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NCT00258206 · REGISTRY CONDITION SEARCH

Rituximab and Cyclophosphamide in Treating Patients With High Risk, Refractory, or Relapsed Multiple Myeloma

Found through the registry condition index, not selected as a treatment recommendation. This discovery collection was restricted to studies with posted results.

Phase
PHASE2
Status at capture
COMPLETED
Registry last update
2017-12-06

RATIONALE: Monoclonal antibodies, such as rituximab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or carry cancer-killing substances to them. Drugs used in chemotherapy, such as cyclophosphamide, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving rituximab together with cyclophosphamide may kill more cancer cells. PURPOSE: This phase II trial is studying how well giving rituximab together with cyclophosphamide works in treating patients with high risk, refractory, or relapsed multiple myeloma.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

Who could take part
eligibility Criteria
DISEASE CHARACTERISTICS: * Diagnosis of multiple myeloma, meeting 1 of the following criteria: * High-risk disease in first remission, as defined by the following: * Beta-2 microglobulin \> 5.0 mg/dL * Chromosome 13 deletion * Primary refractory disease * Relapsed disease after achieving a response to prior chemotherapy * The following diagnoses are not allowed: * POEMS syndrome * Plasma cell leukemia * Amyloidosis * Nonsecretory myeloma * No evidence of spinal cord compression PATIENT CHARACTERISTICS: Age * Over 18 Performance status * Not specified Life expectancy * Not specified Hematopoietic * Not specified Hepatic * Not specified Renal * Not specified Other * Not pregnant or nursing * Fertile patients must use effective contraception * HIV negative * Has good organ function * Is in good physical condition * No active infection requiring antibiotics * No other malignancy within the past 2 years except basal cell or squamous cell skin cancer or carcinoma in situ of the cervix PRIOR CONCURRENT THERAPY: Biologic therapy * No persistently detectable donor cells after prior allogeneic stem cell transplantation * No prior rituximab Chemotherapy * See Disease Characteristics Endocrine therapy * Not specified Radiotherapy * Not specified Surgery * Not specified Other * At least 28 days since prior therapy
healthy Volunteers
false
maximum Age
120 Years
minimum Age
18 Years
sex
ALL
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    Rituximab 375 mg/m\^2 on Days -10 and -7; Cyclophosphamide 50 mg/kg on days -3, -2, -1, and 0; Rituximab 375 mg/m\^2 weekly x4 after platelet counts recover; For patients achieving at least stable disease, rituximab maintenance 375 mg/m\^2 once each during months 3, 6, 9, and 12
    intervention Names
    1. Biological: rituximab
    2. Drug: cyclophosphamide
    label
    rituximab + cyclophosphamide
    type
    EXPERIMENTAL
interventions
  1. arm Group Labels
    1. rituximab + cyclophosphamide
    name
    rituximab
    other Names
    1. Rituxan
    type
    BIOLOGICAL
  2. arm Group Labels
    1. rituximab + cyclophosphamide
    name
    cyclophosphamide
    other Names
    1. Cytoxan
    type
    DRUG
Study design
allocation
NA
intervention Model
SINGLE_GROUP
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
21
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    Percentage of study participants who did not report that their multiple myeloma relapsed or progressed (got worse)
    measure
    Event-free Survival
    time Frame
    1 year
  2. measure
    Safety of Maintenance Rituximab Following High Dose Cyclophosphamide
    time Frame
    2, 3, 6, 9, and 12 months
secondary Outcomes
  1. measure
    Safety and Toxicity
    time Frame
    2, 3, 6, 9, and 12 months
  2. measure
    Complete Response (CR) Rate and Partial Response (PR) Rate
    time Frame
    1 year
  3. measure
    Effect of Rituximab by Clonogenic Growth of Multiple Myeloma (MM) Progenitors and the Mechanisms by Which MM Stem Cells Are Inhibited
    time Frame
    2, 3, 6, 9, and 12 months
  4. measure
    Overall Survival
    time Frame
    5 years
Full study description
brief Summary
RATIONALE: Monoclonal antibodies, such as rituximab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or carry cancer-killing substances to them. Drugs used in chemotherapy, such as cyclophosphamide, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving rituximab together with cyclophosphamide may kill more cancer cells. PURPOSE: This phase II trial is studying how well giving rituximab together with cyclophosphamide works in treating patients with high risk, refractory, or relapsed multiple myeloma.
detailed Description
OBJECTIVES: * Determine the effect of rituximab and high-dose cyclophosphamide on the growth of myeloma stem cells in patients with high-risk, refractory, or relapsed multiple myeloma. OUTLINE: Patients receive rituximab IV on days -10 and -7; once weekly for 4 weeks (after completion of high-dose cyclophosphamide); and then once in months 3, 6, 9, and 12. Patients also receive high-dose cyclophosphamide on days -3 to 0. PROJECTED ACCRUAL: Not specified.
Source references
Source notices and limitations
    Discovery and provenance
    1. release id
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      edge id
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      requested nct id
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      primary nct id
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      source kind
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      source file sha256
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      payload
      clinical indication matching status
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      end exclusive
      true
      id
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      link basis
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      nct id
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      occurrences
      1. context exact
        NCT00258206
        end
        11
        exact text
        NCT00258206
        start
        0
      offset unit
      unicode_code_points
      query cond
      Plasma Cell Neoplasms
      query disease state id
      ds-plasma-cell-neoplasms
      source file
      /Users/arunverma/Documents/ChatGPT/Cancer Statistics Website/research-data/2026-09-10/clinicaltrials-condition/round-0000/raw/cond-plasma-cell-neoplasms-000.json
      source file sha256
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      source json pointer
      /studies/87/protocolSection/identificationModule/nctId
      source kind
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      source record id
      Source null
      source string basis
      parsed_JSON_string_unmodified
      source string sha256
      9d396ec1d7b7dbfb3b0194176a1264839ef2747a614861d71e9fe606142f6ef4

    Preserved source evidence · Not medical advice