Unique ID issued by UMIN | UMIN000008576 |
---|---|
Receipt number | R000010074 |
Scientific Title | To investigate the efficacy and safety of lenalidomide and dexamethasone for elderly or frail patients with relapsed/refractory multiple myeloma |
Date of disclosure of the study information | 2012/08/01 |
Last modified on | 2015/02/08 14:17:26 |
To investigate the efficacy and safety of lenalidomide and dexamethasone for elderly or frail patients with relapsed/refractory multiple myeloma
Iwate Study MM2012
To investigate the efficacy and safety of lenalidomide and dexamethasone for elderly or frail patients with relapsed/refractory multiple myeloma
Iwate Study MM2012
Japan |
Multiple Myeloma
Hematology and clinical oncology |
Malignancy
NO
To investigate the efficacy and safety of dose adjusted therapy with lenalidomide and dexamethasone according to the European Myeloma Network Recommendation for elderly or frail patients with relapsed/refractory multiple myeloma.
Safety,Efficacy
Time to progression
1. Overall response rate
2. Incidents of adverse events
3. Discontinuation rate of treatment
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
No risk factors
Lenalidomide 25mg po (day 1-21, every 28 days)
Dexamethasone 40mg po/div (day 1,8,15,22, every 28 days) until PD or unacceptable toxicity
At least one risk factor (either age 75 or older, frailty, disability, or comorbidity)
Lenalidomide 15mg po (day 1-21, every 28 days)
Dexamethasone 20mg po/div (day 1,8,15,22, every 28 days) until PD or unacceptable toxicity
severe non-hematologic adverse events during treatment
Lenalidomide 10mg po (day 1-21, every 28 days)
Dexamethasone 10mg po/div (day 1,8,15,22, every 28 days) until PD or unacceptable toxicity
In patients with renal dysfunction
CLcr 30-60mL/min: 10mg (day 1-21, every 28 days)
(If tolerable after 2 cycles, dose is able to increase to 15mg).
CLcr <30mL/min (hemodyalysis is unnecessary): 15mg every a day (day 1-21, every 28 days).
CLcr <30mL/min (hemodyalysis is necessary):
5mg/day (day 1-21, every 28 days)
20 | years-old | <= |
Not applicable |
Male and Female
1. Symptomatic multiple myeloma diagnosed by the criteria of International Myeloma Working Group (IMWG).
2. Measurable M protein in serum or urine.
3. Age from 20 years old.
4. Good performance status (0-2). (Patients with bad performance status by the osteolytic lesions can be included.)
5. Main organ function is maintained.
6. Those who are evaluated to be able to survive more than 3 months.
7. For female patients, postmenopause (patients older than one year from the last menstrual period), or the proper way of surgical contraception (birth control pill, 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 document given explanation about the contents by the study physician or study investigator, agreed writing to voluntarily participate in the study have been obtained.
1. History of hypersensitivity to lenalidomide.
2. Non-secretory MM and plasma cell leukemia.
3. Patients HIV-positive, HBsAg-positive, HCV-positive.
4. Severe hepatic dysfunction, severe renal failure, severe cardiac dysfunction, severe pulmonary dysfunction, uncontrolled hypertension, and uncontrolled infection.
5. Patients with psychiatric disorders.
6. Pregnant women, pre-menopausal women and lactating women.
7. Patients with a history of active malignancy.
8. Those who are considered as inappropriate register by attending physicians.
53
1st name | |
Middle name | |
Last name | Yoji Ishida |
Iwate Medical University Hospital
Hematology/Oncology
19-1 Uchimaru, Morioka City, Iwate 020-8505, Japan
019-651-5111
yishida@iwate-med.ac.jp
1st name | |
Middle name | |
Last name | Shigeki Ito |
Iwate Medical University Hospital
Hematology/Oncology
19-1 Uchimaru, Morioka City, Iwate 020-8505, Japan
019-651-5111
shigei@iwate-med.ac.jp
Iwate Myeloma treatment Study Group
None
Self funding
NO
2012 | Year | 08 | Month | 01 | Day |
Unpublished
No longer recruiting
2012 | Year | 05 | Month | 16 | Day |
2012 | Year | 05 | Month | 17 | Day |
2015 | Year | 09 | Month | 30 | Day |
2012 | Year | 07 | Month | 30 | Day |
2015 | Year | 02 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010074