UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000013773
Receipt number R000015524
Scientific Title Phase II Study of Treatment for Newly Diagnosed Multiple Myeloma Patients Older Than 75 Years With Alternating Bortezomib/dexamethasone (Bd) With Lenalidomide/dexamethasone (Ld).
Date of disclosure of the study information 2014/06/01
Last modified on 2017/04/23 15:08:29

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Basic information

Public title

Phase II Study of Treatment for Newly Diagnosed Multiple Myeloma Patients Older Than 75 Years With Alternating Bortezomib/dexamethasone (Bd) With Lenalidomide/dexamethasone (Ld).

Acronym

Induction therapy for Myeloma, AlteRnating Bortezomib and LEnalidomide: MARBLE study/2013-NHO(Hematology)-02

Scientific Title

Phase II Study of Treatment for Newly Diagnosed Multiple Myeloma Patients Older Than 75 Years With Alternating Bortezomib/dexamethasone (Bd) With Lenalidomide/dexamethasone (Ld).

Scientific Title:Acronym

Induction therapy for Myeloma, AlteRnating Bortezomib and LEnalidomide: MARBLE study/2013-NHO(Hematology)-02

Region

Japan


Condition

Condition

Multiple Myeloma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety and efficacy of Bortezomib-dexamethasone (Bd) alternating with Lenalidomide-dexamethasone (Ld) as induction therapy for newly diagnosed multiple myeloma patients older than 75 years (ineligible for stem cell transplantation).

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Overall response rate (ORR)

Key secondary outcomes

Safety (toxicity and tolerability)
Continuation rate of treatment
Complete response rate
Very good partial response rate
Progression-free survival rate (PFS)
Overall survival rate (OS)
Time to response (TTR)


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

Bortezomib-dexamethasone (Bd) alternating with Lenalidomide-dexamethasone (Ld)

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

75 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Age of patients older than 75 years.
2. Symptomatic multiple myeloma newly diagnosed by WHO criteria, are ineligible for autologous stem cell transplantation.
3. Patients with Measurable disease; M-protein level is more than 0.5g/dL for the IgG, IgA, or IgM type myeloma, M-protein level is more than 0.05g/dL for the IgD type, or urinary M-protein excretion is more than 200 mg/24-hour.
4. Performance status (ECOG) <= 2, or 3 due to osteolytic lesions alone.
5. Have pre-treatment clinical laboratoly values meeting the following criteria:
* AST, ALT < 3.0xULN
* Creatinine clearance >= 30 mL/min
* Absolute neutrophil count (ANC) >= 1.0x10^9/L
* Platelet count >= 50x10^9/L
* Ejection fraction >= 50%
* PaO2 >= 60mmHg or SpO2 >= 93%
6. Agreement to RevMate registration was obtained, patients can comply with the contents.
7. In patients on notice, and received an explanation enough for the contents of this study, patient consent was obtained in writing to participate in the study by the free will.

Key exclusion criteria

1. Plasma cell leukemia, cardiac amyloidosis, POEMS syndrome.
2. Patients has >= Grade 2 peripheral neuropathy.
3. Uncontrolled liver dysfunction, renal dysfunction, heart failure, impaired respiratory function, diabetes, or hyper tension.
4. Concurrent diseases of tuberculosis, herpes simplex keratitis, systemic fungal disease, or active infection.
5. Recent operation history.
6. Myocardial infarction within 6 months of enrolment or deep vein thrombosis/ pulmonary embolism within 3 years.
7. Patient has active and advanced double cancer (simultaneous or within 5 years post remission).
8. Positive for hepatitis B antigen, hepatitis C antibody, or HIV antibody.
9. Patients with pneumonitis (interstitial pneumonia) or pulmonary fibrosis in clinical, or abnormal (high-resolution) chest CT findings bilateral lung regardless of the presence or absence of symptoms.
10. Patient has hypersensitivity to boron or mannitol.
11. Patient has psychiatric diseases or psychological symptoms.
12. Patient judged inappropriate to participate in this study.

Target sample size

35


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Akihiro Yokoyama

Organization

National Hospital Organization Tokyo Medical Center

Division name

Division of Hematology, Department of Internal Medicine

Zip code


Address

2-5-1, Higasigaoka, Meguro-ku, Tokyo 152-8902, Japan

TEL

03-3411-0111

Email

ayokoyama@ntmc.hosp.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hiromi Ohno

Organization

National Hospital Organization Tokyo Medical Center

Division name

Documents support clerk

Zip code


Address

2-5-1, Higasigaoka, Meguro-ku, Tokyo 152-8902, Japan

TEL

03-3411-0111

Homepage URL


Email

HOhno@ntmc.hosp.go.jp


Sponsor or person

Institute

Clinical Hematlogy Study Group of National Hospital Organization (CHSGONHO)

Institute

Department

Personal name



Funding Source

Organization

National Hospital Organization

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


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 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

Completed

Date of protocol fixation

2014 Year 04 Month 03 Day

Date of IRB


Anticipated trial start date

2014 Year 10 Month 20 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 04 Month 21 Day

Last modified on

2017 Year 04 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015524


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name