Unique ID issued by UMIN | UMIN000013067 |
---|---|
Receipt number | R000015061 |
Scientific Title | Phase I/II trial of subcutaneous bortezomib plus lenalidomide combined with dexamethasone combination therapy for relapsed or refractory multiple myeloma patients |
Date of disclosure of the study information | 2014/02/08 |
Last modified on | 2019/03/09 10:51:49 |
Phase I/II trial of subcutaneous bortezomib plus lenalidomide combined with dexamethasone combination therapy for relapsed or refractory multiple myeloma patients
FBMTG-sVRd14
Phase I/II trial of subcutaneous bortezomib plus lenalidomide combined with dexamethasone combination therapy for relapsed or refractory multiple myeloma patients
FBMTG-sVRd14
Japan |
Multiple myeloma
Hematology and clinical oncology |
Malignancy
NO
To investigate the feasibility (phase I) and efficacy (phase II) of a combination of subcutaneous bortezomib, lenalidomide and dexamethasone in patients with multiple myeloma who have relapsed ro refractory to previous therapy.
Safety,Efficacy
Exploratory
Phase I,II
1) Phase I
To determine the maximum tolerated dose (MTD) of subcutaneous bortezomib administrated once weekly, lenalidomide administrated for 3 weeks when combined with dexamethasone in a 28-day schedule.
2) Phase II
To investigate the efficacy of a 8 cycles of subcutaneous bortezomib, lenalidomide and dexamethasone at the recommended dose level determined by the phase I trial.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
1) Phase I
The MTD of bortezomib and lenalidomide with dexamethasone will be determined according to a 3 + 3 dose-escalation scheme. The MTD will be evaluated within 2 cycles of treatment.
During the Phase I part of the trial, the dose of lenalidomide will be escalated from 15 (dose level 0) to 25 mg (dose level 2). If dose level 0 is not feasible, then lenalidomide will be added at a dose of 10 mg (dose level -1). Bortezomib will subcutaneously administrated at a dose of 1.3 mg/m2 on days 1, 8 and 15. Dexamethasone will be added orally at a dose of 20 mg on days 1, 8 and 15.
2) Phase II
Lenalidomide will be administrated as an oral formulation at the MTD dose or highest dose if MTD is not reached, days 1-21, followed by a one-week interval. Bortezomib will subcutaneously administrated at a dose of 1.3 mg/m2 on days 1, 8 and 15. Dexamethasone will be added orally at a dose of 20 mg on days 1, 8 and 15. This treatment cycle will repeat at 28-days intervals until a 8 cycles of treatment have been given.
20 | years-old | <= |
Not applicable |
Male and Female
1) Relapsed or refractory myeloma after at least 1 treatment regimen.
2) Measureable M protein in serum or urine.
3) ECOG performance status of 0 to 2 (Patients with PS 3 restricted by bone lesions are allowed to participate)
4) Age older than 20 years
5) Adequate organ function
6) A life expectancy of at least 3 months
7) Female patients with post menoposal status and the last menstrual period>12 months prior to enrollment in trial, or patients who agree to contraception during the study.
8) Voluntary written informed consen
1) Peripheral neuropathy and neuropathic pain >=Grade 2(CTCAE ver.4.0).
2) Those who can not receive bortezomib subcutaneously at a dose of 1.3 mg/m2
3) History of hypersensitivity to lenalidomide, bortezomib, dexamethasone, mannitol or boron.
4) Nonsecretory multiple myeloma, solitary plasmacytoma, plasma cell leukemia or POEMS syndrome.
5) Known human immunodeficiency virus (HIV) infection or active hepatitis A, B or C.
6) Serious concurrent uncontrolled medical disorder. (hepatic dysfunction, renal failure, cardiac dysfunction, pulmonary dysfunction diabetes, hypertension and infectious diseases)
7) History of active malignancy during the past 5 years
8) Psychoneurotic disorder, depression state or history
9) Pregnant or lactating female
10) Patients with pneumonia, pulmonary fibrosis or bilateral interstitial abnormalities.
11) Those who are considered as inappropriate to register by attending physicians
50
1st name | |
Middle name | |
Last name | Toshihiro Miyamoto |
Kyushu University Hospital
Hematology and Oncology
3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
092-642-5230
toshmiya@intmed1.med.kyushu-u.ac.jp
1st name | |
Middle name | |
Last name | Toshihiro Miyamoto |
Fukuoka Blood and Marrow Transplantation Group
RRMM-sVRd14 DC
3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
092-642-5229
fbmtg@intmed1.med.kyushu-u.ac.jp
Fukuoka Blood and Marrow Transplantation Group
Fukuoka Blood and Marrow Transplantation Group
Other
NO
2014 | Year | 02 | Month | 08 | Day |
Unpublished
Completed
2014 | Year | 01 | Month | 15 | Day |
2014 | Year | 02 | Month | 15 | Day |
2014 | Year | 02 | Month | 04 | Day |
2019 | Year | 03 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015061