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TerminatedNCT00412919Updated Dec 16, 2013

Study of Azacitidine to Treat Relapsed or Refractory Multiple Myeloma

A Phase 2 interventional study of Azacitidine in Multiple Myeloma, sponsored by Bayside Health. Terminated at 1 site in Australia. Open to participants aged 17 Years and older. Per ClinicalTrials.gov, last updated 2013-12-16.

Sponsored by Bayside Health · Phase 2, Interventional, and Treatment

Why this study was terminated
Lack of efficacy
Phase
Phase 2
Study type
Interventional
Enrollment
7
Allocation
Non-randomized
Ages
17 Years and older
Sex
All
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Study summary

This is a Phase II trial evaluating the overall response rate, safety and tolerability to azacitidine in patients with relapsed or refractory multiple myeloma.

Read the detailed description

Multiple myeloma (MM) is an incurable disease with an annual incidence of 14,000 new cases in the US alone. Despite initial sensitivity to corticosteroids, chemotherapy and radiotherapy, relapse is inevitable and there is a median survival of only 2.5 to 3 years. The use of autologous stem cell transplantation (SCT) has improved the duration of disease remission for younger patients but still only results in a median survival of 5 - 6 years.

Since the early 1970s, azacitidine has been investigated for the treatment of acute leukemia. More recently it has been investigated in the treatment of patients with myelodysplastic syndrome (a pre-leukaemic condition). It has been shown to prolong the time to development of acute myeloid leukaemia (AML) or death and has now been approved for use in these patients.

Azacitidine is a cytotoxic drug and is directly toxic to cells, preventing their reproduction or growth. It is also able to cause cells to undergo the process whereby they mature into normal cells. The Myeloma Research Group at The Alfred Hospital has looked at the effect of azacitidine on human myeloma cell lines in the laboratory. Azacitidine was found to prevent both cell growth and causes cell death. In mouse models with multiple myeloma azacitidine prolonged their survival.

The primary aim of this study is to determine the effectiveness of azacitidine in treating patients with multiple myeloma. The other aims of this study are to see whether treating patients with azacitidine extends the time that their myeloma is under control, to determine the number of cycles of azacitidine required to first achieve a response and to determine how safe and tolerable azacitidine is in treating multiple myeloma.

In the first stage a total of 14 people will participate in this project. If in this group of patients azacitidine is shown to be effective as a treatment against multiple myeloma then a further 10 patients will be invited to participate.

02

Conditions studied

  • Multiple Myeloma

Keywords

  • Myeloma
  • Relapsed
  • Refractory
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 7 is below the median of 41 across 2,907 interventional studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

Bayside Health is the lead sponsor of 110 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • diagnosis of MM as per IMWG criteria
  • age greater than 17 years
  • have received at least 2 but no more than 4 prior lines of therapy
  • have failed to respond to the most recently administered anti-MM therapy or have demonstrably progressive disease as defined by accepted standard criteria
  • have a life expectancy of at least 3 months
  • ECOG performance status \< 3
  • at registration haematological values within the following limits:

    1. absolute neutrophil count (ANC) > 1.0 x 109/L
    2. platelet count > 50 x 109/L unsupported
  • At registration biochemical values within the following limits

    1. Bilirubin \< 1.5 x upper limit of normal (ULN) and transaminases \< 2 x ULN unless considered secondary to hepatic myelomatous infiltration
    2. Serum creatinine \< 0.19mMol/L
  • Written informed consent
  • Must agree to use adequate contraceptive measures if indicated. Specifically, women of childbearing potential (WOCBP) may participate provided they meet the following conditions:

    1. Agree to use at least 2 effective contraceptive methods throughout the study and for 30 days following the study
    2. Have a negative serum pregnancy test within 24 hours of commencing on study medication
    3. Male participants with female partners that are WOCBP must agree to use 2 effective contraceptive methods throughout the study and for 30 days following the study

Exclusion criteria

Exclusion Criteria:

  • Patients with monoclonal gammopathy of undetermined significance (MGUS) or indolent/smouldering MM
  • Known or suspected hypersensitivity to AZA or mannitol
  • Patients whose general condition makes them unsuitable for intensive treatment e.g. significant cardiac or pulmonary disease
  • Active infections or other illnesses that precludes chemotherapy administration or patient compliance
  • Active viral infection with known human immunodeficiency virus (HIV) or viral hepatitis type B or C
  • Pregnant or lactating women
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
7 participants (actual)

Interventions

  • DrugAzacitidine
06

What researchers measure

Primary outcomes

  1. Overall response rate

Secondary outcomes

  1. time to progression

  2. duration of response

  3. number of cycles of azacitidine required to first achieve a response

  4. progression free survival

  5. safety

  6. tolerability

07

Study locations

1 site
  • The Alfred Hospital
    Melbourne, Victoria 3004, Australia
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 16, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00412919
Lead sponsor
Bayside Health
Responsible party
Sponsor
First posted
Dec 19, 2006
Start date
Dec 2006
Primary completion
Nov 2008
Completion
Nov 2008
Last update
Dec 16, 2013

Study contacts

Andrew Spencer, Assoc. Prof
study chair
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Dec 2006. You cannot join it, but the record below documents what was studied.

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