Bortezomib is an established treatment in multiple myeloma; it is common practice in the UK to administer bortezomib with dexamethasone. This practice is based on data that supports improved response rates with this combination. Recent trial data indicates that the addition of vorinostat to bortezomib treatment overcomes treatment resistance to bortezomib. As such this current trial is designed to investigate the efficacy, safety and tolerability of combination treatment with vorinostat, bortezomib and dexamethasone in patients with relapsed and relapsed refractory myeloma. A comparison of this Phase II trial with the pivotal Phase III trial conducted by MSD (using the labelled bortezomib indication without dexamethasone) will address the impact of dexamethasone in regards to tolerability and additional efficacy in myeloma patients.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
16
Nottingham University Hospital
Nottingham, Nottinghamshire, United Kingdom
University Hospital Southampton
Southampton, United Kingdom
Overall response rate to vorinostat, bortezomib and dexamethasone.
To assess the number and proportion of participants with at least a partial response (PR) or better within 8 cycles of protocol treatment with vorinostat, bortezomib and dexamethasone.
Time frame: up to 24 weeks
Number of dose reductions during treatment with vorinostat, bortezomib and dexamethasone.
To assess the dose reduction profile of combination treatment with vorinostat, bortezomib and dexamethasone. The proportion of participants experiencing a dose reduction or terminating treatment early due to toxicity will be assessed.
Time frame: up to 24 weeks
Overall numbers and rates of adverse events
Safety and toxicity analyses will summarise the overall serious adverse event and adverse events rates including the number and proportion of participants with at least one safety event. SAEs will be additionally presented by the relationship to study treatment, seriousness criteria, event outcome, duration and by MedDRA body system coding.
Time frame: Up to 18 months
Progression free survival
A progression-free survival curve will be calculated using the Kaplan Meier method and median PFS estimates will be presented
Time frame: Up to 18 months
Maximum response to treatment
The overall number and proportion of participants in each response category within 8 cycles of treatment and overall across all treatment including the maintenance phase
Time frame: Up to 24 weeks
Time to maximum response
The time to maximum response will be calculated from the date of registration to the date of maximum response. Participant's who progress and do not achieve a maximum response will be censored at the time of progression. Median time to maximum response will be presented.
Time frame: Up to 18 months
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