Trial Outcomes & Findings for Anti-thymocyte Globulin and Melphalan in Treating Patients With Relapsed Multiple Myeloma (NCT NCT00635024)

NCT ID: NCT00635024

Last Updated: 2017-02-10

Results Overview

Response that was confirmed on 2 consecutive evaluations during the first 4 months of treatment. Complete Response(CR): Disappearance of M-protein from serum and urine, normalization of Free Light Chain (FLC) ratio and \<5% plasma cells in bone marrow. Very Good Partial Response(VGPR): \>=90% reduction in serum M-component; Urine M-Component \<100mg per 24hours. Partial Response(PR): \>=50% reduction in serum M-component and/or Urine M-Component \>=90% reduction or \<200mg per 24hours; or \>=50% decrease in difference between involved and uninvolved FLC levels.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

1 participants

Primary outcome timeframe

4 months

Results posted on

2017-02-10

Participant Flow

One (1) patient was recruited from May 2008 to September 2008 at Mayo Clinic. This trial was permanently closed in March 2009 due to competing trials.

Participant milestones

Participant milestones
Measure
Anti-thymocyte Globulin/Melphalan
Anti-thymocyte Globulin (2.5 mg/Kg)and Melphalan (16 mg/m\^2)
Overall Study
STARTED
1
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Anti-thymocyte Globulin/Melphalan
Anti-thymocyte Globulin (2.5 mg/Kg)and Melphalan (16 mg/m\^2)
Overall Study
Adverse Event
1

Baseline Characteristics

Anti-thymocyte Globulin and Melphalan in Treating Patients With Relapsed Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Anti-thymocyte Globulin/Melphalan
n=1 Participants
Anti-thymocyte Globulin (2.5 mg/Kg)and Melphalan (16 mg/m\^2)
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Gender
Female
1 Participants
n=99 Participants
Gender
Male
0 Participants
n=99 Participants
Region of Enrollment
United States
1 participants
n=99 Participants
Prior Stem Cell Transplant
Yes
1 participants
n=99 Participants
Prior Stem Cell Transplant
No
0 participants
n=99 Participants
Parameters of Hematologic Response
Yes
1 participants
n=99 Participants
Parameters of Hematologic Response
No
0 participants
n=99 Participants

PRIMARY outcome

Timeframe: 4 months

Population: One participant was evaluable for the primary endpoint.

Response that was confirmed on 2 consecutive evaluations during the first 4 months of treatment. Complete Response(CR): Disappearance of M-protein from serum and urine, normalization of Free Light Chain (FLC) ratio and \<5% plasma cells in bone marrow. Very Good Partial Response(VGPR): \>=90% reduction in serum M-component; Urine M-Component \<100mg per 24hours. Partial Response(PR): \>=50% reduction in serum M-component and/or Urine M-Component \>=90% reduction or \<200mg per 24hours; or \>=50% decrease in difference between involved and uninvolved FLC levels.

Outcome measures

Outcome measures
Measure
Anti-thymocyte Globulin/Melphalan
n=1 Participants
Anti-thymocyte Globulin (2.5 mg/Kg)and Melphalan (16 mg/m\^2)
Hematological Response Rate Defined as the Number of Participants Who Achieve a Confirmed Response
0 participants

SECONDARY outcome

Timeframe: up to 2 years

OS was defined as the time from registration to death of any cause.

Outcome measures

Outcome measures
Measure
Anti-thymocyte Globulin/Melphalan
n=1 Participants
Anti-thymocyte Globulin (2.5 mg/Kg)and Melphalan (16 mg/m\^2)
Overall Survival (OS)
2.9 months

SECONDARY outcome

Timeframe: up to 2 years

PFS was defined as the time from registration to progression or death due to any cause. Progression was defined as any one or more of the following: An increase of 25% from lowest confirmed response in: * Serum M-component (absolute increase \>= 0.5g/dl) * Urine M-component (absolute increase \>= 200mg/24hour * Difference between involved and uninvolved Free Light Chain levels (absolute increase \>= 10mg/dl) * Bone marrow plasma cell percentage (absolute increase of \>=10%) * Definite development of new bone lesion or soft tissue plasmacytomas

Outcome measures

Outcome measures
Measure
Anti-thymocyte Globulin/Melphalan
n=1 Participants
Anti-thymocyte Globulin (2.5 mg/Kg)and Melphalan (16 mg/m\^2)
Progression-free Survival (PFS)
2.9 months

SECONDARY outcome

Timeframe: up to 2 years

Population: All patients are non-evaluable - no patients responded to treatment.

DOR was calculated from the documentation of response (CR, VGPR or PR) until the date of progression in the subset of patients who responded.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: every month during treatment, up to 12 months

Severe non-hematologic adverse events were defined as adverse events grade 3 or higher, regardless of attribution to study drug. Adverse events were graded according to the National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI CTCAE version 3.0)

Outcome measures

Outcome measures
Measure
Anti-thymocyte Globulin/Melphalan
n=1 Participants
Anti-thymocyte Globulin (2.5 mg/Kg)and Melphalan (16 mg/m\^2)
Number of Participants With Severe Non-hematological Adverse Events
Yes
1 participants
Number of Participants With Severe Non-hematological Adverse Events
No
0 participants

Adverse Events

Anti-thymocyte Globulin/Melphalan

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Anti-thymocyte Globulin/Melphalan
n=1 participants at risk
Anti-thymocyte Globulin (2.5 mg/Kg)and Melphalan (16 mg/m\^2)
Blood and lymphatic system disorders
Anemia
100.0%
1/1 • Number of events 1
Immune system disorders
Hypersensitivity
100.0%
1/1 • Number of events 1
Infections and infestations
Opportunistic Infection
100.0%
1/1 • Number of events 1
Investigations
Leukopenia
100.0%
1/1 • Number of events 1
Investigations
Neutrophil Count Decreased
100.0%
1/1 • Number of events 1
Investigations
Platelet Count Decreased
100.0%
1/1 • Number of events 2

Additional Information

Dr. Shaji Kumar

Mayo Clinic

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place