ClinicalTrials.gg
CompletedNCT01849783Updated May 11, 2022Results posted

Autologous Stem Cell Transplant Followed By Maintenance Therapy in Treating Elderly Patients With Multiple Myeloma

A Phase 2 interventional study of dexamethasone and cisplatin in Extramedullary Plasmacytoma, Isolated Plasmacytoma of Bone and Light Chain Deposition Disease, sponsored by Margarida Magalhaes-Silverman. Completed at 1 site in United States. Open to participants aged 65 Years to 85 Years. Per ClinicalTrials.gov, last updated 2022-05-11.

Sponsored by Margarida Magalhaes-Silverman · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
41
Allocation
Not applicable
Ages
65 Years to 85 Years
Sex
All
01

Study summary

This phase II trial investigates whether patients greater than or equal to 65 years of age diagnosed with myeloma or another plasma cell malignancy will have better outcomes with transplant followed by maintenance therapy, as primarily measured by progression-free survival, versus non-transplant approaches.

Read the detailed description

PRIMARY OBJECTIVES:

I. To evaluate the progression-free survival (PFS) from the start of dexamethasone, cisplatin, Adriamycin (doxorubicin),Cytoxan (cyclophosphamide), etoposide (DPACE) for all participants who have had at least one day of protocol treatment.

II. To evaluate how well such therapy is tolerated in patients mainly over the age of 65 years by assessing severe complications (intensive care unit [ICU] admission, death) and the percentage of participants able to complete the full course of therapy.

SECONDARY OBJECTIVES:

I. To evaluate Quality-Of-Life post-transplant using the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Core Questionnaire QLQ-C30 and QLC-MY20.

OUTLINE:

INDUCTION THERAPY: Patients receive dexamethasone orally (PO) on days 1-4 and 8-11, cisplatin intravenously (IV) continuously, doxorubicin hydrochloride IV continuously, cyclophosphamide IV, and etoposide IV on days 1-4. Patients then receive pegfilgrastim subcutaneously (SQ) on days 6 and 13 and undergo collection of stem cells when white blood cell (WBC) and cluster of differentiation (CD)34 counts are within program range. Following stem cell collection, patients may receive interim dexamethasone PO on days 1-4, every 14 days at the discretion of the treating physician.

TRANSPLANT: Beginning between 4 weeks to 6 months after the first day of induction therapy, patients receive as transplant conditioning regimen dexamethasone PO on days -4 to -1 and days +2 through +5, bortezomib IV bolus on days -4, -1, 2, and 5, thalidomide PO on days -4 to 5, and melphalan IV on days -4 and -1. Patients undergo autologous peripheral blood stem cell transplant (PBSCT) on day 0. Between transplant and consolidation therapy, patients receive dexamethasone PO on days 1-4 every 21 days and thalidomide PO daily.

CONSOLIDATION THERAPY: If administered, post-transplant consolidation may begin 4-6 weeks after transplant but should occur no more than 4 months later. Most patients will not receive consolidation. Those that do will receive dexamethasone PO on days 1-4 and 8-11, thalidomide PO on days 1-11, bortezomib IV on days 1, 4, 8, and 11, cisplatin IV continuously, doxorubicin hydrochloride IV continuously, cyclophosphamide IV continuously, and etoposide IV continuously on days 1-4.

MAINTENANCE THERAPY YEAR 1: Beginning 6 weeks-6 months after consolidation therapy or 4 weeks to 6 months after transplant if consolidation is skipped, patients receive bortezomib IV bolus on days 1, 4, 15, and 18, thalidomide PO QD on days 1-28, and dexamethasone PO on days 1-4 and 15-18. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.

MAINTENANCE THERAPY YEAR 2: Patients receive bortezomib IV on days 1, 4, 15, and 18, cyclophosphamide PO or IV on days 1 and 15, and dexamethasone PO QD on days 1, 8, 15, and 22. Treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed at least once annually at the study center, but serum for MM marker results will be sent to the study site for close monitoring of PFS .

02

Conditions studied

  • Extramedullary Plasmacytoma
  • Isolated Plasmacytoma of Bone
  • Light Chain Deposition Disease
  • Primary Systemic Amyloidosis
  • Stage I Multiple Myeloma
  • Stage II Multiple Myeloma
  • Stage III Multiple Myeloma
03

In context

Immunoglobulin Light-chain Amyloidosis

239 studies on the registry are indexed under Immunoglobulin Light-chain Amyloidosis; 63 are open to participants now.

This study's enrollment of 41 is close to the median of 39 across 169 interventional studies indexed under Immunoglobulin Light-chain Amyloidosis.

Browse Immunoglobulin Light-chain Amyloidosis studies →

Lead sponsor

This is the only study on the registry with Margarida Magalhaes-Silverman as lead sponsor.

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

04

Who can participate

Ages eligible
65 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants must have had a diagnosis of symptomatic multiple myeloma (MM), MM + amyloidosis, or POEMS (osteosclerotic myeloma: polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, skin changes) requiring treatment; participants with a previous history of smoldering myeloma will be eligible if there is evidence of progressive disease requiring chemotherapy; Note that study participants do not need to have active disease at the time of study entry, as participants may have received up to 12 months of prior chemotherapy, which might have induced a response
  • Protein criteria must be present at diagnosis (quantifiable M-component of IgG, IgA, IgD, or IgE and/or urinary kappa or lambda light chain, Bence-Jones protein, or Free Kappa Light Chain or Free Lambda Light Chain) in order to evaluate response. Non-secretory participants are eligible provided the participant has > 20% plasmacytosis OR multiple (≥3) plasmacytomas or lesions on MRI at the time of diagnosis or study enrollment , OR the presence of lesions on PET/CT scan or skeletal survey at diagnosis or study enrollment.
  • Participants must have received ≤12 months of prior chemotherapy for this disease without evidence of progressive disease with treatment. Participants may have received prior radiotherapy provided approval has been obtained from the PI. Participants with a history of radiation who have a count \<150,000 due to radiation (disease, chemo, and other factors have been ruled out) will be excluded from this study.
  • Participants must not have had a prior transplant
  • Participants must be 65-85 years of age at the time of study entry.
  • by echocardiogram (ECHO) or multigated acquisition scan (MUGA) of >= 40% performed
  • Participants must have adequate pulmonary function studies (PFTs), >= 50% of predicted on mechanical aspects ( [FEV\^1}, forced vital capacity [FVC]) and diffusion capacity (diffusion capacity of the lung for carbon monoxide [DLCO]) >= 50% of predicted (adjusted for ); if the participant is unable to complete pulmonary function tests (PFTs) due to disease-related pain or other circumstances that make it difficult to reliably perform PFTs, documentation of pulmonary function adequate for transplant will occur via a CT scan without evidence of major pulmonary disease, and arterial blood gas results
  • Participants must have a creatinine \< 3 mg/dl and a >30mL/min/1.73m2
  • Participants must have a performance status of 0-2 based on (ECOG) criteria; participants with a poor performance status (3-4) based solely on bone pain will be eligible, provided there is documentation to verify this
  • Participants must sign the most current institutional review board (IRB)-approved study ( form) ICF

Exclusion criteria

Exclusion Criteria:

  • Prior or allogeneic transplant
  • Progressive disease on prior treatment
  • count \< 30 x 10\^9/L, unless myeloma-related; if MM-related (hypercellular marrow of > 80% and packed with at least 80% plasma cells) the enrolling investigator must document this
  • > Grade 3 neuropathy
  • Known to bortezomib, boron, or mannitol
  • Uncontrolled diabetes on appropriate therapy
  • Recent (=\< 6 months) myocardial infarction, unstable angina, difficult to control congestive heart failure, uncontrolled hypertension on appropriate therapy, or difficult-to-control cardiac arrhythmias
  • Participants must not have a creatinine >3 mg/dl or a \<30mL/min/1.73m2.
  • Participants must not have a concurrent unless it can be adequately treated by non-chemotherapeutic intervention; participants may have a history of prior malignancy, provided that he/she has not had any chemotherapy within 365 days of study entry AND that exceeds 5 years at the time of study entry
  • Participants must not have life-threatening co-morbidities
Terms in these criteria, in plain language(12)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
41 participants (actual)

Study arms

  • Experimental
    autologous stem cell transplant

    Induction : DPACE(dexamethasone,cisplatin,doxorubicin,cyclophosphamide,etoposide) chemotherapy plus stem cell collection. Additional stem cell collection and/or chemotherapy may be required. After collection, participants will receive dexamethasone x 4 days every 14 days. Transplant: The transplant preparative regimen will be bortezomib/thalidomide/dexamethasone/melphalan. Once recovered, participants start thalidomide daily and dexamethasone x 4 days every 21 days. Consolidation (if administered): VDT-PACE(bortezomib,dexamethasone,thalidomide,cisplatin,doxorubicin,cyclophosphamide, etoposide) Maintenance: Year 1 - VTD (bortezomib, thalidomide, dexamethasone) cycles. Year 2 - VCD (bortezomib, cyclophosphamide, dexamethasone)cycles.

    Drug: dexamethasone · Drug: cisplatin · Drug: doxorubicin · Drug: cyclophosphamide · Drug: etoposide · Drug: bortezomib · Drug: thalidomide · Drug: melphalan · Procedure: autologous stem cell transplant

Interventions

  • Given PO

    Also known as: Aeroseb-Dex, Decaderm, Decadron, DM, DXM

  • Given IV

    Also known as: CACP, CDDP, CPDD, DDP

  • Given IV

    Also known as: ADM, ADR, Adria, Adriamycin PFS, Adriamycin RDF

  • Given IV or PO

    Also known as: CPM, CTX, Cytoxan, Endoxan, Endoxana

  • Given IV

    Also known as: EPEG, VP-16, VP-16-213

  • Given IV

    Also known as: LDP 341, MLN341, VELCADE

  • Given PO

    Also known as: Kevadon, Synovir, THAL, Thalomid

  • Given IV

    Also known as: Alkeran, CB-3025, L-PAM, L-phenylalanine mustard, L-Sarcolysin

  • Procedureautologous stem cell transplant
06

What researchers measure

Primary outcomes

  1. Median Progression Free Survival (mPFS)

    PFS is defined as the time from the start of DPACE to the date of first documentation of disease progression as assessed by the International Myeloma Working Group response criteria or death due to any cause. Progression is defined using the International Myeloma Working Group response criteria, an increase of greater than or equal to 25% from the lower response value.

    Time frame: From the start of DPACE for all participants who have had at least one day of protocol treatment. Up to 6 years.

  2. Percentage of Participants With Serious Treatment-Related Complications

    Percentage of participants with severe complications defined at ICU admission and death, graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0.

    Time frame: From the start of DPACE for all participants who have had at least one day of protocol treatment. Up to 6 years.

  3. Percentage of Participants Able to Complete Full Course Therapy

    Percentage of participants able to complete the full course of therapy.

    Time frame: Up to 6 years

Secondary outcomes

  1. Mean Change in Quality-Of-Life Indicators Post-Transplant

    Measured using the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ-C30) and Multiple Myeloma module (QLQ-MY20). The EORTC QLQ-C30 includes functional scales (physical, role, emotional, cognitive, and social) and global health status. The EORTC QLQ-MY20 includes disease symptoms and treatment side effects scales. Scores are averaged and transformed to 0-100 scale. For functional and global health status, a positive change from baseline (pre-DPACE) indicates improvement whereas for the symptom scales a negative change from baseline (pre-DPACE) indicates improvement.

    Time frame: Pre-DPACE, Pre-maintenance, every 6 months for up to 2 years during maintenance. Up to 6 years.

07

Results

Posted May 11, 2022

Participant flow

Participant flow — Overall Study
MilestoneAutologous Stem Cell Transplant
Started41
Completed19
Not completed22
Withdrew: Adverse event5
Withdrew: Death2
Withdrew: Physician decision1
Withdrew: Withdrawal by subject1
Withdrew: Unable to comply2
Withdrew: Disease progression11

Outcome measures

PrimaryMedian Progression Free Survival (mPFS)

PFS is defined as the time from the start of DPACE to the date of first documentation of disease progression as assessed by the International Myeloma Working Group response criteria or death due to any cause. Progression is defined using the International Myeloma Working Group response criteria, an increase of greater than or equal to 25% from the lower response value.

Time frame:
From the start of DPACE for all participants who have had at least one day of protocol treatment. Up to 6 years.
Reported as:
Median · months
Median Progression Free Survival (mPFS)
monthsAutologous Stem Cell Transplant
Median Progression Free Survival (mPFS)76.4 (43.6 to NA)
PrimaryPercentage of Participants With Serious Treatment-Related Complications

Percentage of participants with severe complications defined at ICU admission and death, graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0.

Time frame:
From the start of DPACE for all participants who have had at least one day of protocol treatment. Up to 6 years.
Reported as:
Count of participants · Participants
Percentage of Participants With Serious Treatment-Related Complications
ParticipantsAutologous Stem Cell Transplant
Percentage of Participants With Serious Treatment-Related Complications4
PrimaryPercentage of Participants Able to Complete Full Course Therapy

Percentage of participants able to complete the full course of therapy.

Time frame:
Up to 6 years
Reported as:
Count of participants · Participants
Percentage of Participants Able to Complete Full Course Therapy
ParticipantsAutologous Stem Cell Transplant
Percentage of Participants Able to Complete Full Course Therapy24
SecondaryMean Change in Quality-Of-Life Indicators Post-Transplant

Measured using the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ-C30) and Multiple Myeloma module (QLQ-MY20). The EORTC QLQ-C30 includes functional scales (physical, role, emotional, cognitive, and social) and global health status. The EORTC QLQ-MY20 includes disease symptoms and treatment side effects scales. Scores are averaged and transformed to 0-100 scale. For functional and global health status, a positive change from baseline (pre-DPACE) indicates improvement whereas for the symptom scales a negative change from baseline (pre-DPACE) indicates improvement.

Time frame:
Pre-DPACE, Pre-maintenance, every 6 months for up to 2 years during maintenance. Up to 6 years.
Reported as:
Mean · score on a scale
Mean Change in Quality-Of-Life Indicators Post-Transplant
score on a scaleAutologous Stem Cell Transplant
Change in Physical Functioning at Pre-Maintenance1.3 (-5.2 to 7.9)
Change in Physical Functioning at Maintenance Cycle 6-0.6 (-7.1 to 5.9)
Change in Physical Functioning at Maintenance Cycle 121.1 (-5.6 to 7.8)
Change in Physical Functioning at Maintenance Cycle 185.4 (-1.5 to 12.3)
Change in Physical Functioning at Maintenance Cycle 244.6 (-2.6 to 11.7)
Change in Role Functioning at Pre-Maintenance7.4 (-5.5 to 20.4)
Change in Role Functioning at Maintenance Cycle 68.7 (-4.0 to 21.5)
Change in Role Functioning at Maintenance Cycle 124.4 (-8.7 to 17.5)
Change in Role Functioning at Maintenance Cycle 187.0 (-6.6 to 20.5)
Change in Role Functioning at Maintenance Cycle 246.0 (-8.0 to 20.0)
Change in Emotional Functioning at Pre-Maintenance8.7 (2.5 to 14.9)
Change in Emotional Functioning at Maintenance Cycle 65.5 (-0.6 to 11.6)
Change in Emotional Functioning at Maintenance Cycle 121.4 (-4.9 to 7.7)
Change in Emotional Functioning at Maintenance Cycle 185.8 (-1.0 to 12.5)
Change in Emotional Functioning at Maintenance Cycle 248.3 (1.3 to 15.2)
Change in Cognitive Functioning at Pre-Maintenance0.4 (-7.1 to 7.9)
Change in Cognitive Functioning at Maintenance Cycle 6-4.6 (-12.0 to 2.9)
Change in Cognitive Functioning at Maintenance Cycle 12-5.1 (-12.8 to 2.5)
Change in Cognitive Functioning at Maintenance Cycle 18-6.0 (-14.0 to 2.1)
Change in Cognitive Functioning at Maintenance Cycle 24-3.6 (-11.9 to 4.7)
Change in Social Functioning at Pre-Maintenance-1.0 (-11.0 to 9.1)
Change in Social Functioning at Maintenance Cycle 62.7 (-7.2 to 12.6)
Change in Social Functioning at Maintenance Cycle 12-4.9 (-15.3 to 5.6)
Change in Social Functioning at Maintenance Cycle 180.8 (-9.9 to 11.6)
Change in Social Functioning at Maintenance Cycle 24-1.5 (-12.7 to 9.7)
Change in Global Health Status at Pre-Maintenance5.4 (-2.7 to 13.5)
Change in Global Health Status at Maintenance Cycle 60.2 (-7.8 to 8.3)
Change in Global Health Status at Maintenance Cycle 12-3.1 (-11.4 to 5.1)
Change in Global Health Status at Maintenance Cycle 18-0.1 (-8.8 to 8.5)
Change in Global Health Status at Maintenance Cycle 243.4 (-5.6 to 12.3)
Change in Distress Symptoms at Pre-Maintenance6.2 (1.2 to 11.2)
Change in Distress Symptoms at Maintenance Cycle 65.9 (0.9 to 10.8)
Change in Distress Symptoms at Maintenance Cycle 125.7 (0.5 to 10.9)
Change in Distress Symptoms at Maintenance Cycle 183.8 (-1.7 to 9.3)
Change in Distress Symptoms at Maintenance Cycle 245.3 (-0.4 to 11.0)
Change in Side Effects of Treatment at Pre-Maintenance-3.3 (-8.0 to 1.3)
Change in Side Effects of Treatment at Maintenance Cycle 6-0.7 (-5.3 to 3.9)
Change in Side Effects of Treatment at Maintenance Cycle 12-5.1 (-9.8 to -0.3)
Change in Side Effects of Treatment at Maintenance Cycle 18-2.4 (-7.4 to 2.5)
Change in Side Effects of Treatment at Maintenance Cycle 24-2.7 (-7.8 to 2.4)

Adverse events

Collected over Adverse events were collected pre-study, post-induction, pre-transplant, pre-consolidation, during maintenance therapy and long term follow-up. Up to 6 years overall.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
D-PACE/Induction0/41 (0%)14/41 (34.1%)41/41 (100%)
Post D-PACE/Pre-Transplant0/41 (0%)2/41 (4.9%)8/41 (19.5%)
Transplant1/39 (2.6%)8/39 (20.5%)38/39 (97.4%)
Post-transplant/Consolidation0/38 (0%)4/38 (10.5%)8/38 (21.1%)
Maintenance Therapy, Year 11/37 (2.7%)11/37 (29.7%)27/37 (73%)
Maintenance Therapy, Year 20/31 (0%)9/31 (29%)22/31 (71%)
Long Term Follow-up0/24 (0%)1/24 (4.2%)3/24 (12.5%)
Most frequent serious events
Showing 10 of 48
Most frequent serious events
EventD-PACE/InductionPost D-PACE/Pre-TransplantTransplantPost-transplant/ConsolidationMaintenance Therapy, Year 1Maintenance Therapy, Year 2Long Term Follow-up
Febrile neutropeniaBlood and lymphatic system disorders2/410/410/390/380/370/310/24
Myelodysplastic syndromeNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/410/410/390/380/370/311/24
Atrial fibrillationCardiac disorders0/410/410/390/380/371/310/24
NauseaGastrointestinal disorders0/410/410/390/380/371/310/24
VomitingGastrointestinal disorders0/410/410/390/380/371/310/24
Lung infectionInfections and infestations0/410/410/390/380/371/310/24
Lymphocyte count decreasedInvestigations0/410/410/390/380/371/310/24
DehydrationMetabolism and nutrition disorders0/410/410/390/380/371/310/24
Metabolism and nutrition disorders - Other, specifyMetabolism and nutrition disorders0/410/410/390/380/371/310/24
SyncopeNervous system disorders0/410/410/390/380/371/310/24
Most frequent other events
Showing 10 of 105
Most frequent other events
EventD-PACE/InductionPost D-PACE/Pre-TransplantTransplantPost-transplant/ConsolidationMaintenance Therapy, Year 1Maintenance Therapy, Year 2Long Term Follow-up
Lymphocyte count decreasedInvestigations41/418/4136/398/3827/3722/310/24
Platelet count decreasedInvestigations35/411/4138/393/383/375/310/24
White blood cell decreasedInvestigations39/410/4138/393/384/374/310/24
Neutrophil count decreasedInvestigations33/411/4131/392/383/373/310/24
AnemiaBlood and lymphatic system disorders15/412/4130/391/383/372/310/24
CD4 lymphocytes decreasedInvestigations2/417/411/396/3823/3714/310/24
HypophosphatemiaMetabolism and nutrition disorders10/411/4122/393/3811/379/310/24
HypocalcemiaMetabolism and nutrition disorders4/410/4113/390/380/370/310/24
Febrile neutropeniaBlood and lymphatic system disorders3/411/418/392/380/370/310/24
DiarrheaGastrointestinal disorders0/410/417/392/382/372/310/24

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Autologous Stem Cell Transplant
<=18 years0
Between 18 and 65 years0
>=65 years41
Age, Continuous
Age, Continuous(years)Autologous Stem Cell Transplant
Mean69 (65 to 75)
Sex: Female, Male
Sex: Female, Male(Participants)Autologous Stem Cell Transplant
Female19
Male22
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Autologous Stem Cell Transplant
Hispanic or Latino0
Not Hispanic or Latino39
Unknown or Not Reported2
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Autologous Stem Cell Transplant
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American1
White38
More than one race0
Unknown or Not Reported2
Region of Enrollment
Region of Enrollment(participants)Autologous Stem Cell Transplant
United States41
08

Study locations

1 site
  • University of Iowa Hospitals and Clinics
    Iowa City, Iowa 52242, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2013 to primary completion in Sep 2020, 89 months.

Results were first posted in May 2022, 1 year 7 months after primary completion.

Of 31 phase 2 interventional studies under Immunoglobulin Light-chain Amyloidosis, half reached primary completion within 58 months of starting (the median), counting those still running; a quarter within 43 and three quarters within 89. This study's 89 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
May 6, 2013
First posted
May 9, 2013
StartActual
Apr 4, 2013
Primary completionActual
Sep 30, 2020
CompletionActual
Sep 30, 2020
Results first posted
May 11, 2022
Last update
May 11, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 11, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01849783
Lead sponsor
Margarida Magalhaes-Silverman
Responsible party
Margarida Magalhaes-Silverman (Principal Investigator, University of Iowa) — Sponsor-investigator
First posted
May 9, 2013
Start date
Apr 4, 2013
Primary completion
Sep 30, 2020
Completion
Sep 30, 2020
Results posted
May 11, 2022
Last update
May 11, 2022

Study contacts

Margarida Magalhaes-Silverman, MD
principal investigator · University of Iowa

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Dexamethasone · Cisplatin · Doxorubicin · Cyclophosphamide · Etoposide · Bortezomib · Thalidomide · Melphalan

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