Unique ID issued by UMIN | UMIN000019917 |
---|---|
Receipt number | R000022473 |
Scientific Title | Efficacy and safety of dose-escalating lenalidomide and dexamethasone (Rd) for unfit patients with relapsed or refractory multiple myeloma |
Date of disclosure of the study information | 2015/11/24 |
Last modified on | 2019/11/28 15:21:03 |
Efficacy and safety of dose-escalating lenalidomide and dexamethasone (Rd) for unfit patients with relapsed or refractory multiple myeloma
Efficacy and safety of dose-escalating lenalidomide and dexamethasone (Rd) for unfit patients with relapsed or refractory multiple myeloma (GHSG MM-01)
Efficacy and safety of dose-escalating lenalidomide and dexamethasone (Rd) for unfit patients with relapsed or refractory multiple myeloma
Efficacy and safety of dose-escalating lenalidomide and dexamethasone (Rd) for unfit patients with relapsed or refractory multiple myeloma (GHSG MM-01)
Japan |
Unfit patients with relapsed or refractory multiple myeloma
Hematology and clinical oncology |
Malignancy
NO
To search therapeutic strategy that obtain maximum effect with minimizing adverse events for elderly or frail patients with relapsed or refractory multiple myeloma,
Safety,Efficacy
Confirmatory
Pragmatic
Phase II
The best response during 1 year from initiation of treatment.
(1) Safety: Hematological toxicity of grade 4, non-hematological toxicity of grade 3 to 4
(2) Continuation rate of treatment
(3) Total dosage of lenalidomide
(4) Overall survival
(5) Progression-free survival (the rate of patients who are not recognized as having progression or recurrence)
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Lenalidomide 10mg daily on day 1-21 every 28 days, Dexamethasone 20mg a week on day 1, 8, 15, and 22 every 28 days
Lenalidomide dose will be escalated from 10mg to 25mg (5mg per cycle) if there are no grade3 hematological toxicities and grade2 non-hematological toxicities.
20 | years-old | <= |
Not applicable |
Male and Female
(1) Multiple myeloma diagnosed in the criteria of IMWG
(2) Patients aged 20 years old and over with autologous stem cell transplantation ineligible multiple myeloma
(3) There is no treatment experience with lenalidomide, relapsed or refractory multiple myeloma patients with medical history over the past 1 regimen (bortezomib intolerance, also including patients paraprotein relapse)
(4) Patients who have been judged by the initial dose of the attending physician is necessary loss of lenalidomide
(5) Patients with ECOG of Perfomance Status (PS) 0-3
(6) Patients who keep the function of major organs, it meets the following criteria
1. Neutrophil count 1,000 / mm3 or more
2. Platelets 50,000 / mm3 or more
3. Serum total bilirubin value is less than three times of the facility upper limit of normal
4. Serum AST, ALT value is less than five times of the facility upper limit of normal
(7) 6 months or more of survival can be expected
(8) Creatinine clearance 30 mL / min or more
(9) Patients who can comply with lenalidomide drug management procedures (RevMate)
(10) In patients receiving notice, that consent in writing was obtained from his participation in the study
(1) Patients who have received treatment with lenalidomide
(2) Patients who have hypersensitivity to lenalidomide or dexamethasone
(3) non-secretory myeloma, solitary plasmacytoma, plasma cell leukemia, of POEMS syndrome patients
(4) HBs antigen positive, HCV antibody-positive, HTLV-I antibody-positive cases, of HIV antibody-positive patients
(5) Patients with a history of malignancy
(6) Patients with pregnancy, patients who may be pregnant, or patients during lactation
(7) uncontrolled liver dysfunction, renal dysfunction, cardiac dysfunction, lung dysfunction, diabetes, A high blood pressure, infections
(8) patients with severe mental disorders
(9) patients with deep vein thrombosis or pulmonary embolism
(10) Patients who are regarded as inappropriate for participation to this clinical study by attending physicians
20
1st name | Hisashi |
Middle name | |
Last name | Tsurumi |
Gifu University Hospital
Department of hematology
501-1194
1-1 Yanagido Gifu
058-230-6000
htsuru@gifu-u.ac.jp
1st name | Junichi |
Middle name | |
Last name | Kitagawa |
Gifu University Hospital
Department of hematology
501-1194
1-1 Yanagido Gifu
058-230-6000
http://seesaawiki.jp/ghsg/
jkitagawa1128@gmail.com
Gifu University Hospital
Department of hematology, Gifu University Hospital
Self funding
IMedical Review Board of Gifu University Graduate School of Medicine
1-1 Yanagido Gifu
058-230-6059
rinri@gifu-u.ac.jp
NO
岐阜大学医学部附属病院(岐阜県)
岐阜県総合医療センター(岐阜県)
岐阜市民病院(岐阜県)
岐阜赤十字病院(岐阜県)
岐北厚生病院(岐阜県)
一宮市立木曽川市民病院(愛知県)
高山赤十字病院(岐阜県)
2015 | Year | 11 | Month | 24 | Day |
http://image01.seesaawiki.jp/g/g/ghsg/0dd6c19d776fe02a.pdf
Unpublished
20
No longer recruiting
2014 | Year | 02 | Month | 01 | Day |
2014 | Year | 03 | Month | 05 | Day |
2014 | Year | 04 | Month | 01 | Day |
2019 | Year | 03 | Month | 31 | Day |
2015 | Year | 11 | Month | 24 | Day |
2019 | Year | 11 | Month | 28 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022473