Flavopiridol in Treating Patients With Relapsed or Refractory Multiple Myeloma

• Status: Completed
• Trial end date: 1969-12-31
• Target enrollment: 0
• Participant gender: All

Summary

Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Phase II trial to study the effectiveness of flavopiridol in treating patients who have relapsed or refractory multiple myeloma

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: National Cancer Institute (NCI)
• Treatments: Alvocidib

Criteria

Inclusion Criteria:

• Diagnosis of relapsed or refractory multiple myeloma (MM) requiring treatment

• Durie-Salmon stage I or greater at diagnosis

• Patients with non-secretory or oligo-secretory MM (defined as maximum urinary M-spike less than 200 mg/24 hours and a maximum serum M-spike less than 0.5 g/dL during entire disease course) must have at least 30% bone marrow plasma cells

• Patients with secretory MM must have measurable disease defined as serum monoclonal protein of at least 1 g/dL or urinary M-spike of at least 200 mg/24 hours

• Must have received at least 1, but no more than 5 prior therapy regimens

• Patients who have had 4 or 5 regimens are allowed provided corticosteroids and/or thalidomide are part of the regimens

• No more than 5 prior chemotherapy regimens (as long as 2 contained dexamethasone or thalidomide)

• Prior autologous peripheral blood stem cell transplantation is considered 1 prior regimen

• Performance status - ECOG 0-2

• Performance status - ECOG 0-3 if secondary to neuropathy or acute bone event (e.g., vertebral compression or rib fracture)

• Absolute neutrophil count at least 750/mm^3

• Bilirubin no greater than 1.5 times upper limit of normal (ULN)

• Alkaline phosphatase no greater than 2.5 times ULN

• AST no greater than 2.5 times ULN

• Creatinine no greater than 3 mg/dL

• No myocardial infarction within the past 6 months

• Peripheral neuropathy secondary to prior drug therapy or myeloma-associated neuropathy allowed

• No other uncontrolled serious medical condition

• No uncontrolled infection

• No other active malignancy

• Not pregnant or nursing

• Negative pregnancy test

• Fertile patients must use effective contraception

• See Disease Characteristics

• No prior allogeneic stem cell transplantation

• At least 10 days since prior thalidomide

• No concurrent biologic therapy

• See Disease Characteristics

• At least 2 weeks since prior myelosuppressive chemotherapy

• No other concurrent chemotherapy

• See Disease Characteristics

• No concurrent corticosteroids (including as antiemetics) except chronic corticosteroids for disorders other than myeloma (e.g., rheumatoid arthritis or adrenal insufficiency)

• Maximum dose allowed for prednisone is no more than 10 mg/day or hydrocortisone no more than 40 mg/day

• At least 10 days since prior bortezomib or tipifarnib

• Concurrent bisphosphonates allowed if on stable dose before study entry