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Anakinra With or Without Dexamethasone in Treating Patients With Smoldering or Indolent Multiple Myeloma
This study has been completed.
Study NCT00635154   Information provided by Mayo Clinic

First Received on March 12, 2008.   Last Updated on December 17, 2010   History of Changes
Results First Received: November 9, 2010  
Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study;   Intervention Model: Single Group Assignment;   Masking: Open Label;   Primary Purpose: Treatment
Condition: Multiple Myeloma and Plasma Cell Neoplasm
Interventions: Biological: Anakinra (IL-1Ra)
Drug: Dexamethasone acetate

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations

55 patients were recruited from November 2002 through December 2007 at Mayo Clinic.

One patient had progressive disease prior to starting treatment. This patient was excluded from all analysis.


Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
Patients received induction therapy of Anakinra alone for 6 months. Based on response, dexamethasone could be added or increased in subsequent cycles. See the Outline section for more detail. Unless otherwise stated, results are reported for all patients (regardless of dexamethasone administration).

Reporting Groups
  Description
Anakinra With/Without Dexamethasone No text entered.

Participant Flow:   Overall Study
    Anakinra With/Without Dexamethasone  
STARTED     54  
COMPLETED     21  
NOT COMPLETED     33  
Alternative Treatment                 8  
Other                 4  
Still on treatment                 21  



  Baseline Characteristics
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Reporting Groups
  Description
Anakinra With/Without Dexamethasone No text entered.

Baseline Measures
    Anakinra With/Without Dexamethasone  
Number of Participants  
[units: participants]
  54  
Age  
[units: years]
Median ( Full Range )
  60.0  
  ( 38 to 79 )  
Gender  
[units: participants]
 
Female     25  
Male     29  
Region of Enrollment  
[units: participants]
 
United States     54  
Diagnosis  
[units: participants]
 
Smoldering Multiple Myeloma (SMM)     44  
Indolent Multiple Myeloma (IMM)     10  
Prior treatment for M-protein  
[units: participants]
 
Yes     10  
No     44  



  Outcome Measures
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1.  Primary:   Patients With Confirmed Response (Complete Response, Very Good Partial Response, Partial Response, or Minimal Response) on 2 Consecutive Months During the First 6 Months of Treatment With Anakinra Alone   [ Time Frame: 6 months ]

2.  Secondary:   Number of Patients With Response to Treatment With Dexamethasone and Anakinra   [ Time Frame: During Active treatment (up to 5 years) ]

3.  Secondary:   Number of Patients Who Are Progression-free and Alive at 6 Months   [ Time Frame: at 6 months ]

4.  Secondary:   Number of Patients With Severe Non-hematological Adverse Events in Patients Receiving Anakinra Alone or in Combination With Dexamethasone.   [ Time Frame: Duration of treatment (up to 5 years) ]

5.  Secondary:   Progression Free Survival (PFS) in Patients Treated With Anakinra Alone or in Combination With Dexamethasone   [ Time Frame: Time from registration to progression or death (up to 5 years) ]

6.  Secondary:   Number of Patients With Severe Non-hematological Adverse Events in Participants Receiving Anakinra in Combination With Dexamethasone   [ Time Frame: every cycle during treatment (up to 5 years) ]

7.  Secondary:   Duration of Response   [ Time Frame: From first documentation of response to progression or last follow-up (up to 5 years) ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
All Principal Investigators ARE employed by the organization sponsoring the study.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
No text entered.  


Results Point of Contact:  
Name/Title: Dr. John Lust
Organization: Mayo Clinic
e-mail: lust.john@mayo.edu


No publications provided


Responsible Party: John A. Lust, M.D., Mayo Clinic
ClinicalTrials.gov Identifier: NCT00635154     History of Changes
Other Study ID Numbers: CDR0000583300, P30CA015083, MC0282, 1316-02
Study First Received: March 12, 2008
Results First Received: November 9, 2010
Last Updated: December 17, 2010
Health Authority: United States: Food and Drug Administration