DS Stage I Multiple MyelomaPhase 3NCT00114101
Lenalidomide in Treating Patients With Multiple Myeloma Undergoing Autologous Stem Cell Transplant
A Phase 3 study testing Autologous Hematopoietic Stem Cell Transplantation, Laboratory Biomarker Analysis and Lenalidomide in people with DS Stage I Multiple Myeloma and DS Stage II Multiple Myeloma, run by National Cancer Institute (NCI) at 140 sites in United States.
Trial summary
This randomized phase III trial studies lenalidomide to see how well it works compared to a placebo in treating patients with multiple myeloma who are undergoing autologous stem cell transplant. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- DS Stage I Multiple Myeloma, DS Stage II Multiple Myeloma, DS Stage III Multiple Myeloma
- What is being tested?
- Autologous Hematopoietic Stem Cell Transplantation, Laboratory Biomarker Analysis and Lenalidomide
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 460 participants
- Where
- 140 sitesUnited States
- Study dates
- 15 Dec 2004to 6 Mar 2027
- 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 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients must have active multiple myeloma requiring treatment (Durie-Salmon stage >= 1) and have stable disease or be responsive to at least 2 months of any induction therapy; patients with smoldering myeloma are not eligible unless the disease has progressed to >= stage 1
- No more than 12 months of any prior therapy, including CC-5013 and thalidomide
- Within 12 months of initiation of induction therapy
- No prior progression after initial therapy; in addition, no more than two regimens will be allowed excluding dexamethasone alone
- No prior peripheral blood, bone marrow, or solid organ transplant
- Patients must have peripheral blood stem cell collection of >= 2 x 10^6 cluster of differentiation (CD)34+ cells/kg (patient body weight) and preferably 5 x 10^6 cells/kg (patient body weight); stem cells may be collected at any time prior to transplant; peripheral blood stem cell collection may occur before or after registration
Show all 22Show fewer
- Patients must have Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
- Patients must have diffusing capacity of the lung for carbon monoxide (DLCO) > 50% predicted with no symptomatic pulmonary disease
- Patients must have left ventricular ejection fraction (LVEF) >= 40% by multi gated acquisition scan (MUGA) or echocardiogram
- Patients must not have uncontrolled diabetes mellitus
- Patients must not have an active serious infection
- Patients must not be human immunodeficiency virus (HIV), hepatitis B surface antigen (HBSag), or hepatitis (Hep) C positive
- Patients must be non-pregnant and non-nursing; women of childbearing potential must have a negative serum or urine pregnancy test with a sensitivity of at least 25 mIU/mL 10-14 days prior to registration and repeated within 24 hours prior to the first dose of lenalidomide; in addition, women of childbearing potential taking lenalidomide must have a pregnancy test performed by the doctor weekly during the first 4 weeks of treatment, and then every 4 weeks if menses are regular and every 2 weeks if menses are irregular, and then 30 days following the last dose of lenalidomide; women of childbearing potential must either commit to continued abstinence from heterosexual intercourse or begin two acceptable methods of birth control - one highly effective method (intrauterine device [IUD], hormonal, tubal ligation, or partner's vasectomy), and one additional effective method (latex condom, diaphragm, or cervical cap) - at the same time, at least 4 weeks before she begins lenalidomide therapy; "women of childbearing" potential is defined as a sexually mature woman who has not undergone a hysterectomy or who has had menses at any time in the preceding 24 consecutive months; men must agree not to father a child and must use a latex condom during any sexual contact with women of childbearing potential while taking lenalidomide and for 4 weeks after therapy is stopped, even if they have undergone a successful vasectomy
- Absolute neutrophil count (ANC) >= 1000/uL
- Platelets >= 100,000/uL
- Creatinine clearance* >= 40 cc/min
- To be calculated by method of Cockcroft-Gault or after 24-hour urine collection
- Creatinine =< 2 mg/dL
- Total bilirubin =< 2 mg/dL
- Aspartate aminotransferase (AST) =< 3 x upper limits of normal
- Alkaline phosphatase =< 3 x upper limits of normal
- Urine (U)-human chorionic gonadotropin (HCG) or serum HCG negative (if patient of childbearing potential)
Who cannot join
None listed.
Trial locations and contacts
140 sites in 1 country.
140 sites in 1 country
United States140 sites
University of New Mexico Cancer Center
Albuquerque, New Mexico, 87106
Northside Hospital
Atlanta, Georgia, 30342
Augusta University Medical Center
Augusta, Georgia, 30912
The Medical Center of Aurora
Aurora, Colorado, 80012
Central Vermont Medical Center/National Life Cancer Treatment
Berlin Corners, Vermont, 05602
Walter Reed National Military Medical Center
Bethesda, Maryland, 20889-5600
OSF Saint Joseph Medical Center
Bloomington, Illinois, 61701
Saint Luke's Cancer Institute - Boise
Boise, Idaho, 83712
Brigham and Women's Hospital
Boston, Massachusetts, 02115
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Boulder Community Foothills Hospital
Boulder, Colorado, 80303
Roswell Park Cancer Institute
Buffalo, New York, 14263
Lahey Clinic
Burlington, Massachusetts, 01805
University of Vermont and State Agricultural College
Burlington, Vermont, 05405
Cooper Hospital University Medical Center
Camden, New Jersey, 08103
Graham Hospital Association
Canton, Illinois, 61520
Memorial Hospital
Carthage, Illinois, 62321
UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, 27599
Carolinas Medical Center/Levine Cancer Institute
Charlotte, North Carolina, 28203
Jesse Brown Veterans Affairs Medical Center
Chicago, Illinois, 60612
University of Illinois
Chicago, Illinois, 60612
University of Chicago Comprehensive Cancer Center
Chicago, Illinois, 60637
The Jewish Hospital
Cincinnati, Ohio, 45236
Case Western Reserve University
Cleveland, Ohio, 44106
MetroHealth Medical Center
Cleveland, Ohio, 44109
Penrose-Saint Francis Healthcare
Colorado Springs, Colorado, 80907
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
Geisinger Medical Center
Danville, Pennsylvania, 17822
Heartland Cancer Research NCORP
Decatur, Illinois, 62526
AdventHealth Porter
Denver, Colorado, 80210
Presbyterian - Saint Lukes Medical Center - Health One
Denver, Colorado, 80218
Saint Joseph Hospital - Cancer Centers of Colorado
Denver, Colorado, 80218
Rose Medical Center
Denver, Colorado, 80220
Western States Cancer Research NCORP
Denver, Colorado, 80222
City of Hope Comprehensive Cancer Center
Duarte, California, 91010
Christiana Care - Union Hospital
Elkton, Maryland, 21921
Swedish Medical Center
Englewood, Colorado, 80113
Eureka Hospital
Eureka, Illinois, 61530
UF Health Cancer Institute - Gainesville
Gainesville, Florida, 32610
Galesburg Cottage Hospital
Galesburg, Illinois, 61401
Illinois CancerCare-Galesburg
Galesburg, Illinois, 61401
Aurora Cancer Care-Glendale
Glendale, Wisconsin, 53212
Saint Mary's Hospital and Regional Medical Center
Grand Junction, Colorado, 81501
Banner North Colorado Medical Center
Greeley, Colorado, 80631
Saint Francis Hospital
Greenville, South Carolina, 29601
Prisma Health Greenville Memorial Hospital
Greenville, South Carolina, 29605
Prisma Health Cancer Institute - Eastside
Greenville, South Carolina, 29615
Virginia Oncology Associates-Hampton
Hampton, Virginia, 23666
Mason District Hospital
Havana, Illinois, 62644
Geisinger Medical Center-Cancer Center Hazleton
Hazleton, Pennsylvania, 18201
Hopedale Medical Complex - Hospital
Hopedale, Illinois, 61747
Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
Houston, Texas, 77030
Houston Methodist Hospital
Houston, Texas, 77030
UT MD Anderson Cancer Center
Houston, Texas, 77030
Saint Mary's Medical Center
Huntington, West Virginia, 25702
Centerpoint Medical Center LLC
Independence, Missouri, 64057
Indiana University/Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202
University of Mississippi Medical Center
Jackson, Mississippi, 39216
Mayo Clinic in Florida
Jacksonville, Florida, 32224-9980
Providence Medical Center
Kansas City, Kansas, 66112
University Health Truman Medical Center
Kansas City, Missouri, 64108
Saint Luke's Hospital of Kansas City
Kansas City, Missouri, 64111
Radiation Oncology Practice Corporation South
Kansas City, Missouri, 64114
Saint Joseph Health Center
Kansas City, Missouri, 64114
North Kansas City Hospital
Kansas City, Missouri, 64116
Research Medical Center
Kansas City, Missouri, 64132
Radiation Oncology Practice Corporation - North
Kansas City, Missouri, 64154
Kewanee Hospital
Kewanee, Illinois, 61443
Northwell Health NCORP
Lake Success, New York, 11042
CommonSpirit Saint Anthony Hospital Cancer Center
Lakewood, Colorado, 80228
Lawrence Memorial Hospital
Lawrence, Kansas, 66044
Saint Luke's East - Lee's Summit
Lee's Summit, Missouri, 64086
Beebe Medical Center
Lewes, Delaware, 19958
Liberty Hospital
Liberty, Missouri, 64068
Sky Ridge Medical Center
Lone Tree, Colorado, 80124
Longmont United Hospital
Longmont, Colorado, 80501
Banner North Colorado Medical Center - Loveland Campus
Loveland, Colorado, 80539
Mcdonough District Hospital
Macomb, Illinois, 61455
University of Wisconsin Carbone Cancer Center - University Hospital
Madison, Wisconsin, 53792
North Shore University Hospital
Manhasset, New York, 11030
Marshfield Medical Center-Marshfield
Marshfield, Wisconsin, 54449
University of Miami Miller School of Medicine-Sylvester Cancer Center
Miami, Florida, 33136
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
University of Minnesota/Masonic Cancer Center
Minneapolis, Minnesota, 55455
Vanderbilt University/Ingram Cancer Center
Nashville, Tennessee, 37232
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
Long Island Jewish Medical Center
New Hyde Park, New York, 11040
Mount Sinai Hospital
New York, New York, 10029
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
NYP/Weill Cornell Medical Center
New York, New York, 10065
Christiana Care Health System-Christiana Hospital
Newark, Delaware, 19718
Carle BroMenn Medical Center
Normal, Illinois, 61761
Carle Cancer Institute Normal
Normal, Illinois, 61761
University of Nebraska Medical Center
Omaha, Nebraska, 68198
Illinois CancerCare-Ottawa Clinic
Ottawa, Illinois, 61350
Ottawa Regional Hospital and Healthcare Center
Ottawa, Illinois, 61350
Menorah Medical Center
Overland Park, Kansas, 66209
Radiation Oncology Practice Corporation Southwest
Overland Park, Kansas, 66210
OSF Saint Francis Radiation Oncology at Pekin
Pekin, Illinois, 61554
Pekin Hospital
Pekin, Illinois, 61554
Proctor Hospital
Peoria, Illinois, 61614
Illinois CancerCare-Peoria
Peoria, Illinois, 61615
Methodist Medical Center of Illinois
Peoria, Illinois, 61636
OSF Saint Francis Medical Center
Peoria, Illinois, 61637
Illinois Valley Hospital
Peru, Illinois, 61354
University of Pennsylvania/Abramson Cancer Center
Philadelphia, Pennsylvania, 19104
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
West Penn Hospital
Pittsburgh, Pennsylvania, 15224
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
Legacy Good Samaritan Hospital and Medical Center
Portland, Oregon, 97210
Providence Portland Medical Center
Portland, Oregon, 97213
Oregon Health and Science University
Portland, Oregon, 97239
Perry Memorial Hospital
Princeton, Illinois, 61356
Saint Mary Corwin Medical Center
Pueblo, Colorado, 81004
Aspirus Cancer Care-Rhinelander-James Beck Cancer Center
Rhinelander, Wisconsin, 54501
Marshfield Medical Center-Rice Lake
Rice Lake, Wisconsin, 54868
VCU Massey Comprehensive Cancer Center
Richmond, Virginia, 23298
Mayo Clinic in Rochester
Rochester, Minnesota, 55905
University of Rochester
Rochester, New York, 14642
University of California Davis Comprehensive Cancer Center
Sacramento, California, 95817
Heartland Regional Medical Center
Saint Joseph, Missouri, 64506
LDS Hospital
Salt Lake City, Utah, 84143
UC San Diego Medical Center - Hillcrest
San Diego, California, 92103
UCSF Medical Center-Mount Zion
San Francisco, California, 94115
Mayo Clinic in Arizona
Scottsdale, Arizona, 85259
University of Washington Medical Center - Montlake
Seattle, Washington, 98195
AdventHealth Shawnee Mission
Shawnee Mission, Kansas, 66204
Saint Margaret's Hospital
Spring Valley, Illinois, 61362
Washington University School of Medicine
St Louis, Missouri, 63110
Geisinger Medical Group
State College, Pennsylvania, 16801
State University of New York Upstate Medical University
Syracuse, New York, 13210
Montefiore Medical Center-Weiler Hospital
The Bronx, New York, 10461
Montefiore Medical Center-Wakefield Campus
The Bronx, New York, 10466
Montefiore Medical Center - Moses Campus
The Bronx, New York, 10467
North Suburban Medical Center
Thornton, Colorado, 80229
George Washington University Medical Center
Washington D.C., District of Columbia, 20037
Intermountain Health Lutheran Hospital
Wheat Ridge, Colorado, 80401
Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-Barre, Pennsylvania, 18711
Saint Francis Hospital - Wilmington
Wilmington, Delaware, 19805
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157
About this study
Official title: A Phase III Randomized, Double-Blind Study of Maintenance Therapy With CC-5013 (NSC # 703813) or Placebo Following Autologous Stem Cell Transplantation for Multiple Myeloma
This randomized phase III trial studies lenalidomide to see how well it works compared to a placebo in treating patients with multiple myeloma who are undergoing autologous stem cell transplant. Giving chemotherapy before a peripheral blood stem cell transplant helps kill any cancer cells that are in the body and helps make room in the patient's bone marrow for new blood-forming cells (stem cells) to grow. After treatment, stem cells are collected from the patient's blood and stored. More chemotherapy is then given to prepare the bone marrow for the stem cell transplant. The stem cells are then returned to the patient to replace the blood-forming cells that were destroyed by the chemotherapy. Biological therapies, such as lenalidomide, may stimulate or suppress the immune system in different ways and stop cancer cells from growing. Giving lenalidomide after autologous stem cell transplant may be an effective treatment for multiple myeloma.
Read the detailed description
PRIMARY OBJECTIVE:
- To determine the efficacy of CC-5013 (lenalidomide) in prolonging time to disease progression in patients with multiple myeloma after autologous stem cell transplant (ASCT).
SECONDARY OBJECTIVES:
- To determine if CC-5013 will increase the complete response (CR) rate in patients with multiple myeloma following ASCT.
II. To compare the progression-free survival (PFS) and overall survival (OS) in patients with multiple myeloma who have undergone ASCT and who then are randomized to either CC-5013 or placebo.
III. To determine the feasibility of long-term administration of CC-5013 to multiple myeloma patients who have undergone ASCT.
OUTLINE:
PERIPHERAL BLOOD STEM CELL (PBSC) MOBILIZATION: Mobilization of autologous PBSC will be performed according to institutional guidelines.
AUTOLOGOUS PBSC TRANSPLANTATION (PBSCT): Patients receive melphalan intravenously (IV) over 30-60 minutes on day -2 or -1 or over 2 days on days -3 and -2 or -2 and -1. Patients undergo autologous PBSCT on day 0.
Patients are then randomized to 1 of 2 maintenance treatment arms. (Note: As of 12/17/09, no more patients will be randomized between lenalidomide and placebo. Patients who have not been randomized as of 12/17/09 will be assigned to lenalidomide.)
ARM I: Beginning between day 100-110, patients receive lenalidomide orally (PO) once daily.
ARM II: Beginning between day 100-110, patients receive placebo (PO) once daily.
In both arms, treatment continues in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 3 months for 1 year and then every 6 months thereafter.
- Conditions
- DS Stage I Multiple Myeloma, DS Stage II Multiple Myeloma, DS Stage III Multiple Myeloma, Refractory Multiple Myeloma, Smoldering Multiple Myeloma
- Being tested
- Autologous Hematopoietic Stem Cell Transplantation, Laboratory Biomarker Analysis, Lenalidomide, Melphalan, Peripheral Blood Stem Cell Transplantation
- Medical subject headings
- Multiple Myeloma, Smoldering Multiple Myeloma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Autologous Hematopoietic Stem Cell TransplantationProcedure or surgery
Also called AHSCT, Autologous, Autologous Hematopoietic Cell Transplantation, Autologous Stem Cell Transplant
Undergo autologous PBSCT
Laboratory Biomarker AnalysisOther
Correlative studies
LenalidomideDrug
Also called CC 5013, CC-5013, CC5013, CDC 501
Given PO
MelphalanDrug
Also called Alanine Nitrogen Mustard, CB-3025, L-PAM, L-Phenylalanine Mustard
Given IV
Peripheral Blood Stem Cell TransplantationProcedure or surgery
Also called PBPC transplantation, PBSCT, Peripheral Blood, Peripheral Blood Progenitor Cell Transplantation
Undergo autologous PBSCT
Placebo AdministrationOther
Given PO
| Study group | Role | What they receive |
|---|---|---|
| Arm I (melphalan, autologous PBSCT, lenalidomide) | Experimental | Beginning between day 100-110, patients receive lenalidomide PO once daily. Treatment continues in the absence of disease progression or unacceptable toxicity. Receives: Procedure: Autologous Hematopoietic Stem Cell Transplantation; Other: Laboratory Biomarker Analysis; Drug: Lenalidomide; Drug: Melphalan; Procedure: Peripheral Blood Stem Cell Transplantation |
| Arm II (melphalan, autologous PBSCT, placebo) | Placebo comparator | Beginning between day 100-110, patients receive placebo PO once daily. Treatment continues in the absence of disease progression or unacceptable toxicity. Receives: Procedure: Autologous Hematopoietic Stem Cell Transplantation; Other: Laboratory Biomarker Analysis; Drug: Melphalan; Procedure: Peripheral Blood Stem Cell Transplantation; Other: Placebo Administration |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to Progression
Time to progression (TTP) was defined as the date of transplant to date of progression or death due to any cause, whichever occurs first. TTP was estimated using the Kaplan Meier method.
Progression was defined per the International Myeloma Working Group definition as one more of the following:
- 25% increase in serum M-component (absolute increase >= 0.5g/dl)
- 25% increase in urine M-component (absolute increase >= 200mg/24hour
- 25% increase in the difference between involved and uninvolved Free Light Chain levels (absolute increase >= 10mg/dl)
- 25 % increase in bone marrow plasma cell percentage (absolute increase of >=10%)
- Definite development of new bone lesion or soft tissue plasmacytomas
- Development of hypercalcemia
Measured: Duration of study (up to 10years)
Secondary outcomes (1)
Response to Autologous Hematopoietic Stem-cell Transplant (HSCT) at Day 100
Response was defined according to International Myeloma Working Group criteria (2006)
- Complete Response: Complete disappearance of M-protein from serum \& urine on immunofixation, normalization of Free Light Chain (FLC) ratio \& <5% plasma cells in bone marrow (BM)
- Partial Response: >= 50% reduction in serum M-Component and/or Urine M-Component >= 90% reduction or <200 mg per 24 hours; or >= 50% decrease in difference between involved and uninvolved FLC levels
- Marginal Response: 25-49% reduction in serum M-component \& urine M-component by 50-89% which still exceeds 200mg/24hour
- Progressive Disease: Defined in primary outcome measure
- Stable Disease: Not meeting any of the criteria above
Measured: Day 100
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jun 2005 (estimated)
- Study start15 Dec 2004
- Primary completion31 Dec 2012
- Study completion6 Mar 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for DS Stage I Multiple MyelomaStudies of the same condition, open and under way.
- More trials run by National Cancer Institute (NCI)The sponsor's other registered studies.
- 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
- 460 participants (actual)
Sponsor and investigators
- Lead sponsor
- National Cancer Institute (NCI)
- Sponsor type
- US National Institutes of Health
- Responsible party
- Sponsor
- Investigators
- Philip L McCarthy, Principal investigator, Alliance for Clinical Trials in Oncology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00114101
- Sponsor's protocol ID
- NCI-2009-00439
- Other IDs
- NCI-2009-00439, CALGB 100104/ECOG 100104, CDR0000434845, CALGB-100104, CALGB-100104, U10CA180821, U10CA031946
- Status last verified
- Aug 2026
- First submitted
- 13 Jun 2005
- Last updated
- 26 Aug 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Holstein SA, Jung SH, Richardson PG, Hofmeister CC, Hurd DD, Hassoun H, Giralt S, Stadtmauer EA, Weisdorf DJ, Vij R, Moreb JS, Callander NS, van Besien K, Gentile TG, Isola L, Maziarz RT, Bashey A, Landau H, Martin T, Qazilbash MH, Rodriguez C, McClune B, Schlossman RL, Smith SE, Hars V, Owzar K, Jiang C, Boyd M, Schultz C, Wilson M, Hari P, Pasquini MC, Horowitz MM, Shea TC, Devine SM, Linker C, Anderson KC, McCarthy PL. Updated analysis of CALGB (Alliance) 100104 assessing lenalidomide versus placebo maintenance after single autologous stem-cell transplantation for multiple myeloma: a randomised, double-blind, phase 3 trial. Lancet Haematol. 2017 Sep;4(9):e431-e442. doi: 10.1016/S2352-3026(17)30140-0. Epub 2017 Aug 17.
PubMed 28826616McCarthy PL, Owzar K, Hofmeister CC, Hurd DD, Hassoun H, Richardson PG, Giralt S, Stadtmauer EA, Weisdorf DJ, Vij R, Moreb JS, Callander NS, Van Besien K, Gentile T, Isola L, Maziarz RT, Gabriel DA, Bashey A, Landau H, Martin T, Qazilbash MH, Levitan D, McClune B, Schlossman R, Hars V, Postiglione J, Jiang C, Bennett E, Barry S, Bressler L, Kelly M, Seiler M, Rosenbaum C, Hari P, Pasquini MC, Horowitz MM, Shea TC, Devine SM, Anderson KC, Linker C. Lenalidomide after stem-cell transplantation for multiple myeloma. N Engl J Med. 2012 May 10;366(19):1770-81. doi: 10.1056/NEJMoa1114083.
PubMed 22571201
Study at a glance
From the registry record, last updated by the sponsor on 26 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Randomized, Double-Blind Study of Maintenance Therapy With CC-5013 (NSC # 703813) or Placebo Following Autologous Stem Cell Transplantation for Multiple Myeloma
- ClinicalTrials.gov ID
- NCT00114101
- Acronym / sponsor ID
- NCI-2009-00439
- Conditions
- DS Stage I Multiple Myeloma, DS Stage II Multiple Myeloma, DS Stage III Multiple Myeloma, Refractory Multiple Myeloma, Smoldering Multiple Myeloma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 460 participants (actual)
- Lead sponsor
- National Cancer Institute (NCI)US National Institutes of Health
- Study start
- 15 Dec 2004 (actual)
- Primary completion
- 31 Dec 2012 (actual)
- Study completion
- 6 Mar 2027 (estimated)
- First posted
- 14 Jun 2005 (estimated)
- Results
- Posted 1 Jul 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized phase III trial studies lenalidomide to see how well it works compared to a placebo in treating patients with multiple myeloma who are undergoing autologous stem cell transplant. Giving chemotherapy before a peripheral blood stem cell transplant helps kill any cancer cells that are in the body and helps make room in the patient's bone marrow for new blood-forming cells (stem cells) to grow. After treatment, stem cells are collected from the patient's blood and stored. More chemotherapy is then given to prepare the bone marrow for the stem cell transplant. The stem cells are then returned to the patient to replace the blood-forming cells that were destroyed by the chemotherapy. Biological therapies, such as lenalidomide, may stimulate or suppress the immune system in different ways and stop cancer cells from growing. Giving lenalidomide after autologous stem cell transplant may be an effective treatment for multiple myeloma.
Detailed description
PRIMARY OBJECTIVE:
- To determine the efficacy of CC-5013 (lenalidomide) in prolonging time to disease progression in patients with multiple myeloma after autologous stem cell transplant (ASCT).
SECONDARY OBJECTIVES:
- To determine if CC-5013 will increase the complete response (CR) rate in patients with multiple myeloma following ASCT.
II. To compare the progression-free survival (PFS) and overall survival (OS) in patients with multiple myeloma who have undergone ASCT and who then are randomized to either CC-5013 or placebo.
III. To determine the feasibility of long-term administration of CC-5013 to multiple myeloma patients who have undergone ASCT.
OUTLINE:
PERIPHERAL BLOOD STEM CELL (PBSC) MOBILIZATION: Mobilization of autologous PBSC will be performed according to institutional guidelines.
AUTOLOGOUS PBSC TRANSPLANTATION (PBSCT): Patients receive melphalan intravenously (IV) over 30-60 minutes on day -2 or -1 or over 2 days on days -3 and -2 or -2 and -1. Patients undergo autologous PBSCT on day 0.
Patients are then randomized to 1 of 2 maintenance treatment arms. (Note: As of 12/17/09, no more patients will be randomized between lenalidomide and placebo. Patients who have not been randomized as of 12/17/09 will be assigned to lenalidomide.)
ARM I: Beginning between day 100-110, patients receive lenalidomide orally (PO) once daily.
ARM II: Beginning between day 100-110, patients receive placebo (PO) once daily.
In both arms, treatment continues in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 3 months for 1 year and then every 6 months thereafter.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm I (melphalan, autologous PBSCT, lenalidomide) | Experimental | Procedure: Autologous Hematopoietic Stem Cell Transplantation, Other: Laboratory Biomarker Analysis, Drug: Lenalidomide, Drug: Melphalan, Procedure: Peripheral Blood Stem Cell TransplantationBeginning between day 100-110, patients receive lenalidomide PO once daily. Treatment continues in the absence of disease progression or unacceptable toxicity. |
| Arm II (melphalan, autologous PBSCT, placebo) | Placebo comparator | Procedure: Autologous Hematopoietic Stem Cell Transplantation, Other: Laboratory Biomarker Analysis, Drug: Melphalan, Procedure: Peripheral Blood Stem Cell Transplantation, Other: Placebo AdministrationBeginning between day 100-110, patients receive placebo PO once daily. Treatment continues in the absence of disease progression or unacceptable toxicity. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (22 listed)
- Patients must have active multiple myeloma requiring treatment (Durie-Salmon stage >= 1) and have stable disease or be responsive to at least 2 months of any induction therapy; patients with smoldering myeloma are not eligible unless the disease has progressed to >= stage 1
- No more than 12 months of any prior therapy, including CC-5013 and thalidomide
- Within 12 months of initiation of induction therapy
- No prior progression after initial therapy; in addition, no more than two regimens will be allowed excluding dexamethasone alone
- No prior peripheral blood, bone marrow, or solid organ transplant
Key exclusion criteria (0 listed)
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 |
|---|---|---|
| Autologous Hematopoietic Stem Cell TransplantationAlso: AHSCT, Autologous, Autologous Hematopoietic Cell Transplantation, Autologous Stem Cell TransplantUndergo autologous PBSCT | Procedure or surgery | Arm I (melphalan, autologous PBSCT, lenalidomide), Arm II (melphalan, autologous PBSCT, placebo) |
| Laboratory Biomarker AnalysisCorrelative studies | Other | Arm I (melphalan, autologous PBSCT, lenalidomide), Arm II (melphalan, autologous PBSCT, placebo) |
| LenalidomideAlso: CC 5013, CC-5013, CC5013, CDC 501Given PO | Drug | Arm I (melphalan, autologous PBSCT, lenalidomide) |
| MelphalanAlso: Alanine Nitrogen Mustard, CB-3025, L-PAM, L-Phenylalanine MustardGiven IV | Drug | Arm I (melphalan, autologous PBSCT, lenalidomide), Arm II (melphalan, autologous PBSCT, placebo) |
| Peripheral Blood Stem Cell TransplantationAlso: PBPC transplantation, PBSCT, Peripheral Blood, Peripheral Blood Progenitor Cell TransplantationUndergo autologous PBSCT | Procedure or surgery | Arm I (melphalan, autologous PBSCT, lenalidomide), Arm II (melphalan, autologous PBSCT, placebo) |
| Placebo AdministrationGiven PO | Other | Arm II (melphalan, autologous PBSCT, placebo) |
Primary outcome
Time to Progression
Time frame: Duration of study (up to 10years)
Time to progression (TTP) was defined as the date of transplant to date of progression or death due to any cause, whichever occurs first. TTP was estimated using the Kaplan Meier method. Progression was defined per the International Myeloma Working Group definition as one more of the following: * 25% increase in serum M-component (absolute increase >= 0.5g/dl) * 25% increase in urine M-component (absolute increase >= 200mg/24hour * 25% increase in the difference between involved and uninvolved Free Light Chain levels (absolute increase >= 10mg/dl) * 25 % increase in bone marrow plasma cell percentage (absolute increase of >=10%) * Definite development of new bone lesion or soft tissue plasmacytomas * Development of hypercalcemia
1 secondary outcome
Response to Autologous Hematopoietic Stem-cell Transplant (HSCT) at Day 100
Time frame: Day 100
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Aug 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 28826616Holstein SA, Jung SH, Richardson PG, Hofmeister CC, Hurd DD, Hassoun H, Giralt S, Stadtmauer EA, Weisdorf DJ, Vij R, Moreb JS, Callander NS, van Besien K, Gentile TG, Isola L, Maziarz RT, Bashey A, Landau H, Martin T, Qazilbash MH, Rodriguez C, McClune B, Schlossman RL, Smith SE, Hars V, Owzar K, Jiang C, Boyd M, Schultz C, Wilson M, Hari P, Pasquini MC, Horowitz MM, Shea TC, Devine SM, Linker C, Anderson KC, McCarthy PL. Updated analysis of CALGB (Alliance) 100104 assessing lenalidomide versus placebo maintenance after single autologous stem-cell transplantation for multiple myeloma: a randomised, double-blind, phase 3 trial. Lancet Haematol. 2017 Sep;4(9):e431-e442. doi: 10.1016/S2352-3026(17)30140-0. Epub 2017 Aug 17.
- Derived from this study: PubMed 22571201McCarthy PL, Owzar K, Hofmeister CC, Hurd DD, Hassoun H, Richardson PG, Giralt S, Stadtmauer EA, Weisdorf DJ, Vij R, Moreb JS, Callander NS, Van Besien K, Gentile T, Isola L, Maziarz RT, Gabriel DA, Bashey A, Landau H, Martin T, Qazilbash MH, Levitan D, McClune B, Schlossman R, Hars V, Postiglione J, Jiang C, Bennett E, Barry S, Bressler L, Kelly M, Seiler M, Rosenbaum C, Hari P, Pasquini MC, Horowitz MM, Shea TC, Devine SM, Anderson KC, Linker C. Lenalidomide after stem-cell transplantation for multiple myeloma. N Engl J Med. 2012 May 10;366(19):1770-81. doi: 10.1056/NEJMoa1114083.
Related trials for DS Stage I Multiple Myeloma
RecruitingObservational study
Collecting Blood Samples From Patients With and Without Cancer to Evaluate Tests for Early Cancer Detection
Acute Lymphoblastic Leukemia, Acute Myeloid Leukemia
RecruitingObservational study
Tissue, Blood, and Body Fluid Sample Collection From Patients With Hematologic Cancer
Chronic Myeloproliferative Disorders, Leukemia
Active, not recruitingObservational study
Infection Prophylaxis and Management in Treating Cytomegalovirus (CMV) Infection in Patients With Hematologic Malignancies Previously Treated With Donor Stem Cell Transplant
Hematopoietic/Lymphoid Cancer, Accelerated Phase Chronic Myelogenous Leukemia
Active, not recruitingPhase 3
Lenalidomide and Dexamethasone With or Without Thalidomide in Treating Patients With Multiple Myeloma
DS Stage I Multiple Myeloma, DS Stage II Multiple Myeloma
Active, not recruiting
3'-Deoxy-3'-[18F] Fluorothymidine PET Imaging in Patients With Cancer
Brain and Central Nervous System Tumors, Chronic Myeloproliferative Disorders
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.
Philip L McCarthy principal investigator
Alliance for Clinical Trials in Oncology
140 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Autologous Hematopoietic Stem Cell Transplantation, Laboratory Biomarker Analysis and Lenalidomide in people with DS Stage I Multiple Myeloma and DS Stage II Multiple Myeloma, run by National Cancer Institute (NCI) at 140 sites in United States.
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 22 inclusion and 0 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: under way, not looking for participants, as of the sponsor's last update on 26 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 140 sites in United States. 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?
Yes. Results are posted in the registry (first posted 1 Jul 2013). 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 (time frame: Duration of study (up to 10years)). 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 NCT00114101, which also lists 2 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 26 Aug 2026.