Phase I of Radioimmunotherapy (RIT) in MULTIPLE MYELOMA Using the Antibody B-B4 Radiolabelled With IODE 131
Inclusion Criteria:
- Patients with a confirmed diagnosis of multiple myeloma (> 10% plasma cells on a
previous myelogram)
- Secretion of a monoclonal immunoglobulin
- No myelodysplasia evaluated by myelogram
- Disease refractory or relapsed after at least 3 lines of therapy
- Patients with a dated and signed the consent form
- Collection of autologous peripheral blood stem cells containing at least 2. 106 CD 34
+ cells / kg
- Age> 18 years
- Performance status <2 (see Annex I), life expectancy of more than 3 months
- No chemotherapy or radiotherapy within 4 weeks before inclusion
- No major surgery within 4 weeks preceding the assessment of inclusion
- No bisphosphonates within 2 weeks prior radioimmunotherapy, except for treatment
started more than three months ago.
- Normality of the biological assessment:
- Creatinine less than or equal to 1.5 times the normal laboratory
- Liver: less than or equal to 1.5 times the normal laboratory (free and conjugated
bilirubin, SGOT, SGPT, gamma GT PAL)
- Hemoglobin ≥ 8 g/mm3
- ≥ 3 WBC 000/mm3
- Neutrophils ≥ 1 500/mm3
- Platelets ≥ 100 000/mm3
Exclusion Criteria:
Patients with other cancers except uterine carcinoma in situ or basal cell skin carcinoma
- Patients with other (s) condition (s) Severe (s) to prevent tolerance to study and
conduct the study to completion
- Patient is pregnant or unwilling to take a contraceptive treatment for three months
after treatment
- Collection of peripheral blood stem cells containing less than 2106 CD 34 + cells /
kg
- Patients enrolled in another experimental treatment protocol
- Patients who already received treatment with radioimmunotherapy
- Myelodysplasia assessed by myelogram
- Patient with thyroid
- Patient unable to sign informed consent ÉcouterLire phonétiquement