Status:
COMPLETED
Antithymocyte Globulin and Sirolimus in Treating Patients With Relapsed Multiple Myeloma
Lead Sponsor:
University of Rochester
Conditions:
Drug/Agent Toxicity by Tissue/Organ
Multiple Myeloma and Plasma Cell Neoplasm
Eligibility:
All Genders
18+ years
Phase:
PHASE1
Brief Summary
RATIONALE: Biological therapies, such as antithymocyte globulin may stimulate the immune system in different ways and stop cancer cells from growing. Sirolimus may stop the growth of cancer cells by b...
Detailed Description
OBJECTIVES: Primary * Determine the safety and tolerability, in terms of clinical and laboratory toxicity, of anti-thymocyte globulin (ATG) combined with sirolimus in patients with relapsed multiple...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Previously diagnosed multiple myeloma (MM) based on standard criteria
- Soft tissue (not bone only) plasmacytomas allowed
- Measurable disease, meeting both of the following criteria:
- Monoclonal population of plasma cell in the bone marrow
- Quantifiable serum and/or urine monoclonal protein (i.e., generally, but not exclusively, IgG \> 1 g/dL, IgA \> 0.5 g/dL, or urine light-chain excretion ≥ 200 mg/24 hours)
- Steroid-refractory disease, defined as less than a minimum response to prior high-dose glucocorticoid therapy
- Minimal response requires all of the following criteria:
- 25-49% reduction in the level of serum monoclonal paraprotein maintained for ≥ 6 weeks
- 50-89% reduction in 24-hour urinary light-chain excretion, but still \> 200 mg/24 hours, maintained for ≥ 6 weeks
- 25-49% reduction in the size of soft tissue plasmacytomas (clinically or by CT scan or MRI)
- No increase in size or number of lytic bone lesions
- High-dose glucocorticoid therapy defined as 480 mg dexamethasone (or equivalent) alone or as part of a vincristine, doxorubicin, and dexamethasone regimen
- Must have undergone autologous transplantation OR received ≥ 2 conventional lines of therapy
- Currently requiring therapy for progressive disease, as indicated by any of the following criteria:
- 25% increase in paraprotein
- Development of new or progression of pre-existing lytic bone lesions or soft tissue plasmacytomas
- Hypercalcemia not attributable to any other cause
- Relapse from complete remission
- No nonsecretory MM
- PATIENT CHARACTERISTICS:
- Zubrod performance status 0-2
- 3-4 allowed if, in the opinion of the investigator, secondary to MM-related bone pain
- Life expectancy ≥ 3 months
- Creatinine ≤ 1.5 times upper limit of normal (ULN)
- AST and ALT ≤ 2.5 times ULN
- Bilirubin ≤ 1.5 times ULN
- Calcium \< 14 mg/dL
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- HIV negative
- Hepatitis B surface antigen and hepatitis C antibody negative
- No known history of allergy to rabbit proteins
- No history of cardiac amyloidosis
- No poorly controlled hypertension, diabetes mellitus, coronary artery disease, or other serious medical or psychiatric illness
- No myocardial infarction within the past 6 weeks
- No New York Heart Association class III or IV heart failure
- No uncontrolled angina
- No severe uncontrolled ventricular arrhythmias
- No evidence of acute ischemia or active conduction system abnormality by electrocardiogram
- No active systemic infection requiring treatment unless adequately controlled with appropriate antimicrobial therapy (e.g., treated central line infection)
- No acute viral illness
- No pathologic fractures or symptomatic hyperviscosity
- No other prior malignancy except adequately treated basal cell or squamous cell skin cancer, cervical cancer in situ, or any other cancer with a disease-free status for ≥ 3 years
- PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- At least 8 weeks since prior immunotherapy or antibody therapy
- At least 4 weeks since prior major surgery (except for kyphoplasty)
- At least 3 weeks since prior conventional chemotherapy or radiotherapy for MM
- At least 3 weeks since prior bortezomib, thalidomide, or clarithromycin for MM
- No prior anti-thymocyte globulin
- No concurrent radiotherapy
- No other concurrent antineoplastic therapy with known activity against MM, including clarithromycin
- No other concurrent investigational agents
Exclusion
Key Trial Info
Start Date :
April 1 2006
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
April 1 2011
Estimated Enrollment :
18 Patients enrolled
Trial Details
Trial ID
NCT00317798
Start Date
April 1 2006
End Date
April 1 2011
Last Update
August 30 2011
Active Locations (1)
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1
James P. Wilmot Cancer Center at University of Rochester Medical Center
Rochester, New York, United States, 14642