The Role of Ixazomib in Autologous Stem Cell Transplant in Relapsed Myeloma - Myeloma XII (ACCoRd)

PHASE3RecruitingINTERVENTIONAL
Enrollment

406

Participants

Timeline

Start Date

March 20, 2017

Primary Completion Date

March 31, 2026

Study Completion Date

March 31, 2027

Conditions
Multiple Myeloma
Interventions
DRUG

Ixazomib, thalidomide, & dexamethasone (ITD) re-induction

"4 - 6 ITD 28-day cycles as follows:~* Ixazomib 4mg capsule on days 1, 8 and 15~* Thalidomide 100mg capsule on days 1-28~* Dexamethasone 40mg tablets on days 1, 8, 15 and 22"

DRUG

Conventional autologous stem cell transplant (ASCT-con)

Melphalan 200mg/m2 IV infusion on Day -1, followed by ASCT on Day 0.

DRUG

Augmented autologous stem cell transplant (ASCT-aug)

Melphalan 100mg/m2 IV infusion on Day -3 and Day -2 plus ixazomib 4mg capsules on Day -4 and Day -1. ASCT will then be given on Day 0.

DRUG

ITD consolidation and ixazomib maintenance vs. No further therapy

"Participants will be randomised to either 'no further therapy' or 'ITD consolidation and ixazomib maintenance'. Participants randomised to 'no further treatment' will not receive any further treatment but will be followed up at 8 weeks post randomisation 2 and at 3-monthly clinic visits until disease progression.~Participants randomised to ITD consolidation and ixazomib maintenance will receive:~Two 28-day cycles of ITD consolidation (same doses as in ITD re-induction). This will be followed by ixazomib maintenance as follows: Ixazomib 4mg capsule on days 1, 8 and 15 of each 28-day cycle until disease progression."

Trial Locations (91)

Unknown

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Aberdeen Royal Infirmary, Aberdeen

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Monklands Hospital, Airdrie

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University Hospital Ayr, Ayr

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Barnsley Hospital, Barnsley

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Basingstoke & North Hampshire Hospital, Basingstoke

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Royal United Hospital, Bath

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Good Hope Hospital, Birmingham

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Heartlands Hospital, Birmingham

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Queen Elizabeth Hospital, Birmingham

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Blackpool Victoria Hospital, Blackpool

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Pilgrim Hospital, Boston

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Royal Bournemouth Hospital, Bournemouth

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Bradford Royal Infirmary, Bradford

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Bristol Haematology & Oncology Centre, Bristol

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Southmead Hospital, Bristol

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Queen's Hospital, Burton-on-Trent

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Addenbrooke's Hospital, Cambridge

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St Helier Hospital, Carshalton

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Cheltenham General Hospial, Cheltenham

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Countess of Chester Hospital, Chester

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Chesterfield Royal Hospital, Chesterfield

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St Richards Hospital, Chichester

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University Hospital Coventry, Coventry

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Royal Derby Hospital, Derby

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Dewsbury Hospital, Dewsbury

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Russells Hall Hospital, Dudley

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Ninewells Hospital, Dundee

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Hairmyres Hospital, East Kilbride

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Western General Hospital, Edinburgh

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Beatson Cancer Centre, Glasgow

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New Victoria Hospital, Glasgow

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Gloucestershire Royal Hospital, Gloucester

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Grantham and District Hospital, Grantham

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Diana Princess of Wales Hospital, Grimsby

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Calderdale Royal Hospital, Halifax

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Harrogate District Hospital, Harrogate

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Huddersfield Royal Infirmary, Huddersfield

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Castle Hill Hospital, Hull

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Raigmore Hospital, Inverness

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Ipswich Hospital, Ipswich

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Kidderminster Hospital, Kidderminster

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University Hospital Crosshouse, Kilmarnock

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St James's University Hospital, Leeds

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Leicester Royal Infirmary, Leicester

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Lincoln County Hospital, Lincoln

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Royal Liverpool University Hospital, Liverpool

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University Hospital Aintree, Liverpool

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Guys and St Thomas's Hospital, London

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Kings College Hospital, London

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Royal Marsden Hospital, London

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St Barts Hospital, London

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University College London Hospital, London

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Maidstone Hospital, Maidstone

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Manchester Royal Infirmary, Manchester

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The Christie, Manchester

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Borders General Hospital, Melrose

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James Cook University Hospital, Middlesbrough

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Milton Keynes General Hospital, Milton Keynes

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Freeman Hospital, Newcastle

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North Tyneside General Hospital, North Shields

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Norfolk & Norwich University Hospital, Norwich

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Nottingham City Hospital, Nottingham

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Royal Oldham Hospital, Oldham

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Churchill Hospital, Oxford

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Royal Alexandra Hospital, Paisley

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Derriford Hospital, Plymouth

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Pontefract Hospital, Pontefract

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Whiston Hospital, Prescot

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Royal Berkshire Hospital, Reading

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Redditch Hospital, Redditch

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Tunbridge Wells Hospital, Royal Tunbridge Wells

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Salford Royal Hospital, Salford

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Salisbury Hospital, Salisbury

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Scunthorpe General Hospital, Scunthorpe

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Royal Hallamshire Hospital, Sheffield

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Southampton General Hospital, Southampton

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St Helens Hospital, St Helens

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Stafford County Hospital, Stafford

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Stepping Hill Hospital, Stockport

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Royal Stoke University Hospital, Stoke-on-Trent

NOT_YET_RECRUITING

Sunderland Royal Hospital, Sunderland

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King's Mill Hospital, Sutton in Ashfield

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Singleton Hospital, Swansea

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Musgrove Park Hospital, Taunton

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St George's Hospital, Tooting

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Pinderfields General Hospital, Wakefield

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Royal Hampshire County Hospital, Winchester

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Wishaw Hospital, Wishaw

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New Cross Hospital, Wolverhampton

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Worcestershire Royal Hospital, Worcester

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Worthing Hospital, Worthing

Sponsors

Collaborators (2)

All Listed Sponsors
collaborator

Cancer Research UK

OTHER

collaborator

Takeda

INDUSTRY

lead

University of Leeds

OTHER