UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008399
Receipt number R000009882
Scientific Title Clinical trial to evaluate efficacy and safety of cyclophosphamide, bortezomib and dexamethasone (CBD) induction and autologous stem cell transplantation for patients for newly diagnosed multiple myeloma (NBMT-ASCT1201)
Date of disclosure of the study information 2012/07/23
Last modified on 2022/03/10 16:18:44

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Basic information

Public title

Clinical trial to evaluate efficacy and safety of cyclophosphamide, bortezomib and dexamethasone (CBD) induction and autologous stem cell transplantation for patients for newly diagnosed multiple myeloma (NBMT-ASCT1201)

Acronym

CBD induction and ASCT for patients with newly diagnosed MM patients (NBMT-ASCT1201)

Scientific Title

Clinical trial to evaluate efficacy and safety of cyclophosphamide, bortezomib and dexamethasone (CBD) induction and autologous stem cell transplantation for patients for newly diagnosed multiple myeloma (NBMT-ASCT1201)

Scientific Title:Acronym

CBD induction and ASCT for patients with newly diagnosed MM patients (NBMT-ASCT1201)

Region

Japan


Condition

Condition

multiple myeloma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate efficacy on 3-year progression free survival and safety of incorporation novel agents (bortezomib and lenalidomide) into induction, consolidation and maintenance of high-dose therapy plus ASCT for patients with newly diagnosed multiple myeloma

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

3-year progression free survival

Key secondary outcomes

1.incidence of adverse events
2.incidence of therapy related mortality
3. pretreatment risk factors for prognosis
1) ISS 3, 2) serum LDH level, 3) cytogenetic abnormality, 4) t(4;14), t(14;16) or deletion of 17q proved by FISH analysis
4. treatment response
1) after CBD induction, 2) 12 weeks after ASCT 3)after consolidation, 4) after maintenance, and 5)at best response
5.time to progression
6. relapse free survival
7. overall survival
8. incidence of secondary primary malignancy
9.impact of response on prognosis
1) pre high-dose therapy, 2) post high dose therapy, 3) post consolidation


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

A line of therapy composed of induction, autologous peripheral stem cell harvest (ASCH), high-dose chemotherapy (HDT)+autologous stem cell transplantation(ASCT), consolidation, and maintenance therapy are planned. After 3 courses of cyclophosphamide, bortezomib and dexamethasone (CBD) regimen is repeated every 4 weeks as an induction, autologous peripheral stem cell is collected by mobilization with G-CSF only. When expected number of CD34 positive stem cell is collected, high-dose melphalan (MEL200 mg/m2) is administered, followed by ASCT. After evaluating response of HDT+ASCT, 3 course of weekly bortezomib giving 4 doses every 6 weeks as a consolidation therapy, and 12 courses of lenalidomide 15 mg/day, d1-21 plus 20 mg/day of dexamethasone weekly 3 doses every 4 weeks as a maintenance are given.

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. multiple myeloma defined by IMWG criteria
2. symptomatic multiple myeloma defined by IMWG
3. no previous anti-myeloma chemotherapy
4. aged >20 and <65
5. PS(ECOG) 0-2
6. existence of measurable disease (one of the following)
1) serum M protein > 1g/dL
2) 24-hr urine M protein > 200 mg
7. voluntary written informed consent

Key exclusion criteria

1. multiple myeloma defined by IMWG criteria
2. symptomatic multiple myeloma defined by IMWG
3. no previous anti-myeloma chemotherapy
4. aged >20 and <65
5. PS(ECOG) 0-2
6. existence of measurable disease (one of the following)
1) serum M protein > 1g/dL
2) 24-hr urine M protein > 200 mg
7. voluntary written informed consent
1. plasma cell leukemia
2. severe renal damage: serum Cr > grade 3 even after correction of dehydration and hypercalcemia
3. severe cardiac dysfunction
1) LEVF < 50%
2) angina pectoris or acute myocardial infarction within 6 months of enrollment
3) congestive heart failure requiring medical treatment
4) arrhythmia requiring medical treatment.
4. severe respiratory dysfunction
1) SpO2 < 92%
2) interstitial pneumonitis
3) Chronic Obstructive Pulmonary Disease
4) active pneumonia
5. sever liver dysfunction
1) AST,ALT elevation > grade 2 (5xULN)
2) Total bilirubin elevation > grade 2 (3xULN)
6. infection
1) HIV positive
2) HBs antigen positive
7. peripheral neuropathy > grade 2
8. poor controlled diabetes mellitus even after treatment, having one or more of the following
1) HbA1c >8.0%, 2)fasten blood sugar > 160 mg/dL, 3) blood sugar after 2h of eating > 220 mg/dL
9. others
1) active opportunistic infection
2) active double cancer
3) doctor judged adequate to enroll the study

Target sample size

54


Research contact person

Name of lead principal investigator

1st name Isamu
Middle name
Last name Sugiura

Organization

Toyohashi Municipal Hospital

Division name

Division of Hematology and Oncology

Zip code

441-8570

Address

50 Hachiken-nishi, Aotake-cho, Toyohashi, Japan #441-8570

TEL

0532-33-6111

Email

sugiura-isamu@toyohashi-mh.jp


Public contact

Name of contact person

1st name Isamu
Middle name
Last name Sugiura

Organization

Toyohashi Municipal Hospital

Division name

Division of Hematology and Oncology

Zip code

441-8570

Address

50 Hachiken-nishi, Aotake-cho, Toyohashi

TEL

0532-33-6111

Homepage URL


Email

sugiura-isamu@toyohashi-mh.jp


Sponsor or person

Institute

Toyohashi Municipal Hospital
Division of Hematology and Oncology

Institute

Department

Personal name



Funding Source

Organization

Nagoya BMT group

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical Research Supporting Office

Address

50 Hachiken-nishi, Aotake-cho, Toyohashi, Japan #441-8570

Tel

0532336111

Email

supporting-office@toyohashi-mh.jp


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

豊橋市民病院(愛知県)、名古屋大学附属病院(愛知県)、愛知県がんセンター中央病院(愛知県)、江南厚生病院(愛知県)、安城更生病院(愛知県)、名古屋医療センター(愛知県)、名古屋第二赤十字病院(愛知県)、三重大学医学部付属病院(三重県)、藤田保健衛生大学附属病院(愛知県)、名古屋第一赤十字病院(愛知県)、浜松医科大学医学部附属病院(静岡県)


Other administrative information

Date of disclosure of the study information

2012 Year 07 Month 23 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

54

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

Completed

Date of protocol fixation

2012 Year 07 Month 23 Day

Date of IRB

2012 Year 05 Month 17 Day

Anticipated trial start date

2012 Year 08 Month 01 Day

Last follow-up date

2018 Year 12 Month 23 Day

Date of closure to data entry

2019 Year 02 Month 21 Day

Date trial data considered complete

2019 Year 03 Month 31 Day

Date analysis concluded

2019 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2012 Year 07 Month 11 Day

Last modified on

2022 Year 03 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009882


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name