Total Marrow Irradiation With High Dose Melphalan Prior to Autologous Transplant for Relapsed or Refractory Multiple Myeloma (BMT-03)
Last updated on April 2022Recruitment
- Recruitment Status
- Completed
- Estimated Enrollment
- 18
Inclusion Criteria
- Patients meeting criteria for symptomatic myeloma
- Karnofsky performance status of ≥70
- Pulmonary: DLCO, FEV1, FVC >50% of predicted (after correction for hemoglobin)
- ...
- Patients meeting criteria for symptomatic myeloma
- Karnofsky performance status of ≥70
- Pulmonary: DLCO, FEV1, FVC >50% of predicted (after correction for hemoglobin)
- Cardiac function: LVEF >40%
- Renal: Creatinine clearance of >30mL/min, estimated or calculated
- Patient age 18-75 years at time of enrollment
- Patients who have progressive myeloma following initial induction (patients may have received any number of treatment regimens including prior autologous transplant)
- Hepatic: Bilirubin <2x upper limit of normal and ALT and AST < 2.5x the upper limit of normal
Exclusion Criteria
- Prior solid organ transplant
- Patients who have undergone prior allogeneic stem cell transplant
- Uncontrolled viral, fungal or bacterial infection Note: Infection is permitted if there is evidence of response to medication. Eligibility of HIV infected patients will be determined on a case-by-case basis.
- ...
- Prior solid organ transplant
- Patients who have undergone prior allogeneic stem cell transplant
- Uncontrolled viral, fungal or bacterial infection Note: Infection is permitted if there is evidence of response to medication. Eligibility of HIV infected patients will be determined on a case-by-case basis.
- Patients receiving prior radiation to more than 20% of bone marrow containing areas
- Patients with diagnosis of plasma cell leukemia
- Pregnant or breast-feeding
- Patients with truly non secretory myeloma (patients with light chain disease are eligible)
Summary
- Conditions
- Multiple Myeloma, Refractory to Standard Treatment
- Multiple Myeloma, Relapsed
- Type
- Interventional
- Phase
- Phase 1
- Design
- Allocation: Non-Randomized
- Intervention Model: Sequential Assignment
- Intervention Model Description: Increasing doses of Total Marrow Irradiation (TMI), 3 Gy, 6 Gy, and 9 Gy.Masking: None (Open Label)
- Primary Purpose: Treatment
Participation Requirements
- Age
- Between 18 years and 75 years
- Gender
- Both males and females
Inclusion Criteria
- Patients meeting criteria for symptomatic myeloma
- Karnofsky performance status of ≥70
- Pulmonary: DLCO, FEV1, FVC >50% of predicted (after correction for hemoglobin)
- ...
- Patients meeting criteria for symptomatic myeloma
- Karnofsky performance status of ≥70
- Pulmonary: DLCO, FEV1, FVC >50% of predicted (after correction for hemoglobin)
- Cardiac function: LVEF >40%
- Renal: Creatinine clearance of >30mL/min, estimated or calculated
- Patient age 18-75 years at time of enrollment
- Patients who have progressive myeloma following initial induction (patients may have received any number of treatment regimens including prior autologous transplant)
- Hepatic: Bilirubin <2x upper limit of normal and ALT and AST < 2.5x the upper limit of normal
Exclusion Criteria
- Prior solid organ transplant
- Patients who have undergone prior allogeneic stem cell transplant
- Uncontrolled viral, fungal or bacterial infection Note: Infection is permitted if there is evidence of response to medication. Eligibility of HIV infected patients will be determined on a case-by-case basis.
- ...
- Prior solid organ transplant
- Patients who have undergone prior allogeneic stem cell transplant
- Uncontrolled viral, fungal or bacterial infection Note: Infection is permitted if there is evidence of response to medication. Eligibility of HIV infected patients will be determined on a case-by-case basis.
- Patients receiving prior radiation to more than 20% of bone marrow containing areas
- Patients with diagnosis of plasma cell leukemia
- Pregnant or breast-feeding
- Patients with truly non secretory myeloma (patients with light chain disease are eligible)
Tracking Information
- NCT #
- NCT02043847
- Collaborators
- Not Provided
- Investigators
- Principal Investigator: Pritesh Patel, MD University of Illinois at Chicago
- Pritesh Patel, MD University of Illinois at Chicago