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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: Netherlands Trial Register
Last refreshed on: 28 April 2013
Main ID:  NTR988
Date of registration: 24/05/2007
Primary sponsor: University Medical Center Utrecht (UMCU), Department of Hematology
Public title: High dose simvastatin combined with standard chemotherapy in patients with refractory Multiple Myeloma: a phase II study.
Scientific title: High dose simvastatin combined with standard chemotherapy in patients with refractory Multiple Myeloma: a phase II study. - High dose simvastatin combined with standard chemotherapy in patients with refractory Multiple Myeloma: a phase II study
Date of first enrolment: 3/5/2005
Target sample size: 12
Recruitment status: other
URL:  http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=988
Study type:  intervention
Study design:  Randomised: No; Masking: [default]; Control: Not applicable; Group: [default]; Type: [default]  
Countries of recruitment
The Netherlands
Contacts
Name: E.  Spek, van der
Address:  University Medical Center Utrecht Dept of Hematology P.O.Box 85500, Heidelberglaan 100 3508 AB Utrecht The Netherlands
Telephone: +31-30-2507655
Email: e.vanderspek@umcutrecht.nl
Affiliation: 
Name: H.M.  Lokhorst
Address:  University Medical Center Utrecht (UMCU), Department of Hematology (B02.226), P.O. Box 85500 3508 GA Utrecht The Netherlands
Telephone: +31 (0)88 7557230
Email: h.lokhorst@umcutrecht.nl
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: 1. Multiple myeloma patients;

2. At least two cycles of chemotherapy with adriamycin and dexamethasone;

3. age < 75 y.

Exclusion criteria: 1. Inadequate hepatic and renal function.

Age minimum:
Age maximum:
Gender:
Health Condition(s) or Problem(s) studied
Multiple myeloma (Kahler's disease)

Intervention(s)
Treatment of relapsed/ refractory multiple myeloma patients with high dose statins, combined with chemotherapy. We treat multiple myeloma patients with 15 mg/kg simvastatin Day 0-7 followed by VAD day 7-11 (Vincristin, adriamycin, dexamethasone)chemotherapy in a scheme as used in HOVON trials (eg HOVON 65). On day 29 a new cycle is started. Patients are treated with 3 cycles. An additional cycle can be given in case of response (MR, PR ,CR).
In case of progressive disease during treatment, the therapy is ended.
Primary Outcome(s)
The primary endpoint is response as defined by the EBMT criteria. This group of extensively pre-treated patients are multiresistent and we defined -based in literature- a respose of 10- 30% as reasonable.
Secondary Outcome(s)
We recently performed a phase I study to define the maximum tolerated dose (MTD) and dose-limiting toxicity(DLT) (published in Haematologica 2006; 91:542-545) of high dose simvastatin, combined with VAD. Secondary outcome is to confirm the faesibility as shown in this phase I trial.
Secondary ID(s)
04/239
ISRCTN85384018
Source(s) of Monetary Support
Dutch Cancer Society, International myeloma foundation
Secondary Sponsor(s)
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