UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000013067
Receipt number R000015061
Scientific Title Phase I/II trial of subcutaneous bortezomib plus lenalidomide combined with dexamethasone combination therapy for relapsed or refractory multiple myeloma patients
Date of disclosure of the study information 2014/02/08
Last modified on 2019/03/09 10:51:49

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Basic information

Public title

Phase I/II trial of subcutaneous bortezomib plus lenalidomide combined with dexamethasone combination therapy for relapsed or refractory multiple myeloma patients

Acronym

FBMTG-sVRd14

Scientific Title

Phase I/II trial of subcutaneous bortezomib plus lenalidomide combined with dexamethasone combination therapy for relapsed or refractory multiple myeloma patients

Scientific Title:Acronym

FBMTG-sVRd14

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 feasibility (phase I) and efficacy (phase II) of a combination of subcutaneous bortezomib, lenalidomide and dexamethasone in patients with multiple myeloma who have relapsed ro refractory to previous therapy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase I,II


Assessment

Primary outcomes

1) Phase I
To determine the maximum tolerated dose (MTD) of subcutaneous bortezomib administrated once weekly, lenalidomide administrated for 3 weeks when combined with dexamethasone in a 28-day schedule.

2) Phase II
To investigate the efficacy of a 8 cycles of subcutaneous bortezomib, lenalidomide and dexamethasone at the recommended dose level determined by the phase I trial.

Key secondary outcomes



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) Phase I
The MTD of bortezomib and lenalidomide with dexamethasone will be determined according to a 3 + 3 dose-escalation scheme. The MTD will be evaluated within 2 cycles of treatment.
During the Phase I part of the trial, the dose of lenalidomide will be escalated from 15 (dose level 0) to 25 mg (dose level 2). If dose level 0 is not feasible, then lenalidomide will be added at a dose of 10 mg (dose level -1). Bortezomib will subcutaneously administrated at a dose of 1.3 mg/m2 on days 1, 8 and 15. Dexamethasone will be added orally at a dose of 20 mg on days 1, 8 and 15.

2) Phase II
Lenalidomide will be administrated as an oral formulation at the MTD dose or highest dose if MTD is not reached, days 1-21, followed by a one-week interval. Bortezomib will subcutaneously administrated at a dose of 1.3 mg/m2 on days 1, 8 and 15. Dexamethasone will be added orally at a dose of 20 mg on days 1, 8 and 15. This treatment cycle will repeat at 28-days intervals until a 8 cycles of treatment have been given.

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) Relapsed or refractory myeloma after at least 1 treatment regimen.

2) Measureable M protein in serum or urine.

3) ECOG performance status of 0 to 2 (Patients with PS 3 restricted by bone lesions are allowed to participate)

4) Age older than 20 years

5) Adequate organ function

6) A life expectancy of at least 3 months

7) Female patients with post menoposal status and the last menstrual period>12 months prior to enrollment in trial, or patients who agree to contraception during the study.

8) Voluntary written informed consen

Key exclusion criteria

1) Peripheral neuropathy and neuropathic pain >=Grade 2(CTCAE ver.4.0).

2) Those who can not receive bortezomib subcutaneously at a dose of 1.3 mg/m2

3) History of hypersensitivity to lenalidomide, bortezomib, dexamethasone, mannitol or boron.

4) Nonsecretory multiple myeloma, solitary plasmacytoma, plasma cell leukemia or POEMS syndrome.

5) Known human immunodeficiency virus (HIV) infection or active hepatitis A, B or C.

6) Serious concurrent uncontrolled medical disorder. (hepatic dysfunction, renal failure, cardiac dysfunction, pulmonary dysfunction diabetes, hypertension and infectious diseases)

7) History of active malignancy during the past 5 years

8) Psychoneurotic disorder, depression state or history

9) Pregnant or lactating female

10) Patients with pneumonia, pulmonary fibrosis or bilateral interstitial abnormalities.

11) Those who are considered as inappropriate to register by attending physicians

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toshihiro Miyamoto

Organization

Kyushu University Hospital

Division name

Hematology and Oncology

Zip code


Address

3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan

TEL

092-642-5230

Email

toshmiya@intmed1.med.kyushu-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Toshihiro Miyamoto

Organization

Fukuoka Blood and Marrow Transplantation Group

Division name

RRMM-sVRd14 DC

Zip code


Address

3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan

TEL

092-642-5229

Homepage URL


Email

fbmtg@intmed1.med.kyushu-u.ac.jp


Sponsor or person

Institute

Fukuoka Blood and Marrow Transplantation Group

Institute

Department

Personal name



Funding Source

Organization

Fukuoka Blood and Marrow Transplantation Group

Organization

Division

Category of Funding Organization

Other

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

2014 Year 02 Month 08 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

Completed

Date of protocol fixation

2014 Year 01 Month 15 Day

Date of IRB


Anticipated trial start date

2014 Year 02 Month 15 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 02 Month 04 Day

Last modified on

2019 Year 03 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015061


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name