Unique ID issued by UMIN | UMIN000007216 |
---|---|
Receipt number | R000008493 |
Scientific Title | Efficacy and safety of new drugs for induction, autologous stem cell transplantation, consolidation and maintenance therapy in patients with newly diagnosed symptomatic multiple myeloma: a phase2 study |
Date of disclosure of the study information | 2012/02/02 |
Last modified on | 2018/08/17 16:31:26 |
Efficacy and safety of new drugs for induction, autologous stem cell transplantation, consolidation and maintenance therapy in patients with newly diagnosed symptomatic multiple myeloma: a phase2 study
JSCT-MM12
Efficacy and safety of new drugs for induction, autologous stem cell transplantation, consolidation and maintenance therapy in patients with newly diagnosed symptomatic multiple myeloma: a phase2 study
JSCT-MM12
Japan |
Multiple myeloma
Hematology and clinical oncology |
Malignancy
NO
The purpose of this study is to investigate efficacy and safety of new drugs in each phase of treatment in patients with newly diagnosed symptomatic multiple myeloma, and to investigate efficacy of detection of minimal residual disease (MRD).
Induction therapy: bortezomib, cyclophosphamide, and dexamethasone (VCD).
Conditioning regimen in autologous stem cell transplantation: bortezomib and high-dose melphalan.
Consolidation therapy: bortezomib, thalidomide, and dexamethasone (VTD).
Maintenance therapy: lenalidomide (one year).
Safety,Efficacy
Probability of CR after consolidation therapy.
1. Probability of CR + sCR after induction therapy.
2. Probability of CR + sCR after autologous stem cell transplantation.
3. Probability of sCR after consolidation therapy.
4. Probability of CR + sCR after maintenance therapy.
5. 2-years progression free survival (PFS)
6. 2-years overall survival (OS)
7. Time to progression (TTP)
8. Incidence of adverse events.
9. Probability of molecular remission (mCR) after autologous stem cell transplantation, consolidation therapy, and maintenance therapy.
10. Detection of minimal residual disease (MRD) in autologous grafts.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Induction therapy
1st course: Bortezomib 1.3mg/m2 iv (day1,4,8,11), cyclophosphamide 500mg/m2 iv (day1, 8), dexamethasone 40mg/body po (day 1,4,8, 11)
2nd and 3rd courses: Bortezomib 1.3mg/m2 iv (day1,8,15,22), cyclophosphamide 300mg/m2 iv (day1,8,15,22), dexamethasone 40mg/body po (day1,8,15,22).
PBSC harvest: Cyclophosphamide 1.5g/m2 div (day 1 , 2)
High dose chemotherapy and PBSCT: Bortezomib 1.3mg/m2 iv (day-4,-1). L-PAM 100mg/m2 div (day -3,-2). PBSCT (day 0)
Consolidation therapy (2 courses): Bortezomib 1.3mg/m2 iv (day1,8,15,22), thalidomide 100mg/body p.o. (day1-35), and dexamethasone 40mg/boby (day1,8, 15, 22).
Maintenance therapy (one year): Lenalidomide 10mg/body p.o. (day 1 to 21)
20 | years-old | <= |
65 | years-old | >= |
Male and Female
1. Symptomatic multiple myeloma diagnosed by the criteria of International Myeloma Working Group (IMWG).
2. Measureable M protein in serum or urine.
3. Good performance status (0-2). (Patients with bad performance status by the osteolytic lesions can be included.)
4. Age from 20 to 65 years old.
5. Main Organ function is maintained
6. Those who are evaluated to be able to survive more than 3 months.
7. For female patients, postmenopausal (patients older than one year from the last menstrual period), or the proper way or surgical contraception (birth control pills, contraceptives, etc.) has the intention of contraception during the study. For male patients, to agree the appropriate method of contraception during the study.
8. In patients receiving the notice, fully briefed for the consent document and other documents given explanation about the contents of the study physician or study investigator, agreed in writing to voluntarily participate in the study by have been obtained.
1. Non-secretory MM and plasmacell leukemia.
2. Patients HIV-positive
3. Severe hepatic dysfunction, severe renal failure, severe cardiac dysfunction, severe pulmonary dysfunction, uncontrolled diabetes, uncontrolled hypertension, and uncontrolled infection.
4. Patients with a history of active malignancy during the past 5 years.
5. Patients with psychiatric disorders such as schizophrenia etc.
6. Pregnant women, pre-menopausal women, and lactating women.
7. History of hypersensitivity to mannitol or boron.
8. Patient was suspected pneumonia(Interstitial pneumonia). Consult a respiratory specialist if necessary
9. Those who are considered as inappropriate to register by attending physicians.
56
1st name | |
Middle name | |
Last name | Kazutaka Sunami |
National Hospital Organization Okayama Medical Center
Division of Hematology
Okayama, Japan
1st name | |
Middle name | |
Last name |
JSCT
MM12 datacenter
jsct-office@umin.ac.jp
Japan Study Group for Cell Therapy and Transplantation
Resarch Foundation for Community Medicine
Non profit foundation
NO
2012 | Year | 02 | Month | 02 | Day |
Published
Main results already published
2012 | Year | 01 | Month | 24 | Day |
2012 | Year | 03 | Month | 01 | Day |
2012 | Year | 02 | Month | 02 | Day |
2018 | Year | 08 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008493