fast evolution.

Condition or disease Intervention/treatment Phase
Multiple Myeloma Drug: zometa Phase 4

Detailed Description:


Multiple Myeloma in spite of therapy progresses mainly due to stem cell auto transplant, still remain a deadly disease. About 2000 new cases are diagnosed every year in France. The asymptomatic Stage I MM according to Duries and Salmon's staging are usually only watch over and only treated at progression. Zoledronate is a third generation aminobiphosphonate (BP), probably the most powerful among the available compounds which received market clearance authorisation in MM with bone damage. During MM, bone's hyper resorption is premature. Interactions exist between tumor growth and bone lyses. Zoledronate's got a proper antimyeloma's action (induce plasma cells apoptosis). We propose to test the early use of Zoledronate as soon as stage I MM to delay progression.


  • PRINCIPAL: Assessment of survival without progression stage I MM in two groups: A arm: simple survey and B arm: administration of BP.
  • SECONDARY: Describe different progression's type noticed (bone/extra bone) and define the prognosis factor of a fast stage I MM evolution (standard factors, cytogenetic 13 deletion, bone's restructuring strains: crosslaps, bone alkaline phosphatase), list side effects.


Multicenter international randomised trial, open labelled, with individual profit.


Intergroupe Francophone du Myélome's centers.


Asymptomatic stage I MM without bone's lesion on the standard radiographs.


After checking inclusion and non inclusion specifications, the patient will be included in the study and randomized (A arm or B arm) before all treatment. The randomisation will be done by center and stratified according to the diagnostic date witch a year or not.

  • Arm A: simple survey as standard practice.
  • Arm B: a 15 minutes infusion of Zoledronate every month until progression or a maximum of 18 infusions if no progression. The exams are the one usually defined according to good clinical practices guidelines besides cytogenetic, bone's restructuring strain and serum creatin dosage before each infusion in B arm.


The minimum number of patients required showing a median survival time increase without progression of 26 months in the control arm and 38 months in the BP arm is about 175 patients in each arm for a 48 months inclusion's period, and a monitoring of 24 months after the last inclusion (i.e. a study's length of 6 years).

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 350 participants
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Stage I Multiple Myeloma Treatment
Study Start Date : December 2004
Actual Primary Completion Date : November 2009
Estimated Study Completion Date : November 2012

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Multiple Myeloma

Arm Intervention/treatment
Active Comparator: 1
patients receiving zometa treatment
Drug: zometa
patients receiving treatment during their follow-up

No Intervention: 2
No treatment, just follow-up

Primary Outcome Measures :
  1. Survival without progress [ Time Frame: every month during 6 years ]

Secondary Outcome Measures :
  1. predictive factors of a fast evolution of multiple myeloma [ Time Frame: every month during 6 years ]
  2. Secondary effects of zolédronate [ Time Frame: every month during six years ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • stage I multiple myeloma without bones injuries

Exclusion Criteria:

  • abnormal kidney function
  • VIH infection
  • Hepatic incapacity
  • pregnancy
  • Associate pathology

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00733538

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Service de Medecine interne, Hôpital l'ARCHET, CHU de Nice
Nice, France, 06202
Sponsors and Collaborators
Centre Hospitalier Universitaire de Nice
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Principal Investigator: Jean-Gabriel FUZIBET, PU-PH service de médecine interne, CHU de Nice

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Responsible Party: Centre Hospitalier Universitaire de Nice Identifier: NCT00733538     History of Changes
Other Study ID Numbers: IFM-04-01
First Posted: August 13, 2008    Key Record Dates
Last Update Posted: March 26, 2012
Last Verified: February 2009

Keywords provided by Centre Hospitalier Universitaire de Nice:
stage I multiple myeloma

Additional relevant MeSH terms:
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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
Zoledronic Acid
Bone Density Conservation Agents
Physiological Effects of Drugs