Unique ID issued by UMIN | UMIN000009700 |
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Receipt number | R000011346 |
Scientific Title | CBD(cyclophohamide,bortezomib,dexamethasone) induction followed by autologous stem cell transplantation for patients with newly diagnosed multiple myeloma |
Date of disclosure of the study information | 2013/01/07 |
Last modified on | 2018/05/27 14:03:15 |
CBD(cyclophohamide,bortezomib,dexamethasone) induction followed by autologous stem cell transplantation for patients with newly diagnosed multiple myeloma
CBD induction and autologous stem cell transplantation for patients with newly diagnosed multiple myeloma
CBD(cyclophohamide,bortezomib,dexamethasone) induction followed by autologous stem cell transplantation for patients with newly diagnosed multiple myeloma
CBD induction and autologous stem cell transplantation for patients with newly diagnosed multiple myeloma
Japan |
Newly diagnosed multiple myeloma
Hematology and clinical oncology |
Malignancy
NO
To evaluate the efficacy and safety of CBD(cyclophosphamide, bortezomib and dexamethasone) following high dose therapy plus ASCT for patients with newly diagnosed multiple myeloma
Safety,Efficacy
Confirmatory
Pragmatic
Phase II
CR/nCR rate after CBD therapy
1)SCR,CR,nCR,VGPR and PR rate after CBD therapy
2)Overall survival(OS)
3)Progression free survival(PFS)
4)Duration of response
5)Incidence of adverse events
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine |
Induction therapy
Cyclophosphamide 300mg/m2 on days 1,8,15 and 22,orally
Bortezomib 1.3mg/m2 on days 1,8,15 and 22,subcutaneous injection
Dexamethasone 40mg/body on days 1,8,15 and 22,orally
4 cycles of cyclophosphamide,bortezomib and dexamethasone(CBD) regimen is repeated every 4 weeks.
Stem cell harvest
autologous peripheral stem cell is collected by mobilization with CPA(2g/m2 div d1,2) following G-CSF.
High dose chemotherapy and Autologous stem cell transplantation
L-PAM 200mg/m2 div(d-2),ASCT(d0)
15 | years-old | <= |
65 | years-old | >= |
Male and Female
1.multiple myeloma defined by IMWG criteria.
2.stage II-III of Durie and Slamon classification.
3.aged >15 and <65.
4.PS(ECOG)0-2.(Patients with poor P.S. by bone pain accompanying myeloma can be included.)
5.Main organ function is maintained
a.liver function:T-bil,AST and ALT < 2 times upper limit of normal standard
b.bone marrow function:Absolute neutrophil counts >1000/mm3,Platelet counts>100,000/mm3(Platelet transfusion before treatments is excluded),Hemoglobin>8.0g/dl(RCC transfusion before treatments is included)
c.cardiac function:EF >50%
d.pulmonary function:SaO2 >93%
e.renal function:Serum Creatinine <4mg/dl
6.No previous anti-myeloma therapy(Systemic steroid hormone is included).Bisphosphonate and denosumab are allowed.
7.voluntary written informed consent
1)History of allergic reactions to drugs contained in the protocol
2)Peripheral neuropathy or neuropathic pain Grade 2 or higher as defined by NCI CTCAE version 4
3)Uncontrolled or severe cardiovascular disease, including AMI within 6 months of enrollment, New York Heart Association (NYHA) Class III or IV heart failure, uncontrolled angina, or cardiac amyloidosis
4)Acute severe infection requiring antibiotic therapy
5)HBs antigen,HCV antibody positive
6)Previous cancer history (except in situ carcinoma of cervix or basal cell cancer of skin)
7)Pregnancy or breastfeeding
8)Active ulcer detected by gastroscopy (gastroscopy is not routine in all patients, only to patients with symptoms of ulcer disease and/or history of previous ulcer therapy and/or physician's discretion)
9)Previous renal transplantation
10)Recurrent deep vein thrombosis or pulmonary embolism
11)Uncontrolled diabetes mellitus
12)Severe psychiatric disorders
13)Those who are considerd as inappropriate to register by attending physicians
32
1st name | |
Middle name | |
Last name | Hiroshi Kojima |
Department of Medical Oncology, Ibaraki Prefectural Central Hospital
Assistant Director
6528 Koibuchi, Kasama-shi,Ibaraki 309-1793, Japan
0296-77-1121
h-kojima@chubyoin.pref.ibaraki.jp
1st name | |
Middle name | |
Last name | Daisuke Kudo |
Hitachi General Hospital
Division of Hematology
2-1-1 Jonan-cho,Hitachi 317-0077,Japan
0294-23-1111
daisuke.kudo.dv@hitachi.com
Ochanomizu blood study committee
NPO Ibaraki blood, tumor, palliative care study committee
Self funding
Japan
NO
がん・感染症センター都立駒込病院(東京都)、(株)日立製作所日立総合病院(茨城県)、東京医科歯科大学(東京都)、水戸医療センター(茨城県)、茨城県立中央病院(茨城県)、埼玉医科大学(埼玉県)、埼玉医科大学国際医療センター(埼玉県)、都立墨東病院(東京都)、武蔵野赤十字病院(東京都)、横須賀共済病院(神奈川県)、横浜市立みなと赤十字病院(神奈川県)、青梅市立総合病院(東京都)、独立行政法人国立印刷局東京病院(東京都)
2013 | Year | 01 | Month | 07 | Day |
Unpublished
Completed
2012 | Year | 10 | Month | 04 | Day |
2013 | Year | 01 | Month | 07 | Day |
2013 | Year | 01 | Month | 06 | Day |
2018 | Year | 05 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011346
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