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 |
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)
CBD induction and ASCT for patients with newly diagnosed MM patients (NBMT-ASCT1201)
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)
CBD induction and ASCT for patients with newly diagnosed MM patients (NBMT-ASCT1201)
Japan |
multiple myeloma
Hematology and clinical oncology |
Malignancy
NO
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
Safety,Efficacy
Confirmatory
Pragmatic
Phase II
3-year progression free survival
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
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine |
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.
20 | years-old | <= |
65 | years-old | >= |
Male and Female
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. 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
54
1st name | Isamu |
Middle name | |
Last name | Sugiura |
Toyohashi Municipal Hospital
Division of Hematology and Oncology
441-8570
50 Hachiken-nishi, Aotake-cho, Toyohashi, Japan #441-8570
0532-33-6111
sugiura-isamu@toyohashi-mh.jp
1st name | Isamu |
Middle name | |
Last name | Sugiura |
Toyohashi Municipal Hospital
Division of Hematology and Oncology
441-8570
50 Hachiken-nishi, Aotake-cho, Toyohashi
0532-33-6111
sugiura-isamu@toyohashi-mh.jp
Toyohashi Municipal Hospital
Division of Hematology and Oncology
Nagoya BMT group
Self funding
Clinical Research Supporting Office
50 Hachiken-nishi, Aotake-cho, Toyohashi, Japan #441-8570
0532336111
supporting-office@toyohashi-mh.jp
NO
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)
2012 | Year | 07 | Month | 23 | Day |
Unpublished
54
Completed
2012 | Year | 07 | Month | 23 | Day |
2012 | Year | 05 | Month | 17 | Day |
2012 | Year | 08 | Month | 01 | Day |
2018 | Year | 12 | Month | 23 | Day |
2019 | Year | 02 | Month | 21 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2012 | Year | 07 | Month | 11 | Day |
2022 | Year | 03 | Month | 10 | Day |
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 |