Trial record 1 of 1 for:    NCT01568866
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Phase 3 Study With Carfilzomib and Dexamethasone Versus Velcade and Dexamethasone for Relapsed Multiple Myeloma Patients (ENDEAVOR)

This study is ongoing, but not recruiting participants.
Information provided by (Responsible Party):
Onyx Pharmaceuticals Identifier:
First received: March 28, 2012
Last updated: August 4, 2015
Last verified: August 2015
This Phase 3 study is a multicenter, open-label, randomized trial in patients with multiple myeloma whose disease has relapsed after at least 1 but not more than 3 prior therapeutic regimens. Patients must not have primary refractory disease (i.e., stable disease or progressive disease [PD] as best response to all prior therapies). Patients are allowed to have received prior carfilzomib or Velcade as long as they had at least a PR to prior therapy with carfilzomib or Velcade and at least a 6 month treatment-free interval since receiving carfilzomib or Velcade. Patients may receive maintenance therapy with drugs that are not in the proteasome inhibitor class during this 6 month treatment-free interval.

Condition Intervention Phase
Multiple Myeloma
Drug: Carfilzomib plus dexamethasone
Drug: Velcade plus dexamethasone
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Randomized, Open-label, Phase 3 Study of Carfilzomib Plus Dexamethasone vs. Bortezomib Plus Dexamethasone in Patients With Relapsed Multiple Myeloma

Resource links provided by NLM:

Further study details as provided by Onyx Pharmaceuticals:

Primary Outcome Measures:
  • Progression Free Survival [ Time Frame: 30 months ] [ Designated as safety issue: No ]
    To compare Progression Free Survival (PFS) in patients with multiple myeloma relapsed after 1 to 3 prior therapies treated with carfilzomib or velcade.

Estimated Enrollment: 898
Study Start Date: June 2012
Estimated Study Completion Date: March 2019
Estimated Primary Completion Date: January 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Carfilzomib plus Dexamethasone (Cd)
Carfilzomib is administered over 30 minutes (± 5 minutes) as an infusion. For Cycle 1 only, carfilzomib is administered at 20 mg/m2 IV on Days 1 and 2, followed by escalation to 56 mg/m2 on Days 8, 9, 15, and 16. Patients who tolerate 56 mg/m2 in Cycle 1 are kept at this dose on Days 1, 2, 8, 9, 15, and 16 on a 28 day cycle. Dose and schedule modifications for intolerable side effects to carfilzomib are detailed in the protocol. Additionally, dexamethasone is administered on Days 1, 2, 8, 9, 15, 16, 22, and 23 of a 28 day cycle. On days when carfilzomib is administered, dexamethasone is to be given 30 minutes to 4 hours prior to carfilzomib.
Drug: Carfilzomib plus dexamethasone
Carfilzomib is administered over 30 minutes (± 5 minutes) as an infusion. For Cycle 1 only, carfilzomib is administered at 20 mg/m2 IV on Days 1 and 2, followed by escalation to 56 mg/m2 on Days 8, 9, 15, and 16. Patients who tolerate 56 mg/m2 in Cycle 1 are kept at this dose on Days 1, 2, 8, 9, 15, and 16 on a 28 day cycle. Dose and schedule modifications for intolerable side effects to carfilzomib are detailed in the protocol. Additionally, dexamethasone is administered on Days 1, 2, 8, 9, 15, 16, 22, and 23 of a 28 day cycle. On days when carfilzomib is administered, dexamethasone is to be given 30 minutes to 4 hours prior to carfilzomib.
Other Names:
  • PR-171
  • carfilzomib
Active Comparator: Bortezomib (Velcade®) and Dexamethasone (Vd)
Velcade 1.3 mg/m2 administered IV or subcutaneously (SC) (route of administration of Velcade in accordance with regulatory approval) administered on Days 1, 4, 8, and 11 of a 21-day cycle plus dexamethasone 20 mg administered on Days 1, 2, 4, 5, 8, 9, 11, and 12 of a 21-day cycle. Patients should be encouraged to continue to receive Velcade by the same route of administration (SC or IV) throughout treatment (i.e., a patient should not begin receiving IV and then switch to SC, or vice versa).
Drug: Velcade plus dexamethasone
Velcade 1.3 mg/m2 is administered as a 3-5 second bolus IV injection or SC injection (in accordance with regulatory approval) on Days 1, 4, 8, and 11 of each 21-day cycle until PD or intolerable side effects. Dose and schedule modifications for intolerable side effects to Velcade are detailed in the protocol. Additionally, dexamethasone 20 mg is given on Days 1, 2, 4, 5, 8, 9, 11, and 12 of each 21 day cycle. On days when Velcade is administered, the dexamethasone is to be given 30 minutes to 4 hours prior to Velcade.
Other Names:
  • Velcade
  • Bortezomib
  • Vd


Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Multiple myeloma with relapsing or progressing disease at study entry.
  2. Patients must have evaluable multiple myeloma with, at least one of the following (assessed within 21 days prior to randomization):

    • Serum M-protein ≥ 0.5 g/dL, or
    • Urine M-protein ≥ 200 mg/24 hour, or
    • In patients without detectable serum or urine M-protein, serum free light chain (SFLC) > 100 mg/L (involved light chain) and an abnormal serum kappa/lamda ratio, or
    • For IgA patients whose disease can only be reliably measured by serum quantitative immunoglobulin (qIgA) ≥ 750 mg/dL (0.75 g/dL).
  3. Patients must have documented at least PR to at least 1 line of prior therapy. PR documentation can be based on Investigator assessment.
  4. Received 1, but no more than 3 prior treatment regimens or lines of therapy for multiple myeloma. (Induction therapy followed by stem cell transplant and consolidation/maintenance therapy will be considered as one line of therapy).
  5. Prior therapy with Velcade is allowed as long as the patient had at least a PR to prior Velcade therapy, was not removed from Velcade therapy due to toxicity, and will have at least a 6 month Velcade treatment-free interval from last dose received until first study treatment. (Patients may receive maintenance therapy with drugs that are not in the proteasome inhibitor class during this 6 month Velcade treatment-free interval).
  6. Prior therapy with carfilzomib is allowed as long as the patient had at least a PR to prior carfilzomib therapy, was not removed from carfilzomib therapy due to toxicity, and had at least a 6-month carfilzomib treatment-free interval from last dose received until first study treatment. (Patients may receive maintenance therapy with drugs that are not in the proteasome inhibitor class during this 6 month carfilzomib treatment-free interval). The exception to this is patients randomized or previously randomized in any other Onyx-Sponsored Phase 3 trial.
  7. Males and females ≥ 18 years of age.
  8. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2.
  9. Adequate hepatic function within 21 days prior to randomization, with bilirubin < 1.5 times the upper limit of normal (ULN), and aspartate aminotransferase (AST) and alanine aminotransferase (ALT) < 3 times the ULN.
  10. LVEF ≥ 40%.
  11. Absolute neutrophil count (ANC) ≥ 1000/mm3 within 21 days prior to randomization. Screening ANC should be independent of growth factor support for ≥ 1 week.
  12. Hemoglobin ≥ 8.0 g/dL within 21 days prior to randomization. Use of erythropoietic stimulating factors and red blood cell (RBC) transfusions per institutional guidelines is allowed, however most recent RBC transfusion may not have been done within 7 days prior to obtaining screening hemoglobin.
  13. Platelet count ≥ 50,000/mm3 (≥ 30,000/mm3 if myeloma involvement in the bone marrow is > 50%) within 21 days prior to randomization. Patients should not have received platelet transfusions for at least 1 week prior to obtaining the screening platelet count.
  14. Calculated or measured creatinine clearance (CrCl) of ≥ 15 mL/min within 21 days prior to randomization. Calculation should be based on standard formula such as the Cockcroft and Gault:

    [(140 - Age) x Mass (kg) / (72 x Creatinine mg/dL)]; multiply result by 0.85 if female.

  15. Written informed consent in accordance with federal, local, and institutional guidelines.
  16. Female patients of child-bearing potential (FCBP) must have a negative serum pregnancy test within 21 days prior to randomization and agree to use an effective method of contraception during and for 3 months following last dose of drug (more frequent pregnancy tests may be conducted if required per local regulations). FCBP is defined as a sexually mature woman who: 1) has not undergone a hysterectomy or bilateral oophorectomy or 2) has not been naturally postmenopausal (amenorrhea following cancer therapy does not rule out childbearing potential) for at least 12 consecutive months (i.e., has had menses at any time in the preceding 12 consecutive months).
  17. Male patients must use an effective barrier method of contraception during study and for 3 months following the last dose if sexually active with a FCBP.

Exclusion Criteria:

  1. Multiple Myeloma of IgM subtype.
  2. Glucocorticoid therapy (prednisone > 30 mg/day or equivalent) within 14 days prior to randomization.
  3. POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes).
  4. Plasma cell leukemia or circulating plasma cells ≥ 2 × 109/L.
  5. Waldenstrom's Macroglobulinemia.
  6. Patients with known amyloidosis.
  7. Chemotherapy with approved or investigational anticancer therapeutics within 21 days prior to randomization.
  8. Patients randomized or previously randomized in any other Onyx-Sponsored Phase 3 trial.
  9. Focal radiation therapy within 7 days prior to randomization. Radiation therapy to an extended field involving a significant volume of bone marrow within 21 days prior to randomization (i.e., prior radiation must have been to less than 30% of the bone marrow).
  10. Immunotherapy within 21 days prior to randomization.
  11. Major surgery (excluding kyphoplasty) within 28 days prior to randomization.
  12. Active congestive heart failure (New York Heart Association [NYHA] Class III to IV), symptomatic ischemia, or conduction abnormalities uncontrolled by conventional intervention. Myocardial infarction within four months prior to randomization.
  13. Acute active infection requiring systemic antibiotics, antiviral (except antiviral therapy directed at hepatitis B) or antifungal agents within 14 days prior to randomization.
  14. Known HIV seropositive, hepatitis C infection, and/or hepatitis B (except for patients with hepatitis B surface antigen [SAg] or core antibody receiving and responding to antiviral therapy directed at hepatitis B: these patients are allowed).
  15. Patients with known cirrhosis.
  16. Second malignancy within the past 3 years except:

    • adequately treated basal cell or squamous cell skin cancer
    • carcinoma in situ of the cervix
    • prostate cancer < Gleason score 6 with stable prostate-specific antigen (PSA) over 12 months
    • breast carcinoma in situ with full surgical resection
    • treated medullary or papillary thyroid cancer
  17. Patients with myelodysplastic syndrome.
  18. Significant neuropathy (Grades 3 to 4, or Grade 2 with pain) within 14 days prior to randomization.
  19. Female patients who are pregnant or lactating.
  20. Known history of allergy to Captisol(a cyclodextrin derivative used to solubilize carfilzomib).
  21. Patients with hypersensitivity to carfilzomib, Velcade, boron, or mannitol.
  22. Patients with contraindication to dexamethasone.
  23. Contraindication to any of the required concomitant drugs or supportive treatments, including hypersensitivity to antiviral drugs, or intolerance to hydration due to preexisting pulmonary or cardiac impairment.
  24. Ongoing graft-vs-host disease.
  25. Patients with pleural effusions requiring thoracentesis or ascites requiring paracentesis within 14 days prior to randomization.
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Please refer to this study by its identifier: NCT01568866

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United States, California
Providence St. Joseph Medical Center
Burbank, California, United States
UCSD Moore Cancer Center
La Jolla, California, United States
UCLA Medical Center
Los Angeles, California, United States
Central Coast Medical Oncology Group
Santa Maria, California, United States
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Colorado Blood Cancer Institute
Denver, Colorado, United States
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Melbourne, Florida, United States
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West Palm Beach, Florida, United States
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Atlanta, Georgia, United States
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Indianapolis, Indiana, United States
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Bethesda, Maryland, United States
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Gabrail Cancer Center
Canton, Ohio, United States
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Cincinnati, Ohio, United States
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Western Pennsylvania Hospital
Pittsburgh, Pennsylvania, United States
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Camperdown, New South Wales, Australia
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Innsbruck, Tyrol, Austria
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Linz, Upper Austria, Austria
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Wien, Vienna, Austria
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Porto Alegre, Rio Grande Do Sul, Brazil
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Porto Alegre, Rio Grande Do Sul, Brazil
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Campinas, Sao Paulo, Brazil
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Rio de Janeiro, Brazil
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Rio de Janeiro, Brazil
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Rio de Janeiro, Brazil
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Plovdiv, Bulgaria
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Varna, Bulgaria
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Edmonton, Alberta, Canada
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Praha 10, Praha, Czech Republic
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Bayonne, Aquitaine, France
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Brest Cedex, Bretagne, France
Centre Hospitalier Universitaire de Rennes, Hôpital Pontchaillou
Rennes Cedex 9, Bretagne, France
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Nantes, Cedex 1, France
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Rouen Cedex 1, Haute-normandie, France
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Le Chesnay, Ile-de-france, France
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Paris, Ile-de-france, France
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Lille Cedex, Nord Pas-de-calais, France
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Nantes cedex 1, Pays de La Loire, France
Institut Paoli Calmettes
Marseille Cedex 9, Provence Alpes Cote D'azur, France
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Pierre Bénite Cedex, Rhone-alpes, France
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Heidelberg, Baden-wuerttemberg, Germany
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Chemnitz, Sachsen, Germany
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Jena, Thuringen, Germany
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Athens, Attica, Greece
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Kecskemét, Bacs-kiskun, Hungary
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Pécs, Baranya, Hungary
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Szeged, Csongrad, Hungary
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Debrecen, Hajdu-bihar, Hungary
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Budapest, Hungary
Somogy Megyei Kaposi Mac okato Korhoz
Kaposvár, Hungary
Somogy Megyei Kaposi Mór Oktató Kórház
Kaposvár, Hungary
Rambam Health Corp.
Haifa, Israel
Hadassah Medical Center
Jerusalem, Israel
Meir Medical Center
Kfar Saba, Israel
Tel Aviv Sourasky Medical Center
Tel Aviv, Israel
The Chaim Sheba Medical Center at Tel Hashomer
Tel Hashomer, Israel
IRCCS Centro di Riferimento Oncologico di Basilicata di Rionero in Vulture
Rionero in Vulture, Potenza, Italy
Azienda Ospedaliero-Univesitaria San Luigi Gonzaga
Orbassano, Torino, Italy
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona
Ancona, Italy
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Bologna, Italy
Azienda Ospedaliera Spedali Civili di Brescia
Brescia, Italy
IRCCS Azienda Ospedaliera Universitaria San Martino
Genova, Italy
Azienda Ospedaliera Universitaria Maggiore della Carità
Novara, Italy
Azienda Unità Sanitaria Locale di Piacenza-Ospedale Guglielmo da Saliceto
Piacenza, Italy
Azienda Ospedaliera Pisana Ospedale Santa Chiara
Pisa, Italy
Università Tor Vergata Ospedale Sant Eugenio
Roma, Italy
Azienda Policknico Umberto l di Roma
Roma, Italy
Aienda Policknico Umberto I di Roma
Roma, Italy
Azienda Ospedaliera Universitaria Senese - Policlinico S. Maria alle Scotte
Siena, Italy
Azienda Ospedaliera Città della Salute e della Scienza di Torino
Torino, Italy
Nagoya City University Hospital
Nagoya City, Aichi, Japan
Toyohashi Municipal Hospital
Toyohashi, Aichi, Japan
National Hospital Organization Kyushu Cancer Center
Fukuoka-city, Fukuoka, Japan
Ogaki Municipal Hospital
Ogaki City, Gifu, Japan
Gunma University Hospital
Maebashi, Gunma, Japan
National Hospital Organization Nishigunma National Hospital
Shibukawa, Gunma, Japan
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Sapporo, Hokkaido, Japan
Kobe City Medical Center General Hospital
Kobe, Hyogo, Japan
Tokai University Hospital
Isehara, Kanagawa, Japan
Niigata Cancer Center Hospital
Niigata-city, Niigata, Japan
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Suita, Osaka, Japan
Saitama Medical Center
Kawagoe, Saitama, Japan
Tochigi Cancer Center
Utsunomiya, Tochigi, Japan
National Cancer Center Hospital
Chuo-ku, Tokyo, Japan
The Cancer Institute Hospital Of Japanese Foundation For Cancer Research
Koto-ku, Tokyo, Japan
Toranornon Hospital
Shinagawa, Tokyo, Japan
Tokyo Medical University Hospital
Shinjuku, Tokyo, Japan
National Hospital Organization Disaster Medical Center
Tachikawa, Tokyo, Japan
Kyushu University Hospital
Fukuoka, Japan
Social Insurance Kyoto Hospital of All Japan Federation of Social Insurance Associations
Kyoto, Japan
University Hospital, Kyoto Prefectural University of Medicine
Kyoto, Japan
National Hospital Organization Okayama Medical Center
Okayama, Japan
Tokushima Prefectural Central Hospital
Tokushima, Japan
Japanese Red Cross Medical Center
Tokyo, Japan
Korea, Republic of
Gachon University Gil Medical Center
Incheon, Gyeonggi-Do, Korea, Republic of
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, Korea, Republic of
Pusan National University Hospital
Busan, Gyeongsangnam-Do, Korea, Republic of
Kyungpook National University Hospital
Daegu, Korea, Republic of
Asan Medical Center
Seoul, Korea, Republic of
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Seoul, Korea, Republic of
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Seoul, Korea, Republic of
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Seoul, Korea, Republic of
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Seoul, Korea, Republic of
New Zealand
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North Shore City, Auckland, New Zealand
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Otahuhu, Auckland, New Zealand
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Dunedin, New Zealand
Specjalistyczny Szpital Miejski im. Mikolaja Kopernika
Torun, Kujawsko-Pomorskie, Poland
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Zamosc, Lubelskie, Poland
Szpital Uniwersytecki w Krakowie
Krakow, Malopolskie, Poland
Instytut Hematologii i Transfuzjologii
Warszawa, Mazowieckie, Poland
Uniwersyteckie Centrum Kliniczne
Gdansk, Pomorskie, Poland
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Zespól Szpitali Miejskich
Chorzów, Slaskie, Poland
Szpital Kliniczny Przemienienia Panskiego Uniwersytetu Medycznego im K. Marcinkowskiego w Poznaniu
Poznan, Wielkopolskie, Poland
Spitalul Universitar de Urgenta Bucuresti
Bucharest, Bucuresti, Romania
Spitalul Clinic Judetean de Urgenta Brasov (Bumbea, Horia)
Brasov, Romania
Policlinica de Diagnostic Rapid SA, Compartiment Medical Oncologie-Hematologie
Brasov, Romania
Institutul Clinic Fundeni
Bucuresti, Romania
Institutul Regional de Oncologie Iasi
Iasi, Romania
Russian Federation
Republican Clinical Hospital #1
Izhevsk, Russian Federation
City Clinical Hospital n.a. S. P. Botkin
Moscow, Russian Federation
Non-state Healthcare Institution "N.A. Semashko Central Clinical Hospital #2 of JSC "Russian Railway
Moscow, Russian Federation
Ryazan Regional Clinical Hospital
Ryazan, Russian Federation
Clinical Hospital Number 31
Saint Petersburg, Russian Federation
Federal Almazov Medical Research Centre
Saint Petersburg, Russian Federation
First Saint Petersburg I.P. Pavlov State Medical University
Saint Petersburg, Russian Federation
FGU Russian Scientific Research Institute of Hematology and Transfusiology
Saint Petersburg, Russian Federation
GUZ Samara Regional Clinical Hospital n.a. M.I. Kalinin
Samara, Russian Federation
National University Cancer Institute
Singapore, Singapore
Singapore General Hospital
Singapore, Singapore
Singapore Oncology Consultants
Singapore, Singapore
Univerzitná nemocnica Bratislava
Bratislava, Slovakia
Hospital Son Llàtzer
Palma de Mallorca, Baleares, Spain
Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, Spain
Hospital Clinic I Provincial de Barcelona
Barcelona, Spain
Institut Universitari Dexeus
Barcelona, Spain
Hospital Universitario La Princesa
Madrid, Spain
Hospital Universitario 12 de Octubre
Madrid, Spain
Centro Integral Oncológico Clara Campal, Hospital de Madrid Norte-San Chinarro
Madrid, Spain
Hospital Clínico Universitario de Salamanca
Salamanca, Spain
Hospital Universitario Virgen del Rocio
Sevilla, Spain
Hospital Universitari i Politecnic La Fé de Valencia
Valencia, Spain
Chang Gung Memorial Hospital
Kaohsiung, Taiwan
China Medical University Hospital
Taichung, Taiwan
National Cheng-Kung University Hospital
Tainan, Taiwan
National Taiwan University Hospital
Taipei, Taiwan
Taipei Veterans General Hospital
Taipei, Taiwan
Chang Gung Medical Foundation-LinKou Branch
Tao-Yuan, Taiwan
King Chulalongkorn Memorial Hospital
Bangkok, Bangkok Metropolis, Thailand
Ramathibodi Hospital
Bangkok, Bangkok Metropolis, Thailand
Srinagarind Hospital
Khon Kaen, Thailand
City Hematology Center
Dnepropetrovsk, Dnipropretrovsk, Ukraine
Municipal Institution of Health Protection "Clinical Hospital #8"
Kharkov, Kharkiv, Ukraine
Cherkassy Regional Oncology Center
Cherkassy, Ukraine
MI "Dnipropetrovsk City Multifield Clinical Hospital #4" of Dnipropetrovsk Regional Council", City Hematology Center
Dnipropetrovsk, Ukraine
Institute of Urgent and Reparative Surgury of Ukraine Academy of Medical Sciences
Donetsk, Ukraine
Khmelnytsky Regional Clinical Hospital
Khmelnytsky, Ukraine
Khmelnytsky Regional Hospital, Department of Hematology
Khmelnytsky, Ukraine
National Institute of Cancer, Oncohematology Department
Kiev, Ukraine
Kyiv Bone Marrow Transplantation Center
Kyiv, Ukraine
Lviv Regional Oncology Dispensary
Lviv, Ukraine
Lviv State Oncology Regional Treatment-Prophylactic Center, Department of Chemotherapy
Lviv, Ukraine
Regional Clinical Hospital
Mykolayiv, Ukraine
United Kingdom
Royal Free Hospital
London, England, United Kingdom
University College Hospital
London, England, United Kingdom
Manchester Royal Infirmary
Manchester, England, United Kingdom
Nottingham University Hospitals NHS Trust
Nottingham, England, United Kingdom
Churchill Hospital
Oxford, England, United Kingdom
Derriford Hospital
Plymouth, England, United Kingdom
Royal Hallamshire Hospital
Sheffield, England, United Kingdom
Royal Marsden Hospital
Surrey, England, United Kingdom
Royal Wolverhampton Hospitals Trust
Wolverhampton, England, United Kingdom
Sponsors and Collaborators
Onyx Pharmaceuticals
Principal Investigator: Hartmut Goldschmidt, MD Universitätsklinik Heidelberg, Heidelberg, Germany
Principal Investigator: Douglas Joshua, BSc, MBBS, DPhil (Oxon), FRACP Royal Prince Alfred Hospital, Camperdown, Australia
Principal Investigator: Philippe Moreau, MD Hôpital Hôtel-Dieu, NANTES Cedex 01, France
Principal Investigator: Robert Orlowski, PhD, MD UT M.D. Anderson Cancer Center, MD Anderson Cancer Center, Houston, Texas
  More Information

No publications provided

Responsible Party: Onyx Pharmaceuticals Identifier: NCT01568866     History of Changes
Other Study ID Numbers: 2011-003, 2012-000128-16
Study First Received: March 28, 2012
Last Updated: August 4, 2015
Health Authority: United States: Institutional Review Board
United States: Food and Drug Administration
Canada: Health Canada
Austria : Federal Ministry for Labour, Health, and Social Affairs
Austria: Ethikkommission
Australia: Department of Health and Ageing Therapeutic Goods Administration
Australia: Human Research Ethics Committee
Belgium: Ethics Committee
Belgium: Federal Agency for Medicinal Products and Health Products
Brazil: Ethics Committee
Brazil: Ministry of Health
Bulgaria: Ethics committee
Bulgaria: Ministry of Health
Czech Republic: Ethics Committee
Czech Republic: State Institute for Drug Control
France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)
France: Institutional Ethical Committee
Germany: Ministry of Health
Germany: Ethics Commission
Greece: Ethics Committee
Greece: Ministry of Health and Welfare
Hungary: Institutional Ethics Committee
Hungary: National Institute for Quality and Organizational Development in Healthcare and Medicines
Israel: Ethics Commission
Italy: Ethics Committee
Italy: Ministry of Health
Japan: Institutional Review Board
Japan: Ministry of Health, Labor and Welfare
New Zealand: Ethics Committee
New Zealand: Medsafe
Poland: Ethics Committee
Poland: Ministry of Health
Romania: State Institute for Drug Control
Romania: Ethics Committee
Russia: Ethics Committee
Russia: Ministry of Health of the Russian Federation
Singapore: Health Sciences Authority
Singapore: Institutional Review Board
Slovakia: State Institute for Drug Control
Slovak Republic: Ethics Committee
South Korea: Institutional Review Board
South Korea: Korea Food and Drug Administration (KFDA)
Spain: Spanish Agency of Medicines
Spain: Ethics Committee
Taiwan: Department of Health
Taiwan: Research Ethics Committee
Thailand: Food and Drug Administration
Thailand: Institutional Review Board
Ukraine: Ministry of Health
Ukraine: Ethics Committee
United Kingdom: Medicines and Healthcare Products Regulatory Agency
United Kingdom: Research Ethics Committee

Keywords provided by Onyx Pharmaceuticals:
multiple myeloma
relapsed multiple myeloma

Additional relevant MeSH terms:
Multiple Myeloma
Neoplasms, Plasma Cell
Blood Protein Disorders
Cardiovascular Diseases
Hematologic Diseases
Hemorrhagic Disorders
Hemostatic Disorders
Immune System Diseases
Immunoproliferative Disorders
Lymphoproliferative Disorders
Neoplasms by Histologic Type
Vascular Diseases
BB 1101
Dexamethasone 21-phosphate
Dexamethasone acetate
Anti-Inflammatory Agents
Antineoplastic Agents
Antineoplastic Agents, Hormonal
Autonomic Agents
Central Nervous System Agents
Enzyme Inhibitors
Gastrointestinal Agents
Hormones, Hormone Substitutes, and Hormone Antagonists processed this record on November 27, 2015