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Trial · NCT00602641

Melphalan, Prednisone, and Thalidomide or Lenalidomide in Treating Patients With Newly Diagnosed Multiple Myeloma

NCT00602641, Phase 3, Active not recruiting, National Cancer Institute (NCI); results first posted 2015-06-29

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Melphalan, Prednisone, and Thalidomide or Lenalidomide in Treating Patients With Newly Diagnosed Multiple Myeloma. Trials, record NCT00602641. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00602641

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Melphalan, Prednisone, and Thalidomide or Lenalidomide in Treating Patients With Newly Diagnosed Multiple Myeloma
NCT number
NCT00602641
Status
Active not recruiting
Phases
Phase 3
Enrollment
306 participants, actual
Lead sponsor
National Cancer Institute (NCI)
Conditions
Multiple Myeloma
Interventions
Laboratory Biomarker Analysis, Lenalidomide, Melphalan, Prednisone, Quality-of-Life Assessment, Thalidomide
First posted
2008-01-28
Last updated
2026-10-01
Results first posted
2015-06-29

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProgression-Free Survival (PFS)Assessed every 3 months for 2 years, then every 6 months for 3 years, then annually for 10 years from the date of randomization.PFS is defined as the time from randomization to the earlier of progression or death of any cause.
SecondaryOverall SurvivalAssessed every 3 months for 2 years, then every 6 months for 3 years, then annually for 10 years from the date of randomization.Overall survival was defined as time from randomization to death from any cause.
SecondaryVery Good Partial Response (VGPR) Rate
Assessed every cycle (1 cycle=28 days) for the first 12 cycles, and then every 2 cycles while on treatment. Post treatment assessed every 3 months < 2 years from study entry, every 6 months if 2-5 years, every 12 months if 6-10 years from study entry.
Response evaluation was based on the International Myeloma Working Group (IMWG) response criteria. VGPR rate was defined as patients achieving at least VGPR which include patients who achieving complete response (CR) and VGPR. CR refers to patients who have complete disappearance of an M-protein and no evidence of myeloma in the bone marrow. VGPR refers to patients who meet the following criteria: Serum and urine M-component detectable by immunofixation but not on electrophoresis; Or 90% or greater reduction in serum M-component plus urine M-component \<100 mg per 24 hours; If the serum and urine M protein are unmeasurable and the immunoglobulin free light chain parameter is being used to measure response, a ≥ 90% decrease in the difference between involved and uninvolved free light chain (FLC) levels is required in place of the M protein criteria.
SecondaryChange in Functional Assessment of Cancer Therapy-Neurotoxicity Trial Outcome Index (FACT-Ntx TOI) Score From Baseline to Cycle 12
Administered at registration, the beginning of cycle 7 d1, the end of cycle 12 d28, then at the end of cycle 18, 24, and 38 d28. For patients who discontinue treatment early, assessed at time of discontinuation and at the next quarterly follow-up visit.
A combined scale was used to assess the quality of life (QOL) comprising of the well established and validated functional well-being (FWB) and physical well-being (PWB) components of FACT-G version 4 (14 questions), which will address the physical and functional well-being of multiple myeloma patients plus the FACT-neurotoxicity (NTX, 11 questions), which will evaluate symptoms of neurotoxicity. This pooled scale is referred to as the FACT Ntx TOI. The FACT-Ntx TOI has 25 items and the score ranges from 0 (worst possible outcome) to 100 (best possible outcome).

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression-Free Survival (PFS)Assessed every 3 months for 2 years, then every 6 months for 3 years, then annually for 10 years from the date of randomization.Intention-to-treat (ITT) populationmonthsMEDIAN
SECONDARYOverall SurvivalAssessed every 3 months for 2 years, then every 6 months for 3 years, then annually for 10 years from the date of randomization.Intention-to-treatment (ITT) populationmonthsMEDIAN
SECONDARYVery Good Partial Response (VGPR) Rate
Assessed every cycle (1 cycle=28 days) for the first 12 cycles, and then every 2 cycles while on treatment. Post treatment assessed every 3 months < 2 years from study entry, every 6 months if 2-5 years, every 12 months if 6-10 years from study entry.
Intention-to-treat (ITT) populationproportion of participantsNUMBER
SECONDARYChange in Functional Assessment of Cancer Therapy-Neurotoxicity Trial Outcome Index (FACT-Ntx TOI) Score From Baseline to Cycle 12
Administered at registration, the beginning of cycle 7 d1, the end of cycle 12 d28, then at the end of cycle 18, 24, and 38 d28. For patients who discontinue treatment early, assessed at time of discontinuation and at the next quarterly follow-up visit.
Patients who completed both baseline and cycle 12 QOL assessments.units on a scaleMEAN

Results by group8

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Progression-Free Survival (PFS)Arm I (MPT-T)21.095% Confidence Interval 18.2 to 27.5months
Progression-Free Survival (PFS)Arm II (mPR-R)18.795% Confidence Interval 16.0 to 22.1months
Overall SurvivalArm I (MPT-T)52.695% Confidence Interval 40.4 to NAmonths
Overall SurvivalArm II (mPR-R)47.795% Confidence Interval 41.0 to 56.4months
Very Good Partial Response (VGPR) RateArm I (MPT-T)0.24795% Confidence Interval 0.179 to 0.315proportion of participants
Very Good Partial Response (VGPR) RateArm II (mPR-R)0.31695% Confidence Interval 0.242 to 0.390proportion of participants
Change in Functional Assessment of Cancer Therapy-Neurotoxicity Trial Outcome Index (FACT-Ntx TOI) Score From Baseline to Cycle 12Arm I (MPT-T)-2.8Standard Deviation 15.0units on a scale
Change in Functional Assessment of Cancer Therapy-Neurotoxicity Trial Outcome Index (FACT-Ntx TOI) Score From Baseline to Cycle 12Arm II (mPR-R)3.3Standard Deviation 13.7units on a scale

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm I (MPT-T)154
Overall StudySTARTEDArm II (mPR-R)152
Overall StudyStarted Protocol TherapyArm I (MPT-T)148
Overall StudyStarted Protocol TherapyArm II (mPR-R)150
Overall StudyCOMPLETEDArm I (MPT-T)0
Overall StudyCOMPLETEDArm II (mPR-R)0
Overall StudyNOT COMPLETEDArm I (MPT-T)154
Overall StudyNOT COMPLETEDArm II (mPR-R)152

Adverse events230

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnemiaBlood and lymphatic system disordersMPT-T11148
otherAnemiaBlood and lymphatic system disordersmPR-R22151
otherWhite blood cell decreasedInvestigationsMPT-T12148
otherWhite blood cell decreasedInvestigationsmPR-R17151
otherLymphocyte count decreasedInvestigationsMPT-T10148
otherLymphocyte count decreasedInvestigationsmPR-R9151
otherNeutrophil count decreasedInvestigationsMPT-T8148
otherNeutrophil count decreasedInvestigationsmPR-R12151
otherPlatelet count decreasedInvestigationsMPT-T10148
otherPlatelet count decreasedInvestigationsmPR-R17151

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMPT-T
Total, all-cause mortalitymPR-R
Total, other adverse eventsMPT-T29148
Total, other adverse eventsmPR-R34151
Total, serious adverse eventsMPT-T110148
Total, serious adverse eventsmPR-R88150

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
26157076DERIVED

Source PubMed

Grants2

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource
U10CA180820ECOG-ACRIN Network Group Operations CenterODwyer, Peter J; SCHNALL, MITCHELL D.ECOG-ACRIN MEDICAL RESEARCH FOUNDATIONNATIONAL CANCER INSTITUTE2014 to 2026NIH RePORTER
U10CA021115Eastern Cooperative Oncology Group Operations OfficeCOMIS, ROBERT LFRONTIER SCI & TECHNOLOGY RSCH FDN, INCNATIONAL CANCER INSTITUTE1985 to 2013NIH RePORTER

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
MPT-T vs mPR-R: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00602641

GET https://conductscience.org/api/trials/v1/NCT00602641/events?page=2