UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008576
Receipt number R000010074
Scientific Title To investigate the efficacy and safety of lenalidomide and dexamethasone for elderly or frail patients with relapsed/refractory multiple myeloma
Date of disclosure of the study information 2012/08/01
Last modified on 2015/02/08 14:17:26

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Basic information

Public title

To investigate the efficacy and safety of lenalidomide and dexamethasone for elderly or frail patients with relapsed/refractory multiple myeloma

Acronym

Iwate Study MM2012

Scientific Title

To investigate the efficacy and safety of lenalidomide and dexamethasone for elderly or frail patients with relapsed/refractory multiple myeloma

Scientific Title:Acronym

Iwate Study MM2012

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 the efficacy and safety of dose adjusted therapy with lenalidomide and dexamethasone according to the European Myeloma Network Recommendation for elderly or frail patients with relapsed/refractory multiple myeloma.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Time to progression

Key secondary outcomes

1. Overall response rate
2. Incidents of adverse events
3. Discontinuation rate of treatment


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

No risk factors
Lenalidomide 25mg po (day 1-21, every 28 days)
Dexamethasone 40mg po/div (day 1,8,15,22, every 28 days) until PD or unacceptable toxicity

At least one risk factor (either age 75 or older, frailty, disability, or comorbidity)
Lenalidomide 15mg po (day 1-21, every 28 days)
Dexamethasone 20mg po/div (day 1,8,15,22, every 28 days) until PD or unacceptable toxicity

severe non-hematologic adverse events during treatment
Lenalidomide 10mg po (day 1-21, every 28 days)
Dexamethasone 10mg po/div (day 1,8,15,22, every 28 days) until PD or unacceptable toxicity

In patients with renal dysfunction
CLcr 30-60mL/min: 10mg (day 1-21, every 28 days)
(If tolerable after 2 cycles, dose is able to increase to 15mg).
CLcr <30mL/min (hemodyalysis is unnecessary): 15mg every a day (day 1-21, every 28 days).
CLcr <30mL/min (hemodyalysis is necessary):
5mg/day (day 1-21, every 28 days)

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


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Symptomatic multiple myeloma diagnosed by the criteria of International Myeloma Working Group (IMWG).
2. Measurable M protein in serum or urine.
3. Age from 20 years old.
4. Good performance status (0-2). (Patients with bad performance status by the osteolytic lesions can be included.)
5. Main organ function is maintained.
6. Those who are evaluated to be able to survive more than 3 months.
7. For female patients, postmenopause (patients older than one year from the last menstrual period), or the proper way of surgical contraception (birth control pill, 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 document given explanation about the contents by the study physician or study investigator, agreed writing to voluntarily participate in the study have been obtained.

Key exclusion criteria

1. History of hypersensitivity to lenalidomide.
2. Non-secretory MM and plasma cell leukemia.
3. Patients HIV-positive, HBsAg-positive, HCV-positive.
4. Severe hepatic dysfunction, severe renal failure, severe cardiac dysfunction, severe pulmonary dysfunction, uncontrolled hypertension, and uncontrolled infection.
5. Patients with psychiatric disorders.
6. Pregnant women, pre-menopausal women and lactating women.
7. Patients with a history of active malignancy.
8. Those who are considered as inappropriate register by attending physicians.

Target sample size

53


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoji Ishida

Organization

Iwate Medical University Hospital

Division name

Hematology/Oncology

Zip code


Address

19-1 Uchimaru, Morioka City, Iwate 020-8505, Japan

TEL

019-651-5111

Email

yishida@iwate-med.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Shigeki Ito

Organization

Iwate Medical University Hospital

Division name

Hematology/Oncology

Zip code


Address

19-1 Uchimaru, Morioka City, Iwate 020-8505, Japan

TEL

019-651-5111

Homepage URL


Email

shigei@iwate-med.ac.jp


Sponsor or person

Institute

Iwate Myeloma treatment Study Group

Institute

Department

Personal name



Funding Source

Organization

None

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


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

2012 Year 08 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


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

No longer recruiting

Date of protocol fixation

2012 Year 05 Month 16 Day

Date of IRB


Anticipated trial start date

2012 Year 05 Month 17 Day

Last follow-up date

2015 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 07 Month 30 Day

Last modified on

2015 Year 02 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010074


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name