UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000012465
Receipt number R000014553
Scientific Title Proteasome inhibitor and IMiDs before and after autologous stem cell transplantation for untreated multiple myeloma aiming normalization of para-protein
Date of disclosure of the study information 2014/01/01
Last modified on 2023/12/23 07:00:27

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Basic information

Public title

Proteasome inhibitor and IMiDs before and
after autologous stem cell transplantation
for untreated multiple myeloma aiming
normalization of para-protein

Acronym

Proteasome inhibitor and IMiDs before and
after autologous stem cell transplantation
for untreated multiple myeloma aiming
normalization of para-protein

Scientific Title

Proteasome inhibitor and IMiDs before and
after autologous stem cell transplantation
for untreated multiple myeloma aiming
normalization of para-protein

Scientific Title:Acronym

Proteasome inhibitor and IMiDs before and
after autologous stem cell transplantation
for untreated multiple myeloma aiming
normalization of para-protein

Region

Japan


Condition

Condition

multiple myeloma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Evaluation of the safety and efficacy of study protcol therapy (CyBorD induction therapy, LenDex therapy, autologous transplantation, and maintenance therapy with lenalidomide) for previously untreated multiple myeloma

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

CR rate at day 100 from autologous transplantation

Key secondary outcomes

1) overall response rate
2) treatment completion rate
3) 3-year progression free survival
4) 3-year overall survival
5) safety


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

1) 4 courses of CyBorD therapy(cyclophosphamide, bortezomib, and dexamethasone)
2) If not reached VGPR by CyBorD therapy, add lenalidomide and dexamethasone therapy, maximum 4 courses
3) Periheral blood stem cell harvest mobilised by filgrastim alone or cyclophosphamide and filgrastim
4) High dose therapy of melphalan
followed by autologous periheral blood stem cell transplantation
5) Maintenance therapy with lenalidomide for 2 years or till PD

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

70 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Patients diagnosed with symptomatic multiple myeloma
2) Patients who have never received therapy for myeloma, excluding local radiation therapy
3) Patients with measurable disease
(Serum M-protein >= 1g/dL, Urinary M-protein >=200mg/day, or tumor derived-FLC(iFLC)>100mg/L)
4) Performance Status being 0-2. Patients with Performance Status of 3 due to bone lesion are permitted
5) Patients who have the following laboratory values within 14 days before enrollment
1. SpO2 >= 94%
2. neutrophil count >= 1000/mm3
3. platelet count >= 75000/mm3
4. Patients who do not require hemodialysis
5. serum total bilirubin <= 1.5 x upper limit of normal
6. ALT <= 2.5 x upper limit of normal
7. AST <= 2.5 x upper limit of normal
7) Patients who agreed to contraception by an appropriate method
8) Written informed concent has been obtained

Key exclusion criteria

1) Patients with a history of allergy to the drugs used in the protocol therapy
2) Patients who can not be expected to survive more than 3 months
3) Patients who suffered another carcinoma within 5 years
4) Patients with HBs antigen-positive, or HCV antibody-positive, or HIV antibody-positive
5) Patients who have peripheral neuropathy or peripheral neuropathic pain of grade 2 or more.
6) Patients with serious active infection or patients who are suspected to have serious active infection infections
7) Patients with serious mental disorders
8) Patients with serious pulmonary dysfunction
9) Patients with interstitial pneumonia or pulmonary fibrosis
10) Patients with serious heart dysfunction
11) Patients with poorly controlled diabetes
12) Patients receiving hemodialysis
13) Patient who are or may be pregnant or are nursing
14) Patients who are determined to be inappropriate for study by physician

Target sample size

72


Research contact person

Name of lead principal investigator

1st name Yoshinobu
Middle name
Last name Kanda

Organization

Saitama Medical Center, Jichi Medical University

Division name

Division of Hematology

Zip code

330-0834

Address

1-847, Amanuma-cho, Omiya-ku, Saitama-shi, Saitama

TEL

048-647-2111

Email

ycanda-tky@umin.ac.jp


Public contact

Name of contact person

1st name Go
Middle name
Last name Yamamoto

Organization

Toranomon Hospital

Division name

Department of Hematology

Zip code

105-8470

Address

2-2-2 Toranomon, Minato-ku, Tokyo

TEL

03-3588-1111

Homepage URL


Email

gyamamot-tky@umin.ac.jp


Sponsor or person

Institute

Division of Hematology, Saitama Medical Center, Jichi Medical University

Institute

Department

Personal name



Funding Source

Organization

Celgene Corporation

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Jichi Medical University Central Clinical Research Ethics Committee

Address

3311-1 Yakushiji, Shimotsuke-shi, Tochigi-ken, Japan

Tel

0285-58-7637

Email

jmu-crb2020@jichi.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

jRCTs031180335

Org. issuing International ID_1

National Institute of Public Health

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2014 Year 01 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

64

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

Completed

Date of protocol fixation

2013 Year 12 Month 02 Day

Date of IRB

2014 Year 03 Month 13 Day

Anticipated trial start date

2014 Year 04 Month 11 Day

Last follow-up date

2022 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 12 Month 02 Day

Last modified on

2023 Year 12 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014553


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name