UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000010853
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

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Basic information

Public title

A prospective study to validate the efficacy on the induction, consolidation, and maintenance therapy for the elderly multiple myeloma patients.

Acronym

Teikyo elderly MM study

Scientific Title

A prospective study to validate the efficacy on the induction, consolidation, and maintenance therapy for the elderly multiple myeloma patients.

Scientific Title:Acronym

Teikyo elderly MM study

Region

Japan


Condition

Condition

Multiple myeloma patients over the age of 70.

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

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.

Key secondary outcomes

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


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

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

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

70 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

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

Key exclusion criteria

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.

Target sample size

24


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shirasaki Ryosuke

Organization

University of Teikyo School of Medicine

Division name

Internal medicine, department of Hematology/Oncology

Zip code


Address

2-11-1 Kaga Itabashi-ku Tokyo

TEL

0339641211

Email



Public contact

Name of contact person

1st name
Middle name
Last name Shirasaki Ryosuke

Organization

University of Teikyo School of Medicine

Division name

Internal medicine, department of Hematology/Oncology

Zip code


Address


TEL


Homepage URL


Email

ryosuke@med.teikyo-u.ac.jp


Sponsor or person

Institute

University of Teikyo School of Medicine, Internal medicine, department of Hematology/Oncology

Institute

Department

Personal name



Funding Source

Organization

University of Teikyo School of Medicine, Internal medicine, department of Hematology/Oncology

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

帝京大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2013 Year 06 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

Terminated

Date of protocol fixation

2013 Year 05 Month 01 Day

Date of IRB


Anticipated trial start date

2013 Year 07 Month 02 Day

Last follow-up date

2016 Year 03 Month 30 Day

Date of closure to data entry

2016 Year 03 Month 30 Day

Date trial data considered complete

2016 Year 03 Month 30 Day

Date analysis concluded

2016 Year 03 Month 30 Day


Other

Other related information



Management information

Registered date

2013 Year 06 Month 01 Day

Last modified on

2018 Year 10 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012531


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name