Stem cell transplant vs. drugs: which works better for younger myeloma patients?
NCT ID NCT01191060
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 700 adults up to age 65 with multiple myeloma to see if high-dose therapy with a stem cell transplant works better than standard drug therapy (lenalidomide, bortezomib, and dexamethasone). The goal was to find out which approach delays the cancer from growing longer. Participants were randomly assigned to one of the two treatments and followed for up to 4 years.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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700 people
The number who actually took part.
- Started
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Oct 2010
- Finished
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Nov 2018
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria for registration : (with labs performed within 21 days of initiation of protocol therapy): * Patients diagnosed with multiple myeloma based on International Myeloma Foundation 2003 Diagnostic Criteria. * Patients must have symptomatic myeloma with myeloma-related organ damage. * Patients must have myeloma that is measurable by either serum or urine evaluation of the monoclonal component or by assay of serum free light chains. * Age between 18 and 65 years at the time of signing the informed consent document. * ECOG performance status \<2 (Karnofsky ≥ 60%) * Negative HIV blood test Exclusion Criteria for registration (section 4.2): * Participants must not have been treated with any prior systemic therapy for multiple myeloma. Treatment by localized radiotherapy is not an exclusion criterion if an interval of at least two weeks between the end of radiotherapy and initiation of protocol therapy entry in the study is observed. Similarly, the dose of corticosteroids received by the participant should not exceed the equivalent of 160 mg of dexamethasone over a two-week period before initiation of protocol therapy. * Primary amyloidosis (AL) or myeloma complicated by amylosis. * Participants may not be receiving any other study investigational agents. * Participants with known brain metastases * Poor tolerability or known allergy to any of the study drugs or compounds of similar chemical or biologic composition to study agents * Platelet count \< 50,000/mm3 per µLwithin 21 days of initiation of protocol therapy. Transfusion within 7 days of screening is not allowed to meet platelet eligibility criteria. * ANC \< 1,000 cells/mm3 within 21 days of initiation of protocol therapy. Growth factor within 7 days of screening is not allowed to meet ANC eligibility criteria. * Hemoglobin \< 8.0 g/dL within 21 days of initiation of protocol therapy. Transfusion may be used to meet hemoglobin eligibility criteria. * Hepatic impairment, defined a bilirubin \> 1.5 x institutional upper limit of normal (ULN) \> 2 mg/dL (Patients with benign hyperbilirubinemia (e.g., Gilbert's syndrome) are eligible) and or AST (SGOT), or ALT (SGPT), or alkaline phosphatase \> 2 x ULN * Renal insufficiency, defined as serum creatinine \> 2.5 mg/dl and/or creatinine clearance \< \<40 60 ml/min (actual or calculated). The Cockgroft-Gault formula should be used for calculating creatinine clearance values, and may be located in Section 4.2 * Respiratory compromise, defined as ventilation tests and with DLCO \< 50% * Participant must not demonstrate with clinical signs of heart or coronary failure, or evidence of LVEF \< 40%. Participant must not have with myocardial infarction within 6 months prior to enrollment or have New York Heart Association (NYHA Appendix VII) Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities. Prior to study entry, any ECG abnormality at screening has to be documented by the investigator as not medically relevant. * Intercurrent illness including, but not limited to ongoing or active severe infection, known (active or not) infection with hepatitis B or C virus, poorly controlled diabetes, severe uncontrolled psychiatric disorder or psychiatric illness/social situations that would limit compliance with study requirements. * Participant with previous history of another malignant condition, except for basal cell carcinoma and stage I cervical cancer * Female participant who is pregnant or breast-feeding * Inability to comply with an anti-thrombotic treatment regimen * Peripheral neuropathy ≥ Grade 2 peripheral neuropathy on clinical examination within 21 days of initiation of protocol therapy * Mental illness likely to interfere with participation in the study and Adults under juridical protection
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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CH Bretagne Atlantique Vannes et Auray
Vannes, 56017, France
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CH Chambéry
Chambéry, 73011, France
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CH Louis Pasteur - Colmar
Colmar, 68024, France
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CH Meaux
Meaux, 77104, France
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CH René Dubos
Cergy-Pontoise, 95303, France
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CH Saint Jean
Perpignan, 66046, France
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CH Sud Francilien
Corbeil-Essonnes, 91106, France
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CH de Chartres - Hôpital Louis Pasteur
Le Coudray, 26630, France
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CH du Pays D'Aix
Aix-en-Provence, 13 616, France
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CHRU - Hôpital Bretonneau
Tours, 37044, France
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CHRU - Hôpital Claude Huriez
Lille, 59037, France
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CHRU - Hôpital Jean Bernard
Poitiers, 86021, France
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CHRU - Hôpital Sud
Rennes, 35056, France
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CHRU - Hôpital Sud Amiens
Amiens, 80054, France
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CHRU - Hôpital de Pontchaillou
Rennes, 35033, France
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CHRU - Hôpital du Haut Lévêque
Pessac, 33604, France
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CHRU - Hôtel Dieu
Nantes, 44093, France
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CHRU Dijon
Dijon, 21000, France
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CHU - Hôpital Edouard Herriot
Lyon, 69437, France
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CHU Caen Côte de Nacre
Caen, 14033, France
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CHU Henri Mondor
Créteil, 94 010, France
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CHU d'Angers
Angers, 49033, France
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CHU d'Estaing
Clermont-Ferrand, 63000, France
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CHU de Limoges
Limoges, 87042, France
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Centre Catherine de Sienne
Nantes, 44 202, France
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Centre François Baclesse
Caen, 14076, France
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Centre Henri Becquerel
Rouen, 76038, France
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Centre Hospitalier Argenteuil Victor Dupouy
Argenteuil, 95 100, France
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Centre Hospitalier Départemental - La réunion St Denis
Saint-Denis, 97 405, France
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Centre Hospitalier Général - Dunkerque
Dunkirk, 59 385, France
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Centre Hospitalier H.Duffaut
Avignon, 84902, France
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Centre Hospitalier Lyon sud
Pierre-Bénite, 69495, France
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Centre Hospitalier William Morey
Chalon-sur-Saône, 71 321, France
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Centre Hospitalier Yves le Foll
Saint-Brieuc, 22 027, France
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Centre Hospitalier de Blois
Blois, 41016, France
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Centre Hospitalier de Valence
Valence, 26953, France
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Centre Hospitalier de la côte basque
Bayonne, 64109, France
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Centre Hospitalier de la région d'Annecy
Pringy, 74374, France
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Centre Jean Bernard
Le Mans, 72000, France
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Centre Léon Bérard
Lyon, France
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Centre René Huguenin
Saint-Cloud, 92210, France
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Centre hospitalier Bodelio
Lorient, 56322, France
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Centre hospitalier Le Mans
Le Mans, 72037, France
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Centre hospitalier départemental - La Roche sur Yon cedex
La Roche-sur-Yon, 85025, France
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Groupe Hospitalier Sud Réunion
Saint-Pierre, 97448, France
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Groupe Hospitalo-Universitaire Carémeau
Nîmes Cédex 9, 30029, France
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Hopital E Muller
Mulhouse, 68100, France
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Hôpital A.Michallon
Grenoble, 38043, France
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Hôpital A.Morvan
Brest, 29609, France
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Hôpital Antoine Béclère
Clamart, 92 141, France
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Hôpital Archet 1
Nice, 06202, France
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Hôpital Avicenne
Bobigny, 93009, France
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Hôpital Cochin
Paris, 75014, France
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Hôpital Jean Minjoz
Besançon, 25030, France
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Hôpital R.Debré
Reims, 51092, France
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Hôpital Saint-Louis
Paris, 75475, France
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Hôpital St-Antoine
Paris, 75571, France
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Hôpital d'instruction des armées Percy
Clamart, 92141, France
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Hôpital de l'Archet
Nice, 06202, France
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Hôpitaux Universitaires de Strasbourg
Strasbourg, 67091, France
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Hôpitaux de Brabois
Nancy, 54511, France
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Institut Curie
Paris, 75005, France
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Institut Gustave Roussy
Villejuif, 94 805, France
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Institut Paoli Calmettes
Marseille, 13273, France
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Institut de Cancérologie de la Loire
Saint-Priest-en-Jarez, 42 271, France
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Pole Santé République
Clermont-Ferrand, 63050, France
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Polyclinique Bordeaux Nord Aquitaine
Bordeaux, 33 300, France
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University Hospital of Toulouse, Purpan
Toulouse, 31059 Cedex 9, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new drug combo improve myeloma treatment for older adults?
- Can wearables decode the mystery of fatigue?
- 10,000 DNA samples could reveal hidden genetic triggers for leukemia and lymphoma
- New dashboard aims to make leukemia trials more inclusive
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- Poop pills to prevent transplant rejection? new trial tests fecal transplants in blood cancer patients