About this trial
To explore the safety and efficacy of systemic radiotherapy (TBI) combined with melphalan (Mel) for pretreatment of autologous hematopoietic stem cells in multiple myeloma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Multiple myeloma patients receiving induction therapy and stem cell mobilization preparation for autologous transplantation;
Should agree to comply with all contraceptive requirements; 3, ECOG≤2;
Disqualifiers
According to the investigator's judgment, patients who cannot tolerate melphalan and radiotherapy;
Patients with known active hepatitis B virus (HBV) or hepatitis C virus (HCV), or seropositive for human immunodeficiency virus (HIV);
patients with uncontrolled or severe cardiovascular disease
According to the protocol or the investigator's judgment, the patient has a serious physical or mental illness
Trial design
Parallel
Treatments tested in this trial
Total Marrow irradiation,TMI
RadiationTMI radiation dose On the 5th day (-5 days) before transplantation, an irradiation dose of 8 Gy is given. TMI uses a 6-18MV linear accelerator, the patient lies on his side in a single irradiation field, covered with a 1 cm thick plexiglass frame, and the radioactive source is 4 meters away from the body surface of the human side. The anterior and anterior positions were alternately irradiated, and the horizontal beam was irradiated in the opposite direction, and the actual irradiation dose was detected by the thermo-optical element of the 2570 roentgen dosimeter scale, and the irradiation dose of all parts of the body was adjusted to make the abdominal irradiation dose difference within 10%, the total dose was 8Gy, divided into 2 times a day, with an interval of 5 hours, and the dose rate was 4.99-6.96cGy/min.
Autologous hematopoietic stem cell transplantation
Procedure/SurgeryAutologous hematopoietic stem cell transplantation;Porting method melphalan
Treatment groups
Trial outcomes
Primary outcomes
Complete response rate and above 100 days after transplantation (≥ CR rate)
Complete response rate and above 100 days after transplantation (≥ CR rate)
Secondary outcomes
1-year Progression-free Survival rate
1-year Progression-free Survival rate
Other outcomes
1-year Overall Survival rate
1-year Overall Survival rate
Platelet implantation time
Platelet implantation time
Neutrophil implantation time
Neutrophil implantation time
Sponsors and contacts
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Fuling Zhou
Lead sponsor
Zhongnan Hospital
Sponsor institution