At a glance
ClinicalIndex Comparison Record- ✓Diagnosis of active multiple myeloma requiring treatment
- ✓SWOG performance status 0–2, or 3–4 if due solely to bone pain
- ✓Platelet count ≥100,000/microliters, or <100,000 if due to marrow plasmacytosis
- ✓Creatinine <3 mg/dl and creatinine clearance ≥30 ml/minute
- ✕No prior autologous or allogeneic transplant
- ✕Recent myocardial infarction (≤6 months), unstable angina, uncontrolled CHF, uncontrolled hypertension, or uncontrolled cardiac arrhythmias
- ✕History of chronic obstructive or chronic restrictive pulmonary disease
- ✕Pulmonary function: FEV1, FVC, and DLCO all <50% predicted (or if unable to test, P02 ≤70 on ABG)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
University of Arkansas (UARK 2001-12), A Phase III Study of DTPACE Followed by Tandem Transplant With MEL 200 Versus MEL/DTPACE Hybrid and DTPACE Consolidation in Patients With Active Multiple Myeloma
In Brief
A Phase 3 clinical trial evaluating Cisplatin, Cyclophosphamide, and 5 other interventions for Multiple Myeloma. Completed, enrolled 97 participants across 1 site.
Detailed Summary
The purpose of this study is to find out if transplant with a new regimen of chemotherapy called DT PACE-Melphalan is better than transplant with Melphalan alone. DT-PACE refers to a chemotherapy regimen for multiple myeloma consisting of Dexamethasone, Thalidomide, Cisplatin or Platinol, Adriamycin or doxorubicin, Cyclophosphamide, and Etoposide. Another purpose of this study is to find out if there will be fewer side effects with the new regimen of DT PACE-Melphalan, compared to melphalan alone.
Study Details
Timeline
Interventions
20mg/m2 continuous infusion days -3 and -2.
800 mg/m2 continuous infusion days -3 and -2.
20mg/m2 continuous infusion -3 and -2.
80mg/m2 continuous infusion -3 and -2.
200 mg/m2 IV over \<20 minutes on -1 on Arm 1. 50mg/m2 IV over 20 minutes days -3 and -2 on Arm 2.
200mg PO Continuing to Day +5, then hold until platelets \>50 thousand (K).
40 mg po days 1 - 4 (4 days)