Bortezomib, Total Marrow Irradiation, Fludarabine Phosphate, and Melphalan in Treating Patients Undergoing Donor Peripheral Blood Stem Cell Transplant For High-Risk Stage I or II Multiple Myeloma
NCT01163357 · Status: COMPLETED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 18
Last updated 2025-03-26
Summary
RATIONALE: Bortezomib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving chemotherapy drugs, such as fludarabine phosphate and melphalan, and total marrow irradiation before a donor peripheral blood stem cell transplant helps stop the growth of cancer cells and helps stop the patient's immune system from rejecting the donor's stem cells. When the healthy stem cells from a donor are infused into the patient they may help the patient's bone marrow make stem cells, red blood cells, white blood cells, and platelets.
PURPOSE: This phase I trial is studying the side effects and best dose of bortezomib when given together with fludarabine phosphate and melphalan with or without total marrow irradiation in treating patients undergoing donor peripheral blood stem cell transplant for high-risk stage I or II multiple myeloma.
Conditions
- Autologous Hematopoietic Stem Cell Transplant Recipient
- Loss of Chromosome 17p
- Plasma Cell Leukemia
- Recurrent Plasma Cell Myeloma
- Refractory Plasma Cell Myeloma
Interventions
- DRUG
-
Given IV
- DRUG
-
fludarabine phosphate
Given IV
- OTHER
-
melphalan
Given IV
- RADIATION
-
total marrow irradiation
Undergo TMI
- DRUG
-
Given IV and orally
- DRUG
-
sirolimus
Given orally
- PROCEDURE
-
peripheral blood stem cell transplantation
Undergo allogeneic PBSC transplant
- OTHER
-
laboratory biomarker analysis
Correlative studies
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
City of Hope Medical Center
lead OTHER
Principal Investigators
-
Firoozeh Sahebi, MD · City of Hope Medical Center
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-01-28
- Primary Completion
- 2019-07-20
- Completion
- 2024-05-20
Countries
- United States
Study Locations
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