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NCT01335399 · REGISTRY CONDITION SEARCH

Phase III Study of Lenalidomide and Dexamethasone With or Without Elotuzumab to Treat Newly Diagnosed, Previously Untreated 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
PHASE3
Status at capture
COMPLETED
Registry last update
2022-09-30

The purpose of the study is to determine whether the addition of Elotuzumab to Lenalidomide/low-dose Dexamethasone will increase the progression free survival (PFS)

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
For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com. Inclusion Criteria: * Subjects who are newly diagnosed with symptomatic Multiple Myeloma (MM) and who: * have not received any prior systemic anti-myeloma therapy AND * have measurable disease AND * are not candidates for high-dose therapy plus stem-cell transplantation (SCT) because of age (≥ 65 years) or coexisting conditions. Refusal to undergo high dose therapy with SCT is NOT sufficient for entry onto CA204006 for a subject \< 65 years old. There must be a comorbidity that prevents SCT for a subject \< 65 years old Exclusion Criteria: * Subjects with non-secretory or oligo-secretory or free light-chain only myeloma * Smoldering MM, defined as asymptomatic MM with absence of lytic bone lesions * Monoclonal Gammopathy of Undetermined Significance (MGUS) * Active plasma cell leukemia * Known Human Immunodeficiency Virus (HIV) infection or active hepatitis A, B, or C
healthy Volunteers
false
minimum Age
18 Years
sex
ALL
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. intervention Names
    1. Drug: Lenalidomide
    2. Drug: Dexamethasone
    label
    Lenalidomide + Dexamethasone
    type
    ACTIVE_COMPARATOR
  2. intervention Names
    1. Drug: Lenalidomide
    2. Drug: Dexamethasone
    3. Biological: Elotuzumab (BMS-901608; HuLuc63)
    label
    Lenalidomide + Dexamethasone + Elotuzumab
    type
    EXPERIMENTAL
interventions
  1. arm Group Labels
    1. Lenalidomide + Dexamethasone
    2. Lenalidomide + Dexamethasone + Elotuzumab
    description
    Capsules, Oral, 25 mg, once daily, on Days 1-21, Repeat every 28 days until subject meets criteria for discontinuation of study drug
    name
    Lenalidomide
    other Names
    1. Revlimid®
    type
    DRUG
  2. arm Group Labels
    1. Lenalidomide + Dexamethasone
    description
    Tablets, Oral, 40 mg, weekly, on Days 1, 8, 15, 22, Repeat every 28 days until subject meets criteria for discontinuation of study drug
    name
    Dexamethasone
    other Names
    1. Decadron®
    2. Dexamethasone Intensol®
    3. Dexpak®
    4. Taperpak®
    type
    DRUG
  3. arm Group Labels
    1. Lenalidomide + Dexamethasone + Elotuzumab
    description
    Tablets, Oral, 28 mg, once daily, on Days 1, 8, 15, 22 (cycles 1\&2) ; Days 1 \&15 (cycles 3-18); Day 1 (cycle 19 and beyond), Repeat every 28 days until subject meets criteria for discontinuation of study drug
    name
    Dexamethasone
    other Names
    1. Decadron®
    2. Dexamethasone Intensol®
    3. Dexpak®
    4. Taperpak®
    type
    DRUG
  4. arm Group Labels
    1. Lenalidomide + Dexamethasone + Elotuzumab
    description
    Tablets, Oral, 40 mg, once daily, on Days 8 \& 22 (cycles 3-18); Days 8, 15, 22 (cycle 19 and beyond), Repeat every 28 days until subject meets criteria for discontinuation of study drug
    name
    Dexamethasone
    other Names
    1. Decadron®
    2. Dexamethasone Intensol®
    3. Dexpak®
    4. Taperpak®
    type
    DRUG
  5. arm Group Labels
    1. Lenalidomide + Dexamethasone + Elotuzumab
    description
    Solution, Intravenous (IV), 8 mg, Once daily, on Days 1, 8, 15, 22 (cycles 1\&2) ; Days 1 \&15 (cycles 3-18); Day 1 (cycle 19 and beyond), Repeat every 28 days until subject meets criteria for discontinuation of study drug
    name
    Dexamethasone
    other Names
    1. Decadron®
    2. Dexamethasone Intensol®
    3. Dexpak®
    4. Taperpak®
    type
    DRUG
  6. arm Group Labels
    1. Lenalidomide + Dexamethasone + Elotuzumab
    description
    Solution, Intravenous (IV), 10 mg/kg, weekly, on Days 1, 8, 15, 22 (cycles 1\&2); Days 1 and 15 (cycles 3-18), Repeat every 28 days until subject meets criteria for discontinuation of study drug
    name
    Elotuzumab (BMS-901608; HuLuc63)
    type
    BIOLOGICAL
  7. arm Group Labels
    1. Lenalidomide + Dexamethasone + Elotuzumab
    description
    Solution, Intravenous (IV), 20 mg/kg, Day 1 (cycle 19 and beyond), Repeat every 28 days until subject meets criteria for discontinuation of study drug
    name
    Elotuzumab (BMS-901608; HuLuc63)
    type
    BIOLOGICAL
Study design
allocation
RANDOMIZED
intervention Model
PARALLEL
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
748
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    PFS is defined as the time from randomization to the date of the first documented tumor progression (as determined by the Independent Review Committee (IRC)) or death due to any cause. The IRC conducted a blinded, independent review of the tumor assessments based on the European Group for Blood and Bone Marrow Transplant (EBMT) criteria. Censoring rules applied: * Participants receiving subsequent systemic anti-myeloma therapy prior to documented progression were censored at the date of the last adequate tumor assessment prior to new therapy. * Participants who had an event (progression or death) \> 10 weeks after their last tumor assessment were censored at their last adequate tumor assessment prior to the event. * Participants without progression or death (and not receiving subsequent therapy prior to progression) were censored at their last adequate tumor assessment. * Participants without any post-baseline tumor assessments were censored on the date of randomization
    measure
    Progression-Free Survival (PFS)
    time Frame
    From randomization to date of first documented tumor progression or death due to any cause (up to 8 years)
secondary Outcomes
  1. description
    ORR is defined as the percentage of participants with objective response among all randomized subjects. Participants with an objective response are those participants experiencing a partial response (PR) or better, based on Independent Review Committee (IRC) assessment, as per EBMT criteria.
    measure
    Objective Response Rate (ORR)
    time Frame
    From randomization to primary completion date (approximately 8 years)
  2. description
    Survival is defined as the time from randomization to the date of death. A participant who did not die had his or her survival duration censored at the date of last contact ('last known date alive").
    measure
    Overall Survival (OS)
    time Frame
    From randomization to the date of death (up to 8 years)
  3. description
    Pain severity (sensory dimension) and pain interference (reactive dimension, assessing the degree to which pain interferes with function) are measured using the Brief Pain Inventory- Short Form (BPI-SF). BPI-SF numeric rating scale goes from 0 (No pain) to 10 (Pain as bad as you can imagine).
    measure
    Mean Change From Baseline of Pain Severity Score and Pain Interference Score
    time Frame
    From Baseline to End of Treatment (approximately 8 years)
  4. description
    PFS rate is defined as the percentage of participants experiencing PFS at the defined time-points.
    measure
    Progression Free Survival (PFS) Rate at Specific Time-points
    time Frame
    From randomization to the specified time-point (up to 5 years)
Full study description
brief Summary
The purpose of the study is to determine whether the addition of Elotuzumab to Lenalidomide/low-dose Dexamethasone will increase the progression free survival (PFS)
Source references
references
  1. citation
    Dimopoulos MA, Richardson PG, Bahlis NJ, Grosicki S, Cavo M, Beksac M, Legiec W, Liberati AM, Goldschmidt H, Belch A, Magen H, Larocca A, Laubach JP, Petrucci MT, Reece D, White D, Mateos MV, Spicka I, Lazaroiu M, Berdeja J, Kaufman JL, Jou YM, Ganetsky A, Popa McKiver M, Lonial S, Weisel K; ELOQUENT-1 investigators. Addition of elotuzumab to lenalidomide and dexamethasone for patients with newly diagnosed, transplantation ineligible multiple myeloma (ELOQUENT-1): an open-label, multicentre, randomised, phase 3 trial. Lancet Haematol. 2022 Jun;9(6):e403-e414. doi: 10.1016/S2352-3026(22)00103-X. Epub 2022 May 9.
    pmid
    35550060
    type
    DERIVED
see Also Links
Source notices and limitations
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    Preserved source evidence · Not medical advice