New hope for rare leukemia: aggressive combo therapy shows promise
NCT ID NCT02858999
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This phase 2 trial tested a powerful combination of chemotherapy drugs followed by stem cell transplants in 40 patients under 70 with primary plasma cell leukemia, a rare and aggressive blood cancer. The goal was to see if this intensive approach could improve how long patients live without the disease coming back. The study also collected blood and bone marrow samples to better understand the disease.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- combination chemotherapy (bortezomib, dexamethasone, doxorubicin, cyclophosphamide) followed by stem cell transplant
- What this could lead to
- If successful, this approach could improve disease-free survival and offer a more effective treatment strategy for this rare and aggressive blood cancer.
- What could go wrong
- This is a small, early-phase trial with only 40 participants, so results may not apply to all patients. The intensive treatment carries significant risks, including side effects from chemotherapy and transplant complications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
40 people
The number who actually took part.
- Start date
-
Jan 2010
- Finished
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Sep 2016
- 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
-
18 to 70 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: * Patient with primary plasma cell leukaemia corresponding to the International Myeloma Working Group definition. * Patient not previously treated apart from a short course of corticosteroid therapy (dexamethasone 40 mg/day for 4 days). * Age ≥ 18 years and \< 70 years. * Patient able to provide signed informed consent. * Effective contraception when justified (oral contraception/protected intercourse). Exclusion Criteria: * Consent not obtained. * Patient under judicial protection, or permanent or temporary guardianship. * Previously treated multiple myeloma, secondary plasma cell leukaemia. * ECOG performance status \> 2. * History of severe psychiatric illness, severe renal failure not attributable to PPL, heart failure (ejection fraction \< 40%), bilirubin \> 3N, transaminases or gamma GT \> 4N. * Peripheral neuropathy \> NCI grade 2. * Contraindication to high-dose corticosteroids, cyclophosphamide and anthracyclines. * Hypersensitivity to bortezomib or lenalidomide. * Pregnant woman or nursing mothers. * Malignant disease except for basal cell carcinoma or cervical carcinoma in situ. * Positive HIV serology; active hepatitis B or C. * Participation in a clinical trial during the 60 days prior to inclusion. * Patient not covered by French national health insurance.
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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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AP-HP
Paris, 75004, France
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CH Dunkerque
Dunkirk, 59385, France
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CH Pays d'Aix
Aix-en-Provence, 13616, France
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CHRU Lille
Lille, 59037, France
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CHU Amiens
Amiens, 80054, France
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CHU Besançon
Besançon, 25030, France
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CHU Caen
Caen, 14033, France
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CHU Clermont Ferrand
Clermont-Ferrand, 63003, France
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CHU Dijon
Dijon, 21034, France
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CHU Nancy
Nancy, 54035, France
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CHU Nantes
Nantes, 44093, France
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CHU Nice
Nice, 06003, France
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CHU Poitiers
Poitiers, 86021, France
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CHU Rennes
Rennes, 35033, France
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CHU Strasbourg
Strasbourg, 67091, France
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CHU Toulouse
Toulouse, 31059, France
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CHU Tours
Tours, 37044, France
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Hospices Civils de Lyon
Lyon, 69229, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a t-cell engager rescue myeloma that outsmarted CAR-T?
- Can myeloma treatment work without steroids?
- Double-Drug attack on Hard-to-Treat lymphomas
- Banking blood and bone marrow to decode plasma cell disorders
- Which scan sees hidden myeloma better: PET or MRI?