NCT00103506

Brief Summary

The purpose of this study is to evaluate time to progression, overall survival, response rate and safety for the two open-label treatment groups; DOXIL/CAELYX in combination with VELCADE vs. VELCADE monotherapy.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
646

participants targeted

Target at P75+ for phase_3 multiple-myeloma

Timeline
Completed

Started Dec 2004

Longer than P75 for phase_3 multiple-myeloma

Geographic Reach
16 countries

103 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2004

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

February 9, 2005

Completed
1 day until next milestone

First Posted

Study publicly available on registry

February 10, 2005

Completed
9.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2014

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2014

Completed
12 months until next milestone

Results Posted

Study results publicly available

May 25, 2015

Completed
Last Updated

October 19, 2015

Status Verified

September 1, 2015

Enrollment Period

9.4 years

First QC Date

February 9, 2005

Results QC Date

May 8, 2015

Last Update Submit

September 28, 2015

Conditions

Keywords

Multiple MyelomaDoxilCaelyxDoxorubicinVelcadeBortezomib

Outcome Measures

Primary Outcomes (1)

  • Time to Progression (TTP)

    Median time to progression of disease is assessed according to International Myeloma Working Group (IMWG) criteria or death from any cause. IMWG criteria: increase of \>=25% from lowest level in Serum M-component or (the absolute increase must be \>=0.5 gram per deciliter \[g/dL\]); Urine M component or (the absolute increase must be \>=200 milligram per 24 hour. Only in participants without measurable serum and urine M-protein levels: the difference between involved and uninvolved free light chain levels. The absolute increase \>10 mg/dL. Bone marrow plasma cell percentage \>=10%. Definite development of new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing. Development of hypercalcemia. Participants who died or dropped out due to any reason without progression will be censored with the day of death or drop-out, respectively and who are alive at the end of the study without any progression was censored with the last available date.

    Up to 1 year and 4 months (From date of first participant randomization [20 December 2004] up to interim analysis cut-off date [28 April 2006])

Secondary Outcomes (2)

  • Overall Survival

    Up to 9 years and 5 months (From date of first participant randomization [20 December 2004] to cut-off date for final survival analysis (16 May 2014)

  • Number of Participants With Serious Adverse Events (SAEs)

    Up to 1 year and 11 months (From date of first participant randomization [20 December 2004] to cut-off date for safety update (28 November 2006)

Study Arms (2)

VELCADE (bortezomib) monotherapy

ACTIVE COMPARATOR

Bortezomib (VELCADE) 1.3 milligram per meter square (mg/m\^2) by rapid (bolus) i.v. administration given on Days 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles.

Drug: Bortezomib (VELCADE)

DOXIL/CAELYX in combination with VELCADE (bortezomib)

EXPERIMENTAL

Bortezomib (VELCADE) 1.3 mg/m\^2 by rapid (bolus) i.v. administration given on Days 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles. Doxorubicin hydrochloride (DOXIL/CAELYX) 30 mg/m2 by i.v. infusion will be given on Day 4 of every 21-day cycle after the administration of bortezomib (VELCADE) for up to 8 cycles.

Drug: Bortezomib (VELCADE)Drug: Doxorubicin hydrochloride (DOXIL/CAELYX)

Interventions

1.3 mg/m\^2 by rapid (bolus) i.v. administration given on Days 1, 4, 8, and 11 of each 21-day cycle for up to 8 cycles.

VELCADE (bortezomib) monotherapy

mg/m\^2 by i.v. infusion will be given on Day 4 of every 21-day cycle after the administration of bortezomib (VELCADE) for up to 8 cycles.

DOXIL/CAELYX in combination with VELCADE (bortezomib)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with multiple myeloma who have received at least 1 prior therapy and who have either responded and later had progressive disease or have progressed during their first therapy (primary refractory) are eligible for the study
  • Patients who may have received prior doxorubicin but not more than a cumulative dose of 240 milligram per meter square (mg/m\^2) doxorubicin, DOXIL, or the equivalent amount of another anthracycline (i.e., 1 mg doxorubicin = 1 mg DOXIL/CAELYX = 1.8 mg epirubicin = 0.3 mg mitoxantrone = 0.25 mg idarubicin)
  • Must have normal cardiac function, as evidenced by a left LVEF within institutional normal limits.

You may not qualify if:

  • History of treatment with VELCADE or progressive disease while receiving an anthracycline-containing regimen
  • No change in disease status during initial therapy
  • No treatment for malignancy within past 5 yrs (other than multiple myeloma) or progressive disease while receiving anthracycline-containing regimen
  • Non-secretory disease
  • Myocardial infarct within past 6 months
  • No major surgery in past 30 days.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (108)

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Alabaster, Alabama, United States

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Surprise, Arizona, United States

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Berkeley, California, United States

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Loma Linda, California, United States

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Los Angeles, California, United States

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Sacramento, California, United States

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Norwalk, Connecticut, United States

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Stamford, Connecticut, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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Stuart, Florida, United States

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West Palm Beach, Florida, United States

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Altanta, Georgia, United States

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Boise, Idaho, United States

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Indianapolis, Indiana, United States

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Lexington, Kentucky, United States

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Metairie, Louisiana, United States

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New Orleans, Louisiana, United States

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Minneapolis, Minnesota, United States

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Hackensack, New Jersey, United States

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Chapel Hill, North Carolina, United States

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Charlotte, North Carolina, United States

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Durham, North Carolina, United States

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Portland, Oregon, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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North Charleston, South Carolina, United States

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Nashville, Tennessee, United States

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Buenos Aires, Argentina

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Ciudad de Buenos Aires, Argentina

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La Plata, Argentina

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Mendoza, Argentina

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Adelaide, Australia

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Darlinghurst, Australia

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Melbourne, Australia

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Perth, Australia

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Sydney, Australia

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Graz, Austria

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Innsbruck, Austria

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Salzburg, Austria

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Vienna, Austria

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Wels, Austria

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Brussels, Belgium

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Ghent, Belgium

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Leuven, Belgium

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Mont-Godinne, Belgium

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Vancouver, British Columbia, Canada

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Hamilton, Ontario, Canada

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Ottawa, Ontario, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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N/a N/a, Canada

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Brno, Czechia

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Olomouc, Czechia

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Praha 2 N/A, Czechia

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Angers Cedex 1 N/A, France

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Bobigny, France

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Créteil, France

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Lille Cedex N/A, France

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Nantes, France

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Pierre-Bénite, France

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Toulouse, France

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Tours, France

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VandÅ“uvre-lès-Nancy, France

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Haifa, Israel

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Jerusalem, Israel

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Petah Tikva, Israel

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Ramat Gan, Israel

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Rehovot, Israel

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Tel Aviv, Israel

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Amersfoort, Netherlands

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Amsterdam, Netherlands

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Amsterdam-Zuidoost, Netherlands

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Delft, Netherlands

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Groningen, Netherlands

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Nieuwegein, Netherlands

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Nijmegen, Netherlands

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Rotterdam, Netherlands

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The Hague, Netherlands

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Utrecht, Netherlands

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Bialystok, Poland

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Gdansk, Poland

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Lodz, Poland

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Lublin, Poland

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Warsaw, Poland

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Wroclaw, Poland

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Coimbra, Portugal

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Lisbon, Portugal

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Porto, Portugal

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Arkhangelsk, Russia

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Izhevsk, Russia

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Moscow, Russia

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Nizhny Novgorod, Russia

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Novosibirsk, Russia

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Obninsk, Russia

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Saint Petersburg, Russia

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Yekaterinburg, Russia

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Singapore, Singapore

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Bloemfontein, South Africa

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Cape Town, South Africa

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Johannesburg, South Africa

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Parktown, South Africa

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Pretoria Gauteng, South Africa

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Barcelona, Spain

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Madrid, Spain

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Salamanca, Spain

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Bath, United Kingdom

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London, United Kingdom

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Related Publications (3)

  • Dimopoulos MA, Orlowski RZ, Facon T, Sonneveld P, Anderson KC, Beksac M, Benboubker L, Roddie H, Potamianou A, Couturier C, Feng H, Ataman O, van de Velde H, Richardson PG. Retrospective matched-pairs analysis of bortezomib plus dexamethasone versus bortezomib monotherapy in relapsed multiple myeloma. Haematologica. 2015 Jan;100(1):100-6. doi: 10.3324/haematol.2014.112037. Epub 2014 Sep 26.

  • Sonneveld P, Hajek R, Nagler A, Spencer A, Blade J, Robak T, Zhuang SH, Harousseau JL, Orlowski RZ; DOXIL-MMY-3001 Study Investigators. Combined pegylated liposomal doxorubicin and bortezomib is highly effective in patients with recurrent or refractory multiple myeloma who received prior thalidomide/lenalidomide therapy. Cancer. 2008 Apr 1;112(7):1529-37. doi: 10.1002/cncr.23326.

  • Orlowski RZ, Nagler A, Sonneveld P, Blade J, Hajek R, Spencer A, San Miguel J, Robak T, Dmoszynska A, Horvath N, Spicka I, Sutherland HJ, Suvorov AN, Zhuang SH, Parekh T, Xiu L, Yuan Z, Rackoff W, Harousseau JL. Randomized phase III study of pegylated liposomal doxorubicin plus bortezomib compared with bortezomib alone in relapsed or refractory multiple myeloma: combination therapy improves time to progression. J Clin Oncol. 2007 Sep 1;25(25):3892-901. doi: 10.1200/JCO.2006.10.5460. Epub 2007 Aug 6.

MeSH Terms

Conditions

Multiple Myeloma

Interventions

BortezomibDoxorubicinliposomal doxorubicin

Condition Hierarchy (Ancestors)

Neoplasms, Plasma CellNeoplasms by Histologic TypeNeoplasmsHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

Boronic AcidsAcids, NoncarboxylicAcidsInorganic ChemicalsBoron CompoundsOrganic ChemicalsPyrazinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsDaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydrates

Limitations and Caveats

Study stopped in terms of primary endpoint based on its results at planned interim analysis (28 Apr 2006). However, Long-term follow-up for survival continued until 16 May 2014.

Results Point of Contact

Title
Project Physician
Organization
Janssen R&D UK

Study Officials

  • Janssen Research & Development, LLC C. Clinical Trial

    Janssen Research & Development, LLC

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 9, 2005

First Posted

February 10, 2005

Study Start

December 1, 2004

Primary Completion

May 1, 2014

Study Completion

June 1, 2014

Last Updated

October 19, 2015

Results First Posted

May 25, 2015

Record last verified: 2015-09

Locations