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Trials / Completed

CompletedNCT02043847

TMI With HD Mel in ASCT for R/R Multiple Myeloma (BMT-03)

BMT-03: A Phase I Trial of Total Marrow Irradiation in Addition to High Dose Melphalan Conditioning Prior to Autologous Transplant for Patients With Relapsed or Refractory Multiple Myeloma

Status
Completed
Phase
Phase 1
Study type
Interventional
Enrollment
12 (actual)
Sponsor
University of Illinois at Chicago · Academic / Other
Sex
All
Age
18 Years – 75 Years
Healthy volunteers
Not accepted

Summary

In this phase I trial, patients with relapsed or refractory multiple myeloma will receive standard autologous stem cell transplant conditioned with high dose melphalan. In addition to Melphalan, the conditioning will include targeted total marrow irradiation (TMI). This is a conventional 3+3 phase I trial with increasing doses of TMI from minimum 3Gy to Maximum 9Gy.

Detailed description

In this phase I trial, patients with relapsed or refractory multiple myeloma will receive standard high dose melphalan with autologous stem cell rescue. In addition the pre-transplant conditioning will include targeted total marrow irradiation (TMI). This conventional 3+3 phase I trial will increase the dose of TMI until the maximum tolerated dose (MTD) is reached. Initial patients enrolled will receive the lowest possible dose of 3Gy. Maximum dose will be 9Gy.

Conditions

Interventions

TypeNameDescription
RADIATIONTotal Marrow IrradiationSubjects in this trial will receive total marrow irradiation 3Gy per day for up to four days and as little as one day
DRUGMelphalanSubjects will receive standard melphalan 200mg/m\^2 (100mg/m\^2 day-2 and day-1) conditioning therapy prior to transplant
DRUGFilgrastim (G-CSF)Subjects to begin GCSF 5 μg/kg/d SC or IV on Day 5 and continue until ANC \> 1000/mm\^3 over period of 3 days.
PROCEDUREAutologous transplantSubjects will receive standard melphalan 200mg/m\^2 (100mg/m\^2 day-2 and day-1) conditioning with autologous stem cell rescue
RADIATIONTotal Marrow IrradiationSubjects in this trial will receive total marrow irradiation 6Gy per day for up to four days and as little as one day
DRUGMelphalanSubjects will receive standard melphalan 200mg/m\^2 (100mg/m\^2 day-2 and day-1) conditioning therapy prior to transplant
DRUGFilgrastim (G-CSF)Subjects to begin GCSF 5 μg/kg/d SC or IV on Day 5 and continue until ANC \> 1000/mm\^3 over period of 3 days
PROCEDUREAutologous transplantSubjects will receive standard melphalan 200mg/m\^2 (100mg/m\^2 day-2 and day-1) conditioning with autologous stem cell rescue
RADIATIONTotal Marrow IrradiationSubjects in this trial will receive total marrow irradiation 9Gy per day for up to four days and as little as one day
DRUGMelphalanSubjects will receive standard melphalan 200mg/m\^2 (100mg/m\^2 day-2 and day-1) conditioning therapy prior to transplant
DRUGFilgrastim (G-CSF)Subjects to begin GCSF 5 μg/kg/d SC or IV on Day 5 and continue until ANC \> 1000/mm\^3 over period of 3 days
PROCEDUREAutologous transplantSubjects will receive standard melphalan 200mg/m\^2 (100mg/m\^2 day-2 and day-1) conditioning with autologous stem cell rescue

Timeline

Start date
2014-01-14
Primary completion
2016-09-14
Completion
2016-09-14
First posted
2014-01-23
Last updated
2024-11-13
Results posted
2024-10-21

Locations

1 site across 1 country: United States

Regulatory

Source: ClinicalTrials.gov record NCT02043847. Inclusion in this directory is not an endorsement.