Unique ID issued by UMIN | UMIN000010853 |
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Receipt number | R000012531 |
Scientific Title | A prospective study to validate the efficacy on the induction, consolidation, and maintenance therapy for the elderly multiple myeloma patients. |
Date of disclosure of the study information | 2013/06/01 |
Last modified on | 2018/10/10 23:36:17 |
A prospective study to validate the efficacy on the induction, consolidation, and maintenance therapy for the elderly multiple myeloma patients.
Teikyo elderly MM study
A prospective study to validate the efficacy on the induction, consolidation, and maintenance therapy for the elderly multiple myeloma patients.
Teikyo elderly MM study
Japan |
Multiple myeloma patients over the age of 70.
Hematology and clinical oncology |
Malignancy
NO
We validate that the induction, consolidation, and maintenance therapy with adjusting dose, schedule, and route of administration of four drug-combinations (Bortezomib, Lenalidomide, Thalidomide, Dexamethasone) improve efficacy and safely for multiple myeloma patients aged over 70.
Safety,Efficacy
Exploratory
Phase II
Efficacy at the end of two sequential induction therapies
Efficacy includes over-all response rate, VGPR and above CR ratio by IMWG uniform response criteria.
Safety profile of induction, consolidation, and maintenance therapy, rate of continuation in maintenance therapy, improvement of efficacy during consolidation and maintenance therapy, progression free survival, prognosis of 75 years of age or older
Interventional
Single arm
Non-randomized
Open -no one is blinded
No treatment
1
Treatment
Medicine |
1st induction therapy
Bortezomib 1.0 mg/m2 on days 1, 8, 15, and 22 injected subcutaneously (sc)
Dexamethasone 8 mg/body on days 1, 8, 15, and 22 per os (po) or intravenous drip-injection (div)
1st cycle for 35days
2nd induction therapy
Bortezomib 1.0 mg/m2 on days 1, 8, 15, and 22 sc
Dexamethasone 8 mg/body on days 1, 8, 15, and 22 po or div
Lenalidomide 10 mg/body on days 1, 8, 15, and 22 po
One cycle for 5 weeks' interval, 3 cycles
Consolidation and maintenance
Bortezomib 1.0 mg/m2 on days 1, and 15 sc
Thalidomide 50 mg/body every other day po
One cycle for 5 weeks' interval, 6 cycles
70 | years-old | <= |
Not applicable |
Male and Female
Patients are eligible who are diagnosed as a symptomatic (active) MM referred to International Myeloma Working Group (IMWG) criteria, and
1. There are no pre-treated MM therapies without steroid administration or radiation therapy due to hyper calcemia or relieving symptoms.
2. Age at 70 years old or older
3. Karnofsky performance status > 50%(PS 0-2). If patients with PS 3 or 4 or KS >20% patients induced of fructure only, can enroll in this study.
4. Laboratory data
1) Absolute neutrophil count > 1,000 /mm3
2) Platelet count > 50,000 /mm3
3) Hb > 7.0 g/dL
4) AST, ALT < 5 times the ULN
5) T-Bil < 3 times the ULN
6) Cr < 2.5 mg/dL
5. No dysfunctions due to a symptomatic pre-existing sensory neuropathy NCICTC grade 3-4
6. In the case of women, after menopause, surgical contraception or patients who are not willing to use birth control during the study.
7. can comply to register (Lenalidomide, Thalidomide drug management program) to RevMate, TERMS
Patients who are not eligible for this study are:
1. may be pregnant or are pregnant.
2. suffered from an active cancer within the last five years.
3. HBs antigen positive, HCV-antibody positive, HIV-antibody positive
4. severe psychometric dysfunction
5. with interstitial pneumonitis
6. with a severe active infection
7. with a severe pulmonary dysfunction; PaO2/FiO2 ratio <200
8. with a severe cardiac dysfunction; percent fractional shortening <15%
9. judged unsuitable by the doctor
10. cannot take an oral administration.
24
1st name | |
Middle name | |
Last name | Shirasaki Ryosuke |
University of Teikyo School of Medicine
Internal medicine, department of Hematology/Oncology
2-11-1 Kaga Itabashi-ku Tokyo
0339641211
1st name | |
Middle name | |
Last name | Shirasaki Ryosuke |
University of Teikyo School of Medicine
Internal medicine, department of Hematology/Oncology
ryosuke@med.teikyo-u.ac.jp
University of Teikyo School of Medicine, Internal medicine, department of Hematology/Oncology
University of Teikyo School of Medicine, Internal medicine, department of Hematology/Oncology
Self funding
NO
帝京大学医学部附属病院
2013 | Year | 06 | Month | 01 | Day |
Unpublished
Terminated
2013 | Year | 05 | Month | 01 | Day |
2013 | Year | 07 | Month | 02 | Day |
2016 | Year | 03 | Month | 30 | Day |
2016 | Year | 03 | Month | 30 | Day |
2016 | Year | 03 | Month | 30 | Day |
2016 | Year | 03 | Month | 30 | Day |
2013 | Year | 06 | Month | 01 | Day |
2018 | Year | 10 | Month | 10 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012531
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