Antithymocyte Globulin in Treating Patients Undergoing Stem Cell Transplant for Multiple Myeloma
Study Details
Study Description
Brief Summary
RATIONALE: Biological therapies, such as antithymocyte globulin, may stimulate the immune system in different ways and stop cancer cells from growing.
PURPOSE: This phase II trial is studying how well antithymocyte globulin works in treating patients undergoing stem cell transplant for multiple myeloma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
OBJECTIVES:
Primary
- Determine the response rate at 4 weeks in patients with multiple myeloma treated with anti-thymocyte globulin at least 4 to 6 weeks prior to undergoing conditioning therapy for allogeneic or autologous stem cell transplantation.
Secondary
- Determine the toxicity of this drug, in terms of formation of antirabbit antibodies, in these patients.
OUTLINE: This is an open-label, multicenter study.
Patients receive anti-thymocyte globulin IV over 6 hours on day 1 and over 4 hours on days 3 and 5. Treatment begins 4 to 6 weeks prior to undergoing conditioning therapy for autologous or allogeneic stem cell transplantation.
After completion of study treatment, patients are followed at 28 days.
PROJECTED ACCRUAL: A total of 12 patients will be accrued for this study.
Study Design
Outcome Measures
Primary Outcome Measures
- Response rate, as measured by International Bone Marrow Transplant Registry (IBMTR)/European Group for Blood and Marrow Transplantation (EBMT) Response Criteria, at 4 weeks []
Secondary Outcome Measures
- Toxicity as assessed by NCI CTC v2.0 []
- Formation of antirabbit antibodies []
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
-
Histologically confirmed multiple myeloma
-
Candidate for autologous or allogeneic stem cell transplantation within 1 to 3 months after study treatment
-
Measurable disease, defined as serum monoclonal protein ≥ 1 g/dL OR urinary light chain excretion = 500 mg/24 hours
-
No malignant CNS disease
PATIENT CHARACTERISTICS:
-
Life expectancy ≥ 6 months
-
Absolute neutrophil count ≥ 1,000/mm³
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Platelet count > 50,000/mm³
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Creatinine ≤ 2 mg/dL
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Hepatic function ≤ 2 times upper limit of normal
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DLCO ≥ 50%
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No active infection
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No hypersensitivity to rabbit proteins
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No symptomatic hyperviscosity syndrome
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Negative pregnancy test
PRIOR CONCURRENT THERAPY:
-
More than 28 days since prior chemotherapy, including prednisone (20 mg equivalent/day)
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No prior anti-thymocyte globulin
-
No concurrent radiotherapy
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Fred Hutchinson Cancer Research Center | Seattle | Washington | United States | 98109-1024 |
Sponsors and Collaborators
- Fred Hutchinson Cancer Center
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: William I. Bensinger, MD, Fred Hutchinson Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2029.00
- FHCRC-2029.00
- GENZ-FHCRC-2029.00
- CDR0000500474