UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001347
Receipt number R000001636
Scientific Title A clinical phase I study to define recommended dose of cyclophosphamide in combination with bortezomib and dexamethasone(C-BD) for relapsed and refractory multiple myeloma
Date of disclosure of the study information 2008/09/01
Last modified on 2013/04/02 22:28:11

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Basic information

Public title

A clinical phase I study to define recommended dose of cyclophosphamide in combination with bortezomib and dexamethasone(C-BD) for relapsed and refractory multiple myeloma

Acronym

A phase I study of combination with cyclophosphamide, bortezomib and dexamethasone for relapsed and refractory multiple myeloma

Scientific Title

A clinical phase I study to define recommended dose of cyclophosphamide in combination with bortezomib and dexamethasone(C-BD) for relapsed and refractory multiple myeloma

Scientific Title:Acronym

A phase I study of combination with cyclophosphamide, bortezomib and dexamethasone for relapsed and refractory multiple myeloma

Region

Japan


Condition

Condition

multiple myeloma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To define recommended dose fo cyclophosphamide in combination with bortezomib and dexamethasone(C-BD) for relapsed and refractory multiple myeloma

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

definition of recommended dose for cyclophosphamide in C-BD regimen

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

1. Patients receive three 3-week treatment cycles with bortezomib(BTZ) 1.3 mg/m2 on days 1,4,8,11 combination with dexamethasone(DEX) 20 mg/m2 intravenously on days 1,2,4,5,8,9,11,12. 2. In addition, patients receive cyclophosphamide(CY)intravenously on days 1,8 at either 300, 400, 500 mg/m2 to define the recommended dose. Start dose are 300 mg/m2 and dose up with 3-cohort.
3.DLT is defined using CTCAEver3 as
1) either neutropenia (<500/mm3) or thrompocyotopenia(<25,000/mm3)
2) >=grade 3 non-hematologic toxicity except peripheral neuropathy(PN)
3) grade 3 PN which continues for more than 5 days and grade 4 PN.
4) delay to start second course for any adverse events for more than 3 weeks.
4. If no DLT in the first course, patients receive two additional courses keeping the starting dose of CY to evaluate 3 courses of combination chemotherapy for further clinical study.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

70 years-old >

Gender

Male and Female

Key inclusion criteria

Eligibilty criteria includes;
1.relapsed, refractory multiple myeloma
2. age 20-69
3. PS(ECOG): 0 and 1
4. No chemotherapy for more than 3 weeks since previous chetherapy.
5. A total WBC count >=3000/mm3, absolute neutrophil count >= 1500/mm3, Platelete count >=75000/mm3.
6. ALT of less than 2.5 times the ULN, TB .of less than 1.5 times the ULN.
7. serum creatinine less than 2 times the ULN
8. Left Ventricular Ejection Fraction >= 50%
9. SaO2 >=92%
10. Having measurable diseases of serum M-protein >=1g/dL or 24hrs urine M-protein >=200 mg
11. Giving written informed consent before entering the study

Key exclusion criteria

Exclusion criteria includes;
1.Cardiovascular diseases
1) Angina pectoris, and acute myocardial infarction within recent 6 months
2) congestive heart failure which requires treatment
3) arrhythmia which requires treatment
2. Respiratory diseases
1) interstitial pneumonitis
2)COPD
3)infections more than twice which in a previous year
3. infectious diseases
1) HIV infection
2) HBsAg positive
3) HBsAb and/or HBcAb posive
4) anti HCV positive
4. neuropathy
1) peripheral neuropathy grade>= 2
2) neural pain due to peripheral neuropaty
5. diabetes mellitus
6. allergy to cyclophosphamide
7.active double cancer
8.subjects who are not likely to participate in the study for any reason in the opinion of the investigator

Target sample size

18


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Isamu Sugiura

Organization

Toyohashi Municipal Hospital

Division name

Divsion of Hematology/Oncology

Zip code


Address

50 Hakkennishi, Aotake-cho, Toyohashi

TEL

0532-33-6111

Email



Public contact

Name of contact person

1st name
Middle name
Last name Isamu Sugiura

Organization

Toyohashi Municipal Hospital

Division name

Divsion of Hematology/Oncology

Zip code


Address


TEL


Homepage URL

http://www.c-shot.or.jp/

Email

isugiura-sgr@umin.ac.jp


Sponsor or person

Institute

Center for Supporting Hematology-Oncology Trial(C-SHOT)

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2008 Year 09 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2008 Year 08 Month 29 Day

Date of IRB


Anticipated trial start date

2008 Year 09 Month 01 Day

Last follow-up date

2011 Year 08 Month 01 Day

Date of closure to data entry

2012 Year 09 Month 05 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2008 Year 09 Month 01 Day

Last modified on

2013 Year 04 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001636