UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004421
Receipt number R000005281
Scientific Title Phase II study of lenalidomide consolidation/maintenance therapy after autologous stem cell transplantation in patients with symptomatic multiple myeloma.
Date of disclosure of the study information 2010/10/20
Last modified on 2018/08/17 16:32:05

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Basic information

Public title

Phase II study of lenalidomide consolidation/maintenance therapy after autologous stem cell transplantation in patients with symptomatic multiple myeloma.

Acronym

JSCT-MM10

Scientific Title

Phase II study of lenalidomide consolidation/maintenance therapy after autologous stem cell transplantation in patients with symptomatic multiple myeloma.

Scientific Title:Acronym

JSCT-MM10

Region

Japan


Condition

Condition

Multiple myeloma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate efficacy and safety of Bortezomib and dexamethasone as re-induction therapy in patients with non-response to high dose dexamethasone therapy.
To investigate efficacy and safety of lenalidomide consolidation/maintenance therapy after autologous stem cell transplantation.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Probability of CR+VGPR after lenalidomide plus dexamethasone consolidation therapy.

Key secondary outcomes

1.Probability of CR+VGPR after lenalidomide maintenance therapy.
2.time to progression (TTP)
3.2-years progression free survival (PFS)
4.2-years overall survival (OS)
5.Incidence of 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

High dose dexamethasone therapy(one course):Dexamethasone 40mg/body po or iv(day 1-4,9-12,17-20)
Bortezomib plus dexamethasone therapy(up to 4 courses):Bortezomib 1.3mg/m2 iv (day1,4,8,11).Dexamethasone 20mg/body po (day1,2,4,5,8,9,11,12)
PBSC harvest:Cyclophosphamide 2g/m2 div (day1,2)
High dose Chemotherapy (L-PAM) and PBSCT:L-PAM 100mg/m2 div (day-3,-2). PBSCT(day0)
Lenalidomide plus dexamethasone therapy (2 courses): Lenalidomide 25mg/body po (day1 to 21). Dexamethasone 40mg/body po (day1,8,15,22).
Lenalidomide maintenance therapy (one year): Lenalidomide 10mg/body po (day1 to 21)

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

65 years-old >=

Gender

Male and Female

Key inclusion criteria

1.Symptomatic multiple myeloma diagnosed by the criteria of International Myeloma Working Group (IMWG)
2.Measureable M protein in serum or urine.
3.Good performance status (0-2). (Patients with bad performance status by the osteolytic lesions can be included.)
4. Age from 20 to 65 years old.
5.Main Organ function is maintained
6. Those who are evaluated to be able to survive more than 3 months.
7.For female patients, postmenopausal (patients older than one year from the last menstrual period), or the proper way or surgical contraception (birth control pills, contraceptives, etc.) has the intention of contraception during the study. For male patients, to agree the appropriate method of contraception during the study.
8.In patients receiving the notice, fully briefed for the consent document and other documents given explanation about the contents of the study physician or study investigator, agreed in writing to voluntarily participate in the study by have been obtained.

Bortezomib plus dexamethasone therapy (at the second registration)
1. The efficacy evaluation after high dose dexamethasone therapy is under VGPR.
2. Good performance status (0-2).
3. Main Organ function is maintained.
4. Those who are evaluated to be able to survive more than 3 months.

Key exclusion criteria

1.Peripheral neuropathy (>=grade 2)
2.Prior high dose dexamethasone therapy caused severe adverse events as follows; Liver dysfunction, renal failure, cardiac dysfunction, pulmonary dysfunction, diabetes, hypertension, infection.
3.Patient was suspected pneumonia (Interstitial pneumonia) by high dose dexamethasone therapy. (Consult a respiratory specialist if necessary)
4.Those who are considered as inappropriate to register by attending physicians.

Target sample size

37


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kazutaka Sunami

Organization

National Hospital Organization Okayama Medical Center

Division name

Division of Hematology

Zip code


Address

Okayama, Japan

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name

Organization

JSCT

Division name

MM10 datacenter

Zip code


Address


TEL


Homepage URL


Email

jsct-office@umin.ac.jp


Sponsor or person

Institute

Japan Study Group for Cell Therapy and Transplantation

Institute

Department

Personal name



Funding Source

Organization

Resarch Foundation for Community Medicine

Organization

Division

Category of Funding Organization

Non profit foundation

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

2010 Year 10 Month 20 Day


Related information

URL releasing protocol


Publication of results

Published


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

Main results already published

Date of protocol fixation

2010 Year 10 Month 20 Day

Date of IRB


Anticipated trial start date

2010 Year 11 Month 01 Day

Last follow-up date

2014 Year 05 Month 20 Day

Date of closure to data entry

2014 Year 05 Month 24 Day

Date trial data considered complete

2015 Year 06 Month 17 Day

Date analysis concluded

2015 Year 08 Month 12 Day


Other

Other related information



Management information

Registered date

2010 Year 10 Month 20 Day

Last modified on

2018 Year 08 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005281


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name