Phase II study of cetuximab for the treatment of refractory or relapsed multiple myeloma: Erbitux for Multiple MyelomA (EMMA)

ISRCTN ISRCTN81968533
DOI https://doi.org/10.1186/ISRCTN81968533
ClinicalTrials.gov number NCT00368121
Secondary identifying numbers EMMA-1
Submission date
30/11/2005
Registration date
22/09/2006
Last edited
07/01/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Andreas Engert
Scientific

University Hospital of Cologne
Department I of Internal Medicine
Kerpener Str. 62
Cologne
50937
Germany

Study information

Study designOpen-label, non-randomised phase II study
Primary study designInterventional
Secondary study designNon randomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titlePhase II study of cetuximab for the treatment of refractory or relapsed multiple myeloma: Erbitux for Multiple MyelomA (EMMA)
Study acronymEMMA-1
Study objectivesEfficacy of Erbitux in relapsed or refractory multiple myeloma.
Ethics approval(s)Ethics commission of the Medical Faculty of the University Hospital of Cologne, approval received on 03/08/2006 (reference number: 06-062).
Health condition(s) or problem(s) studiedRelapsed or refractory multiple myeloma
InterventionCetuximab (Erbitux) loading dose of 400 mg/m2, followed by weekly doses of 250 mg/m2. Cetuximab will be administered once weekly by intravenous infusion.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase II
Drug / device / biological / vaccine name(s)Cetuximab (Erbitux)
Primary outcome measureTo assess efficacy of Cetuximab in patients with refractory/relapsed multiple myeloma.
Secondary outcome measures1. Safety profile of Cetuximab with/without Dexamethasone
2. Freedom from treatment failure
3. Progression-free survival
4. Overall survival
5. Pharmacogenomic evaluation of response to treatment
Overall study start date01/03/2006
Completion date30/11/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants33
Total final enrolment15
Key inclusion criteria1. Multiple myeloma diagnosed according to the Durie-criteria in stage II or III (Salmon and Durie)
2. Measurable disease
3. Refractory or relapsed disease after at least one line of treatment
4. Male or female 18 years of age or older
5. Life expectancy more than 12 weeks
6. Eastern Cooperative Oncology Group (ECOG) performances status zero to two
7. If of childbearing potential, willingness to use effective contraceptive method for the study duration and six months post-dosing
8. No surgery, radiotherapy or chemotherapy or any investigational agent within four weeks of study entry
9. Signed written informed consent
Key exclusion criteria1. Asecretory multiple myeloma
2. Patients eligible and willing to undergo high dose chemotherapy followed by autologous stem cell transplantation
3. Prior allogenic transplantation
4. Prior antibody or Epidermal Growth Factor Receptor (EGFR)-pathway targeting therapy
5. Severe cardiovascular disease like functionally restricting heart rhythm disturbance or heart malformation or severe hypertension, or cardiac insufficiency more than the New York Heart Association-II
6. Human Immunodeficiency Virus (HIV) infection, Hepatitis B or C
7. Brain disorders, psychatric illness
8. Insufficient bone marrow reserve (leucocytes less than 1500/µl, thrombocytes less than 50000/µl)
9. Creatinine-clearance less than 50 ml/min or serum creatinine more than 1.8 mg/dl
10. Bilirubin more than 2 mg/dl, Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) more than 100 U/l
11. Pregnancy (absence confirmed by serum/urine Beta-Human Chorionic Gonadotropin [Beta-HCG]) or breast-feeding
12. Pulmonary dysfunction
13. Active secondary malignancy
14. Legal incapacity or limited legal capacity
15. Having participated in another clinical trial or any investigational agent in the preceding 30 days
16. Known allergic/hypersensitivity reaction to any compounds of the treatment
17. Other previous malignancy within five years, with exception of a history of a previous basal cell carcinoma of the skin or pre-invasive carcinoma of the cervix
18. Medical or psychological condition which in the opinion of the investigator would not permit the patient to complete the study or sign meaningful informed consent
19. Known drug abuse/alcohol abuse
Date of first enrolment01/03/2006
Date of final enrolment30/11/2009

Locations

Countries of recruitment

  • Germany

Study participating centre

University Hospital of Cologne
Cologne
50937
Germany

Sponsor information

University of Cologne (Germany)
University/education

Kerpener Str. 62
Cologne
50937
Germany

ROR logo "ROR" https://ror.org/00rcxh774

Funders

Funder type

Industry

Merck Pharma GmbH (Germany)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/03/2014 07/01/2021 Yes No

Editorial Notes

07/01/2021: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the reference.
3. The NCT number has been added.