Multiple MyelomaPhase 3HO95NCT01208766
Study to Compare VMP With HDM Followed by VRD Consolidation and Lenalidomide Maintenance in Patients With Newly Diagnosed Multiple Myeloma
A Phase 3 study testing Bortezomib, Melphalan, Prednisone (VMP), 1 or 2 cycle(s) HDM (High Dose Melphalan) and 2 cycles of Bortezomib, Lenalidomide, Dexamethasone (VRD) in people with Multiple Myeloma, run by Stichting Hemato-Oncologie voor Volwassenen Nederland at 208 sites in 16 countries.
Trial summary
Study phase: phase III Study objective: Comparison of Bortezomib, Melphalan, Prednisone (VMP) with High Dose Melphalan followed autologous stem cell transplantation (ASCT) Comparison of Bortezomib, Lenalidomide, Dexamethasone(VRD) as consolidation versus no consolidation Comparison of single versus tandem high dose… Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Multiple Myeloma
- What is being tested?
- Bortezomib, Melphalan, Prednisone (VMP), 1 or 2 cycle(s) HDM (High Dose Melphalan) and 2 cycles of Bortezomib, Lenalidomide, Dexamethasone (VRD)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,503 participants
- Where
- 208 sitesin 16 countries
- Study dates
- Jan 2011to Jan 2025
- 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 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with a confirmed diagnosis of symptomatic multiple myeloma stage I to III according to the International Staging System ISS (see appendix A), i.e. at least one of the CRAB criteria should be present;
- Measurable disease as defined by the presence of M-protein in serum or urine (serum M-protein> 10 g/l or urine M-protein > 200 mg/24 hours), or abnormal free light chain ratio;
- Age 18-65 years inclusive;
- WHO performance status 0-3 (WHO=3 is allowed only when caused by MM and not by comorbid conditions);
- Negative pregnancy test at inclusion if applicable;
- Written informed consent.
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- WHO performance 0-2;
- Bilirubin and transaminases < 2.5 times the upper limit of normal values;
- A suitable stem cell graft containing at least 4 x 106 CD34+ cells/kg (or according to national guidelines).
- Bilirubin and transaminases < 2.5 times the upper limit of normal values;
- ANC >= 0.5 x 109/l and platelets > 20 x 10^9/l;
- Patient is able to adhere to the requirements of the Lenalidomide Pregnancy Prevention Risk Management Plan.
Who cannot join
- Known intolerance of Boron;
- Systemic AL amyloidosis;
- Primary Plasmacell Leukemia;
- Non-secretory MM;
- Previous chemotherapy or radiotherapy except local radiotherapy in case of local myeloma progression or corticosteroids maximum 5 days for symptom control;
- Severe cardiac dysfunction (NYHA classification II-IV);
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- Significant hepatic dysfunction, unless related to myeloma;
- Patients with GFR <15 ml/min,
- Patients known to be HIV-positive;
- Patients with active, uncontrolled infections;
- Patients with neuropathy, CTC grade 2 or higher;
- Patients with a history of active malignancy during the past 5 years with the exception of basal carcinoma of the skin or stage 0 cervical carcinoma;
- Patients who are not willing or capable to use adequate contraception during the therapy (all men, all pre-menopausal women);
- Lactating women.
- Severe pulmonary, neurologic, or psychiatric disease;
- CTCAE grade 3-4 polyneuropathy during Bortezomib treatment;
- Allogeneic Stem Cell Transplantation (Allo SCT) planned;
- Progressive disease.'
- Progressive disease;
- Neuropathy, except CTCAE grade 1;
- CTCAE grade 3-4 polyneuropathy during Bortezomib treatment.
Trial locations and contacts
208 sites in 16 countries.
208 sites in 16 countries
Italy64 sites
SS Antonio e Biogio
Alessandria
AOU Umberto I-Clinica di Ematologica
Ancona
Ospedale C. e G. Mazzoni-Ematologia
Ascoli Piceno
A.O.R.N. San G. Moscati
Avellino
Policlinico di Bari
Bari
Oaspedali Riuniti_Div di Ematologia
Bergamo
Instituto di Ematologia e Oncologia Medica
Bologna
Ospedale Generale Regionale_Div di Ema e Centro
Bolzano
Spedali Civili_U.O.Ematologia
Brescia
Pres Osp Di Summa
Brindisi
Presidio Osp R. Binaghi
Cagliari
Inst per la Ricerca e la Cura del Cancro Di
Candiolo
Ospedale Ferrarotto-Ema
Catania
Presidio ospedaliero dell'annunziata
Cosenza
OspedaleCivico S Croce e carle
Cuneo
Ospedali Riuniti di Foggia
Foggia
Azienda Ospedaliera San Antonio Abate
Gallarate
Azienda Ospedaliera Universitaria S. Martino_Clinica Ematologica
Genova
Azienda Ospedaliera Universitaria S. Martino_Ematologia 1
Genova
Azienda Ospedaliera Universitaria S. Martino_Ematologia 2
Genova
Università La Sapienza Polo Pontino
Latina
Ospedale A. Manzoni
Lecco
ASUR Regione Marche
Marche
IRST
Meldola
Azienda Ospedaliera Papardo
Messina
Policlinico Gaetano Martino
Messina
Osp Dell Angelo
Mestre
Istituto Nazionale dei Tumori-Ema
Milan
Ospedale Niguarda Cà Grande
Milan
Policlinico- servizio di Ematologia
Modena
Ospedale Cardarelli-ematologia e Trapianto di Midollo Osseo
Naples
Ospedale Cardarelli-Sezione di Ematologia TERE
Naples
Universita Federico II-Ema
Naples
Università Amedeo Avogrado-Ospedale Maggiore
Novara
Ospedale San Francesco
Nuoro
Osp San Luigi Gonzaga-Pat med
Orbassano
Ospedaliera di Pavona_Ematologia e
Padova
Giaccone di Palermo
Palermo
Fondazione Maugeri
Pavia
Policlinico San Matteo
Pavia
Azienda Ospedaliera S. Maria della Misericordia
Perugia
AO Ospedali Riunti Marche Nord
Pesaro
Presidio Osp dello Spirito Santo
Pescara
Osp S Maria delle Croci_Ema
Ravenna
A.O. Bianchi Melacrino Morelli_Ops Riunti
Reggio Calabria
Azienda Ospedaliera S. Maria Nuova
Reggio Emilia
Ospedale Infermi
Rimini
Ospedale Oncologica Regionale
Rionero in Vulture
Azienda Osp S. Andrea
Roma
Inst Regina elena-SC Ema IFO
Roma
Osp. san Camillo Forlanini
Roma
Ospedale S Eugenio_Ema
Roma
Ospedale San Giovanni Addolorata
Roma
UC Biomedico_Divisione di Ematologia
Roma
Universita La Sapienza_Ospedale Umberto I
Roma
Istituto Clinico Humanitas
Rozzano
AOU Senese Policlinico S. Maria alle Scotte
Siena
PO SS Ann e S.G. Moscati-Ema
Taranto
St. Maria_Oncoematologia
Terni
San Giovanni Battista Le Molinette-Ema 1
Torino
San Giovanni Battista Le Molinette-Ema 2
Torino
AO Cardinale G. Panico
Tricase
AOU Ospedali Riuniti
Trieste
AOU S.Maria della Misericordia
Udine
Netherlands59 sites
NL-Den Bosch-JBZ
's-Hertogenbosch
NL-Alkmaar-NWZ
Alkmaar
NL-Almere-FLEVOZIEKENHUIS
Almere Stad
NL-Amersfoort-MEANDERMC
Amersfoort
NL-Amstelveen-AMSTELLAND
Amstelveen
NL-Amsterdam-AMC
Amsterdam
NL-Amsterdam-AVL
Amsterdam
NL-Amsterdam-OLVG
Amsterdam
NL-Amsterdam-VUMC
Amsterdam
NL-Apeldoorn-GELREAPELDOORN
Apeldoorn
NL-Arnhem-RIJNSTATE
Arnhem
NL-Assen-WZA
Assen
NL-Beverwijk-RKZ
Beverwijk
NL-Breda-AMPHIA
Breda
NL-Capelle a/d IJssel-YSL
Capelle aan den IJssel
NL-Delft-RDGG
Delft
NL-Deventer-DZ
Deventer
NL-Dirksland-VANWEELBETHESDA
Dirksland
NL-Doetinchem-SLINGELAND
Doetinchem
NL-Dordrecht-ASZ
Dordrecht
Nij Smellinghe
Drachten
NL-Ede-ZGV
Ede
NL-Eindhoven-CATHARINA
Eindhoven
NL-Eindhoven-MAXIMAMC
Eindhoven
NL-Emmen-SCHEPER
Emmen
NL-Enschede-MST
Enschede
NL-Geldrop-STANNA
Geldrop
NL-Goes-ADRZ
Goes
NL-Gorinchem-BEATRIX
Gorinchem
NL-Gouda-GROENEHART
Gouda
NL-Groningen-UMCG
Groningen
NL-Heerlen-ATRIUMMC
Heerlen
NL-Helmond-ELKERLIEK
Helmond
NL-Hilversum-TERGOOI
Hilversum
NL-Hoofddorp-SPAARNEGASTHUIS
Hoofddorp
NL-Hoorn-DIJKLANDERHOORN
Hoorn
NL-Leeuwarden-MCL
Leeuwarden
NL-Leiden-LUMC
Leiden
NL-Maastricht-MUMC
Maastricht
NL-Nieuwegein-ANTONIUS
Nieuwegein
NL-Nijmegen-CWZ
Nijmegen
NL-Nijmegen-RADBOUDUMC
Nijmegen
NL-Roermond-LZR
Roermond
NL-Roosendaal-BRAVIS
Roosendaal
NL-Rotterdam-EMCDANIEL
Rotterdam
NL-Rotterdam-ERASMUSMC
Rotterdam
NL-Rotterdam-IKAZIA
Rotterdam
NL-Rotterdam-MAASSTADZIEKENHUIS
Rotterdam
NL-Rotterdam-SFG
Rotterdam
NL-Sittard-Geleen-ZUYDERLAND
Sittard
NL-Spijkenisse-SPIJKENISSEMC
Spijkenisse
NL-Terneuzen-ZORGSAAM
Terneuzen
NL-Den Haag-HAGA
The Hague
NL-Tilburg-ETZ
Tilburg
NL-Utrecht-DIAKONESSENUTRECHT
Utrecht
NL-Utrecht-UMCUTRECHT
Utrecht
NL-Venlo-VIECURI
Venlo
NL-Winterswijk-SKBWINTERSWIJK
Winterswijk
NL-Zwolle-ISALA
Zwolle
Sweden18 sites
SE-Boras-SASBORAS
Borås
Eskilstuna Malar Hospital
Eskilstuna
Falun Hospital
Falun
Sahlgrenska University Hospital
Gothenburg
Hallands Hospital Halmstad
Halmstad
Helsingborg General Hospital
Helsingborg
Ryhov Hospital
Jönköping
Lidkoping Hospital
Lidköping
SE-Linköping-REGIONOSTERGOTLAND
Linköping
SE-Luleå-SUNDERBY
Luleå
SE-Lund-SUH
Lund
Orebro University Hospital
Örebro
SE-Stockholm-KAROLINSKAHUDDINGE
Stockholm
Sundsvall Hospital
Sundsvall
Uddevall Hospital
Uddevalla
Umea University Hospital
Umeå
SE-Uppsala-UPPSALAUH
Uppsala
Centrallasareltet Vaxjo
Vaxjo
Norway12 sites
Helse Sunnmore
Ålesund
Haukeland University Hospital
Bergen
Forde Central Hosiptal
Førde
Harstad University Hospital
Harstad
Sørlandet Hospital
Kristiansand
Levanger Hospital
Levanger
NO-Lørenskog-AKERSHUS
Lørenskog
NO-Oslo-OSLOUH
Oslo
Baerum hospital
Sandvika
NO-Stavanger-HELSESTAVANGER
Stavanger
NO-Tromsø-NORTHNOORWEGEN
Tromsø
NO-Trondheim-STOLAV
Trondheim
Belgium11 sites
BE-Antwerpen Edegem-UZA
Antwerp
BE-Antwerpen-ZNASTUIVENBERG
Antwerp
BE-Haine-Saint-Paul-JOLIMONT
Haine-Saint-Paul
CHU Tivoli
La Louvière
BE-Liege-CHRCITADELLE
Liège
BE-Mons-AMBROISE
Mons
CHR Saint Joseph
Mons
BE-Roeselare-AZDELTA
Roeselare
RHMS
Saint-Ghislain
CH Wapi
Tournai
AZ Turnhout
Turnhout
Switzerland10 sites
CH-Aarau-KSA
Aarau
CH-Basel-USB
Basel
CH-Bellinzona-IOSI
Bellinzona
CH-Bern-INSEL
Bern
KS Graubunden
Chur
CH-Geneve (14)-HCUGE
Geneva
Kantonsspital Baselland
Liestal
CH-Luzern-LUKS
Lucerne
CH-St. Gallen-KSSG
Sankt Gallen
CH-Zürich-USZ
Zurich
Australia7 sites
AU-Brisbane-PAH
Brisbane
AU-Canberra-CANBERRAHOSPITAL
Canberra
AU-Melbourne-ALFRED
Melbourne
AU-Sydney-CONCORD
Sydney
AU-Sydney-NEPEAN
Sydney
Prince of Wales Hospital
Sydney
St George Hospital
Sydney
Czechia6 sites
CZ-Brno-UHBRNO
Brno
Kralove-University Hospital Hradec Kralove
Hradec
CZ-Olomouc-FNOL
Olomouc
CZ-Ostrava-Poruba-FNO
Ostrava
University Hospital Plzen
Pilsen
University Hospital Kralovske Vinohrady
Prague
Denmark6 sites
DK-Aalborg-AALBORGUH
Aalborg
DK-Aarhus N-AUH
Aarhus
DK-Copenhagen-RIGSHOSPITALET
Copenhagen
DK-Herlev-HERLEV
Herlev
DK-Odense-OUH
Odense
DK-Roskilde-ROSKILDE
Roskilde
Turkey (Türkiye)6 sites
Baskent University Hospital
Adana
Gazi University Hospital
Ankara
University Hospital Ankara
Ankara
Istanbul University Hospital
Istanbul
Ege University Hospital
Izmir
Erciyes University Hospital
Kayseri
Austria3 sites
Krankenhaus d.Elisabethinen
Linz
Landeskrankenhaus Salzburg
Salzburg
AT-Vienna-HANUSCH
Vienna
Hungary2 sites
St. Istvan and St. Laszlo Korhaz Hospital
Budapest
Szeged University Hospital
Szeged
About this study
Official title: A Randomized Phase III Study to Compare Bortezomib, Melphalan, Prednisone (VMP) With High Dose Melphalan Followed by Bortezomib, Lenalidomide, Dexamethasone (VRD) Consolidation and Lenalidomide Maintenance in Patients With Newly Diagnosed Multiple Myeloma
Study phase: phase III
Study objective:
Read more
- Comparison of Bortezomib, Melphalan, Prednisone (VMP) with High Dose Melphalan followed autologous stem cell transplantation (ASCT)
- Comparison of Bortezomib, Lenalidomide, Dexamethasone(VRD) as consolidation versus no consolidation
- Comparison of single versus tandem high dose Melphalan with ASCT
Patient population: Patients with symptomatic multiple myeloma,previously untreated, ISS stages 1-3, age 18-65 years inclusive
Study design: Prospective, multicenter, intergroup, randomized
Duration of treatment: Expected duration of induction, stem cell collection and intensification is 6 - 9 months. Consolidation with VRD will last 2 months Maintenance therapy with Lenalidomide will be given until relapse. All patients will be followed until 10 years after registration.
- Conditions
- Multiple Myeloma
- Being tested
- Bortezomib, Melphalan, Prednisone (VMP), 1 or 2 cycle(s) HDM (High Dose Melphalan), 2 cycles of Bortezomib, Lenalidomide, Dexamethasone (VRD)
- Keywords
- Multiple Myeloma (Kahler's disease)
- Medical subject headings
- Multiple Myeloma, Neoplasms, Plasma Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Bortezomib, Melphalan, Prednisone (VMP)Drug
- Bortezomib _ 1.3 mg/m2 _ i.v. rapid infusion _ days 1,4,8,11,22,25,29,32
- Melphalan _ 9 mg/m² _ p.o. _ days 1-4
- Prednisone _ 60 mg/m² _ p.o. _ days 1-4
1 or 2 cycle(s) HDM (High Dose Melphalan)Drug
- Melphalan _ 100 mg/m² _ i.v. rapid infusion _ -3, -2*
*Patients with renal insufficiency 100 mg/m2 only at day -3
If a patient is randomized to receive 2 x HDM a second course of High Dose Melphalan may be administered between 2 and 3 months after the first course when the patient achieved at least PR.
2 cycles of Bortezomib, Lenalidomide, Dexamethasone (VRD)Drug
- Bortezomib _ 1.3 mg/m2 _ i.v. rapid infusion _ days 1,4,8,11
- Lenalidomide _ 25 mg _ p.o. _ days 1-21
- Dexamethasone _ 20 mg _ p.o. _ days 1,2,4,5,8,9,11,12
| Study group | Role | What they receive |
|---|---|---|
| R1: 4 cycles Bortezomib, Melphalan, Prednisone (VMP) | Active comparator | All patients randomized to VMP treatment, will be treated with Bortezomib, Melphalan, Prednisone(VMP, 4 cycles) and will start intensification with VMP between 4 and 6 weeks after stem cell collection. Receives: Drug: Bortezomib, Melphalan, Prednisone (VMP) |
| R1: 1 (2) cycle(s) HDM | Experimental | All patients randomized to intensification with High Dose Melphalan will start intensification with HDM (in hospitals with a policy of double intensification, patients will be randomized between VMP, 1 HDM and 2 HDM) between 4 and 6 weeks after stem cell collection. Receives: Drug: 1 or 2 cycle(s) HDM (High Dose Melphalan) |
| R2: none | No intervention | No consolidation, patients will continue to Lenalidomide maintenance. |
| R2: 2 cycles of VRD | Experimental | In patients randomized to consolidation treatment, 2 cycles of Bortezomib, Lenalidomide,Dexamethasone (VRD) will start at 8 weeks after the end of the last course of VMP or HDM. Receives: Drug: 2 cycles of Bortezomib, Lenalidomide, Dexamethasone (VRD) |
What is being measured
The primary outcome is the main question the study is designed to answer.
For all registered patients: progression free survival (PFS) as defined by time from registration to progression or death from any cause (whichever occurs first).
For all registered patients: progression free survival (PFS) as defined by time from registration to progression or death from any cause (whichever occurs first).
Measured: end of trial (last patient last visit)
For all patients included in R1; PFS as defined by time from randomization R1 to progression or death from any cause whichever comes first
For all patients included in R1; PFS as defined by time from randomization R1 to progression or death from any cause whichever comes first
Measured: end of trial (last patient last visit)
For all patients included in R2; PFS as defined by time from randomization R2 to progression or death from any cause whichever comes first
For all patients included in R2; PFS as defined by time from randomization R2 to progression or death from any cause whichever comes first
Measured: end of trial (last patient last visit)
Secondary outcomes (3)
Overall survival measured from the time of registration /randomization R1/ randomization R2. Patients still alive or lost to follow up are censored at the date they were last known to be alive.
Overall survival measured from the time of registration /randomization R1/ randomization R2.
Patients still alive or lost to follow up are censored at the date they were last known to be alive.
Measured: end of trial (last patient last visit)
Toxicity
Toxicity
Measured: End of trial (last patient last visit)
Response (PR, VGPR, CR and stringent CR), and improvement of response during the various stages of the treatment.
Response (PR, VGPR, CR and stringent CR), and improvement of response during the various stages of the treatment.
Measured: end of trial (last patient last visit)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Sep 2010 (estimated)
- Study startJan 2011
- Primary completionDec 2020
- Study completionJan 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)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
- None (open label)
- Enrolment
- 1,503 participants (actual)
Sponsor and investigators
- Lead sponsor
- Stichting Hemato-Oncologie voor Volwassenen Nederland
- Sponsor type
- University, hospital or other
- Collaborators
- European Myeloma Network B.V., Gruppo Italiano Malattie EMatologiche dell'Adulto, DSMM (Deutsche Studiengruppe Multiples Myelom), NMSG (Nordic Myeloma Study Group), Central European Myeloma Study Group
- Responsible party
- Sponsor
- Investigators
- Pieter Sonneveld, Prof., Principal investigator, Stichting Hemato-Oncologie voor Volwassenen Nederland
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01208766
- Sponsor's protocol ID
- HOVON 95 MM
- Other IDs
- 2009-017903-28, EMN02, 2009
- Acronym
- HO95
- Status last verified
- Oct 2025
- First submitted
- 23 Sep 2010
- Last updated
- 6 Jan 2026
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Mai EK, Hielscher T, Bertsch U, Salwender HJ, Zweegman S, Raab MS, Munder M, Pantani L, Mancuso K, Brossart P, Beksac M, Blau IW, Durig J, Besemer B, Fenk R, Reimer P, van der Holt B, Hanel M, von Metzler I, Graeven U, Muller-Tidow C, Boccadoro M, Scheid C, Dimopoulos MA, Hillengass J, Weisel KC, Cavo M, Sonneveld P, Goldschmidt H. Predictors of early morbidity and mortality in newly diagnosed multiple myeloma: data from five randomized, controlled, phase III trials in 3700 patients. Leukemia. 2024 Mar;38(3):640-647. doi: 10.1038/s41375-023-02105-6. Epub 2023 Dec 7.
PubMed 38062124Schmitz A, Brondum RF, Johnsen HE, Mellqvist UH, Waage A, Gimsing P, Op Bruinink DH, van der Velden V, van der Holt B, Hansson M, Andersen NF, Frolund UC, Helleberg C, Schjesvold FH, Ahlberg L, Gulbrandsen N, Andreasson B, Lauri B, Haukas E, Bodker JS, Roug AS, Bogsted M, Severinsen MT, Gregersen H, Abildgaard N, Sonneveld P, Dybkaer K. Longitudinal minimal residual disease assessment in multiple myeloma patients in complete remission - results from the NMSG flow-MRD substudy within the EMN02/HO95 MM trial. BMC Cancer. 2022 Feb 5;22(1):147. doi: 10.1186/s12885-022-09184-1.
PubMed 35123422Sonneveld P, Dimopoulos MA, Beksac M, van der Holt B, Aquino S, Ludwig H, Zweegman S, Zander T, Zamagni E, Wester R, Hajek R, Pantani L, Dozza L, Gay F, Cafro A, De Rosa L, Morelli A, Gregersen H, Gulbrandsen N, Cornelisse P, Troia R, Oliva S, van de Velden V, Wu K, Ypma PF, Bos G, Levin MD, Pour L, Driessen C, Broijl A, Croockewit A, Minnema MC, Waage A, Hveding C, van de Donk NWCJ, Offidani M, Palumbo GA, Spencer A, Boccadoro M, Cavo M. Consolidation and Maintenance in Newly Diagnosed Multiple Myeloma. J Clin Oncol. 2021 Nov 10;39(32):3613-3622. doi: 10.1200/JCO.21.01045. Epub 2021 Sep 14.
PubMed 34520219Cavo M, Gay F, Beksac M, Pantani L, Petrucci MT, Dimopoulos MA, Dozza L, van der Holt B, Zweegman S, Oliva S, van der Velden VHJ, Zamagni E, Palumbo GA, Patriarca F, Montefusco V, Galli M, Maisnar V, Gamberi B, Hansson M, Belotti A, Pour L, Ypma P, Grasso M, Croockewit A, Ballanti S, Offidani M, Vincelli ID, Zambello R, Liberati AM, Andersen NF, Broijl A, Troia R, Pascarella A, Benevolo G, Levin MD, Bos G, Ludwig H, Aquino S, Morelli AM, Wu KL, Boersma R, Hajek R, Durian M, von dem Borne PA, Caravita di Toritto T, Zander T, Driessen C, Specchia G, Waage A, Gimsing P, Mellqvist UH, van Marwijk Kooy M, Minnema M, Mandigers C, Cafro AM, Palmas A, Carvalho S, Spencer A, Boccadoro M, Sonneveld P. Autologous haematopoietic stem-cell transplantation versus bortezomib-melphalan-prednisone, with or without bortezomib-lenalidomide-dexamethasone consolidation therapy, and lenalidomide maintenance for newly diagnosed multiple myeloma (EMN02/HO95): a multicentre, randomised, open-label, phase 3 study. Lancet Haematol. 2020 Jun;7(6):e456-e468. doi: 10.1016/S2352-3026(20)30099-5. Epub 2020 Apr 30.
PubMed 32359506Gambella M, Omede P, Spada S, Muccio VE, Gilestro M, Saraci E, Grammatico S, Larocca A, Conticello C, Bernardini A, Gamberi B, Troia R, Liberati AM, Offidani M, Rocci A, Palumbo A, Cavo M, Sonneveld P, Boccadoro M, Oliva S. Minimal residual disease by flow cytometry and allelic-specific oligonucleotide real-time quantitative polymerase chain reaction in patients with myeloma receiving lenalidomide maintenance: A pooled analysis. Cancer. 2019 Mar 1;125(5):750-760. doi: 10.1002/cncr.31854. Epub 2018 Dec 18.
PubMed 30561775
Study at a glance
From the registry record, last updated by the sponsor on 6 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Phase III Study to Compare Bortezomib, Melphalan, Prednisone (VMP) With High Dose Melphalan Followed by Bortezomib, Lenalidomide, Dexamethasone (VRD) Consolidation and Lenalidomide Maintenance in Patients With Newly Diagnosed Multiple Myeloma
- ClinicalTrials.gov ID
- NCT01208766
- Acronym / sponsor ID
- HO95 / HOVON 95 MM
- Conditions
- Multiple Myeloma
- Keywords
- Multiple Myeloma (Kahler's disease)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,503 participants (actual)
- Lead sponsor
- Stichting Hemato-Oncologie voor Volwassenen NederlandUniversity, hospital or other
- Collaborators
- European Myeloma Network B.V., Gruppo Italiano Malattie EMatologiche dell'Adulto, DSMM (Deutsche Studiengruppe Multiples Myelom), NMSG (Nordic Myeloma Study Group), Central European Myeloma Study Group
- Study start
- Jan 2011 (actual)
- Primary completion
- Dec 2020 (actual)
- Study completion
- Jan 2025 (actual)
- First posted
- 24 Sep 2010 (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.
Study phase: phase III
Study objective:
- Comparison of Bortezomib, Melphalan, Prednisone (VMP) with High Dose Melphalan followed autologous stem cell transplantation (ASCT)
- Comparison of Bortezomib, Lenalidomide, Dexamethasone(VRD) as consolidation versus no consolidation
- Comparison of single versus tandem high dose Melphalan with ASCT
Patient population: Patients with symptomatic multiple myeloma,previously untreated, ISS stages 1-3, age 18-65 years inclusive
Study design: Prospective, multicenter, intergroup, randomized
Duration of treatment: Expected duration of induction, stem cell collection and intensification is 6 - 9 months. Consolidation with VRD will last 2 months Maintenance therapy with Lenalidomide will be given until relapse. All patients will be followed until 10 years after registration.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| R1: 4 cycles Bortezomib, Melphalan, Prednisone (VMP) | Active comparator | Drug: Bortezomib, Melphalan, Prednisone (VMP)All patients randomized to VMP treatment, will be treated with Bortezomib, Melphalan, Prednisone(VMP, 4 cycles) and will start intensification with VMP between 4 and 6 weeks after stem cell collection. |
| R1: 1 (2) cycle(s) HDM | Experimental | Drug: 1 or 2 cycle(s) HDM (High Dose Melphalan)All patients randomized to intensification with High Dose Melphalan will start intensification with HDM (in hospitals with a policy of double intensification, patients will be randomized between VMP, 1 HDM and 2 HDM) between 4 and 6 weeks after stem cell collection. |
| R2: none | No intervention | –No consolidation, patients will continue to Lenalidomide maintenance. |
| R2: 2 cycles of VRD | Experimental | Drug: 2 cycles of Bortezomib, Lenalidomide, Dexamethasone (VRD)In patients randomized to consolidation treatment, 2 cycles of Bortezomib, Lenalidomide,Dexamethasone (VRD) will start at 8 weeks after the end of the last course of VMP or HDM. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Patients with a confirmed diagnosis of symptomatic multiple myeloma stage I to III according to the International Staging System ISS (see appendix A), i.e. at least one of the CRAB criteria should be present;
- Measurable disease as defined by the presence of M-protein in serum or urine (serum M-protein> 10 g/l or urine M-protein > 200 mg/24 hours), or abnormal free light chain ratio;
- Age 18-65 years inclusive;
- WHO performance status 0-3 (WHO=3 is allowed only when caused by MM and not by comorbid conditions);
- Negative pregnancy test at inclusion if applicable;
Key exclusion criteria (21 listed)
- Known intolerance of Boron;
- Systemic AL amyloidosis;
- Primary Plasmacell Leukemia;
- Non-secretory MM;
- Previous chemotherapy or radiotherapy except local radiotherapy in case of local myeloma progression or corticosteroids maximum 5 days for symptom control;
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 |
|---|---|---|
| Bortezomib, Melphalan, Prednisone (VMP)* Bortezomib _ 1.3 mg/m2 _ i.v. rapid infusion _ days 1,4,8,11,22,25,29,32 * Melphalan _ 9 mg/m² _ p.o. _ days 1-4 * Prednisone _ 60 mg/m² _ p.o. _ days 1-4 | Drug | R1: 4 cycles Bortezomib, Melphalan, Prednisone (VMP) |
| 1 or 2 cycle(s) HDM (High Dose Melphalan)- Melphalan _ 100 mg/m² _ i.v. rapid infusion _ -3, -2* *Patients with renal insufficiency 100 mg/m2 only at day -3 If a patient is randomized to receive 2 x HDM a second course of High Dose Melphalan may be administered between 2 and 3 months after the first course when the patient achieved at least PR. | Drug | R1: 1 (2) cycle(s) HDM |
| 2 cycles of Bortezomib, Lenalidomide, Dexamethasone (VRD)* Bortezomib _ 1.3 mg/m2 _ i.v. rapid infusion _ days 1,4,8,11 * Lenalidomide _ 25 mg _ p.o. _ days 1-21 * Dexamethasone _ 20 mg _ p.o. _ days 1,2,4,5,8,9,11,12 | Drug | R2: 2 cycles of VRD |
Primary outcome
For all registered patients: progression free survival (PFS) as defined by time from registration to progression or death from any cause (whichever occurs first).
Time frame: end of trial (last patient last visit)
For all registered patients: progression free survival (PFS) as defined by time from registration to progression or death from any cause (whichever occurs first).
For all patients included in R1; PFS as defined by time from randomization R1 to progression or death from any cause whichever comes first
Time frame: end of trial (last patient last visit)
For all patients included in R1; PFS as defined by time from randomization R1 to progression or death from any cause whichever comes first
For all patients included in R2; PFS as defined by time from randomization R2 to progression or death from any cause whichever comes first
Time frame: end of trial (last patient last visit)
For all patients included in R2; PFS as defined by time from randomization R2 to progression or death from any cause whichever comes first
3 secondary outcomes
Overall survival measured from the time of registration /randomization R1/ randomization R2. Patients still alive or lost to follow up are censored at the date they were last known to be alive.
Time frame: end of trial (last patient last visit)
Toxicity
Time frame: End of trial (last patient last visit)
Response (PR, VGPR, CR and stringent CR), and improvement of response during the various stages of the treatment.
Time frame: end of trial (last patient last visit)
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 6 Jan 2026.
- Derived from this study: PubMed 38062124Mai EK, Hielscher T, Bertsch U, Salwender HJ, Zweegman S, Raab MS, Munder M, Pantani L, Mancuso K, Brossart P, Beksac M, Blau IW, Durig J, Besemer B, Fenk R, Reimer P, van der Holt B, Hanel M, von Metzler I, Graeven U, Muller-Tidow C, Boccadoro M, Scheid C, Dimopoulos MA, Hillengass J, Weisel KC, Cavo M, Sonneveld P, Goldschmidt H. Predictors of early morbidity and mortality in newly diagnosed multiple myeloma: data from five randomized, controlled, phase III trials in 3700 patients. Leukemia. 2024 Mar;38(3):640-647. doi: 10.1038/s41375-023-02105-6. Epub 2023 Dec 7.
- Derived from this study: PubMed 35123422Schmitz A, Brondum RF, Johnsen HE, Mellqvist UH, Waage A, Gimsing P, Op Bruinink DH, van der Velden V, van der Holt B, Hansson M, Andersen NF, Frolund UC, Helleberg C, Schjesvold FH, Ahlberg L, Gulbrandsen N, Andreasson B, Lauri B, Haukas E, Bodker JS, Roug AS, Bogsted M, Severinsen MT, Gregersen H, Abildgaard N, Sonneveld P, Dybkaer K. Longitudinal minimal residual disease assessment in multiple myeloma patients in complete remission - results from the NMSG flow-MRD substudy within the EMN02/HO95 MM trial. BMC Cancer. 2022 Feb 5;22(1):147. doi: 10.1186/s12885-022-09184-1.
- Derived from this study: PubMed 34520219Sonneveld P, Dimopoulos MA, Beksac M, van der Holt B, Aquino S, Ludwig H, Zweegman S, Zander T, Zamagni E, Wester R, Hajek R, Pantani L, Dozza L, Gay F, Cafro A, De Rosa L, Morelli A, Gregersen H, Gulbrandsen N, Cornelisse P, Troia R, Oliva S, van de Velden V, Wu K, Ypma PF, Bos G, Levin MD, Pour L, Driessen C, Broijl A, Croockewit A, Minnema MC, Waage A, Hveding C, van de Donk NWCJ, Offidani M, Palumbo GA, Spencer A, Boccadoro M, Cavo M. Consolidation and Maintenance in Newly Diagnosed Multiple Myeloma. J Clin Oncol. 2021 Nov 10;39(32):3613-3622. doi: 10.1200/JCO.21.01045. Epub 2021 Sep 14.
- Derived from this study: PubMed 32359506Cavo M, Gay F, Beksac M, Pantani L, Petrucci MT, Dimopoulos MA, Dozza L, van der Holt B, Zweegman S, Oliva S, van der Velden VHJ, Zamagni E, Palumbo GA, Patriarca F, Montefusco V, Galli M, Maisnar V, Gamberi B, Hansson M, Belotti A, Pour L, Ypma P, Grasso M, Croockewit A, Ballanti S, Offidani M, Vincelli ID, Zambello R, Liberati AM, Andersen NF, Broijl A, Troia R, Pascarella A, Benevolo G, Levin MD, Bos G, Ludwig H, Aquino S, Morelli AM, Wu KL, Boersma R, Hajek R, Durian M, von dem Borne PA, Caravita di Toritto T, Zander T, Driessen C, Specchia G, Waage A, Gimsing P, Mellqvist UH, van Marwijk Kooy M, Minnema M, Mandigers C, Cafro AM, Palmas A, Carvalho S, Spencer A, Boccadoro M, Sonneveld P. Autologous haematopoietic stem-cell transplantation versus bortezomib-melphalan-prednisone, with or without bortezomib-lenalidomide-dexamethasone consolidation therapy, and lenalidomide maintenance for newly diagnosed multiple myeloma (EMN02/HO95): a multicentre, randomised, open-label, phase 3 study. Lancet Haematol. 2020 Jun;7(6):e456-e468. doi: 10.1016/S2352-3026(20)30099-5. Epub 2020 Apr 30.
- Derived from this study: PubMed 30561775Gambella M, Omede P, Spada S, Muccio VE, Gilestro M, Saraci E, Grammatico S, Larocca A, Conticello C, Bernardini A, Gamberi B, Troia R, Liberati AM, Offidani M, Rocci A, Palumbo A, Cavo M, Sonneveld P, Boccadoro M, Oliva S. Minimal residual disease by flow cytometry and allelic-specific oligonucleotide real-time quantitative polymerase chain reaction in patients with myeloma receiving lenalidomide maintenance: A pooled analysis. Cancer. 2019 Mar 1;125(5):750-760. doi: 10.1002/cncr.31854. Epub 2018 Dec 18.
- Hovon websiteLink provided by the sponsor.
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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.
Pieter Sonneveld, Prof. principal investigator
Stichting Hemato-Oncologie voor Volwassenen Nederland
208 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 Bortezomib, Melphalan, Prednisone (VMP), 1 or 2 cycle(s) HDM (High Dose Melphalan) and 2 cycles of Bortezomib, Lenalidomide, Dexamethasone (VRD) in people with Multiple Myeloma, run by Stichting Hemato-Oncologie voor Volwassenen Nederland at 208 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 12 inclusion and 21 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 6 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 208 sites in Italy, Netherlands, Sweden, Norway, Belgium 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. 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?
For all registered patients: progression free survival (PFS) as defined by time from registration to progression or death from any cause (whichever occurs first). (time frame: end of trial (last patient last visit)). The study lists 3 primary outcomes in all. 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 NCT01208766, which also lists 5 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 6 Jan 2026.