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Relapsed/Refractory Multiple MyelomaPhase 3ADMYRENCT01102426

Aplidin - Dexamethasone in Relapsed/Refractory Myeloma

A Phase 3 study testing Plitidepsin and Dexamethasone in people with Relapsed/Refractory Multiple Myeloma, run by PharmaMar at 82 sites in 19 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

Study of Plitidepsin in combination with dexamethasone versus dexamethasone alone in patients with relapsed/refractory multiple myeloma. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Relapsed/Refractory Multiple Myeloma
What is being tested?
Plitidepsin and Dexamethasone
Could I receive a placebo?
No, everyone receives an active treatment
How many people
255 participants
Where
82 sitesin 19 countries
Study dates
Jun 2010to Nov 2017
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

  • Age ≥ 18 years.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) ≤ 2
  • Life expectancy ≥ 3 months.
  • Patients previously diagnosed with multiple myeloma
  • Patients must have relapsed or relapsed and refractory multiple myeloma (MM) after at least three but not more than six prior therapeutic regimens for MM, including induction therapy and stem cell transplant in candidate patients, which will be considered as only one regimen.
  • Patients must have received previous bortezomib-containing and lenalidomide-containing regimens (or thalidomide where lenalidomide is not available)
  • Women must have a negative serum pregnancy test
  • Voluntarily signed and dated written informed consent

Who cannot join

  • Concomitant diseases/conditions
  • Women who are pregnant or breast feeding.
  • Concomitant medications that include corticosteroids, chemotherapy, or other therapy that is or may be active against MM
  • Known hypersensitivity to any involved study drug or any of its formulation components

Trial locations and contacts

82 sites in 19 countries.

82 sites in 19 countries

Spain10 sites
  • 1201

    Barcelona

  • 1203

    Barcelona

  • 1209

    Barcelona

  • 1207

    Madrid

  • 1210

    Madrid

  • 1206

    Murcia

  • 1204

    Palma de Mallorca

  • 1208

    Salamanca

  • 1202

    San Sebastián

  • 1205

    Valencia

Other trials in Spain

South Korea9 sites
  • 1502

    Anyang

  • 1501

    Daejeon

  • 1507

    Hwasun

  • 1506

    Incheon

  • 1505

    Jeonju

  • 1508

    Seongnam

  • 1503

    Seoul

  • 1504

    Seoul

  • 1509

    Seoul

Other trials in South Korea

Germany8 sites
  • 709

    Düsseldorf

  • 705

    Essen

  • 706

    Frankfurt

  • 707

    Frankfurt

  • 708

    Freiburg im Breisgau

  • 703

    Heidelberg

  • 702

    München

  • 704

    Würzburg

Other trials in Germany

Australia7 sites
  • 108

    Adelaide

  • 102

    Canberra

  • 101

    Geelong

  • 105

    Parkville

  • 106

    Perth

  • 104

    South Brisbane

  • 109

    Woodville

Other trials in Australia

Austria6 sites
  • 202

    Graz

  • 204

    Innsbruck

  • 203

    Salzburg

  • 201

    Vienna

  • 205

    Vienna

  • 208

    Vienna

Other trials in Austria

Italy6 sites
  • 806

    Bari

  • 801

    Genova

  • 805

    Reggio Emilia

  • 803

    Rozzano

  • 804

    San Giovanni Rotondo

  • 802

    Torino

Other trials in Italy

United States5 sites
  • 1104

    Canton, Ohio

  • 1105

    Jacksonville, Florida

  • 1103

    Los Angeles, California

  • 1102

    New York, New York

  • 1107

    Tuscaloosa, Alabama

Other trials in United States

Belgium4 sites
  • 304

    Bruges

  • 301

    Brussels

  • 303

    Brussels

  • 302

    Ghent

Other trials in Belgium

France4 sites
  • 601

    Lille

  • 602

    Nantes

  • 606

    Rouen

  • 604

    Vandœuvre-lès-Nancy

Other trials in France

United Kingdom4 sites
  • 1003

    Bournemouth

  • 1004

    Bradford

  • 1001

    London

  • 1005

    Nottingham

Other trials in United Kingdom

Czechia3 sites
  • 502

    Brno

  • 503

    Hradec Králové

  • 501

    Prague

Other trials in Czechia

Greece3 sites
  • 1301

    Athens

  • 1303

    Pátrai

  • 1302

    Thessaloniki

Other trials in Greece

Taiwan3 sites
  • 1901

    Taipei

  • 1902

    Taipei

  • 1903

    Taipei

Other trials in Taiwan

Netherlands2 sites
  • 901

    Rotterdam

  • 902

    Rotterdam

Other trials in Netherlands

New Zealand2 sites
  • 1601

    Christchurch

  • 1602

    Takapuna

Other trials in New Zealand

Poland2 sites
  • 1704

    Opole

  • 1703

    Warsaw

Other trials in Poland

Portugal2 sites
  • 1802

    Braga

  • 1801

    Porto

Other trials in Portugal

Ireland1 site
  • 1401

    Dublin

Other trials in Ireland

Puerto Rico1 site
  • 2001

    San Juan

Other trials in Puerto Rico

About this study

Official title: Randomized, Multicenter, Open-label, Phase III Study of Plitidepsin in Combination With Dexamethasone vs. Dexamethasone Alone in Patients With Relapsed/Refractory Multiple Myeloma

Study of Plitidepsin in combination with dexamethasone versus dexamethasone alone in patients with relapsed/refractory multiple myeloma.

Read the detailed description

Phase III Study in Patients with Relapsed/Refractory Multiple Myeloma to compare the efficacy of plitidepsin in combination with dexamethasone vs. dexamethasone alone measured by progression-free survival (PFS) and to evaluate tumor response, duration of response (DR), overall survival (OS) and to rule out any effect of plitidepsin on the duration of the QT/QTc interval (time corresponding to the beginning of depolarization to re-polarization of the ventricles).

Being tested
Plitidepsin, Dexamethasone
Keywords
Multiple Myeloma, Aplidin, plitidepsin, dexamethasone
Medical subject headings
Multiple Myeloma

What participants receive

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

  • PlitidepsinDrug

    Also called APLIDIN (plitidepsin)

    plitidepsin: powder and solvent for concentrate for solution for infusion. 2 mg vial + 4 ml ampoule. 5 mg/m2 intravenously (i.v.) over three hours on Day 1 and 15 every 4 weeks. dexamethasone: 4 mg tablet. 40 mg orally on Day 1, 8, 15 and 22 every four weeks at least one hour before plitidepsin infusion.

  • DexamethasoneDrug

    Also called DXN

    4 mg tablet. 40 mg orally on Day 1, 8, 15 and 22 every four weeks.

Study groups in NCT01102426
Study groupRoleWhat they receive
Plitidepsin+DexamethasoneExperimentalplitidepsin + dexamethasone combination
Receives: Drug: Plitidepsin; Drug: Dexamethasone
DexamethasoneActive comparatordexamethasone single agent
Receives: Drug: Dexamethasone

What is being measured

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

  1. Progression Free Survival (PFS) as Per Intention-to-treat (ITT)

    To compare the efficacy of plitidepsin in combination with dexamethasone vs. dexamethasone alone as measured by progression-free survival (PFS) in patients with relapsed/refractory multiple myeloma (MM).

    Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years

  2. Percentage of Participants With Progression Free Survival (PFS) as Per Intention-to-treat (ITT) at 6 Months

    To compare the efficacy of plitidepsin in combination with dexamethasone vs. dexamethasone alone as measured by progression-free survival (PFS) in patients with relapsed/refractory multiple myeloma (MM).

    Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 6 months

Secondary outcomes (15)
  1. Progression-free Survival (Investigator Assessment)

    The secondary study analysis was based on Investigator's assessment PFS data in the ITT efficacy population, defined as all patients randomized to either treatment arm. PFS was calculated from randomization to the first evidence of PD or death due to any cause. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions If the patient received further antitumor therapy before PD and within the timeframe expected for first follow-up, PFS was censored on the date of the last disease assessment prior to the administration of this antitumor therapy.

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years

  2. Percentage of Participants With Progression-free Survival (Investigator Assessment) at 6 Months

    The secondary study analysis was based on Investigator's assessment PFS data in the ITT efficacy population, defined as all patients randomized to either treatment arm. PFS was calculated from randomization to the first evidence of PD or death due to any cause. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions If the patient received further antitumor therapy before PD and within the timeframe expected for first follow-up, PFS was censored on the date of the last disease assessment prior to the administration of this antitumor therapy.

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 6 months

  3. Overall Survival

    Overall Survival (OS) is defined as the time from the date of randomization to the date of death or last contact

    Measured: From randomization to the death due to any cause,assessed up to 5 years

  4. Percentage of Participants With Overall Survival at 12 Months

    Overall Survival (OS) is defined as the time from the date of randomization to the date of death or last contact

    Measured: From randomization to the death due to any cause,assessed up to 12 months

  5. Percentage of Participants With Overall Survival at 24 Months

    Overall Survival (OS) is defined as the time from the date of randomization to the date of death or last contact

    Measured: From randomization to the death due to any cause,assessed up to 24 months

  6. Duration of Response (Independent Review Committee)

    DR was calculated from the date of first documentation of response to the date of disease progression or death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

    Measured: From the date of first documentation of response to the date of disease progression or death, assessed up to 5 years

  7. Percentage of Participants With Duration of Response (Independent Review Committee) at 6 Months

    DR was calculated from the date of first documentation of response to the date of disease progression or death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

    Measured: From the date of first documentation of response to the date of disease progression or death, assessed up to 6 months

  8. Duration of Response (Investigator Assessment)

    DR was calculated from the date of first documentation of response to the date of disease progression or death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

    Measured: From the date of first documentation of response to the date of disease progression or death, assessed up to 5 years

  9. Percentage of Participants With Duration of Response (Investigator Assessment) at 6 Months

    DR was calculated from the date of first documentation of response to the date of disease progression or death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

    Measured: From the date of first documentation of response to the date of disease progression or death, assessed up to 6 months

  10. Best Overall Response (Independent Review Committee)

    Very good partial response (VGPR) serum and urine M-protein detectable but not electrophoresis or >90% reduction in serum M-protein and urine M-protein <100 mg/24h Partial response (PR) ≥50% reduction in serum M-protein and 90% reduction in 24h urine M-protein or to <200 mg/24h. 50% reduction in size of any soft tissue plasmacytomas Minor response (MR) 25%-49% reduction of serum M-protein and 50-89% reduction of 24h urine M-protein. 25-49% reduction in size of soft tissue plasmacytomas. No increase in size or number of bone lesions Stable disease (SD) No sCR, CR, VGPR, PR, MR or PD Progressive disease (PD) 25% increase from the lowest value: serum M-protein, urine M-protein, BM plasma cell. Increase in size, new bone lesions, soft tissue plasmacytomas or serum calcium >11.5 mg/dL; NE, not evaluable

    Measured: From the date of first documentation of response to the date of disease progression or death, assessed up to 5 years

  11. Overall Response Rate (Independent Review Committee)

    Overall response rate including sCR, CR, VGPR, PR and MR. Very good partial response (VGPR) serum and urine M-protein detectable but not electrophoresis or >90% reduction in serum M-protein and urine M-protein <100 mg/24h Partial response (PR) ≥50% reduction in serum M-protein and 90% reduction in 24h urine M-protein or to <200 mg/24h. 50% reduction in size of any soft tissue plasmacytomas Minor response (MR) 25%-49% reduction of serum M-protein and 50-89% reduction of 24h urine M-protein. 25-49% reduction in size of soft tissue plasmacytomas. No increase in size or number of bone lesions

    Measured: From the date of first documentation of response to the date of disease progression or death, assessed up to 5 years

  12. Overall Response Rate (Independent Review Committee) Excluding MR

    Includes sCR, CR, VGPR and PR (excludes MR). Very good partial response (VGPR) serum and urine M-protein detectable but not electrophoresis or >90% reduction in serum M-protein and urine M-protein <100 mg/24h Partial response (PR) ≥50% reduction in serum M-protein and 90% reduction in 24h urine M-protein or to <200 mg/24h. 50% reduction in size of any soft tissue plasmacytomas

    Measured: From the date of first documentation of response to the date of disease progression or death, assessed up to 5 years

  13. Best Overall Response (Investigator Assessment)

    Very good partial response (VGPR) serum and urine M-protein detectable but not electrophoresis or >90% reduction in serum M-protein and urine M-protein <100 mg/24h Partial response (PR) ≥50% reduction in serum M-protein and 90% reduction in 24h urine M-protein or to <200 mg/24h. 50% reduction in size of any soft tissue plasmacytomas Minor response (MR) 25%-49% reduction of serum M-protein and 50-89% reduction of 24h urine M-protein. 25-49% reduction in size of soft tissue plasmacytomas. No increase in size or number of bone lesions Stable disease (SD) No sCR, CR, VGPR, PR, MR or PD Progressive disease (PD) 25% increase from the lowest value: serum M-protein, urine M-protein, BM plasma cell. Increase in size, new bone lesions, soft tissue plasmacytomas or serum calcium >11.5 mg/dL; NE, not evaluable

    Measured: From the date of first documentation of response to the date of disease progression or death, assessed up to 5 years

  14. Overall Response Rate (Investigator Assessment)

    Includes sCR, CR, VGPR, PR and MR. Very good partial response (VGPR) serum and urine M-protein detectable but not electrophoresis or >90% reduction in serum M-protein and urine M-protein <100 mg/24h Partial response (PR) ≥50% reduction in serum M-protein and 90% reduction in 24h urine M-protein or to <200 mg/24h. 50% reduction in size of any soft tissue plasmacytomas Minor response (MR) 25%-49% reduction of serum M-protein and 50-89% reduction of 24h urine M-protein. 25-49% reduction in size of soft tissue plasmacytomas. No increase in size or number of bone lesions

    Measured: From the date of first documentation of response to the date of disease progression or death, assessed up to 5 years

  15. Overall Response Rate (Investigator Assessment) Excluding MR

    Very good partial response (VGPR) serum and urine M-protein detectable but not electrophoresis or >90% reduction in serum M-protein and urine M-protein <100 mg/24h Partial response (PR) ≥50% reduction in serum M-protein and 90% reduction in 24h urine M-protein or to <200 mg/24h. 50% reduction in size of any soft tissue plasmacytomas

    Measured: From the date of first documentation of response to the date of disease progression or death, assessed up to 5 years

Timeline

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

  1. First posted13 Apr 2010 (estimated)
  2. Study startJun 2010
  3. Primary completionNov 2017
  4. Study completionNov 2017

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
255 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01102426
Sponsor's protocol ID
APL-C-001-09
Acronym
ADMYRE
Status last verified
Oct 2020
First submitted
31 Mar 2010
Last updated
10 Nov 2020
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Plitidepsin and Dexamethasone in people with Relapsed/Refractory Multiple Myeloma, run by PharmaMar at 82 sites in 19 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 8 inclusion and 4 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 10 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 82 sites in Spain, South Korea, Germany, Australia, Austria and 14 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 22 Oct 2020). 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?

Progression Free Survival (PFS) as Per Intention-to-treat (ITT) (time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 10 Nov 2020.

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