Unique ID issued by UMIN | UMIN000028488 |
---|---|
Receipt number | R000032596 |
Scientific Title | The single-arm phase II study evaluating pomalidomide-plus-dexamethasone for relapsed/refractory multiple myeloma and phase II study evaluating pomalidomide-bortezomib-dexamethasone for the patients who are not able to achieve PR after pomalidomide-plus-dexamethasone therapy |
Date of disclosure of the study information | 2017/08/02 |
Last modified on | 2022/10/09 17:16:21 |
The single-arm phase II study evaluating pomalidomide-plus-dexamethasone for relapsed/refractory multiple myeloma and phase II study evaluating pomalidomide-bortezomib-dexamethasone for the patients who are not able to achieve PR after pomalidomide-plus-dexamethasone therapy
J-MEN 010 Study
The single-arm phase II study evaluating pomalidomide-plus-dexamethasone for relapsed/refractory multiple myeloma and phase II study evaluating pomalidomide-bortezomib-dexamethasone for the patients who are not able to achieve PR after pomalidomide-plus-dexamethasone therapy
J-MEN 010 Study
Japan |
Relapse and Refractory Multiple Myeloma
Hematology and clinical oncology |
Malignancy
NO
Primary objective of this study is to evaluate the effect of pomalidomide+dexamethasone therapy for early relapsed multiple myeloma patients who have been previously treated with bortezomib and lenalidomide and within 1-4 prior regimens. The secondary objective is to evaluate pomalidomide+bortezomib+dexamethasone therapy for the patients who are not able to achieve PR after pomalidomide+dexamethasone therapy
Safety,Efficacy
Exploratory
Phase II
Overall response rate of 4 cycles of pomalidomid+dexamethasone therapy
Overall response rate of bortezomib+pomalidomid+dexamethasone (BPd)
stringent complete response (sCR)
Complete response (CR)
Overall response (more than PR)
2 years progression free survival
3 years progression free survival
2 years overall survival
3 years overall survival
median progression free survival
adverse events
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
NO
NO
1
Treatment
Medicine |
Pomalidomide, Dexamethasone PomD
Pomalidomide, Bortezomib, Dexamethasone PBd
20 | years-old | <= |
Not applicable |
Male and Female
1. Relapsed/refractory multiple myeloma diagnosed according to IMWG criteria and previously treated with bortezomib and lenalidomide.
2. Patients must have evaluable multiple myeloma with at least one of the following (within 21 days of starting treatment)
a.Serum M-protein > 0.5g/dL, or
b.In subjects without detectable serum M-protein, Urine M-protein>200mg/24 hour, or serum free light chai (sFLC)>100mg/L (involved light chain) and an abnormal kappa/Lambda ratio
3. Can receive up to 4 lines of prior treatment. (Induction therapy followed by stem cell transplantation and consolidation/maintenance therapy will be considered as one line of treatment)
4. 20 years old or more
5. ECOG Performance status 0 or 1 or 2
6. Patients must meet the following clinical laboratory criteria with 21 days of starting treatment
a. Absolute neutrophil count (ANC) >1,000/mm3 and platelet >50,000/mm3 (>30,000/mm3 if myeloma involvement in the bone marrow is >50%)
b. Total bilirubin<1.5 x the upper limit of the normal range (ULN). Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) <3 x ULN.
c. Calculated creatinine clearance > 30mL/min or creatinine < 3mg/dL.
7. adhere to RevMate
8. written informed consent
1.Female patients who are lactating or pregnant
2.Multiple Myeloma of IgM subtype
3.Glucocorticoid therapy (prednisolone > 30mg/day or equivalent) within 14 days prior to informed consent obtained
4.POEMS syndrome
5.Plasma cell leukemia or circulating plasma cells >2 x 109/L
6.Waldenstroms Macroglobulinaemia
7.Patients with known amyloidosis
8.Patients with GVHD
9.Patients with cataract
10.Glucocorticoid>30mg/day 14 days prior to obtaining informed consent
11,Chemotherapy with approved within 21 days prior to starting pomalidomide treatment
12.Focal radiation therapy within 7 days prior to start of pomalidomide. Radiation therapy to an extended field involving a significant volume of bone marrow within 21 days prior to start of pomalidomide
13.Major surgery (excluding kyphoplasty) within 28 days prior to start of pomalidomide
14.Active congestive heart failure (New York Heart Association [NYHA] Class III or IV), symptomatic ischaemia, or conduction abnormalities uncontrolled by conventional intervention. Myocardial infarction within 4 months prior to informed consent obtained
15.HBs antigen positive, HCV antibody positive, HIV antibody positive
16.malignancy within the past 3 years except:
a.Adequately treated basal cell or squamous cell skin cancer
b.Carcinoma in situ of the cervix
c.Breast carcinoma in situ with full surgical resection
17.Patients with steroid or lenalidomide hypersensitivity
18.Prior treatment with pomalidomide
19.Peripheral neuropathy > Grade 2
20.Un-controlled liver dysfunction, renal dysfunction, heart failure, lung dysfunction, diabetes, hypertension
21.active infection
22.Myocardial infarction within 4 months or deep vein thrombosis, pulmonary embolism within 3 years prior to informed consent
23.interstitial pneumonitis, pulmonary fibrosis, abnormal interstitial shadow by CT scan
24.inappropriate for study by any reason
60
1st name | Sadao |
Middle name | |
Last name | Ishida |
Japan Red Cross Medical Center
Hematology
150-8935
4-1-22 Hiroo Shibuyaku Tokyo
03-3400-1311
i.s.h.i.28@rondo.ocn.ne.jp
1st name | Hiroshi |
Middle name | |
Last name | Handa |
Gunma University Hospital
Division of Hematology
371-8511
3-39-15 Showa-machi Maebashi Gunma
027-220-8166
handahiroshi@gunma-u.ac.jp
Gunma University Hospital
Celgene Corporation
Profit organization
Gunma University Hospital
3-39-15 Showa-machi Maebashi Gunma
027-220-8763
nakamurt@gunma-u.ac.jp
NO
群馬大学医学部附属病院(群馬県)
日本赤十字医療センター(東京都)
公益財団法人仁泉会 北福島医療センター(福島県)
国立病院機構 岡山医療センター(岡山県)
徳島県立中央病院(徳島県)
国立病院機構 災害医療センター(東京都)
札幌医科大学附属病院(北海道)
市立札幌病院(北海道)
神奈川県立がんセンター(神奈川県)
大垣市民病院(岐阜県)
金沢大学付属病院(石川県)
JCHO 京都鞍馬口医療センター(京都府)
静岡県立静岡がんセンター(静岡県)
秋田大学医学部附属病院(秋田県)
社会療法人北楡会 札幌北楡病院(北海道)
医療法人菊郷会 愛育病院(東京都)
公益財団法人 永寿総合病院(東京都)
日本医科大学付属病院(東京都)
近畿大学医学部奈良病院(奈良県)
国立病院機構 渋川医療センター(群馬県)
Japan Myeloma Network
2017 | Year | 08 | Month | 02 | Day |
Unpublished
No longer recruiting
2017 | Year | 07 | Month | 13 | Day |
2017 | Year | 07 | Month | 27 | Day |
2017 | Year | 08 | Month | 14 | Day |
2023 | Year | 08 | Month | 31 | Day |
2017 | Year | 08 | Month | 02 | Day |
2022 | Year | 10 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032596