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Multiple MyelomaQoLMMBuSNCT02946333

A Study to Assess Disease Burden, in Terms of Health-related Quality of Life and Direct Healthcare Costs, in Patients With Newly Diagnosed Multiple Myeloma Who Are Not Candidates for Autologous Stem Cell Transplant (ASCT) in Spain

An observational study of Multiple Myeloma, run by Celgene at 65 sites in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Those patients with newly diagnosed Multiple Myeloma (MM) who are not candidates for Autologous Stem Cell Transplant (ASCT) and who meet the screening criteria described in this protocol can participate. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Multiple Myeloma
How many people
355 participants
Where
65 sitesSpain
Study dates
25 Dec 2016to 31 Oct 2022
Phase
Observational
Are there results?
None posted in the registry

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

Study population: At least 450 patients with newly diagnosed multiple myeloma (MM) according to IMWG criteria who are not candidates for ASCT and who start drug treatment for the study disease will be enrolled.

Who may be able to join

  • Patient ≥ 18 years of age.
  • Patient with newly diagnosed multiple myeloma (MM) according to IMWG criteria who are not candidates for ASCT and who start treatment for the study disease.
  • Patient who is capable of understanding and filling in the study questionnaires.
  • Patient who has granted his or her informed consent in writing.

Who cannot join

  • Patient who is participating in the active phase of treatment of any clinical trial during the study period.

Trial locations and contacts

65 sites in 1 country.

65 sites in 1 country

Spain65 sites
  • Complexo Hospitalario Universitario de A Coruña

    A Coruña, Galicia, 15006

  • Hospital Punta de Europa

    Algeciras, Andalusia, 11207

  • Hospital de La Ribera

    Alzira, Valencia, 46600

  • Hospital de Antequera

    Antequera, Andalusia, 29200

  • Complejo Hospitalario de Ávila

    Ávila, 05004

  • Hospital del Mar

    Barcelona, Catalonia, 08003

  • Hospital Santa Creu i Sant Pau

    Barcelona, Catalonia, 08026

  • Hospital Vall Hebrón

    Barcelona, Catalonia, 08035

  • Hospital de Basurto

    Bilbao, Basque Country, 48013

  • Hospital Universitario de Burgos

    Burgos, Castille and León, 09006

  • Hospital General Castellón

    Castellon, Valencia, 12004

  • Hospital Reina Sofía

    Córdoba, Andalusia, 14004

  • Hospital Universitario de Getafe

    Getafe, Madrid, 28905

  • Hospital General de Granollers

    Granollers, Catalonia, 08402

  • Hospital Huercal Olvera

    Huercal Olvera, Andalusia, 04600

  • Hospital General Jaén

    Jaén, Andalusia, 23007

  • Hospital Jerez de la Frontera

    Jerez de la Frontera, Andalusia, 11407

  • Hospital ICO Durán y Reynals

    L'Hospitalet de Llobregat, Barcelona, 08908

  • ICO Duran i Reynals

    L'Hospitalet de Llobregat, Barcelona, 08908

  • Hospital Universitario Dr. Negrín

    Las Palmas de Gran Canaria, Canary Islands, 35010

  • Hospital Dr. Negrín

    Las Palmas de Gran Canaria, Canary Islands, 38010

  • Hospital Arnau Vilanova de Lleida

    Lleida, Catalonia, 25198

  • Complejo Hospitalario Llerena-Zafra

    Llerena, Extremadura, 06900

  • Hospital Lucus Augustí

    Lugo, Galicia, 27003

  • Hospital de la Princesa

    Madrid, Madrid, 28006

  • Hospital General Universitario Gregorio Marañon

    Madrid, Madrid, 28007

  • Hospital Clínico San Carlos

    Madrid, Madrid, 28040

  • Hospital Universitario Fundación Jiménez Díaz

    Madrid, Madrid, 28040

  • Hospital 12 de Octubre

    Madrid, Madrid, 28041

  • Hospital Infanta Leonor

    Madrid, 28031

  • Hospital Ramón y Cajal

    Madrid, 28031

  • Hospital La Paz

    Madrid, 28046

  • Clinico Univ. Virgen de la Victoria

    Málaga, Andalusia, 29010

  • Hospital Carlos Haya

    Málaga, Andalusia, 29010

  • Hospital de Costa del Sol

    Málaga, Andalusia, 29603

  • Fundació Althaia

    Manresa, Catalonia, 08243

  • Hospital de Mérida

    Mérida, Extremadura, 06800

  • Hospital de Motril

    Motril, Andalusia, 18600

  • Complejo Hospitalario de Navarra

    Navarra, Navarre, 31008

  • Complexo Hospitalario Universitario de Ourense

    Ourense, Galicia, 32005

  • Hospital Son Espases

    Palma de Mallorca, Balearic Islands, 07120

  • Hospital Son Llàtzer

    Palma de Mallorca, Balearic Islands, 07198

  • Complejo Hospitalario Navarra

    Pamplona, Navarre, 31008

  • Complexo Hospitalario de Pontevedra

    Pontevedra, Galicia, 36071

  • Hospital Valle de los Pedroches Pozoblanco

    Pozoblanco, Andalusia, 14400

  • Hospital Quirón

    Pozuelo de Alarcón, Madrid, 28223

  • Hospital Puerto Real

    Puerto Real, Andalusia, 11510

  • Parc Taulí

    Sabadell, Catalonia, 08208

  • Hospital Clínico Universitario de Salamanca

    Salamanca, Castille and León, 37007

  • Hospital Infanta Sofía

    San Sebastián de los Reyes, Madrid, 28703

  • Hospital Universitario Nuestra Señora de Candelaria

    Santa Cruz de Tenerife, Canary Islands, 38010

  • Hospital Universitario Canarias

    Santa Cruz de Tenerife, Islas Canaria, 38320

  • Hospital de Macarena

    Seville, Andalusia, 29200

  • Mutua Terrassa

    Terrassa, Catalonia, 08221

  • Hospital de Galadakao

    Usansolo, Basque Country, 48960

  • Hospital Arnau Vilanova Valencia

    Valencia, Valencia, 46015

  • Hospital Doctor Peset

    Valencia, Valencia, 46017

  • Hospital La Fe Valencia

    Valencia, Valencia, 46026

  • Hospital La Ribera

    Valencia, Valencia, 46600

  • Hospital Universitario La Fe

    Valencia, 46026

  • Hospital Clínico de Valladolid

    Valladolid, Castille and León, 47003

  • Complexo Hospitalario Universitario de Vigo

    Vigo, Galicia, 36312

  • Hospital de Txagorritxu

    Vitoria-Gasteiz, Basque Country, 01009

  • Hospital Miguel Servet

    Zaragoza, Aragon, 50009

  • Hospital Miguel Servet

    Zaragoza, 50009

Other trials in Spain

About this study

Official title: Observational Study to Assess Disease Burden, in Terms of Health-related Quality of Life and Direct Healthcare Costs, in Patients With Newly Diagnosed Multiple Myeloma Who Are Not Candidates for Autologous Stem Cell Transplant (ASCT) in Spain

Those patients with newly diagnosed Multiple Myeloma (MM) who are not candidates for Autologous Stem Cell Transplant (ASCT) and who meet the screening criteria described in this protocol can participate. The participating patients must sign an informed consent, which the investigator who will collect the study variables in an electronic case report form (eCRF) will provide to them. The investigators must recruit at least 450 patients in a 24-month period.

Read the detailed description

Following the baseline enrolment visit, the following data corresponding to the patient's visits scheduled according to routine clinical practice will be collected in accordance with the following model:

  1. Recruitment period: data collection at the baseline visit, every 4 months +/- 15 days in the first year (month 4, 8 and 12) and every 6 months +/- 1 month in the second year (month 18 and 24).
  2. Follow-up period: (study will end at 4 years following enrolment of the first patient)
  • From month 24 until up to 4 years from enrolment of the first patient, follow-ups will be performed with semi-annual data collections coinciding with the patient's routine clinical practice visits.
  • In case of progression, suspension or unexpected termination of treatment (for example due to toxicity), or death, a data collection coinciding with the visit in which any of the cases presented occurs will be performed.
  • If a new line of treatment is started, the follow-up model will be started with the same frequency of follow-ups described in point 1 above (month 4, 8, 12, 18 and 24 and semi-annually according to routine clinical practice until up to 4 years from enrolment of the first patient in the study).
  1. Observation period: Following this 4-year period, an additional 5-year follow-up will be performed only to evaluate the onset of second primary malignant neoplasms. This follow-up during the 5-year observational period will be performed semi-annually (± 1 month) according to routine clinical practice at each site.
Keywords
Multiple Myeloma, autologous stem cell transplant (ASCT), QoLMMBuS, healthcare costs
Medical subject headings
Multiple Myeloma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT02946333
Study groupRoleWhat they receive
Patient with MM who are not candidates for ASCTPatients with newly diagnosed MM who are not candidates for ASCT and who are going to start drug treatment for the study disease and patient who is capable of understanding and filling in the study questionnaires At least 450 patients will be enrolled in a 2-year period. Patients must meet all of the inclusion criteria and none of the exclusion criteria and must have previously granted their informed consent in writing.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Health-related quality of life (HRQoL)

    This questionnaire consists of 30 items grouped into 8 dimensions: number of drugs, gait velocity, mood, activities of daily living, health status, nutrition, mental state and comorbidity/habits. It is an instrument that was developed and validated to assess the health status of elderly patients diagnosed with different hematological diseases, including MM. This scale may be a useful instrument in clinical practice as a support tool to predict tolerance to treatment in advanced age. The time required to complete the questionnaire is approximately 10-12 minutes. It will be provided only at the baseline visit for the patient to fill in before starting treatment. The patient must fill it in again each time he or she starts a new line. The questionnaire will be provided by the physician during the visit.

    Measured: 4 years

  2. EuroQoL 5-Dimension, 5-Level Questionnaire (EQ-5D-5L)

    This is a generic HRQoL questionnaire that contains a descriptive system and a visual analogue scale (VAS) for self-assessment of health status. The EQ-5D-5L's descriptive system contains a description of health state in five dimensions (mobility, self-care, usual activities, pain/discomfort and anxiety/depression). Each dimension has 5 possible responses. The respondent must mark the level of problems, within each dimension, that best describes his or her health state "today". It will be provided at each visit for the patient to fill in before starting treatment: at the baseline visit, approximately every 4 months in the first year (the visits must coincide with the patient's routine clinical practice visit) and after the first year every 6 months to progression. In case of progression and start of a second line of treatment, the questionnaire will start to be filled in with the same frequency initially described (baseline, every 4 months, etc.).

    Measured: 4 years

  3. Quality of Life Questionnaire (QLQ-C30)

    This is a cancer-specific questionnaire that consists of 30 items structured into 5 functional scales (physical functioning, role functioning, emotional functioning, cognitive functioning and social functioning), 3 symptom scales (fatigue, nausea and vomiting, pain), a global health status scale and, finally, 6 independent items (dyspnoea, insomnia, appetite loss, constipation, diarrhea and financial difficulties). Values from 1 to 4 are assigned depending on the patient's responses to the item. Only items 29 and 30 are evaluated with scoring from 1 to 7. Scores are standardised to obtain a score from 0 to 100, which determines the level of impact of the cancer on the patient for each scale. High scores on the overall health and functional status scales indicate a better QoL, while high scores on the symptoms scale would indicate a decrease in QoL since they indicate the presence of cancer-related symptoms.

    Measured: 4 years

  4. Quality of Life Questionnaire - Multiple Myeloma Module 20 (QLQ-MY20)

    This is a specific questionnaire used in combination with the QLQ-C30 generic questionnaire to evaluate quality of life in patients with MM. It consists of 20 items that address four specific domains - disease symptoms, side effects of treatment, future perspective and body image - and analyses various aspects of each dimension. Three of the four domains of the QLQ-MY20 are multi-item scales: Disease symptoms , side effects of treatment and future perspective (includes worry about death and health in the future and thinking about illness). The body image scale is a single-item scale that addresses physical attractiveness. The scores obtained are transformed linearly to a scale from 0 to 100. A high score in the disease symptoms and side effects domains represents a high level of symptoms or problems, while a high score in the future perspective and body image domains represents better outcomes.

    Measured: 4 years

  5. Health care cost for Multiple Myeloma (MM) patients

    MM-related direct healthcare resources and costs will be evaluated in each line MM treatment will be evaluated. The questionnaire will be provided by the physician during the visit. The resources used since the previous study visit will be collected at each visit.

    Measured: 4 years

Secondary outcomes (6)
  1. Time to progression (TTP)

    Time that elapses from the start of a treatment up to disease progression.

    Measured: 4 years

  2. Progression-free survival (PFS)

    Time that elapses from the start of a treatment to disease progression or death, whichever occurs first.

    Measured: 4 years

  3. Overall survival (OS)

    Time that elapses from the diagnosis of the disease up to the death of the patient for any reason.

    Measured: 9 years

  4. Overall response rate

    Response measured through the IMWG criteria: Stringent complete response; complete response (CR); very good partial response; partial response (PR); stable disease (SD); progression (P)

    Measured: 4 years

  5. Response duration

    For each line of treatment for multiple myeloma (MM) during the study period

    Measured: 4 years

  6. Treatment-free interval [TFI]

    Time between relapse and start of a new treatment (second/third lines)

    Measured: 4 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Oct 2016 (estimated)
  2. Study start25 Dec 2016
  3. Primary completion31 Oct 2022
  4. Study completion31 Oct 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
355 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02946333
Sponsor's protocol ID
CEL-MIE-2016-01
Acronym
QoLMMBuS
Status last verified
Nov 2022
First submitted
30 Sep 2016
Last updated
22 Nov 2022
Results posted
No
Data monitoring committee
No

Publications

  • Engelhardt M, Ihorst G, Singh M, Rieth A, Saba G, Pellan M, Lebioda A. Real-World Evaluation of Health-Related Quality of Life in Patients With Multiple Myeloma From Germany. Clin Lymphoma Myeloma Leuk. 2021 Feb;21(2):e160-e175. doi: 10.1016/j.clml.2020.10.002. Epub 2020 Oct 24.

    PubMed 33218965

Questions about this trial

What is this clinical trial studying?

An observational study of Multiple Myeloma, run by Celgene at 65 sites in Spain.

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 4 inclusion and 1 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 22 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 65 sites in Spain. 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.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Health-related quality of life (HRQoL) (time frame: 4 years). The study lists 5 primary outcomes in all. 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 NCT02946333, which also lists 1 linked publication.

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 22 Nov 2022.

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