AzTrials
AzTrials

Multiple MyelomaPhase 3NCT00103506

Study of DOXIL/CAELYX (Pegylated Liposomal Doxorubicin) and VELCADE (Bortezomib) or VELCADE Monotherapy for the Treatment of Relapsed Multiple Myeloma

A Phase 3 study testing Bortezomib (VELCADE) and Doxorubicin hydrochloride (DOXIL/CAELYX) in people with Multiple Myeloma, run by Janssen Research & Development, LLC at 108 sites in 17 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate time to progression, overall survival, response rate and safety for the two open-label treatment groups; DOXIL/CAELYX in combination with VELCADE vs. VELCADE monotherapy. 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?
Bortezomib (VELCADE) and Doxorubicin hydrochloride (DOXIL/CAELYX)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
646 participants
Where
108 sitesin 17 countries
Study dates
Dec 2004to Jun 2014
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Patients with multiple myeloma who have received at least 1 prior therapy and who have either responded and later had progressive disease or have progressed during their first therapy (primary refractory) are eligible for the study
  • Patients who may have received prior doxorubicin but not more than a cumulative dose of 240 milligram per meter square (mg/m^2) doxorubicin, DOXIL, or the equivalent amount of another anthracycline (i.e., 1 mg doxorubicin = 1 mg DOXIL/CAELYX = 1.8 mg epirubicin = 0.3 mg mitoxantrone = 0.25 mg idarubicin)
  • Must have normal cardiac function, as evidenced by a left LVEF within institutional normal limits.

Who cannot join

  • History of treatment with VELCADE or progressive disease while receiving an anthracycline-containing regimen
  • No change in disease status during initial therapy
  • No treatment for malignancy within past 5 yrs (other than multiple myeloma) or progressive disease while receiving anthracycline-containing regimen
  • Non-secretory disease
  • Myocardial infarct within past 6 months
  • No major surgery in past 30 days.

Trial locations and contacts

108 sites in 17 countries.

108 sites in 17 countries

United States28 sites
  • Study site

    Alabaster, Alabama

  • Study site

    Altanta, Georgia

  • Study site

    Berkeley, California

  • Study site

    Boise, Idaho

  • Study site

    Chapel Hill, North Carolina

  • Study site

    Charlotte, North Carolina

  • Study site

    Durham, North Carolina

  • Study site

    Hackensack, New Jersey

  • Study site

    Indianapolis, Indiana

  • Study site

    Jacksonville, Florida

  • Study site

    Lexington, Kentucky

  • Study site

    Loma Linda, California

  • Study site

    Los Angeles, California

  • Study site

    Metairie, Louisiana

  • Study site

    Miami, Florida

  • Study site

    Minneapolis, Minnesota

  • Study site

    Nashville, Tennessee

  • Study site

    New Orleans, Louisiana

  • Study site

    North Charleston, South Carolina

  • Study site

    Norwalk, Connecticut

  • Study site

    Philadelphia, Pennsylvania

  • Study site

    Pittsburgh, Pennsylvania

  • Study site

    Portland, Oregon

  • Study site

    Sacramento, California

  • Study site

    Stamford, Connecticut

  • Study site

    Stuart, Florida

  • Study site

    Surprise, Arizona

  • Study site

    West Palm Beach, Florida

Other trials in United States

Netherlands10 sites
  • Study site

    Amersfoort

  • Study site

    Amsterdam

  • Study site

    Amsterdam-Zuidoost

  • Study site

    Delft

  • Study site

    Groningen

  • Study site

    Nieuwegein

  • Study site

    Nijmegen

  • Study site

    Rotterdam

  • Study site

    The Hague

  • Study site

    Utrecht

Other trials in Netherlands

France9 sites
  • Study site

    Angers Cedex 1 N/A

  • Study site

    Bobigny

  • Study site

    Créteil

  • Study site

    Lille Cedex N/A

  • Study site

    Nantes

  • Study site

    Pierre-Bénite

  • Study site

    Toulouse

  • Study site

    Tours

  • Study site

    Vandœuvre-lès-Nancy

Other trials in France

Russia8 sites
  • Study site

    Arkhangelsk

  • Study site

    Izhevsk

  • Study site

    Moscow

  • Study site

    Nizhny Novgorod

  • Study site

    Novosibirsk

  • Study site

    Obninsk

  • Study site

    Saint Petersburg

  • Study site

    Yekaterinburg

Other trials in Russia

Canada6 sites
  • Study site

    Hamilton, Ontario

  • Study site

    Montreal, Quebec

  • Study site

    N/a N/a

  • Study site

    Ottawa, Ontario

  • Study site

    Québec, Quebec

  • Study site

    Vancouver, British Columbia

Other trials in Canada

Israel6 sites
  • Study site

    Haifa

  • Study site

    Jerusalem

  • Study site

    Petah Tikva

  • Study site

    Ramat Gan

  • Study site

    Rehovot

  • Study site

    Tel Aviv

Other trials in Israel

Poland6 sites
  • Study site

    Bialystok

  • Study site

    Gdansk

  • Study site

    Lodz

  • Study site

    Lublin

  • Study site

    Warsaw

  • Study site

    Wroclaw

Other trials in Poland

Australia5 sites
  • Study site

    Adelaide

  • Study site

    Darlinghurst

  • Study site

    Melbourne

  • Study site

    Perth

  • Study site

    Sydney

Other trials in Australia

Austria5 sites
  • Study site

    Graz

  • Study site

    Innsbruck

  • Study site

    Salzburg

  • Study site

    Vienna

  • Study site

    Wels

Other trials in Austria

South Africa5 sites
  • Study site

    Bloemfontein

  • Study site

    Cape Town

  • Study site

    Johannesburg

  • Study site

    Parktown

  • Study site

    Pretoria Gauteng

Other trials in South Africa

Argentina4 sites
  • Study site

    Buenos Aires

  • Study site

    Ciudad de Buenos Aires

  • Study site

    La Plata

  • Study site

    Mendoza

Other trials in Argentina

Belgium4 sites
  • Study site

    Brussels

  • Study site

    Ghent

  • Study site

    Leuven

  • Study site

    Mont-Godinne

Other trials in Belgium

Czechia3 sites
  • Study site

    Brno

  • Study site

    Olomouc

  • Study site

    Praha 2 N/A

Other trials in Czechia

Portugal3 sites
  • Study site

    Coimbra

  • Study site

    Lisbon

  • Study site

    Porto

Other trials in Portugal

Spain3 sites
  • Study site

    Barcelona

  • Study site

    Madrid

  • Study site

    Salamanca

Other trials in Spain

United Kingdom2 sites
  • Study site

    Bath

  • Study site

    London

Other trials in United Kingdom

Singapore1 site
  • Study site

    Singapore

Other trials in Singapore

About this study

Official title: A Randomized Controlled Study of DOXIL/CAELYX (Doxorubicin HCL Liposome Injection) and VELCADE (Bortezomib) or VELCADE Monotherapy for the Treatment of Relapsed Multiple Myeloma

The purpose of this study is to evaluate time to progression, overall survival, response rate and safety for the two open-label treatment groups; DOXIL/CAELYX in combination with VELCADE vs. VELCADE monotherapy.

Read the detailed description

This is a randomized (study drug assigned by chance), parallel-group, open-label (all involved people know the identity of the intervention), multicenter study in 18 countries. A total of 646 patients with multiple myeloma whose disease has progressed after an initial response to at least 1 line of prior therapy or was refractory to initial treatment will be enrolled. The primary endpoint is time to progression (the interval between the date of randomization and the date of disease progression); secondary endpoints are overall survival (the interval between the date of randomization and the patient's death from any cause), response rate (the proportion of patients in the evaluable population who achieved a complete or partial response), and safety. Other study endpoints include patient reported outcomes and exploratory pharmacogenics (to identify genetic markers of response). Patients are assessed for efficacy and safety every 3 weeks until disease progression is documented or for up to 42 weeks from the start of the first dose of study drug. Patients, who do not progress after the 42-week period, are assessed every 6 weeks until disease progression is documented. Efficacy evaluations includes: serum protein electrophoresis, 24-hour urine collection for protein electrophoresis, skeletal survey (plain films), bone marrow biopsy and aspirate, clinical or radiologic assessment of plasmacytomas, and serum calcium. Responses and progressions are assessed objectively by a computer algorithm based on the EBMT criteria. Safety evaluations include adverse event reports, changes in clinical laboratory findings, and tests for cardiac function (multiple gated acquisition scan/echocardiogram and electrocardiogram). Group A: VELCADE monotherapy: VELCADE 1.3 milligram per meter square (mg/m^2) to be administered by i.v. bolus on Days 1, 4, 8, and 11 of each 21-day cycle. Group B: DOXIL/VELCADE combination: treated with VELCADE at the same dose and schedule as specified in Group A. DOXIL/CAELYX 30 mg/m^2 by intravenous infusion given on Day 4 of every 21-day cycle following the administration of VELCADE.

Being tested
Bortezomib (VELCADE), Doxorubicin hydrochloride (DOXIL/CAELYX)
Keywords
Multiple Myeloma, Doxil, Caelyx, Doxorubicin, Velcade, Bortezomib
Medical subject headings
Multiple Myeloma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Bortezomib (VELCADE)Drug

    1.3 mg/m^2 by rapid (bolus) i.v. administration given on Days 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles.

  • Bortezomib (VELCADE)Drug

    1.3 mg/m^2 by rapid (bolus) i.v. administration given on Days 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles..

  • Doxorubicin hydrochloride (DOXIL/CAELYX)Drug

    mg/m^2 by i.v. infusion will be given on Day 4 of every 21-day cycle after the administration of bortezomib (VELCADE) for up to 8 cycles.

Study groups in NCT00103506
Study groupRoleWhat they receive
VELCADE (bortezomib) monotherapyActive comparatorBortezomib (VELCADE) 1.3 milligram per meter square (mg/m^2) by rapid (bolus) i.v. administration given on Days 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles.
Receives: Drug: Bortezomib (VELCADE)
DOXIL/CAELYX in combination with VELCADE (bortezomib)ExperimentalBortezomib (VELCADE) 1.3 mg/m^2 by rapid (bolus) i.v. administration given on Days 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles. Doxorubicin hydrochloride (DOXIL/CAELYX) 30 mg/m2 by i.v. infusion will be given on Day 4 of every 21-day cycle after the administration of bortezomib (VELCADE) for up to 8 cycles.
Receives: Drug: Bortezomib (VELCADE); Drug: Doxorubicin hydrochloride (DOXIL/CAELYX)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to Progression (TTP)

    Median time to progression of disease is assessed according to International Myeloma Working Group (IMWG) criteria or death from any cause. IMWG criteria: increase of >=25% from lowest level in Serum M-component or (the absolute increase must be >=0.5 gram per deciliter [g/dL]); Urine M component or (the absolute increase must be >=200 milligram per 24 hour. Only in participants without measurable serum and urine M-protein levels: the difference between involved and uninvolved free light chain levels. The absolute increase >10 mg/dL. Bone marrow plasma cell percentage >=10%. Definite development of new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing. Development of hypercalcemia. Participants who died or dropped out due to any reason without progression will be censored with the day of death or drop-out, respectively and who are alive at the end of the study without any progression was censored with the last available date.

    Measured: Up to 1 year and 4 months (From date of first participant randomization [20 December 2004] up to interim analysis cut-off date [28 April 2006])

Secondary outcomes (2)
  1. Overall Survival

    The OS is defined as the time from the date of first dose of study drug to date of death from any cause. If the participant is alive or the vital status is unknown, the participant will be censored at the date the participant will be last known to be alive.

    Measured: Up to 9 years and 5 months (From date of first participant randomization [20 December 2004] to cut-off date for final survival analysis (16 May 2014)

  2. Number of Participants With Serious Adverse Events (SAEs)

    A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

    Measured: Up to 1 year and 11 months (From date of first participant randomization [20 December 2004] to cut-off date for safety update (28 November 2006)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Feb 2005 (estimated)
  2. Study startDec 2004
  3. Primary completionMay 2014
  4. Study completionJun 2014

Resources

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
None (open label)
Enrolment
646 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00103506
Sponsor's protocol ID
CR004117
Other IDs
DOXILMMY3001, 2004-001842-34, 2004
Status last verified
Sep 2015
First submitted
9 Feb 2005
Last updated
19 Oct 2015
Data monitoring committee
Yes

Publications

  • Dimopoulos MA, Orlowski RZ, Facon T, Sonneveld P, Anderson KC, Beksac M, Benboubker L, Roddie H, Potamianou A, Couturier C, Feng H, Ataman O, van de Velde H, Richardson PG. Retrospective matched-pairs analysis of bortezomib plus dexamethasone versus bortezomib monotherapy in relapsed multiple myeloma. Haematologica. 2015 Jan;100(1):100-6. doi: 10.3324/haematol.2014.112037. Epub 2014 Sep 26.

    PubMed 25261096
  • Sonneveld P, Hajek R, Nagler A, Spencer A, Blade J, Robak T, Zhuang SH, Harousseau JL, Orlowski RZ; DOXIL-MMY-3001 Study Investigators. Combined pegylated liposomal doxorubicin and bortezomib is highly effective in patients with recurrent or refractory multiple myeloma who received prior thalidomide/lenalidomide therapy. Cancer. 2008 Apr 1;112(7):1529-37. doi: 10.1002/cncr.23326.

    PubMed 18300257
  • Orlowski RZ, Nagler A, Sonneveld P, Blade J, Hajek R, Spencer A, San Miguel J, Robak T, Dmoszynska A, Horvath N, Spicka I, Sutherland HJ, Suvorov AN, Zhuang SH, Parekh T, Xiu L, Yuan Z, Rackoff W, Harousseau JL. Randomized phase III study of pegylated liposomal doxorubicin plus bortezomib compared with bortezomib alone in relapsed or refractory multiple myeloma: combination therapy improves time to progression. J Clin Oncol. 2007 Sep 1;25(25):3892-901. doi: 10.1200/JCO.2006.10.5460. Epub 2007 Aug 6.

    PubMed 17679727

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Bortezomib (VELCADE) and Doxorubicin hydrochloride (DOXIL/CAELYX) in people with Multiple Myeloma, run by Janssen Research & Development, LLC at 108 sites in 17 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 3 inclusion and 6 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 19 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 108 sites in United States, Netherlands, France, Russia, Canada and 12 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. 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?

Yes. Results are posted in the registry (first posted 25 May 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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 Progression (TTP) (time frame: Up to 1 year and 4 months (From date of first participant randomization [20 December 2004] up to interim analysis cut-off date [28 April 2006])). 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 NCT00103506, which also lists 3 linked publications.

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 19 Oct 2015.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in