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Multiple MyelomaPhase 2NCT01478048

Study of Bortezomib and Dexamethasone With or Without Elotuzumab to Treat Relapsed or Refractory Multiple Myeloma

A Phase 2 study testing Elotuzumab, Bortezomib and Dexamethasone in people with Multiple Myeloma, run by Bristol-Myers Squibb at 77 sites in 5 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of the study is to determine whether the addition of Elotuzumab to Bortezomib/ Dexamethasone will prolong the time before myeloma worsens [progression free survival (PFS)]. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Multiple Myeloma
What is being tested?
Elotuzumab, Bortezomib and Dexamethasone
Could I receive a placebo?
No, everyone receives an active treatment
How many people
185 participants
Where
77 sitesin 5 countries
Study dates
30 Nov 2011to 21 Apr 2017
Phase
Phase 2
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

  • Documented progression from most recent line of therapy
  • Measurable disease
  • 1 to 3 prior lines of therapy
  • Subjects may be proteasome inhibitor naive or have received prior proteasome inhibitor therapy provided all the following criteria are met:
  • The subject did not discontinue any proteasome inhibitor due to intolerance or grade ≥ 3 toxicity
  • The subject is not refractory to any proteasome inhibitor, defined as progression during treatment or within 60 days after the last dose
  • The subject previously achieved a partial response (PR) or better to previous proteasome inhibitor (PI)

Who cannot join

  • Monoclonal gammopathy of undetermined significance (MGUS), smoldering myeloma, or Waldenstrom's macroglobulinemia
  • Active plasma cell leukemia
  • Known Human immunodeficiency virus (HIV) infection or active hepatitis A, B, or C

Trial locations and contacts

77 sites in 5 countries.

77 sites in 5 countries

United States42 sites
  • Local Institution

    Baltimore, Maryland, 21204

  • St. Agnes Hospital

    Baltimore, Pennsylvania, 21229

  • Cancer Care Associates

    Bethlehem, Pennsylvania, 18015

  • Dana-Farber Cancer Institute

    Boston, Massachusetts, 02215

  • Waverly Hematology Oncology

    Cary, North Carolina, 27518

  • Medical University Of South Carolina

    Charleston, South Carolina, 29425

  • University Of Chicago Medical Center

    Chicago, Illinois, 60637

  • Compassionate Cancer Res Grp

    Corona, California, 92879

  • Local Institution

    Corona, California, 92879

  • Charles A. Sammons Cancer Center

    Dallas, Texas, 75246

  • Local Institution

    Decatur, Illinois, 62526

  • Henry Ford Health System

    Detroit, Michigan, 48202

  • Local Institution

    Fairfax, Virginia, 22031

  • Local Institution

    Greenville, South Carolina, 29615

  • Local Institution

    Hazard, Kentucky, 41701

  • Penn State Hershey Cancer Institute

    Hershey, Pennsylvania, 17033

  • Penn State Hershey Cancer Inst

    Hershey, Pennsylvania, 17033

  • Kaiser Permanente-Moanalua Medical Center

    Honolulu, Hawaii, 96819

  • Northwest Cancer Center

    Houston, Texas, 77090

  • Investigative Clinical Research Of Indiana, Llc

    Indianapolis, Indiana, 46260

  • Cancer Specialists of North FL

    Jacksonville, Florida, 32256

  • Cancer Center Of Acadiana

    Lafayette, Louisiana, 70503

  • Southern Nevada Cancer Research Foundation

    Las Vegas, Nevada, 89106

  • University Of Kentucky Markey Cancer Center

    Lexington, Kentucky, 40536

  • Local Institution

    Long Beach, California, 90806

  • USC Norris Comprehensive Cancer Center

    Los Angeles, California, 90033

  • Ucla Department Of Medicine

    Los Angeles, California, 90095

  • Mount Sinai Comprehensive Cancer Center

    Miami Beach, Florida, 33140

  • Medical Oncology Care Associates

    Orange, California, 92868

  • Oncology Specialists, S.C.

    Park Ridge, Illinois, 60068

  • Pikeville Medical Center Leonard Lawson Cancer Center

    Pikeville, Kentucky, 41501

  • The Western Pennsylvania Hospital

    Pittsburgh, Pennsylvania, 15224

  • Sharp Clinical Oncology Research

    San Diego, California, 92123

  • Local Institution

    Seattle, Washington, 98108

  • Local Institution

    Shreveport, Louisiana, 71101

  • Mercy Medical Research Institute

    Springfield, Missouri, 65807

  • Washington University School Of Medicine

    St Louis, Missouri, 63110

  • Local Institution

    Urbana, Illinois, 61801

  • Kaiser Permanente Medical Center

    Vallejo, California, 94589

  • Local Institution

    Vallejo, California, 94589

  • Palm Beach Cancer Institute

    West Palm Beach, Florida, 33401

  • Local Institution

    Worcester, Massachusetts, 01608

Other trials in United States

Italy18 sites
  • Local Institution

    Ancona, 60126

  • Local Institution

    Bari, 70124

  • Local Institution

    Bologna, 40138

  • Local Institution

    Brescia, 25123

  • Local Institution

    Florence, 50134

  • Local Institution

    Genova, 16132

  • Local Institution

    Lecce, 73100

  • Local Institution

    Meldola (fc), 47014

  • Local Institution

    Milan, Parma, 20132

  • Local Institution

    Modena, 41124

  • Local Institution

    Pescara, 65124

  • Local Institution

    Ravenna, 48100

  • Local Institution

    Rimini, 47900

  • Local Institution

    Roma, Parma, 00144

  • Local Institution

    Roma, 00168

  • Local Institution

    Roma, 161

  • Local Institution

    Rome, 00144

  • Local Institution

    Torino, 10126

Other trials in Italy

Spain9 sites
  • Local Institution

    Barcelona, 08003

  • Local Institution

    Madrid, 28006

  • Local Institution

    Murcia, 30008

  • Local Institution

    Salamanca, 37007

  • Local Institution

    Santiago Compostela, 15706

  • Local Institution

    Toledo, 45004

  • Local Institution

    Valencia, 46010

  • Local Institution

    Valencia, 46026

  • Local Institution

    Zaragoza, 50009

Other trials in Spain

France7 sites
  • Local Institution

    Grenoble, 38043

  • Local Institution

    Le Mans, 72037

  • Local Institution

    Lille, 59037

  • Local Institution

    Nantes, 44093

  • Local Institution

    Paris, 75012

  • Local Institution

    Toulouse, 31059

  • Local Institution

    Vandœuvre-lès-Nancy, 54500

Other trials in France

Canada1 site
  • Local Institution

    Halifax, Nova Scotia, B3H 2Y9

Other trials in Canada

About this study

Official title: A Phase 2, Randomized Study of Bortezomib/Dexamethasone With or Without Elotuzumab in Subjects With Relapsed/Refractory Multiple Myeloma

The purpose of the study is to determine whether the addition of Elotuzumab to Bortezomib/ Dexamethasone will prolong the time before myeloma worsens [progression free survival (PFS)].

Being tested
Elotuzumab, Bortezomib, Dexamethasone
Keywords
Relapsed/Refractory Multiple Myeloma
Medical subject headings
Multiple Myeloma

What participants receive

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

  • ElotuzumabBiological

    Also called BMS-901608

    Solution; Intravenous (IV); 10 mg/kg; (Cycles 1 \& 2: Days 1, 8 \& 15; Cycles 3-8: Days 1 \& 11; Cycle 9+: Days 1 \& 15); Until subject meets criteria for discontinuation of study drug

  • BortezomibDrug

    Also called Velcade®

    Solution; IV; 1.3 mg/m2; (Cycles 1 - 8: Days 1, 4, 8, 11; Cycles 9+: Days 1, 8, 15); Until subject meets criteria for discontinuation of study drug

  • DexamethasoneDrug

    Also called Decadron®, Intensol®, Dexpak®, Taperpak®

    Tablets; Oral; 20 mg; (Cycles 1\& 2: once daily on Days 2, 4, 5, 8, 9, 11; Cycles 3-8: once daily on Days 2, 4, 5, 9, 12; Cycles 9+: once daily on Days 2, 8, 9, 16); Until subject meets criteria for discontinuation of study drug

  • DexamethasoneDrug

    Also called Decadron®, Intensol®, Dexpak®, Taperpak®

    Tablets; Oral; 8 mg; (Cycles 1\& 2: Days 1, 8, 15; Cycles 3-8: Days 1 \&11; Cycles 9+; Days 1 \& 15); Until subject meets criteria for discontinuation of study drug

  • DexamethasoneDrug

    Also called Decadron®, Intensol®, Dexpak®, Taperpak®

    Solution; IV; 8 mg; (Cycles 1\& 2: Days 1, 8, 15; Cycles 3-8: Days 1 \&11; Cycles 9+; Days 1 \& 15); Until subject meets criteria for discontinuation of study drug

  • DexamethasoneDrug

    Also called Decadron®, Intensol®, Dexpak®, Taperpak®

    Tablets; Oral; 20 mg; (Cycles 1-8 once daily on Days 1, 2, 4, 5, 8, 9, 11, 12; Cycles 9+ once daily on Days 1, 2, 8, 9, 15, 16); Until subject meets criteria for discontinuation of study drug

Study groups in NCT01478048
Study groupRoleWhat they receive
Arm A: Elotuzumab + Bortezomib + DexamethasoneExperimentalOn days of Elotuzumab infusion: Dexamethasone (8mg IV + 8mg Oral) will be administered other days Dexamethasone 20 mg Oral will be administered
Receives: Biological: Elotuzumab; Drug: Bortezomib; Drug: Dexamethasone
Arm B: Bortezomib + DexamethasoneActive comparatorNot described
Receives: Drug: Bortezomib; Drug: Dexamethasone

What is being measured

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

  1. Median Investigator-Assessed Progression-free Survival (PFS) Time (Months) From Randomization to Date of First Tumor Progression or Death Due to Any Cause - Randomized Participants

    PE was planned for after at least 103 events; it was analyzed after 111 events. Response was assessed: Day 1 (± 7 days) of each cycle per modified International Myeloma Working Group (IMWG) criteria; assessed using adequate tumor assessment (ATA) (ie, serum and urine M-protein tests performed within 14 days of each other; imaging if baseline measurable extramedullary plasmacytoma existed). Progression: Any of following: Increase of 25% from lowest response in 1 or more: serum and/or urine M-component; in those without measurable serum and urine M-protein levels, difference between involved and uninvolved free light chain (FLC) levels (absolute increase > 100 mg/L); Bone marrow plasma cell percentage (≥10%). Definite new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing lesions or plasmacytomas. Development of hypercalcemia attributed solely to the plasma cell proliferative disorder.

    Measured: Randomization until 111 events (disease progression or death), up to May 2014, approximately 2 years

  2. Number of Investigator-Assessed Progression-free Survival Events From Randomization to Date of First Tumor Progression or Death Due to Any Cause - All Randomized Participants

    PE planned for after at least 103 events (progression/death); analyzed at 111 events. Those who neither progressed nor died were censored on the date of last adequate tumor assessment (ATA), which requires both serum and urine M-protein tests. If no post-baseline tumor assessments/no death, then censored on randomization day. Response assessed: Day 1 (± 7 days) each cycle; 30 and 60 days post treatment. Modified IMWG criteria used. Progression: Any of following: Increase of 25% in serum and/or urine M-component; if no measurable serum, urine M-protein levels, then difference between involved and uninvolved free light chain (FLC) levels (absolute increase > 100 mg/L) ; Bone marrow plasma cell percentage (≥10%). New bone lesions or soft tissue plasmacytomas or increase in size of existing lesions, plasmacytomas. Development of hypercalcemia attributed solely to plasma cell proliferative disorder. First dose occurs within 3 days of randomization.

    Measured: Randomization until 111 events, up to May 2014, approximately 2 years

  3. 1 Year Progression-Free Survival Rate - Randomized Participants

    PFS rate=Percentage probability of participants experiencing no progression or death up to 1 year, estimated using the Kaplan-Meier method. Response assessed by the investigator: Day 1 (± 7 days) of each cycle per modified IMWG criteria; assessed using ATA (ie, serum and urine M-protein tests performed within 14 days of each other; imaging done if baseline measurable extramedullary plasmacytoma existed). Progression: Any of the following: Increase of 25% from lowest response in 1 or more: serum and/or urine M-component; in those without measurable serum and urine M-protein levels, difference between involved and uninvolved FLC levels (absolute increase > 100 mg/L) ; Bone marrow plasma cell percentage (≥10%). Definite new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing lesions or plasmacytomas. Development of hypercalcemia attributed solely to the plasma cell proliferative disorder.

    Measured: Year 1 after last participant was randomized

Secondary outcomes (3)
  1. Median Progression-free Survival Time (Months) From Randomization to Date of First Tumor Progression or Death Due to Any Cause, in Randomized Participants With at Least One FcγRIIIa V Allele

    PE was planned for after at least 103 events; it was analyzed after 111 events. Response was assessed: Day 1 (± 7 days) of each cycle per modified IMWG criteria; assessed using adequate tumor assessment (ATA) (ie, serum and urine M-protein tests performed within 14 days of each other; imaging if baseline measurable extramedullary plasmacytoma existed). Progression: Any of following: Increase of 25% from lowest response in 1 or more: serum and/or urine M-component; in those without measurable serum and urine M-protein levels, difference between involved and uninvolved FLC levels (absolute increase > 100 mg/L); Bone marrow plasma cell percentage (≥10%). Definite new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing lesions or plasmacytomas. Development of hypercalcemia attributed solely to the plasma cell proliferative disorder. Randomized participants with at least 1 FcγRIIIa V allele were a sub-set of all randomized participants.

    Measured: Randomization until 111 events, up to May 2014, approximately 2 years

  2. Investigator-Assessed Objective Response Rate (ORR) - All Randomized Participants

    ORR was calculated for participants with a best overall response (BOR) of partial response (PR) or better, including stringent complete response (sCR), complete response (CR), and very good partial response (VGPR). BOR was determined by the investigator based on myeloma tumor assessments using IMWG criteria: CR=Negative immunofixation of serum and urine and disappearance of any soft tissue plasmacytomas, and < 5% plasma cells in bone marrow; sCR= CR + normal FLC ratio and absence of clonal cells in bone marrow; VGPR=Serum and urine M-protein detectable by immunofixation but not on electrophoresis or ≥90% reduction in serum M-protein level + urine M-protein level < 100 mg per 24 hour; PR= ≥50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by ≥ 90% or to < 200 mg per 24 hour. ORR= number of participants responding divided by total number of participants randomized, measured as a percentage.

    Measured: Randomization until 111 events, up to May 2014, approximately 2 years

  3. Investigator-Assessed Objective Response Rate in Randomized Participants With at Least One FcγRIIIa V Allele

    ORR was calculated for participants with a BOR of PR or better, sCR, CR, and VGPR. BOR was determined by the investigator based on myeloma tumor assessments using IMWG criteria: CR=Negative immunofixation of serum and urine and disappearance of any soft tissue plasmacytomas, and < 5% plasma cells in bone marrow; sCR= CR + normal FLC ratio and absence of clonal cells in bone marrow; VGPR=Serum and urine M-protein detectable by immunofixation but not on electrophoresis or ≥90% reduction in serum M-protein level + urine M-protein level < 100 mg per 24 hour; PR= ≥50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by ≥ 90% or to < 200 mg per 24 hour. ORR= number of participants responding divided by total number of participants randomized, measured as a percentage. Randomized participants with at least 1 FcγRIIIa V allele were a sub-set of all randomized participants.

    Measured: Randomization until 111 events, up to May 2014, approximately 2 years

Timeline

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

  1. First posted23 Nov 2011 (estimated)
  2. Study start30 Nov 2011
  3. Primary completion30 May 2014
  4. Study completion21 Apr 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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
185 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01478048
Sponsor's protocol ID
CA204-009
Other IDs
2011-002695-16
Status last verified
Apr 2018
First submitted
2 Nov 2011
Last updated
21 May 2018
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Jakubowiak A, Offidani M, Pegourie B, De La Rubia J, Garderet L, Laribi K, Bosi A, Marasca R, Laubach J, Mohrbacher A, Carella AM, Singhal AK, Tsao LC, Lynch M, Bleickardt E, Jou YM, Robbins M, Palumbo A. Randomized phase 2 study: elotuzumab plus bortezomib/dexamethasone vs bortezomib/dexamethasone for relapsed/refractory MM. Blood. 2016 Jun 9;127(23):2833-40. doi: 10.1182/blood-2016-01-694604. Epub 2016 Apr 18.

    PubMed 27091875

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Elotuzumab, Bortezomib and Dexamethasone in people with Multiple Myeloma, run by Bristol-Myers Squibb at 77 sites in 5 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 7 inclusion and 3 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 21 May 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 77 sites in United States, Italy, Spain, France, Canada. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 26 Jan 2016). 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?

Median Investigator-Assessed Progression-free Survival (PFS) Time (Months) From Randomization to Date of First Tumor Progression or Death Due to Any Cause - Randomized Participants (time frame: Randomization until 111 events (disease progression or death), up to May 2014, approximately 2 years). 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 NCT01478048, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 May 2018.

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