Unique ID issued by UMIN | UMIN000007889 |
---|---|
Receipt number | R000009290 |
Scientific Title | Low-dose lenalidomide plus dexamethasone after initial therapy with melphalan and prednisone in myeloma patients ineligible for stem cell transplantation |
Date of disclosure of the study information | 2012/05/05 |
Last modified on | 2017/05/08 14:01:57 |
Low-dose lenalidomide plus dexamethasone after initial therapy with melphalan and prednisone in myeloma patients ineligible for stem cell transplantation
Lenalidomide therapy after melphalan/prednisone in elderly patients with new-onset multiple myeloma: LEMON study
Low-dose lenalidomide plus dexamethasone after initial therapy with melphalan and prednisone in myeloma patients ineligible for stem cell transplantation
Lenalidomide therapy after melphalan/prednisone in elderly patients with new-onset multiple myeloma: LEMON study
Japan |
Multiple myeloma
Hematology and clinical oncology |
Malignancy
NO
To evaluate safety and efficacy of low-dose lenalidomide plus dexamethasone after melphalan and prednisone in newly diagnosed multiple myeloma patients ineligible for autologous stem cell transplantation.
Safety,Efficacy
PFS
TTP
ORR
CR
OS
safety
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine |
Low-dose lenalidomide plus dexamethasone (rd) therapy consists of lenalidomide 10 mg/day (day 1-21) and dexamethasone 20 mg/week (day 1, 8, 15, 22). Each cycle is repeated every 4 weeks. This treatment is continued until disease progression, for up to 18 months. Patients receive aspirin (81-100 mg daily) or warfarin as thromboprophylaxis.
20 | years-old | <= |
Not applicable |
Male and Female
1. Patient has given voluntary written informed consent
2. Patient was diagnosed with symptomatic multiple myeloma based on IMWG criteria or multiple myeloma on SWOG criteria
3. Quantifiable serum or urine monoclonal protein value
4. Patient is 65 years old or older at study entry or younger patients between 20 and 64 years old who are not candidate to autologous stem cell trasnplantation
5. Patient has a performance status (ECOG) of 0 to 2
6. Patient was treated with melphalan/prednisone as initial therapy. Not meeting criteria for PD. Any of the following:
* < 10% reduction of serum or urine monoclonal protein during MP therapy
* Less than PR after 3 cycles of MP
* Less than VGPR after 6 cycles of MP
* After 9 cycles of MP in patients with a VGPR/CR/sCR after 6 cycles of MP
* Interruption of MP therapy due to toxicity
1. Acute myocardial infarction within 6 months or deep venous thrombosis/pulmonary thrombosis within 3 years before study entry
2. Active tuberculous disease
3. Poorly controlled insulin-dependent diabetes mellitus
4. Serious psychiatric illness
5. Pregnant or lactating females
6. Any of the following laboratory abnormalities:
* Absolute neutrophil count <= 1.0 x 10~9/L
* Platelet count <= 50 x 10~9/L
* Aspartate transaminase (AST) > 5.0 x the upper limit of normal (ULN)
* Alanine transaminase (ALT) > 5.0 x the ULN
* Serum creatinine >= 3 mg/dl
7. Prior history of malignancies, other than multiple myeloma, unless the subject has been free of the disease for >= 3 years
8. Positive for HIV antibody
30
1st name | |
Middle name | |
Last name | Hideo Harigae |
Tohoku University Hospital
Department of Hematology and Rheumatology
Seiryo-machi 1-1, Aoba-ku, Sendai, Japan
022-717-7165
harigae@med.tohoku.ac.jp
1st name | |
Middle name | |
Last name | Yasushi Onishi |
Tohoku University Hospital
Department of Hematology and Rheumatology
Seiryo-machi 1-1, Aoba-ku, Sendai, Japan
022-717-7165
yonishi@med.tohoku.ac.jp
Department of Hematology and Rheumatology, Tohoku University Hospital
None
Self funding
NO
2012 | Year | 05 | Month | 05 | Day |
Partially published
Completed
2012 | Year | 02 | Month | 15 | Day |
2012 | Year | 03 | Month | 01 | Day |
2012 | Year | 05 | Month | 04 | Day |
2017 | Year | 05 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009290