Clinical Trial: Phase III Randomized Study of Melphalan With or Without Holmium Ho 166 DOTMP Followed By Autologous Peripheral Blood Stem Cell Transplantation in Patients With Multiple Myeloma

This study is no longer recruiting patients.

Sponsors and Collaborators: National Cancer Institute (NCI)
Fred Hutchinson Cancer Research Center
Information provided by: National Cancer Institute (NCI)


Patient Abstract available in the near future.

Condition Treatment or Intervention Phase
stage I multiple myeloma
stage II multiple myeloma
stage III multiple myeloma
 Drug: filgrastim
 Drug: holmium Ho 166 DOTMP
 Drug: melphalan
Phase III

MedlinePlus related topics:  Multiple Myeloma

Study Type: Interventional
Study Design: Treatment

Further Study Details: 

Study start: August 2000

OBJECTIVES: I. Compare the efficacy of melphalan with or without holmium Ho 166 DOTMP followed by autologous peripheral blood stem cell transplantation in patients with multiple myeloma. II. Compare the response rate and overall survival of these patients treated with these regimens. III. Compare the hematologic recovery rate and time to granulocyte engraftment of these patients treated with these regimens. IV. Compare the toxicity of these regimens in this patient population.

PROTOCOL OUTLINE: This is a randomized, open label, multicenter study. Patients are stratified according to their beta 2 microglobulin (B2M) test at initial diagnosis (B2M no greater than 4 mg/L vs B2M greater than 4 mg/L vs unknown B2M). Patients are randomized to one of two treatment arms. Prior to stratification and randomization, patients receive a diagnostic dose of holmium Ho 166 DOTMP within days -31 to -10. Patients with adequate skeletal uptake of the diagnostic dose are randomized for therapy. Arm I: Patients receive holmium Ho 166 DOTMP IV over no more than 10 minutes within days -10 to -7 (at least 1 week and no more than 3 weeks after the diagnostic dose), melphalan IV over 20-30 minutes within days -3 to -1 (at least 24 hours prior to autologous peripheral blood stem cell (PBSC) transplantation), and autologous PBSC transplantation on day 0. Arm II: Patients receive melphalan and autologous PBSC transplantation as in arm I. Following transplantation, patients receive filgrastim (G-CSF) daily until blood counts recover. Patients are followed at 1 year, every 6 months for 3 years, and then annually thereafter.

PROJECTED ACCRUAL: Approximately 300 patients (150 per treatment arm) will be accrued for this study within 9 months.


Ages Eligible for Study:  18 Years   -   70 Years



--Disease Characteristics--

--Prior/Concurrent Therapy--

--Patient Characteristics--

  • Age: 18 to 70
  • Performance status: ECOG 0-2
  • Life expectancy: Not specified
  • Hematopoietic: See Disease Characteristics
  • Hepatic: Bilirubin no greater than 2 mg/dL; SGPT no greater than 2 times upper limit of normal; No clinical evidence of amyloidosis involving the liver
  • Renal: Creatinine no greater than 2.0 mg/dL; Creatinine clearance at least 30 mL/min; No clinical evidence of amyloidosis involving the kidney
  • Cardiovascular: LVEF at least 50% No evidence of amyloidosis on echocardiogram; No uncontrolled arrhythmia; No symptomatic cardiac disease
  • Pulmonary: FEV1 at least 60% OR FVC at least 60% OR DLCO at least 60%; No symptomatic pulmonary disease; No clinical evidence of amyloidosis involving the lungs
  • Other: HIV negative; No cord compression; No other concurrent illness that would preclude survival; No clinical evidence of amyloidosis involving the autonomic nervous system or gastrointestinal tract; No known allergy to vitamin C; Not pregnant or nursing; Negative pregnancy test; Fertile patients must use effective contraception

Location Information

      Fred Hutchinson Cancer Research Center, Seattle,  Washington,  98109,  United States

Study chairs or principal investigators

William I. Bensinger,  Study Chair,  Fred Hutchinson Cancer Research Center   

More Information

Clinical trial summary from the National Cancer Institute's PDQ® database

Study ID Numbers:  CDR0000068389; FHCRC-1542.00; NCI-G00-1892
Record last reviewed:  May 2004
Last Updated:  October 13, 2004
Record first received:  January 6, 2001 Identifier:  NCT00008229
Health Authority: United States: Federal Government processed this record on 2005-04-08

Cache Date: April 9, 2005