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CompletedNCT00375791Updated Feb 28, 2018

Efficacy of Perifosine Alone and in Combination With Dexamethasone for Patients With Multiple Myeloma

A Phase 2 interventional study of perifosine and dexamethasone in Multiple Myeloma, sponsored by AEterna Zentaris. Completed at 7 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-02-28.

Sponsored by AEterna Zentaris · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
67
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a phase 2 study of perifosine in patients with multiple myeloma. Patients will receive perifosine 150 mg at bedtime (qhs) daily. Patients will be assessed by serum and/or urine-electrophoresis at least every 3 weeks.

Read the detailed description

Treatment: Patients will take three 50 mg tablets of perifosine qhs daily with food. All patients should continue therapy unless disease progression is documented on two occasions at least 1 week apart. Progressing patients will have dexamethasone 20 mg twice per week added to the perifosine. Patients who experience toxicity may continue on treatment with doses delayed or reduced.

Evaluations: Serum and/or urine-electrophoresis will be evaluated for progression or response at 3 week intervals.

This study will enroll a total of up to 64 patients.

02

Conditions studied

  • Multiple Myeloma

Keywords

  • Relapsed Multiple Myeloma
  • Refractory Multiple Myeloma
03

In context

Multiple Myeloma

3,632 studies on the registry are indexed under Multiple Myeloma; 745 are open to participants now.

This study's enrollment of 67 is above the median of 41 across 2,907 interventional studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

AEterna Zentaris is the lead sponsor of 34 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Major criteria:

  1. Plasmacytomas on tissue biopsy.
  2. Bone marrow plasmacytosis (> 30% plasma cells).
  3. Monoclonal immunoglobulin spike on serum electrophoresis immunoglobulin G (IgG) > 3.5 g/dL or immunoglobulin A (IgA) > 2.0 g/dL; kappa or lambda light chain excretion > 1 g/day on 24 hour urine protein electrophoresis.

Minor criteria:

  1. Bone marrow plasmacytosis (10 to 30% plasma cells)
  2. Monoclonal immunoglobulin present but of lesser magnitude than given under major criteria
  3. Lytic bone lesions
  4. Normal immunoglobulin M (IgM) \< 50 mg/dL, IgA \< 100 mg/dL or IgG \< 600 mg/dL.

Any of the following sets of criteria will confirm the diagnosis of multiple myeloma:

  1. Any two of the major criteria.
  2. Major criterion 1 plus minor criterion b, c or d.
  3. Major criterion 3 plus minor criterion a or c.
  4. Minor criteria a, b and c or a, b and d.

Exclusion criteria

Exclusion Criteria:

  1. Renal insufficiency (serum creatinine levels > 3 mg/dL).
  2. Patients who present with either ALT or AST ≥ 2.5 X upper limit of normal.
  3. History of allergic reactions attributed to compounds of similar chemical or biologic composition to perifosine (miltefosine or edelfosine).
  4. Concomitant therapy medications that include corticosteroids (except as indicated for other medical conditions, or up to 100 mgs of hydrocortisone as premedication for administration of certain medications or blood products) or other chemotherapy that is or may be active against myeloma, or therapy with chemotherapy within 3 weeks prior to Day 1. Nitrosoureas must be discontinued 6 weeks prior to Day 1.
  5. Subjects with a hemoglobin \< 8.0 g/dL.
  6. Any condition, including laboratory abnormalities, that in the opinion of the Investigator, places the subject at unacceptable risk if he/she were to participate in the study.
  7. Women of childbearing potential (WCBP) who are pregnant, or breast-feeding or men and women who are not using adequate contraception are excluded.
  8. Plasma cell leukemia.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
67 participants (actual)

Study arms

  • Experimental
    Perifosine daily

    Patients will take three 50 mg tablets of perifosine daily at bedtime with food. Patients will be examined every three weeks. If patients have no progression it is allowed to receive 8 cycles of perifosine

    Drug: perifosine

  • Experimental
    Perifosine daily + Dexa twice per week

    Patients will take three 50 mg tablets of perifosine daily at bedtime with food until progression. If progressive disease is confirmed by a second measurement at least one week later the patient will receive a combination of 20 mg twice per week dexamethasone (dexa) and 150 mg perifosine daily at bedtime.

    Drug: perifosine · Drug: dexamethasone

Interventions

  • Drugperifosine

    100 - 150 mg daily

    Also known as: D-21266, KRX-0401

  • Drugdexamethasone

    20 mg twice weekly

    Also known as: decadron

06

What researchers measure

Primary outcomes

  1. Response rate (the combined CR + PR + MR) with treatment perifosine

    To determine the response rate (the combined Complete Response (CR) + Partial Response (PR) + Minor Response (MR) following treatment with perifosine in patients with multiple myeloma who have relapsed following Initial front-line therapy and are refractory to their most recent therapy.

    Time frame: Every 3 weeks

Secondary outcomes

  1. Response rate (CR + PR + MR) with combination therapy

    To determine the response rate (CR + PR + MR) following treatment with combination therapy with perifosine plus dexamethasone in patients with multiple myeloma who have relapsed or were refractory to their most recent therapy before study enrollment, and failed to respond to or have relapsed following treatment with perifosine alone.

    Time frame: Every 3 weeks

  2. Assess the safety and tolerability of perifosine alone and in combination

    To assess the safety and tolerability of perifosine alone and in combination with dexamethasone in patients with multiple myeloma.

    Time frame: Every 3 weeks

  3. Obtain correlative data in patients with multiple myeloma treated with perifosine and in combination

    To obtain correlative data in patients with multiple myeloma treated with perifosine alone and in combination with dexamethasone.

    Time frame: Every 3 weeks

07

Study locations

7 sites
  • Investigative Site
    Berkeley, California 94704, United States
  • Investigative Site
    Duarte, California 91010, United States
  • Investigative Site
    Atlanta, Georgia 30322, United States
  • Investigative Site
    Chicago, Illinois 60611, United States
  • Investigative Site
    Boston, Massachusetts 02115, United States
  • Investigative Site
    Ann Arbor, Michigan 48103, United States
  • Investigative Site
    Charlottesville, Virginia 22908, United States
08

References and documents

Publications

  • Blood (ASH Annual Meeting Abstracts) 2007 110: Abstract 1164 © 2007 American Society of Hematology
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 28, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00375791
Lead sponsor
AEterna Zentaris
Responsible party
Sponsor
First posted
Sep 13, 2006
Start date
Dec 2005
Primary completion
Dec 2010
Completion
Oct 2011
Last update
Feb 28, 2018

Study contacts

Paul Richardson, M.D
principal investigator · Dana-Farber Cancer Institute

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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