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 |
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
A phase I study of combination with cyclophosphamide, bortezomib and dexamethasone for relapsed and refractory multiple myeloma
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
A phase I study of combination with cyclophosphamide, bortezomib and dexamethasone for relapsed and refractory multiple myeloma
Japan |
multiple myeloma
Hematology and clinical oncology |
Malignancy
NO
To define recommended dose fo cyclophosphamide in combination with bortezomib and dexamethasone(C-BD) for relapsed and refractory multiple myeloma
Safety
definition of recommended dose for cyclophosphamide in C-BD regimen
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine |
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.
20 | years-old | <= |
70 | years-old | > |
Male and Female
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
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
18
1st name | |
Middle name | |
Last name | Isamu Sugiura |
Toyohashi Municipal Hospital
Divsion of Hematology/Oncology
50 Hakkennishi, Aotake-cho, Toyohashi
0532-33-6111
1st name | |
Middle name | |
Last name | Isamu Sugiura |
Toyohashi Municipal Hospital
Divsion of Hematology/Oncology
http://www.c-shot.or.jp/
isugiura-sgr@umin.ac.jp
Center for Supporting Hematology-Oncology Trial(C-SHOT)
None
Self funding
NO
2008 | Year | 09 | Month | 01 | Day |
Unpublished
Completed
2008 | Year | 08 | Month | 29 | Day |
2008 | Year | 09 | Month | 01 | Day |
2011 | Year | 08 | Month | 01 | Day |
2012 | Year | 09 | Month | 05 | Day |
2008 | Year | 09 | Month | 01 | Day |
2013 | Year | 04 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001636