UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001213
Receipt number R000001478
Scientific Title Phase II study of weekly irinotecan (CPT-11) for relapsed and/or refractory multiple myeloma
Date of disclosure of the study information 2008/07/01
Last modified on 2013/01/04 21:20:52

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Basic information

Public title

Phase II study of weekly irinotecan (CPT-11) for relapsed and/or refractory multiple myeloma

Acronym

Phase II study of weekly CPT-11 for relapsed and/or refractory multiple myeloma

Scientific Title

Phase II study of weekly irinotecan (CPT-11) for relapsed and/or refractory multiple myeloma

Scientific Title:Acronym

Phase II study of weekly CPT-11 for relapsed and/or refractory multiple myeloma

Region

Japan


Condition

Condition

relapsed and/or refractory multiple myeloma after treatment with bortezomib or thalidomide (lenalidomide) in addition to the prior treatment with melphalan

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The objective of this trial is to investigate the efficacy and safety of irinotecan(CPT-11) for the patients with relapsed and/or refractory multiple myeloma, who has received bortezomib or thalidomide(lenalidomide) in addition to the prior treatment with melphalan.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

response rate

Key secondary outcomes

progression free survival, overall survival, adverse events


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Three times administration of weekly irinotecan(CPT-11) followed by 2-week rest is repeated every four weeks for up to 8 courses.

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

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1) symptomatic multiple myeloma based on the criteria proposed by International Myeloma Working Group (IMWG)
2) relapsed and/or refractory cases after treatment with bortezomib or thalidomide (lenalidomide) in addition to the prior treatment with melphalan
3) having measurable lesions such as (1) serum paraprotein of more than 1.0g/dl IgG or 0.5g/dl IgA/IgD, (2) Bence Jones protein of more than 0.2g/day, and (3) plasmacytoma with more than 2cm in long diameter
4) performance status: 0-2, or 3 due to osteolytic lesions alone
5) at least 22 days have passed after the prior therapy
6) WBC: more than 3000/mm3 or neutrophil: more than 1500/mm3, AST/ALT: no more than 2.5 x normal upper limit, creatinine: no more than 1.5mg/dl, PaO2 (room air): more than 70torr, normal ECG and ejection fraction: more than 50%
7) written informed consent by the patient

Key exclusion criteria

1) prior treatment history with irinotecan
2) serious allergic history
3) severe infection
4) diarrheae: more than 5 times a day
5) paralytic or mechanical ileus
6) massive pleural effusion or ascites
7) interstitial pneumonia, pulmonary fibrosis
8) uncontrollable diabetes mellitus
9) patients treated with warfarin
10) pregnant woman
11) symptomatic intracranial metastasis or invasion
12) psychosis
13) synchronous or metachronous malignancy
14) HBs-Ag positive or HIV-Ab positive
15) patients treated with atazanavir
16) blood infusion or G-CSF administration within 7 days
17) cardiac or gastrointestinal amyloidosis
18) inadequate to be enrolled in the protocol study

Target sample size

35


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shinsuke Iida

Organization

Nagoya City University Hospital

Division name

Division of Hematology and Collagen Diseases

Zip code


Address

1, Aza-Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 467-8602, Japan

TEL

0528515511

Email



Public contact

Name of contact person

1st name
Middle name
Last name Shigeru Kusumoto

Organization

Nagoya City University Hospital

Division name

Division of Hematology and Collagen Diseases

Zip code


Address

1, Aza-Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 467-8602, Japan

TEL

0528515511

Homepage URL


Email

kusshan@rb3.so-net.ne.jp


Sponsor or person

Institute

Nagoya City University Hospital

Institute

Department

Personal name



Funding Source

Organization

Nagoya City University Hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


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

2008 Year 07 Month 01 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

Protocol revision to extend to enroll patients until the end of March in 2012 was approved by the Institutional Review Board. However, this clinical trial was terminated on March 31, 2012 due to the poor accrual. It was because a lot of novel agents for multiple myeloma became available during the period of this trial. So far, only four patients were enrolled.

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

Terminated

Date of protocol fixation

2008 Year 05 Month 29 Day

Date of IRB


Anticipated trial start date

2008 Year 07 Month 01 Day

Last follow-up date

2013 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2008 Year 06 Month 26 Day

Last modified on

2013 Year 01 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001478


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name