Multiple Myeloma Clinical Trial
CC-5013 Plus Dexamethasone Versus Dexamethasone Alone in Previously Treated Subjects With Multiple Myeloma
Summary
Randomized subjects will receive CC-5013 plus high-dose dexamethasone or placebo appearing identical to CC-5013 plus high-dose dexamethasone in 4-week cycles. Each subject will participate in a treatment phase and a follow-up phase.
Full Description
This was a phase 3, multicenter, double-blind, placebo-controlled, parallel-group study of the efficacy and safety of CC-5013 plus oral pulse high-dose dexamethasone and oral pulse high-dose dexamethasone therapy alone in subjects with relapsed or refractory multiple myeloma. Eligible subjects were randomized in a 1:1 ratio to 1 of 2 treatment groups: Subjects in the CC-5013/Dex treatment group took 25 mg of CC-5013 orally once daily on Days 1 to 21 and a matching placebo capsule once daily on Days 22 to 28 of each 28-day cycle; Subjects in the Placebo/Dex treatment group took 1 placebo capsule on Days 1 to 28 of each 28-day cycle. Subjects in both treatment groups took 40 mg of dexamethasone orally once daily on Days 1 to 4, 9 to 12, and 17 to 20 of each 28-day cycle for the first 4 cycles of therapy. Beginning with Cycle 5, the dose of dexamethasone was reduced to 40 mg orally once daily on Days 1 to 4 for the remaining cycles.
Eligibility Criteria
Inclusion Criteria:
Prior or current diagnosis Durie-Salmon stage II or III multiple myeloma.
No more than 3 previous anti-myeloma regimens
No high-dose dexamethasone (total monthly dose of dexamethasone greater than 200 mg) within 6 months of study randomization.
Measurable levels of myeloma paraprotein in serum or urine (24-hour collection sample).
Exclusion Criteria:
Prior development of disease progression during high-dose dexamethasone containing therapy.
Laboratory abnormalities: Absolute neutrophil count less than 1,000 cells/mm cubed
Laboratory abnormalities: Platelet count less than 75,000/mm cubed
Laboratory abnormalities: Serum creatinine greater than 2.5 mg/dL
Laboratory abnormalities: Serum glutamic oxaloacetic transaminase (SGOT, aspartate transaminase [AST]) or serum glutamic pyruvic transaminase (SGPT, alanine transaminase [ALT])greater than 3.0 x upper limit of normal
Laboratory abnormalities: Serum total bilirubin greater than 2.0 mg/dL
Prior history of malignancies other than multiple myeloma unless the subject has been free of the disease for greater than or equal to 5 years.
Known hypersensitivity to thalidomide or dexamethasone.
Development of a desquamating rash while taking thalidomide.
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There are 49 Locations for this study
Hoover Alabama, 35216, United States
Duarte California, 91010, United States
Los Angeles California, 90095, United States
San Francisco California, 94143, United States
Stanford California, 94305, United States
New Haven Connecticut, 06520, United States
Gainesville Florida, 32610, United States
Jacksonville Florida, 32224, United States
Miami Florida, 33136, United States
Sarasota Florida, 34239, United States
Tampa Florida, 33612, United States
Atlanta Georgia, 30322, United States
Augusta Georgia, 30912, United States
Chicago Illinois, 60611, United States
Chicago Illinois, 60612, United States
Maywood Illinois, 60153, United States
Indianapolis Indiana, 46202, United States
Iowa City Iowa, 52242, United States
New Orleans Louisiana, 70121, United States
Baltimore Maryland, 21231, United States
Boston Massachusetts, 02115, United States
Ann Arbor Michigan, 48109, United States
Detroit Michigan, 48201, United States
Rochester Minnesota, 55905, United States
Saint Louis Missouri, 63110, United States
Hackensack New Jersey, 07601, United States
Buffalo New York, 14263, United States
New York New York, 10011, United States
New York New York, 10021, United States
Syracuse New York, 13210, United States
The Bronx New York, 10466, United States
Durham North Carolina, 27710, United States
Winston-Salem North Carolina, 27157, United States
Cleveland Ohio, 44195, United States
Columbus Ohio, 43210, United States
Portland Oregon, 97227, United States
Philadelphia Pennsylvania, 19104, United States
Pittsburgh Pennsylvania, 15213, United States
Charleston South Carolina, 29403, United States
Charleston South Carolina, 29425, United States
West Columbia South Carolina, 29169, United States
Nashville Tennessee, 37203, United States
Houston Texas, 77030, United States
Milwaukee Wisconsin, 53226, United States
Edmonton Alberta, T6G1Z, Canada
Halifax Nova Scotia, B3H2Y, Canada
Toronto Ontario, M5J2M, Canada
Greenfield Park Quebec, J4V2H, Canada
Montreal Quebec, PQH2W, Canada
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