Multiple MyelomaPhase 3OPTIMISMMNCT01734928
Safety and Efficacy of Pomalidomide, Bortezomib and Low-dose Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma
A Phase 3 study testing Pomalidomide, Bortezomib and Dexamethasone in people with Multiple Myeloma, run by Celgene at 321 sites in 22 countries.
Trial summary
The purpose of this study is to compare the efficacy of the combination of pomalidomide, bortezomib and low dose dexamethasone to the combination of bortezomib and low dose dexamethasone in participants with relapsed/refractory multiple myeloma. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Multiple Myeloma
- What is being tested?
- Pomalidomide, Bortezomib and Dexamethasone
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 559 participants
- Where
- 321 sitesin 22 countries
- Study dates
- 7 Jan 2013to 13 May 2022
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Must be ≥ 18 years at the time of signing informed consent.
- Must have documented diagnosis of multiple myeloma and have measureable disease by serum and urine protein electrophoresis.
- Must have had at least 1 but no greater than 3 prior anti-myeloma regimens.
- Must have documented disease progression during or after their last anti-myeloma therapy.
- All subjects must have received prior treatment with a lenalidomide containing regimen for at least 2 consecutive cycles.
Who cannot join
- Documented progressive disease during therapy or within 60 days of the last dose of a bortezomib-containing therapy under the 1.3 mg/m^2 dose twice weekly dosing schedule.
- Peripheral neuropathy Grade 3, Grade 4 or Grade 2 with pain within 14 days prior to randomization.
- Non-secretory multiple myeloma.
- Subjects with severe renal impairment requiring dialysis.
- Previous therapy with pomalidomide.
Trial locations and contacts
321 sites in 22 countries.
321 sites in 22 countries
United States92 sites
University of Colorado Cancer Center
Aurora, Colorado, 80045
St. Agnes - Medical Center
Baltimore, Maryland, 21229-5299
Cancer Care of Maine
Bangor, Maine, 04401
Local Institution - 132
Bangor, Maine, 04401
Alta Bates Comprehensive Cancer Center
Berkeley, California, 94704
Center for Cancer and Blood Disorders
Bethesda, Maryland, 20817
Local Institution - 125
Bethesda, Maryland, 20817
Billings Clinic
Billings, Montana, 59102
Lynn Cancer Institute
Boca Raton, Florida, 33486
Local Institution - 299
Boston, Massachusetts, 02114
Massachusetts General Hospital
Boston, Massachusetts, 02114
Dana Farber Cancer Institute
Boston, Massachusetts, 02115
Local Institution - 100
Boston, Massachusetts, 02115
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Local Institution - 298
Boston, Massachusetts, 02215
University Cancer Institute
Boynton Beach, Florida, 33426
Gabrail Cancer Center Research
Canton, Ohio, 44718
Local Institution - 111
Canton, Ohio, 44718
Med Univ of South Carolina
Charleston, South Carolina, 29425
University of Chicago
Chicago, Illinois, 60637-1470
MetroHealth Medical Systems
Cleveland, Ohio, 44109
Mid Ohio Oncology Hematology Inc
Columbus, Ohio, 43219
Local Institution - 114
Dallas, Texas, 75390
UT Southwestern Medical Center
Dallas, Texas, 75390
Henry Ford Medical Center - New Center One
Detroit, Michigan, 48202-268
Local Institution - 178
Detroit, Michigan, 48202-268
Essentia Health Duluth CCOP
Duluth, Minnesota, 55805
Broward Oncology Associates PA
Fort Lauderdale, Florida, 33308
Broward Oncology Assoc.
Fort Lauderdale, Florida, 33316
Brooke Army Medical Center Francis Street Medical Center
Fort Sam Houston, Texas, 78235-8200
Local Institution - 103
Fort Sam Houston, Texas, 78235-8200
University of California San Francisco Fresno Campus
Fresno, California, 93701
University of Florida
Gainesville, Florida, 32610
Cancer and Hematology Centers of Western Michigan
Grand Rapids, Michigan, 49546
Marin Oncology Associates
Greenbrae, California, 94904-2007
Eastern Institute of Medical Sciences
Greenville, North Carolina, 27834
Alves Domenech Oncology and Hematology Clinic
Hollywood, Florida, 33021
Local Institution - 130
Houston, Texas, 77090
Northwest Cancer Center
Houston, Texas, 77090
Medstar Health Research Institute
Hyattsville, Maryland, 20782
Investigative Clinical Research of Indiana, LLC
Indianapolis, Indiana, 46254
University of Iowa
Iowa City, Iowa, 52242
Columbia Comprehensive
Jefferson City, Missouri, 65203
CarePoint Health Research Institute
Jersey City, New Jersey, 07306
Kansas City VA Medical Center University of Kansas Medical Center
Kansas City, Missouri, 64128
University of Tennessee Medical Center - Cancer Institute
Knoxville, Tennessee, 37885
Moore UCSD Cancer Center
La Jolla, California, 92083
Detroit Clinical Research Center
Lansing, Michigan, 48912
Southeast Nebraska Cancer Center
Lincoln, Nebraska, 68510
USC Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Joe Arrington Cancer Research and Treatment Center
Lubbock, Texas, 79410
University of Wisconsin
Madison, Wisconsin, 53792
Local Institution - 135
Marietta, Georgia, 30060
Northwest Georgia Oncology Centers, PCWilliam S. Gibbons Center Research Institute
Marietta, Georgia, 30060
Local Institution - 136
Milwaukee, Wisconsin, 53226
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Southern Cancer Center
Mobile, Alabama, 36608
Local Institution - 139
Morgantown, West Virginia, 25606
West Virginia University CTRU
Morgantown, West Virginia, 25606
Hematology-Oncology Associates of NNJ, P
Morristown, New Jersey, 07960
Vanderbilt University Medical Center
Nashville, Tennessee, 37232-5505
Tulane University Medical Center
New Orleans, Louisiana, 70112
Mount Sinai Hospital
New York, New York, 10029
Western Kentucky Hematology and Oncology Group, PSC
Paducah, Kentucky, 42003
Providence Portland Medical Center
Portland, Oregon, 97213
Boice-Willis Clinic P.A.
Rocky Mount, North Carolina, 27804
Beaumont Cancer Center
Royal Oak, Michigan, 48073
Metro MN CCOP
Saint Louis Park, Minnesota, 55416
Utah Cancer Specialist
Salt Lake City, Utah, 84106
Huntsman Cancer Institute at the University of Utah
Salt Lake City, Utah, 84112
Sutter Pacific Medical Foundation
Santa Rosa, California, 95403
Swedish Cancer Inst
Seattle, Washington, 98104
Avera Research Institute
Sioux Falls, South Dakota, 57105
Somerset Hematology-Oncology Associates
Somerville, New Jersey, 08876
Cancer Center of Central Connecticut
Southington, Connecticut, 06489
Local Institution - 153
Southington, Connecticut, 06489
Spartanburg Regional Healthcare System - Gibbs Cancer Center & Research Institute
Spartanburg, South Carolina, 29303
Medical Oncology Associates
Spokane, Washington, 99208
St. John's Clinic Cancerand Hematology - Springfield
Springfield, Missouri, 65804
St John's Mercy Medical Center
St Louis, Missouri, 63141
Stony Brook University
Stony Brook, New York, 11794-7300
Local Institution - 186
The Bronx, New York, 10467
Montefiore Medical Center
The Bronx, New York, 10467
University of Toledo Medical Center
Toledo, Ohio, 43614
Arizona Oncology
Tucson, Arizona, 85710
University of Arizona Cancer Center
Tucson, Arizona, 85724
New York Medical College
Valhalla, New York, 10595
George Washington Medical Center
Washington D.C., District of Columbia, 20037
Local Institution - 167
Watertown, South Dakota, 57201
Prairie Lakes Health Care System
Watertown, South Dakota, 57201
Wenatchee Valley Hospital and Clinics
Wenatchee, Washington, 98801
Palm Beach Cancer Institute, LLC
West Palm Beach, Florida, 33401
Italy24 sites
Local Institution - 449
Bergamo, 24127
USC Ematologia, Azienda Ospedaliera Papa Giovanni XXIII
Bergamo, 24127
Local Institution - 456
Bologna, 40138
Policlinico S. Orsola - Malpighi
Bologna, 40138
Local Institution - 415
Catania, 95124
Ospedale Ferrarotto
Catania, 95124
Local Institution - 403
Modena, 41100
University of Modena
Modena, 41100
IRCCS Policlinico San Matteo
Pavia, 27100
Local Institution - 451
Pavia, 27100
Azienda Unita Sanitaria Locale (Ausl) Pescara - Presidio Ospedaliero Di Pescara
Pescara, 65124
Local Institution - 441
Pescara, 65124
Azienda Ospedaliera di Reggio Emilia - Arcispedale Santa Maria Nuova
Reggio Emilia, 42100
Local Institution - 414
Reggio Emilia, 42100
La Sapienza, University of Rome
Rome, 00161
Local Institution - 460
Rome, 00161
A.O.U.S. Giovanni e Ruggi d'Aragona UOC UTIC
Salerno, 84131
Local Institution - 459
Salerno, 84131
IRCCS Casa Sollievo della Sofferenza
San Giovanni Rotondo, 71013
Local Institution - 453
San Giovanni Rotondo, 71013
Azienda Ospedaliera S Maria di Terni
Terni, 05100
Local Institution - 402
Terni, 05100
Azienda Ospedaliera San Giovanni Battista
Torino, 10126
Local Institution - 401
Torino, 10126
United Kingdom24 sites
The Royal Bournemouth Hospital
Bournemouth, BH7 7DW
Kent and Canterbury Hospital
Canterbury Kent, CT1 3NG
Local Institution - 479
Canterbury Kent, CT1 3NG
Local Institution - 406
Edinburgh Scotland, EH4 2XU
Western General Hospital
Edinburgh Scotland, EH4 2XU
Local Institution - 490
London, NW1 2PG
University College London Hospitals
London, NW1 2PG
Kings College Hospital
London, SE5 9RS
Local Institution - 461
London, SE5 9RS
Local Institution - 512
Oxford, OX3 7DQ
University of Oxford
Oxford, OX3 7DQ
Derriford Hospital Plymouth Oncology Centre Clinical Trials Unit
Plymouth, PL6 8DH
Local Institution - 515
Plymouth, PL6 8DH
Local Institution - 500
Sheffield, S10 2JF
Sheffield Teaching Hospitals NHS Foundation Trust - Royal Hallamshire Hospital
Sheffield, S10 2JF
Local Institution - 493
Southampton, SO16 6YD
Southampton General Hospital
Southampton, SO16 6YD
University Hospital of North Staffordshire Nhs Trust - City General Hospital
Stoke-on-Trent, ST4 6QG
Local Institution - 405
Swansea, SA2 8QA
Singleton Hospital
Swansea, SA2 8QA
Local Institution - 482
Wolverhampton, WV10 OPQ
New Cross Hospital
Wolverhampton, WV10 OPQ
Local Institution - 436
Worcester, WR5 1DD
Worcestershire Acute Hospitals NHS Trust
Worcester, WR5 1DD
France21 sites
Centre Hospitalier de la cote basque
Bayonne, 64109
Local Institution - 469
Bayonne, 64109
Centre Hospitalier William Morey
Chalon-sur-Saône, 71100
Local Institution - 498
Chalon-sur-Saône, 71100
CHU Hotel
Grenoble, 38043
Local Institution - 483
Grenoble, 38043
GH Institut Catholique St Vincent
Lille, 59000
CHRU de Lille-Hopital Claude Huriez
Lille, 59037
Local Institution - 476
Lille, 59037
CHRU Hotel Dieu
Nantes, 44035
Local Institution - 486
Nantes, 44035
Groupement Hospitalier Universitaire Est - Hopital Saint-Antoine
Paris, 75012
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495
Local Institution - 497
Pierre-Bénite, 69495
CHU La Miletrie
Poitiers, 86021
Local Institution - 516
Poitiers, 86021
CHRU Rennes
Rennes, 35033
Local Institution - 504
Rennes, 35033
Institut Universitaire du Cancer de Toulouse (IUCT) - Oncopole
Toulouse, 31052
CHRU Hopital Bretonneau
Tours, 37044
Local Institution - 468
Tours, 37044
Turkey (Türkiye)20 sites
Ankara University Medical Faculty Cebeci Hospital
Ankara, 06590
Local Institution - 428
Ankara, 06590
Gazi Universitesi Tip Fakultesi Hastanesi
Ankara, 6500
Local Institution - 409
Ankara, 6500
Ankara Universitesi Tip Fakultesi
Ankara, Dikimevi Cebeci
Local Institution - 408
Ankara, Dikimevi Cebeci
Local Institution - 488
Antalya, 07050
Medstar Antalya Hospital
Antalya, 07050
Eskisehir Osmangazi University
Eskişehir, 26480
Local Institution - 420
Eskişehir, 26480
Local Institution - 421
Gaziantep, 0
Gaziantep University
Gaziantep
Istanbul Universitesi Cerrahpasa Tip Fakultesi
Istanbul, 34098
Local Institution - 445
Istanbul, 34098
Istanbul University Faculty of Medicine
Istanbul, 34390
Local Institution - 474
Istanbul, 34390
Ege University Medical School
Izmir, 35100
Local Institution - 419
Izmir, 35100
Karadeniz Teknik Universitesi Tip Fakultesi Farabi Hastanesi
Trabzon, 61080
Local Institution - 404
Trabzon, 61080
Poland17 sites
Local Institution - 411
Brzozów, 36-200
Szpital Specjalistyczny w Brzozowie
Brzozów, 36-200
Szpital Uniwersytecki nr 2 im dr. Jana Biziela
Bydgoszcz, 85-168
Local Institution - 407
Chorzów, 41-500
Zespol Szpitali Miejskich
Chorzów, 41-500
Klinika Hematologii Akademii Medycznej w Gdansku
Gdansk, 80-952
Local Institution - 463
Gdansk, 80-952
Local Institution - 440
Krakow, 31-501
Oddzial Kliniczny Kliniki Hematologii
Krakow, 31-501
Kopernik Memorial Hospital
Lodz, 93-510
Local Institution - 418
Lodz, 93-510
Klinika Hematoonkologii i Transplantacji Szpiku
Lublin, 20-081
Local Institution - 439
Lublin, 20-081
Local Institution - 437
Poznan, 60-569
Oddzial Hematologii i Chorob Rozrostowych Ukladu Krwiotworczego
Poznan, 60-569
Centrum Onkologii-Instytut im.Marii Sklodowskiej-Curie
Warsaw, 02-781
Local Institution - 448
Warsaw, 02-781
Spain16 sites
Hospital Universitari Germans Trias i Pujol Can Ruti
Badalona (Barcelona), 08916
Local Institution - 423
Badalona (Barcelona), 08916
Hospital Clinic de Barcelona
Barcelona, 08036
Local Institution - 424
Barcelona, 08036
Hospital de Basurto-Osakidetza
Bilbao, 48013
Hospital 12 de Octubre
Madrid, 28041
Local Institution - 452
Madrid, 28041
Hospital Morales Meseguer
Murcia, 30008
Local Institution - 502
Murcia, 30008
Complejo Hospitalario De Orense
Ourense, 32005
Local Institution - 526
Ourense, 32005
Clinica Universidad de Navarra
Pamplona, 31008
Local Institution - 434
Pamplona, 31008
Complejo Hospitalario Nuestra Senora de Valme
Seville, 41014
Local Institution - 492
Seville, 41014
Hospital Universitario y Politecnico La Fe
Valencia, 46026
Germany12 sites
ChariteUniversitatsmedizinCampus Benjamin Franklin
Berlin, D-13353
Local Institution - 442
Berlin, D-13353
Local Institution - 417
Dresden, 01307
Universitaetsklinikum Carl Gustav Carus
Dresden, 01307
Local Institution - 475
Essen, 45147
Universitaetsklinikum EssenInnere Klinik und Poliklinik
Essen, 45147
Local Institution - 496
Freiburg im Breisgau, 79106
Universitatsklinikum Freiburg
Freiburg im Breisgau, 79106
Local Institution - 430
Heidelberg, 69120
University of Heidelberg
Heidelberg, 69120
Local Institution - 410
Tübingen, 72076
UKT Universitaetsklinikum Tuebingen
Tübingen, 72076
Portugal12 sites
Hospital de Braga
Braga, 4710-243
Local Institution - 450
Braga, 4710-243
Instituto Portugues de Oncologia de Lisboa, Francisco Gentil
Lisbon, 1099-023
Local Institution - 454
Lisbon, 1099-023
Fundacao Champalimaud
Lisbon, 1400-038
Local Institution - 473
Lisbon, 1400-038
Hospital de Santa Maria
Lisbon, 1649-035
Local Institution - 466
Lisbon, 1649-035
Local Institution - 464
Porto, 0
Instituto Portugues de Oncologia do Porto, Francisco Gentil
Porto, 4200-072
Local Institution - 425
Porto, 4200-072
Hospital de Santo Antonio- Porto
Porto
Japan10 sites
Hitachi General Hospital
Hitachi, Ibaraki, 317-0077
Local Institution - 620
Hitachi, Ibaraki, 317-0077
Kameda Medical Center
Kamogawa, 296-8602
Local Institution - 625
Kamogawa, 296-8602
Local Institution - 626
Okayama, 701-1192
Okayama Medical Center
Okayama, 701-1192
Japan Red Cross Medical Center
Shibuya-ku, 150-8935
Local Institution - 623
Shibuya-ku, 150-8935
Local Institution - 622
Tachikawa, 190-0014
National Hospital Organization Disaster Medical Center
Tachikawa, 190-0014
Canada9 sites
CSSS Champlain Charles LeMoyne
Greenfield Park, Quebec, J4V 2H1
Local Institution - 301
Greenfield Park, Quebec, J4V 2H1
Local Institution - 304
Halifax, B3H 2Y9
Queen Elizabeth II Health Sciences Centre
Halifax, B3H 2Y9
Local Institution - 308
Oshawa, Ontario, L1G 2B9
RSM Durham Regional Cancer Center - Lakeridge Health Oshawa
Oshawa, Ontario, L1G 2B9
Centre De Sante Et De Services Sociaux De Rimouski-Neigette
Rimouski, Quebec, G5L5T1
Centre Hospitalier Universitaire de Sherbrooke-Hospital Fleurimont
Sherbrooke, Quebec, J1H5N4
Local Institution - 307
Sherbrooke, Quebec, J1H5N4
Sweden9 sites
Falu lasarett
Falun, 79182
Local Institution - 426
Falun, 79182
Local Institution - 478
Gothenburg, 60 Gothenburg
Sahlgrenska University Hospital
Gothenburg, 60 Gothenburg
Local Institution - 429
Luleå, SE-971 80
Sunderby Sjukhus
Luleå, SE-971 80
Karolinska University
Stockholm, 14186
Local Institution - 471
Stockholm, 14186
Sundsvalls sjukhus- Medicinkliniken
Sundsvall, S-85643
Denmark8 sites
Aarhus University Hospital
Aarhus, 8000
Local Institution - 447
Aarhus, 8000
Copenhagen University Hospital Rigshosptalet
Copenhagen, 2100
Local Institution - 506
Copenhagen, 2100
Local Institution - 400
Odense, DK-5000
Odense University Hospital
Odense, DK-5000
Local Institution - 499
Vejle, 7100
Vejle Hospital
Vejle, 7100
Greece8 sites
General Hospital of Athens Evangelismos
Athens, 10676
Local Institution - 484
Athens, 10676
Local Institution - 422
Athens, 11528
University of Athens Medical school - Regional General Hospital
Athens, 11528
Local Institution - 487
Mezourlo, 41110
University General Hospital of Larissa
Mezourlo, 41110
George Papanikolaou General Hospital of Thessaloniki
Thessloniki, 57010
Local Institution - 465
Thessloniki, 57010
Israel7 sites
Rambam Health Care Campus
Haifa, 31096
Hadassah Medical Center
Jerusalem, 91120
Local Institution - 457
Jerusalem, 91120
Local Institution - 433
Kfar Saba, 44281
Meir Medical Center
Kfar Saba, 44281
Chaim Sheba Medical Center
Ramat Gan, 52621
Tel Aviv Sourasky Medical Center Department of Hematology
Tel Aviv, 64239
Russia7 sites
City Clinical Hospital 52
Moscow, 123182
Local Institution - 521
Moscow, 123182
Local Institution - 517
Moscow, 125284
Moscow State Healthcare Institution City clinical hospital n.a. S.P.Botkin
Moscow, 125284
Local Institution - 520
Nizhny Novgorod, 603126
State Budgetary Healthcare Institution of Nizhniy Novgorod Region
Nizhny Novgorod, 603126
Russian Research Institute of Hematology and Transfusiology of the Federal Biomedical Agency
Saint Petersburg, 191024
Austria6 sites
Hospital St. Polten
Sankt Pölten, 3100
Local Institution - 523
Sankt Pölten, 3100
Local Institution - 480
Vienna, 1090
Medical University of Vienna
Vienna, 1090
Local Institution - 481
Vienna, 1160
Wilhelminenspital-Center for Hematology and Oncology
Vienna, 1160
Ireland6 sites
Local Institution - 462
Dublin, Dublin 7
Mater Misericordiae University Hospital
Dublin, Dublin 7
Local Institution - 431
Dublin, Dublin 8
St James Hospital
Dublin, Dublin 8
Local Institution - 413
Galway, ST46QG
University College Hospital Galway
Galway, ST46QG
Netherlands5 sites
Local Institution - 514
Groningen, 9713 GZ
Universitair Medisch Centrum Groningen
Groningen, 9713 GZ
Medisch Centrum Leeuwarden
Leeuwarden, 8934 AD
Erasmus Medical Center
Rotterdam, 3015 CN
Local Institution - 494
Rotterdam, 3015 CN
Finland4 sites
Helsinki University Central Hospital
Helsinki, 290
Local Institution - 455
Helsinki, 290
Hyvinkaa Hospital
Hyvinkää, 05850
Local Institution - 510
Hyvinkää, 05850
Norway3 sites
Local Institution - 412
Oslo, 0372
Oslo universitetssykehus, Rikshospitalet
Oslo, 0372
St Olavs Hospital
Trondheim, 7006
About this study
Official title: A Phase 3, Multicenter, Randomized, Open-Label Study to Compare the Efficacy and Safety of Pomalidomide, Bortezomib and Low-Dose Dexamethasone Versus Bortezomib and Low-Dose Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma
The purpose of this study is to compare the efficacy of the combination of pomalidomide, bortezomib and low dose dexamethasone to the combination of bortezomib and low dose dexamethasone in participants with relapsed/refractory multiple myeloma. This study will also assess how safe the combination of pomalidomide, bortezomib and low dose dexamethasone is compared to the combination of bortezomib and low dose dexamethasone.
- Conditions
- Multiple Myeloma
- Being tested
- Pomalidomide, Bortezomib, Dexamethasone
- Keywords
- Multiple Myeloma, Pomalidomide
- Medical subject headings
- Multiple Myeloma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PomalidomideDrug
Also called Oral Pomalidomide, CC-4047
Pomalidomide 4 mg will be taken orally on Days 1-14 of a 21-day cycle.
BortezomibDrug
Also called Velcade
Bortezomib 1.3 mg/m2 will be administered subcutaneously on Days 1, 4, 8 and 11 of 21 days for cycles 1 -8 and on Days 1, 8 of 21 days for cycle 9 and onward until disease progression.
DexamethasoneDrug
Dexamethasone 20 mg/day [≤ 75 years old] or 10 mg/day [>75 years old] will be taken orally on Days 1, 2, 4, 5, 8, 9, 11, 12 of 21 days for cycles 1-8 and on Days 1, 2, 8, 9 of 21 days for cycles 9 and onward until disease progression.
| Study group | Role | What they receive |
|---|---|---|
| Pomalidomide, Bortezomib and Low Dose Dexamethasone | Experimental | 4 mg of Pomalidomide will be taken orally on Days 1-14 of a 21-day cycle along with 1.3 mg/m2 of Bortezomib administered subcutaneously on Days 1, 4, 8 and 11 of 21 days for cycles 1 -8 and on days 1, 8 of 21 days for cycle 9 and onward until disease progression, and Dexamethasone 20 mg/day [≤ 75 years old] or 10 mg/day [> 75 years old] orally on days 1, 2, 4, 5, 8, 9, 11, 12 of 21 days for cycles 1-8 and on days 1, 2,8, 9 of 21 days for cycles 9 and onward until disease progression. Receives: Drug: Pomalidomide; Drug: Bortezomib; Drug: Dexamethasone |
| Bortezomib and Low Dose Dexamethasone | Active comparator | 1.3 mg/m2 of Bortezomib will be administered subcutaneously on Days 1, 4, 8 and 11 of 21 days for cycles 1 -8 and on Days 1, 8 of 21 days for cycle 9 and onward until disease progression along with Dexamethasone 20 mg/day [≤ 75 years old]or 10 mg/day [> 75 years old] orally on days 1, 2, 4, 5, 8, 9, 11, 12 of 21 days for cycles 1-8 and on Days 1, 2, 8, 9 of 21 days for cycles 9 and onward until disease progression. Receives: Drug: Bortezomib; Drug: Dexamethasone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival by Independent Response Adjudication Committee (IRAC)
Progression free survival (PFS) will be calculated as the time between the randomization and progressive disease (PD) or death.
Progressive Disease is defined as an Increase of ≥ 25% from nadir in:
- Serum M-component and/or (the absolute increase must be ≥ 0.5 g/dL)g
- Urine M-component and/or (the absolute increase must be ≥ 200 mg/24 hours)
- In patients without measurable serum and urine M-protein levels the difference between involved and uninvolved FLC levels, the absolute increase must be > 100 mg/dL.
- Bone marrow plasma cell percentage, the absolute % must be ≥ 10%h
- Definite development of new bone lesions or soft tissue plasmacytomas increase in the size of existing bone lesions or soft tissue plasmacytomas. -Development of hypercalcemia (corrected serum calcium > 11.5 mg/dL or 2.65 mmol/L) that can be attributed solely to the plasma cell proliferative disorder.
Measured: From randomization to progressive disease or death during the IRAC assessment period, up to approximately 42 months
Secondary outcomes (5)
Overall Survival (OS)
Overall survival (OS) is calculated as the time from randomization to death from any cause.
Measured: From randomization to date of death, up to approximately 65 months
Overall Response Rate by Independent Response Adjudication Committee (IRAC)
The ORR together with the relative proportions in each response category (ie, stringent CR [sCR], CR, very good PR [VGPR], PR, SD, and PD) by treatment using the IMWG criteria will be examined.
Complete Response: Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and ≤ 5% plasma cells in bone marrow
SCR: CR+ Normal FLC ratio and Absence of clonal cells in bone marrow by immunohistochemistry or immunofluorescence
VGPR: Serum and urine M-protein detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-protein plus urine Mprotein level < 100 mg per 24 hours
PR: ≥ 50% reduction of serum M-Protein and reduction in 24-hour urinary M-protein by ≥ 90% or to < 200 mg per 24 hours
Progressive Disease: Please refer to Primary outcome measure for definition
SD: Not meeting criteria for CR, VGPR, PR, or progressive disease
Measured: From randomization to progressive disease or death during the IRAC assessment period, up to approximately 42 months
Duration of Response by Independent Response Adjudication Committee (IRAC)
Duration of myeloma response is defined as the duration from the time when the IMWG response criteria are first met for sCR or CR or VGPR or PR until the first date the response criteria are met for PD or until the subject died from any cause, whichever occurs first.
Complete Response: Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and ≤ 5% plasma cells in bone marrow
SCR: CR+ Normal FLC ratio and Absence of clonal cells in bone marrow by immunohistochemistry or immunofluorescence
VGPR: Serum and urine M-protein detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-protein plus urine Mprotein level < 100 mg per 24 hours
PR: ≥ 50% reduction of serum M-Protein and reduction in 24-hour urinary M-protein by ≥ 90% or to < 200 mg per 24 hours
Progressive Disease: Please refer to Primary outcome measure for definition
SD: Not meeting criteria for CR, VGPR, PR, or progressive disease
Measured: From randomization to progressive disease or death during the IRAC assessment period, up to approximately 42 months
Number of Participants With Grade 3-4 Treatment Emergent Adverse Events (TEAE)
Treatment-emergent adverse events (TEAEs) are defined as any AE occurring or worsening on or after the first dose date of the study treatment and within 28 days after the last dose date.
Measured: From first dose to 28 days after the last dose (up to approximately 44 months
Number of Participants With Grade 5 Treatment Emergent Adverse Events (TEAE)
Treatment-emergent adverse events (TEAEs) are defined as any AE occurring or worsening on or after the first dose date of the study treatment and within 28 days after the last dose date.
Measured: From first dose to 28 days after the last dose (up to approximately 44 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Nov 2012 (estimated)
- Study start7 Jan 2013
- Primary completion9 May 2022
- Study completion13 May 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Multiple MyelomaStudies of the same condition, open and under way.
- More trials run by CelgeneThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 559 participants (actual)
Sponsor and investigators
- Lead sponsor
- Celgene
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol Myers-Squibb, Study director, Bristol-Myers SquibbAmine Bensmaine, MD, Study director, Celgene Corporation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01734928
- Sponsor's protocol ID
- CC-4047-MM-007
- Acronym
- OPTIMISMM
- Status last verified
- May 2023
- First submitted
- 23 Nov 2012
- Last updated
- 6 Jun 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Richardson PG, Oriol A, Beksac M, Liberati AM, Galli M, Schjesvold F, Lindsay J, Weisel K, White D, Facon T, San Miguel J, Sunami K, O'Gorman P, Sonneveld P, Robak P, Semochkin S, Schey S, Yu X, Doerr T, Bensmaine A, Biyukov T, Peluso T, Zaki M, Anderson K, Dimopoulos M; OPTIMISMM trial investigators. Pomalidomide, bortezomib, and dexamethasone for patients with relapsed or refractory multiple myeloma previously treated with lenalidomide (OPTIMISMM): a randomised, open-label, phase 3 trial. Lancet Oncol. 2019 Jun;20(6):781-794. doi: 10.1016/S1470-2045(19)30152-4. Epub 2019 May 13.
PubMed 31097405Richardson PG, Hofmeister CC, Raje NS, Siegel DS, Lonial S, Laubach J, Efebera YA, Vesole DH, Nooka AK, Rosenblatt J, Doss D, Zaki MH, Bensmaine A, Herring J, Li Y, Watkins L, Chen MS, Anderson KC. Pomalidomide, bortezomib and low-dose dexamethasone in lenalidomide-refractory and proteasome inhibitor-exposed myeloma. Leukemia. 2017 Dec;31(12):2695-2701. doi: 10.1038/leu.2017.173. Epub 2017 Jun 2.
PubMed 28642620
Study at a glance
From the registry record, last updated by the sponsor on 6 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Randomized, Open-Label Study to Compare the Efficacy and Safety of Pomalidomide, Bortezomib and Low-Dose Dexamethasone Versus Bortezomib and Low-Dose Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma
- ClinicalTrials.gov ID
- NCT01734928
- Acronym / sponsor ID
- OPTIMISMM / CC-4047-MM-007
- Conditions
- Multiple Myeloma
- Keywords
- Multiple Myeloma, Pomalidomide
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 559 participants (actual)
- Lead sponsor
- CelgeneIndustry (pharma, biotech, devices)
- Study start
- 7 Jan 2013 (actual)
- Primary completion
- 9 May 2022 (actual)
- Study completion
- 13 May 2022 (actual)
- First posted
- 28 Nov 2012 (estimated)
- Results
- Posted 6 Jun 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare the efficacy of the combination of pomalidomide, bortezomib and low dose dexamethasone to the combination of bortezomib and low dose dexamethasone in participants with relapsed/refractory multiple myeloma. This study will also assess how safe the combination of pomalidomide, bortezomib and low dose dexamethasone is compared to the combination of bortezomib and low dose dexamethasone.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Pomalidomide, Bortezomib and Low Dose Dexamethasone | Experimental | Drug: Pomalidomide, Drug: Bortezomib, Drug: Dexamethasone4 mg of Pomalidomide will be taken orally on Days 1-14 of a 21-day cycle along with 1.3 mg/m2 of Bortezomib administered subcutaneously on Days 1, 4, 8 and 11 of 21 days for cycles 1 -8 and on days 1, 8 of 21 days for cycle 9 and onward until disease progression, and Dexamethasone 20 mg/day [≤ 75 years old] or 10 mg/day [> 75 years old] orally on days 1, 2, 4, 5, 8, 9, 11, 12 of 21 days for cycles 1-8 and on days 1, 2,8, 9 of 21 days for cycles 9 and onward until disease progression. |
| Bortezomib and Low Dose Dexamethasone | Active comparator | Drug: Bortezomib, Drug: Dexamethasone1.3 mg/m2 of Bortezomib will be administered subcutaneously on Days 1, 4, 8 and 11 of 21 days for cycles 1 -8 and on Days 1, 8 of 21 days for cycle 9 and onward until disease progression along with Dexamethasone 20 mg/day [≤ 75 years old]or 10 mg/day [> 75 years old] orally on days 1, 2, 4, 5, 8, 9, 11, 12 of 21 days for cycles 1-8 and on Days 1, 2, 8, 9 of 21 days for cycles 9 and onward until disease progression. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Must be ≥ 18 years at the time of signing informed consent.
- Must have documented diagnosis of multiple myeloma and have measureable disease by serum and urine protein electrophoresis.
- Must have had at least 1 but no greater than 3 prior anti-myeloma regimens.
- Must have documented disease progression during or after their last anti-myeloma therapy.
- All subjects must have received prior treatment with a lenalidomide containing regimen for at least 2 consecutive cycles.
Key exclusion criteria (5 listed)
- Documented progressive disease during therapy or within 60 days of the last dose of a bortezomib-containing therapy under the 1.3 mg/m^2 dose twice weekly dosing schedule.
- Peripheral neuropathy Grade 3, Grade 4 or Grade 2 with pain within 14 days prior to randomization.
- Non-secretory multiple myeloma.
- Subjects with severe renal impairment requiring dialysis.
- Previous therapy with pomalidomide.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PomalidomideAlso: Oral Pomalidomide, CC-4047Pomalidomide 4 mg will be taken orally on Days 1-14 of a 21-day cycle. | Drug | Pomalidomide, Bortezomib and Low Dose Dexamethasone |
| BortezomibAlso: VelcadeBortezomib 1.3 mg/m2 will be administered subcutaneously on Days 1, 4, 8 and 11 of 21 days for cycles 1 -8 and on Days 1, 8 of 21 days for cycle 9 and onward until disease progression. | Drug | Bortezomib and Low Dose Dexamethasone, Pomalidomide, Bortezomib and Low Dose Dexamethasone |
| DexamethasoneDexamethasone 20 mg/day [≤ 75 years old] or 10 mg/day [>75 years old] will be taken orally on Days 1, 2, 4, 5, 8, 9, 11, 12 of 21 days for cycles 1-8 and on Days 1, 2, 8, 9 of 21 days for cycles 9 and onward until disease progression. | Drug | Bortezomib and Low Dose Dexamethasone, Pomalidomide, Bortezomib and Low Dose Dexamethasone |
Primary outcome
Progression Free Survival by Independent Response Adjudication Committee (IRAC)
Time frame: From randomization to progressive disease or death during the IRAC assessment period, up to approximately 42 months
Progression free survival (PFS) will be calculated as the time between the randomization and progressive disease (PD) or death. Progressive Disease is defined as an Increase of ≥ 25% from nadir in: * Serum M-component and/or (the absolute increase must be ≥ 0.5 g/dL)g * Urine M-component and/or (the absolute increase must be ≥ 200 mg/24 hours) * In patients without measurable serum and urine M-protein levels the difference between involved and uninvolved FLC levels, the absolute increase must be > 100 mg/dL. * Bone marrow plasma cell percentage, the absolute % must be ≥ 10%h * Definite development of new bone lesions or soft tissue plasmacytomas increase in the size of existing bone lesions or soft tissue plasmacytomas. -Development of hypercalcemia (corrected serum calcium > 11.5 mg/dL or 2.65 mmol/L) that can be attributed solely to the plasma cell proliferative disorder.
5 secondary outcomes
Overall Survival (OS)
Time frame: From randomization to date of death, up to approximately 65 months
Overall Response Rate by Independent Response Adjudication Committee (IRAC)
Time frame: From randomization to progressive disease or death during the IRAC assessment period, up to approximately 42 months
Duration of Response by Independent Response Adjudication Committee (IRAC)
Time frame: From randomization to progressive disease or death during the IRAC assessment period, up to approximately 42 months
Number of Participants With Grade 3-4 Treatment Emergent Adverse Events (TEAE)
Time frame: From first dose to 28 days after the last dose (up to approximately 44 months
Number of Participants With Grade 5 Treatment Emergent Adverse Events (TEAE)
Time frame: From first dose to 28 days after the last dose (up to approximately 44 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jun 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 31097405Richardson PG, Oriol A, Beksac M, Liberati AM, Galli M, Schjesvold F, Lindsay J, Weisel K, White D, Facon T, San Miguel J, Sunami K, O'Gorman P, Sonneveld P, Robak P, Semochkin S, Schey S, Yu X, Doerr T, Bensmaine A, Biyukov T, Peluso T, Zaki M, Anderson K, Dimopoulos M; OPTIMISMM trial investigators. Pomalidomide, bortezomib, and dexamethasone for patients with relapsed or refractory multiple myeloma previously treated with lenalidomide (OPTIMISMM): a randomised, open-label, phase 3 trial. Lancet Oncol. 2019 Jun;20(6):781-794. doi: 10.1016/S1470-2045(19)30152-4. Epub 2019 May 13.
- Derived from this study: PubMed 28642620Richardson PG, Hofmeister CC, Raje NS, Siegel DS, Lonial S, Laubach J, Efebera YA, Vesole DH, Nooka AK, Rosenblatt J, Doss D, Zaki MH, Bensmaine A, Herring J, Li Y, Watkins L, Chen MS, Anderson KC. Pomalidomide, bortezomib and low-dose dexamethasone in lenalidomide-refractory and proteasome inhibitor-exposed myeloma. Leukemia. 2017 Dec;31(12):2695-2701. doi: 10.1038/leu.2017.173. Epub 2017 Jun 2.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
- FDA Safety Alerts and RecallsLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol Myers-Squibb study director
Bristol-Myers Squibb
Amine Bensmaine, MD study director
Celgene Corporation
321 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pomalidomide, Bortezomib and Dexamethasone in people with Multiple Myeloma, run by Celgene at 321 sites in 22 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 321 sites in United States, Italy, United Kingdom, France, Turkey (Türkiye) and 17 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 6 Jun 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression Free Survival by Independent Response Adjudication Committee (IRAC) (time frame: From randomization to progressive disease or death during the IRAC assessment period, up to approximately 42 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01734928, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jun 2023.