Multiple MyelomaPhase 3NCT00057564
A Study of Combination Thalidomide Plus Dexamethasone Therapy vs. Dexamethasone Therapy Alone in Previously Untreated Subjects With Multiple Myeloma
A Phase 3 study testing A (Thalidomide + Dexamethasone) in people with Multiple Myeloma, run by Celgene Corporation at 99 sites in 16 countries.
Trial summary
To compare the efficacy of combination oral thalidomide plus oral dexamethasone treatment to that of oral dexamethasone-alone treatments as induction (first-line) therapy for subjects with active multiple myeloma Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Multiple Myeloma
- What is being tested?
- A (Thalidomide + Dexamethasone)
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 470 participants
- Where
- 99 sitesin 16 countries
- Study dates
- Feb 2003to Aug 2013
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Active Multiple Myeloma Stage II or III Durie Salmon
- Measurable levels of myeloma paraprotein in serum (≥1.0g/dL) or urine (≥ 0.2g excreted in a 24-hour collection sample)
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, 2
- Women of child bearing potential must agree to abstain for heterosexual intercourse or use 2 methods of contraception, one effective (for example hormonal or tubal ligation) and one barrier (for example latex condom, diaphragm)
- Males must agree to use barrier contraception (latex condoms) when engaging in reproductive activity
Who cannot join
- Pregnant or lactating females
- Peripheral neuropathy ≥ to grade 2 of the NCI CTC.
- Prior history of malignancy unless subject has been free of disease for ≥ 3 years
- Lab abnormality: Absolute neutrophil count (ANC) <1,000 cells/mm^3 (1.0 x 10^9/L)
- Lab abnormality: Platelet count <50,000/mm^3 (50.0 x 10^9/L)
- Lab abnormality: Serum creatinine >3.0 mg/dL (265 µmol/L)
- Lab abnormality: Serum glutamic oxaloacetic transaminase (SGOT) /Aspartate aminotransferase (AST) or Serum glutamic pyruvic transaminase (SGPT)/Alanine transaminase (ALT) >3.0 x upper limit of normal (ULN)
- Lab abnormality: Serum total bilirubin > 2.0 mg/dL (34 µmol/L)
Trial locations and contacts
99 sites in 16 countries.
99 sites in 16 countries
United States26 sites
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, 48109-0922
Medical College of Georgia
Augusta, Georgia, 30912-3125
Southern Illinois Hematology /Oncology
Centralia, Illinois, 62801
Rush Cancer Institute Section of Hematology
Chicago, Illinois, 60612-3824
Cleveland Clinic- Taussig Cancer Center
Cleveland, Ohio, 44195
The Family Centre, PLLC
Collierville, Tennessee, 38017
Hackensack University Hospital
Hackensack, New Jersey, 07601
Clinical Research Consultants, Inc.
Hoover, Alabama, 35216
University of Iowa Hospital of Clinic
Iowa City, Iowa, 52242
Mayo Clinic
Jacksonville, Florida, 32224
East Tennessee Oncology/Hematology Associates
Knoxville, Tennessee, 37920
UCLA School of Medicine
Los Angeles, California, 90095
Melbourne Internal Medicine Associates Oncology
Melbourne, Florida, 32901-3182
Jackson Memorial Hospital and Clinics
Miami, Florida, 33136
University of Miami Miller School/Jackson Memorial Hospital
Miami, Florida, 33136
University of Miami
Miami, Florida, 33136
Oncology Hematology Group of South Florida
Miami, Florida, 33176
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Ocshner Clinic Foundation
New Orleans, Louisiana, 70121
University of Pittsburgh
Pittsburgh, Pennsylvania, 15213
Mayo Clinic Cancer Center
Rochester, Minnesota, 55905
SUNY Upstate Medical University
Syracuse, New York, 13210
Arizona Clinical Research Center
Tucson, Arizona, 85712
South Carolina Oncology Group
West Columbia, South Carolina, 29169
James Berenson
West Hollywood, California, 90069
Wake Forest University School of Medicine
Winston-Salem, North Carolina, 27157-1023
Russia12 sites
Chelyabinsk Regional Clinical Hospital Hematology Dpt
Chelyabinsk, 454076
Republican Clinical Hospital #1 Hematology Dpt.
Izhevsk, 426039
Burdenko Central Military Clinical Hospital Hematology Center
Moscow, 105229
Russian Academy of Medical Sciences Scientific Center of Hematology
Moscow, 125167
Novosibirsk State Regional Clinical Hospital Hematology Centre
Novosibirsk, 630087
Research Institute of Hematology and Blood Transfusion,Clinical Department of Hematology with Bone Marrow Transplantation Unit
Saint Petersburg, 193024
St. Petersburg Pavlov State Medical University Bone Marrow Transplantation Clinic
Saint Petersburg, 197022
Clinical Hospital #31 Dpt of Bone Marrow Transplantation and Chemotherapy of Patients with Myeloproliferative Disorders
Saint Petersburg, 197110
Samara Regional Clinical Hospital Dep't. of Hematology and Bone Marrow Transplantation
Samara, 443095
Blokhin Cancer Research Center Dpt of Myeloproliferative Disorders Chemotherapy
Shosse, 115478
Nizhny Novgorod Clinical Hospital
Velikiy Novgorod, 603126
Ekaterinburg 1st Regional Clinical Hospital Regional Hematology Centre
Yekaterinburg, 620102
Ukraine11 sites
Cherkassy Regional Oncology Center
Cherkassy, 18009
Dnepropetrovsk City Clinical Hospital #4 Regional Hematology Centre
Dnipro, 49044
Ivano-Frankovsk Regional Clinical Hospital - Hospital Therapy Department
Ivano-Frankivsk, 76000
Kharkov Regional Clinical Oncology Center Dep't of Oncology and Pediatric Oncology
Kharkiv, 61070
Kiev Institute of Oncology of the UAMS Systemic Malignancies Department
Kiev, 03022
Kiev Bone Marrow Transplantation Center Bone Marrow Transplantation Department
Kiev, 03115
Institute of Hematology and Transfusiology of the UAMS Department of Blood Diseases with Clinical Biochemistry Group
Kiev, 04060
Institute of Blood Pathology and Transfusion Medicine of the UAMS
Lviv, 79044
Odessa Regional Clinical Hospital Hematology Dep't
Odesa, 65025
Zaporozhje Regional Clinical Hospital Hematology Dpt
Zaporizhzhya, 69600
Zhitomir Regional Clinical Hospital Hematology Centre
Zhytomyr, 10002
Italy7 sites
Universita di Bari Dipartimento di Scienze Umana Sezione de Medicina Interna e Oncologia Medica Policlinico
Bari, 11
Istituto di Ematologia e Oncologia Medica "L. e. A. Seragnoli"
Bologna, 40138
Azienda Ospedaliera San Martino
Genova, 16132
Ospedale Niguarda Ca Granda
Milan, 20162
Policlinico San Matteo
Pavia, 27100
Università La Sapienza Dipartimento di Biotecnologie Cellulari ed Ematologia
Roma, 00161
Clinica Ematologica Policlinico Universitario
Udine, 33100
Australia6 sites
Frankston Hospital
Frankston, Victoria, 3199
Royal Brisbane Hospital
Herston, Queensland, 4029
Peter MacCallum Cancer Institute
Melbourne, Victoria, 3002
The Alfred Hospital
Melbourne, Victoria, 3004
Bone Marrow Transplant Service Dept of Clinical Haematology and Medical Oncology
Parkville, Victoria, 3050
Haematology Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Canada6 sites
Centre Hopitalier Universitaire de Sherbrooke Hospital Fleurimont
Fleurimont, Quebec, J1H 5N4
Dalhousie University
Halifax, Nova Scotia, B3H2Y9
McGill University
Montreal, Quebec, PQ H2W 1S6
Saskatoon Cancer Centre University of Saskatoon
Saskatoon, Saskatchewan, S7N 4H4
Princess Margaret Hospital
Toronto, Ontario, M5G 2M9
University Health Network Princess Margaret Hospital
Toronto, Ontario, M5G 2M9
Poland6 sites
Medical Academy of Bialystok
Bialystok, 15-276
Institute of Internal Diseases University of Medicine
Gdansk, 80-211
Jagiellonian University Collegium Medicum Department of Hematology
Krakow, 31-501
Medical University of Lodz
Lodz, 93-509
Private Medical Practice Centre of Clinical Laboratory of Densitometry At 'Officers of Professors'
Lublin, 20-022
Medical University of Warsaw Dep't of Hematology, Oncology and Internal Diseases
Warsaw, 02-097
Spain6 sites
Hospital Clinic
Barcelona, 08036
Hospital Universitario de la Princessa
Madrid, 28006
Hospital Doce de Octubre
Madrid, 28041
Clinica Universitaria de Navarra
Pamplona, 31080
Hospital Universitario de Salamanca
Salamanca, 37007
Hospital Universitario Marques de Valdecilla
Santander, 39008
Israel4 sites
Hadassah University Hospital Hematology Dep't
‘En Kerem, Jerusalem, 91120
Rambam Medical Center Dep't. Of Hematology
Haifa, 31096
Tel Aviv Sourasky Medical Center Hematology Institute
Tel Aviv, 64239
Director of Hematology Division BMT and CBB The Chaim Sheba Medical Center
Tel HaShomer, 52621
Belgium3 sites
Institut Jules Bordet Dep't of Clinical Haematology
Brussels, 1000
Dept. Of Haematology Academisch Ziekenhuis VUB
Brussels, 1090
University Hospital Ghent Dep't of Haematology
Ghent, 900
Bulgaria3 sites
UMHAT Alexandrovska
Alexandrovska
National Center of Haematology and Transfusiology
Sofia, 1756
Military Medical Academy
Sofia
United Kingdom3 sites
Belfast City Hospital Haematology Dpt.
Belfast, BT9 7AB
Guys Hospital
London, SE1 9RT
Guys Hospital
London, SE19RT
Hungary2 sites
St. Laszlo Hoszpital
Budapest
Petz Aladar County Hospital
Győr, 9002
Ireland2 sites
MidWestern Regional Hospital Haematology Dpt.
Dooradoyle, Limerick
Hope Directorate Dep't. Haematology St. James's Hospital
Dublin, 8
Germany1 site
Universitaetsklinikum Dusseldorf Klinik fuer Haematologie
Düsseldorf
About this study
Official title: A Multicenter, Randomized, Parallel-group , Double Blind, Placebo-controlled Study of Combination Thalidomide Plus Dexamethasone Therapy vs. Dexamethasone Therapy Alone as Induction Therapy for Previously Untreated Subjects With Multiple Myeloma
To compare the efficacy of combination oral thalidomide plus oral dexamethasone treatment to that of oral dexamethasone-alone treatments as induction (first-line) therapy for subjects with active multiple myeloma
- Conditions
- Multiple Myeloma
- Being tested
- A (Thalidomide + Dexamethasone), B (Placebo + Dexamethasone)
- Keywords
- Newly Diagnosed Multiple Myeloma, Multiple Myeloma
- Medical subject headings
- Multiple Myeloma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
A (Thalidomide + Dexamethasone)Drug
Also called Thalidomide
Thalidomide 50mg/day + Dexamethasone 40mg
B (Placebo + Dexamethasone)Drug
Also called Dexamethasone, placebo
Placebo + Dexamethasone 40mg
| Study group | Role | What they receive |
|---|---|---|
| A (Thalidomide & Dexamethasone) | Experimental | Thalidomide 50mg/day + Dexamethasone 40mg Receives: Drug: A (Thalidomide + Dexamethasone) |
| B (Dexamethasone and placebo) | Placebo comparator | Dexamethasone and placebo Receives: Drug: B (Placebo + Dexamethasone) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to tumor progression (TTP)
Time to tumor progression (TTP)
Measured: Up to 3 years
Secondary outcomes (4)
Number of patients who survived
Number of patients who survived
Measured: Up to 3 years
Time to first symptomatic skeletal-related event (SRE)(clinical need for radiation therapy or surgery to bone)
Time to first symptomatic skeletal-related event (SRE)(clinical need for radiation therapy or surgery to bone)
Measured: Up to 3 years
Myeloma response rate
Myeloma response determination criteria developed by Bladé et al 1998
Measured: Up to 3 years
Number of participants with adverse events
Number of participants with adverse events
Measured: Up to 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Apr 2003 (estimated)
- Study startFeb 2003
- Primary completionApr 2006
- Study completionAug 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Multiple MyelomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 470 participants (actual)
Sponsor and investigators
- Lead sponsor
- Celgene Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Robert Knight, MD, Study director, Celgene Corporation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00057564
- Sponsor's protocol ID
- THAL-MM-003
- Status last verified
- Sep 2015
- First submitted
- 4 Apr 2003
- Last updated
- 11 Sep 2015
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Rajkumar SV, Rosinol L, Hussein M, Catalano J, Jedrzejczak W, Lucy L, Olesnyckyj M, Yu Z, Knight R, Zeldis JB, Blade J. Multicenter, randomized, double-blind, placebo-controlled study of thalidomide plus dexamethasone compared with dexamethasone as initial therapy for newly diagnosed multiple myeloma. J Clin Oncol. 2008 May 1;26(13):2171-7. doi: 10.1200/JCO.2007.14.1853. Epub 2008 Mar 24.
PubMed 18362366
Study at a glance
From the registry record, last updated by the sponsor on 11 Sep 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Parallel-group , Double Blind, Placebo-controlled Study of Combination Thalidomide Plus Dexamethasone Therapy vs. Dexamethasone Therapy Alone as Induction Therapy for Previously Untreated Subjects With Multiple Myeloma
- ClinicalTrials.gov ID
- NCT00057564
- Acronym / sponsor ID
- THAL-MM-003
- Conditions
- Multiple Myeloma
- Keywords
- Newly Diagnosed Multiple Myeloma, Multiple Myeloma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 470 participants (actual)
- Lead sponsor
- Celgene CorporationIndustry (pharma, biotech, devices)
- Study start
- Feb 2003
- Primary completion
- Apr 2006 (actual)
- Study completion
- Aug 2013 (actual)
- First posted
- 7 Apr 2003 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To compare the efficacy of combination oral thalidomide plus oral dexamethasone treatment to that of oral dexamethasone-alone treatments as induction (first-line) therapy for subjects with active multiple myeloma
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A (Thalidomide & Dexamethasone) | Experimental | Drug: A (Thalidomide + Dexamethasone)Thalidomide 50mg/day + Dexamethasone 40mg |
| B (Dexamethasone and placebo) | Placebo comparator | Drug: B (Placebo + Dexamethasone)Dexamethasone and placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Active Multiple Myeloma Stage II or III Durie Salmon
- Measurable levels of myeloma paraprotein in serum (≥1.0g/dL) or urine (≥ 0.2g excreted in a 24-hour collection sample)
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, 2
- Women of child bearing potential must agree to abstain for heterosexual intercourse or use 2 methods of contraception, one effective (for example hormonal or tubal ligation) and one barrier (for example latex condom, diaphragm)
- Males must agree to use barrier contraception (latex condoms) when engaging in reproductive activity
Key exclusion criteria (8 listed)
- Pregnant or lactating females
- Peripheral neuropathy ≥ to grade 2 of the NCI CTC.
- Prior history of malignancy unless subject has been free of disease for ≥ 3 years
- Lab abnormality: Absolute neutrophil count (ANC) <1,000 cells/mm^3 (1.0 x 10^9/L)
- Lab abnormality: Platelet count <50,000/mm^3 (50.0 x 10^9/L)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| A (Thalidomide + Dexamethasone)Also: ThalidomideThalidomide 50mg/day + Dexamethasone 40mg | Drug | A (Thalidomide & Dexamethasone) |
| B (Placebo + Dexamethasone)Also: Dexamethasone, placeboPlacebo + Dexamethasone 40mg | Drug | B (Dexamethasone and placebo) |
Primary outcome
Time to tumor progression (TTP)
Time frame: Up to 3 years
Time to tumor progression (TTP)
4 secondary outcomes
Number of patients who survived
Time frame: Up to 3 years
Time to first symptomatic skeletal-related event (SRE)(clinical need for radiation therapy or surgery to bone)
Time frame: Up to 3 years
Myeloma response rate
Time frame: Up to 3 years
Number of participants with adverse events
Time frame: Up to 3 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Sep 2015.
- Results publication: PubMed 18362366Rajkumar SV, Rosinol L, Hussein M, Catalano J, Jedrzejczak W, Lucy L, Olesnyckyj M, Yu Z, Knight R, Zeldis JB, Blade J. Multicenter, randomized, double-blind, placebo-controlled study of thalidomide plus dexamethasone compared with dexamethasone as initial therapy for newly diagnosed multiple myeloma. J Clin Oncol. 2008 May 1;26(13):2171-7. doi: 10.1200/JCO.2007.14.1853. Epub 2008 Mar 24.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Robert Knight, MD study director
Celgene Corporation
99 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing A (Thalidomide + Dexamethasone) in people with Multiple Myeloma, run by Celgene Corporation at 99 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Sep 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 99 sites in United States, Russia, Ukraine, Italy, Australia and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to tumor progression (TTP) (time frame: Up to 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00057564, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Sep 2015.