Phase 1/2 Study of VELCADE® in Combination With Other Drugs to Treat Previously Untreated Multiple Myeloma Patients (EVOLUTION)

Millennium Pharmaceuticals

Status and phase: Completed; Phase 2; Phase 1

Conditions: Multiple Myeloma

Treatments: Drug: dexamethasone; Drug: cyclophosphamide; Drug: VELCADE (bortezomib); Drug: Revlimid (lenalidomide)

Study type: Interventional

Funder types: Industry

Identifiers

NCT00507442

C05008

Details and patient eligibility

About

The purpose of this Phase 1/2 study is to evaluate the efficacy and safety of treatment with VELCADE, dexamethasone, and Revlimid® (VDR) as well as VELCADE, dexamethasone, cyclophosphamide, and Revlimid (VDCR) in patients with multiple myeloma who have received no prior treatment. This study will evaluate whether the addition of Revlimid to VELCADE and Dexamethasone will increase the complete response (CR)/ very good partial response (VGPR) rate.

Enrollment: 158 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Voluntary written informed consent
• Male or female subject 18 years of age or older
• A Karnofsky Performance Status score of ≥50% (Eastern Cooperative Oncology Group Performance Status score ≤2)
• Subjects must have symptomatic myeloma or asymptomatic myeloma with myeloma-related organ damage
• Diagnosed Multiple myeloma
• Subjects must have measurable disease requiring systemic therapy
• Subjects must not have been treated previously with any systemic therapy for multiple myeloma
• Two weeks must have elapsed since the date of the last radiotherapy treatment
• Women of childbearing potential must have a negative serum or urine pregnancy test with a sensitivity of at least 50 mIU/mL within 10 to 14 days prior to therapy and repeated within 24 hours before starting study drug. They must commit to continued abstinence from heterosexual intercourse or begin 2 acceptable methods of birth control (1 highly effective method and 1 additional effective method) used at the same time, beginning at least 4 weeks before initiation of Revlimid treatment. Women must also agree to ongoing pregnancy testing
• Men must agree to not father a child and agree to use a latex condom during therapy and for 4 weeks after the last dose of study drug, even if they have had a successful vasectomy, if their partner is of childbearing potential
• All subjects must agree to comply with the requirements of the RevAssistSM program

Exclusion criteria

• History of allergy to any of the study medications, their analogues, or excipients in the various formulations
• ≥Grade 2 peripheral neuropathy on clinical examination
• Myocardial infarction within 6 months prior to enrollment or New York Heart Association Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or clinically significant conduction system abnormalities.
• Female subject who is pregnant or breast-feeding
• Clinically relevant active infection or serious comorbid medical conditions
• Any condition, including laboratory abnormalities, that in the opinion of the Investigator places the subject at unacceptable risk if he/she were to participate in the study. This includes but is not limited to serious medical or psychiatric illness likely to interfere with participation in this clinical study
• Active prior malignancy diagnosed or treated within the last 3 years

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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158 participants in 4 patient groups

VDR

Experimental group

Description:

VELCADE (bortezomib), dexamethasone, and Revlimid (lenalidomide)

Treatment:

Drug: Revlimid (lenalidomide)

Drug: dexamethasone

Drug: VELCADE (bortezomib)

VDCR

Experimental group

Description:

VELCADE (bortezomib), dexamethasone, cyclophosphamide, Revlimid (lenalidomide)

Treatment:

Drug: Revlimid (lenalidomide)

Drug: dexamethasone

Drug: VELCADE (bortezomib)

Drug: cyclophosphamide

VDC

Experimental group

Description:

VELCADE (bortezomib), dexamethasone, cyclophosphamide

Treatment:

Drug: dexamethasone

Drug: VELCADE (bortezomib)

Drug: cyclophosphamide

VDC-mod

Experimental group

Description:

Modified dosing of VELCADE (bortezomib), dexamethasone, cyclophosphamide

Treatment:

Drug: dexamethasone

Drug: VELCADE (bortezomib)

Drug: cyclophosphamide