Clinical trial · Interventional
PAD. ICORG 05-01, V11
Phase II Study to Assess the Safety, Efficacy, and Tolerability of Combination Therapy With Velcade (Bortezomib), Doxorubicin, and Dexamethasone (PAD) as Therapy for Patients With Relapsed or Refractory Multiple Myeloma
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
RATIONALE: Bortezomib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as doxorubicin and dexamethasone, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) together with bortezomib may kill more cancer cells. PURPOSE: This phase II trial is studying how well giving bortezomib together with doxorubicin and dexamethasone works in treating patients with multiple myeloma that has relapsed or not responded to treatment. PATIENT POPULATION: Patients with relapsed or refractory multiple myeloma requiring therapy will be invited to participate in this study. Eligible patients will be \>18 years old and able to give fully informed consent. Patients must have a Performance Score (PS) of 0-3 (ECOG), measurable serum and/or urine paraprotein, or serum free light chain, bilirubin value of less than one and a half times the upper limit of normal with ALT/AST values less than two and a half times the upper limit of normal. Patients with non-secretory multiple myeloma are excluded from this study.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Multiple Myeloma and Plasma Cell Neoplasm | — | UNRESOLVED | — |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Bortezomib | Drug | Bortezomib | ALIAS |
| Dexamethasone | Drug | Dexamethasone | ALIAS |
| Doxorubicin | Drug | Doxorubicin | ALIAS |
Design
Arms and outcomes
Arms (3)
- type
- EXPERIMENTAL
- label
- 1
- description
- Relapsed patients, previously treated with VAD or VAD like regimen (VAMP, C-VAMP and Z-Dex are examples of VAD like therapy) and who have had autologous transplants at least 1 year previously.Patients may proceed directly to PAD therapy or have had a maximum of one other line of therapy before PAD.
- interventionNames
- Drug: Bortezomib
- Drug: Doxorubicin
- Drug: Dexamethasone
- type
- EXPERIMENTAL
- label
- 2
- description
- Relapsed patients, previously treated with VAD or VAD-like regimen who have not had autologous transplantation and achieved at least PR (Appendix A). Patients may proceed directly to PAD therapy or have had a maximum of two other lines of therapy before PAD.
- interventionNames
- Drug: Bortezomib
- Drug: Doxorubicin
- Drug: Dexamethasone
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion criteria: Each patient must meet all of the following inclusion criteria to be enrolled in the study: 1. Patients aged at least 18 years with MM requiring therapy for relapsed or refractory disease. 2. Previous VAD or VAD-like therapy (maximum 6 courses standard VAD). Subgroup allocation is shown in 4.1 3. Measurable serum and/or urine paraprotein, or serum free light chain 4. Performance Status (PS) 0-3 (ECOG - see Appendix B) 5. Serum bilirubin values \<1.5 times the upper limit of normal 6. Serum ALT/AST values \<2.5 times the upper limit of normal 7. Able to give informed consent Exclusion criteria: Patients meeting any of the following exclusion criteria are not to be enrolled in the study: 1. Females of child-bearing potential without a negative pregnancy test, immediately prior to the start of PAD therapy and/or unwilling to use barrier contraceptive precautions throughout the study or who are pregnant or breast-feeding 2. Men with partners of child bearing potential unwilling to use a medically acceptable form of contraception 3. Patients with non-secretory MM and no measurable elevation of serum free light chain 4. Performance status 4 (ECOG) 5. Patient has a platelet count \<75 x 10\^9/L within 14 days before enrolment 6. Patient has an absolute neutrophil count \<1.0 x 10\^9/L within 14 days before enrolment 7. Patient has a serum creatinine \> 400 micromol/l at the time of enrolment 8. Patient has Grade 2 or greater than Grade 2 peripheral neuropathy or neuropathic pain as defined by NCI Common Terminology Criteria for Adverse Events version 3.0 (CTCAE) within 14 days before enrolment 9. Cardiac ejection fraction \<40% by echocardiography or MUGA scan 10. Known HIV seropositivity (obligatory testing is not necessary) 11. Known Hepatitis B or C (obligatory testing is not necessary) 12. Patients who have received more than one autologous transplant 13. Use of any investigational drug within 4 weeks prior to enrolment or any patients scheduled to receive any investigational drug during the course of the study 14. Previous Bortezomib therapy 15. Patients who have a medical or psychiatric condition which, in the opinion of the investigator, contraindicates the patient's participation in this study 16. Previous or concurrent malignancies at other sites, with the exception of appropriately treated localized epithelial skin or cervical cancer. Patients with remote histories (\>5 years) of other cured tumours may be entered 17. Plasma exchange within 21 days of enrolment
References
Publications (0)
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