UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000011568
Receipt number R000012396
Scientific Title Lenalidomide/dexamethasone Salvage Therapy with stepwise Evatuation for Practical Dose Finding Study
Date of disclosure of the study information 2013/08/24
Last modified on 2013/08/23 19:05:32

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Basic information

Public title

Lenalidomide/dexamethasone Salvage Therapy with stepwise Evatuation for Practical Dose Finding Study

Acronym

L-STEP

Scientific Title

Lenalidomide/dexamethasone Salvage Therapy with stepwise Evatuation for Practical Dose Finding Study

Scientific Title:Acronym

L-STEP

Region

Japan


Condition

Condition

refractory/resistant multiple myeloma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Efficacy of lenalidomide+dexamethason therapy for refractory/resistant multiple myeloma

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

overall response after 6 cycles

Key secondary outcomes

1. lenalidomide concentration in serum
2. the incidence of DLT
3. the incidence of adverse events
4. the persistent ratio after 6 cycles
5. TTP


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

The administration of lenalidomide (15 mg/day, days 1-21, po), and dexamethasone (20 mg/day day 1, 8, 15, 22, po) in each cycle.(28 days).
If the patients achieve PR and more state, total 6 cycles will be given. The dose of lenalidomide will increase up to 25 mg/day in the patients who achieve less than PR state. The gradual dose reduction of lenalidomide in the patients with adverse events will be permitted.

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

15 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) symptomatic multiple myeloma diagnosed by the criteria of international Myeloma Working Group(IMWG)
(2) patients with aged more than 15 years old who diagnosed ineligible for autologous stem cell transplantation at induction therapy
(3) refractory/resistant multiple myeloma patients who were untreated with lenalidomide, and has a history of more than one regimen
(4) performance status:0-3
*neutrophil count; more than 1,000/mm3
*platelet count; more than 50,000/mm3
*total billbin in serum; 3 times less than normal upper limit
*AST, ALT in serum; 5 times less than normal upper limit
(6) be expected to be alive more than 6 months
(7) creatinin clearance>=60ml/min
(8) without a history of deep vein thrombosis and pulmonary thrombosis
(9) patients who are observed RevMate
(10) Patients who have given consent to participate in the study of their own free will after having received from the principal investigator or subinvestigator (and the study collaborator) full information about the purpose and procedure of the study using the Informed Consent Form and Patient Information.

Key exclusion criteria

(1)Patients with a past history of receiving lenalidomide
(2)Patients with a past history of allergy to lenalidomide and thalidomide
(3) Patients with non-secretary myeloma, solitary myeloma, plasma cell leukemia, or POEMS syndrome
(4) HBs antigen,or HCV antibody positive patients
(5) HTLV-1 antibody,or HCV antibody positive patients
(6) Patients with a history of malignancies
(7) Womeb with pregnancy or during lactation
(6) be expected to be alive more than 6 months
(7) creatinine clearance>=60ml/min
(8) without a history of deep vein thrombosis and pulmonary thrombosis
(9) patients who are observed RevMate
(10) Patients who have given consent to participate in the study of their own free will after having received from the principal investigator or subinvestigator (and the study collaborator) full information about the purpose and procedure of the study using the Informed Consent Form and Patient Information.
(8) Patients with uncontrolled dysfunction of liver, kidney, heart, diabetes, hypertension, and infection
(9) Patients with serious abalienation
(10) Patients with deep vein thrombosis or pulmonary thrombosis
(11) Other patients who are in the opinion of the caring investigator, unfit for enrollment in the study

Target sample size

10


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masahiro Kizaki

Organization

Saitama Medical Center,Saitama Medical University

Division name

Department of Hematology

Zip code


Address

1981,Kamoda,Kawagoe-shi,Saitama,

TEL

049-228-3471

Email

tokuhira@saitama-med.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Reiko Watanabe

Organization

Saitama Medical Center,Saitama Medical University

Division name

Department of Hematology

Zip code


Address

1981,Kamoda,Kawagoe-shi,Saitama,

TEL

049-228-3471

Homepage URL


Email

reikow@saitama-med.ac.jp


Sponsor or person

Institute

Saitama Medical Center,Saitama Medical University

Institute

Department

Personal name



Funding Source

Organization

Saitama Medical Center,Saitama Medical University

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

2013 Year 08 Month 24 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

Open public recruiting

Date of protocol fixation

2013 Year 06 Month 01 Day

Date of IRB


Anticipated trial start date

2013 Year 06 Month 01 Day

Last follow-up date

2018 Year 05 Month 30 Day

Date of closure to data entry

2018 Year 05 Month 30 Day

Date trial data considered complete

2018 Year 05 Month 30 Day

Date analysis concluded

2018 Year 05 Month 30 Day


Other

Other related information



Management information

Registered date

2013 Year 08 Month 23 Day

Last modified on

2013 Year 08 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012396


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name