UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000019917
Receipt number R000022473
Scientific Title Efficacy and safety of dose-escalating lenalidomide and dexamethasone (Rd) for unfit patients with relapsed or refractory multiple myeloma
Date of disclosure of the study information 2015/11/24
Last modified on 2019/11/28 15:21:03

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Basic information

Public title

Efficacy and safety of dose-escalating lenalidomide and dexamethasone (Rd) for unfit patients with relapsed or refractory multiple myeloma

Acronym

Efficacy and safety of dose-escalating lenalidomide and dexamethasone (Rd) for unfit patients with relapsed or refractory multiple myeloma (GHSG MM-01)

Scientific Title

Efficacy and safety of dose-escalating lenalidomide and dexamethasone (Rd) for unfit patients with relapsed or refractory multiple myeloma

Scientific Title:Acronym

Efficacy and safety of dose-escalating lenalidomide and dexamethasone (Rd) for unfit patients with relapsed or refractory multiple myeloma (GHSG MM-01)

Region

Japan


Condition

Condition

Unfit patients with relapsed or refractory multiple myeloma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To search therapeutic strategy that obtain maximum effect with minimizing adverse events for elderly or frail patients with relapsed or refractory multiple myeloma,

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

The best response during 1 year from initiation of treatment.

Key secondary outcomes

(1) Safety: Hematological toxicity of grade 4, non-hematological toxicity of grade 3 to 4
(2) Continuation rate of treatment
(3) Total dosage of lenalidomide
(4) Overall survival
(5) Progression-free survival (the rate of patients who are not recognized as having progression or recurrence)


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

Lenalidomide 10mg daily on day 1-21 every 28 days, Dexamethasone 20mg a week on day 1, 8, 15, and 22 every 28 days
Lenalidomide dose will be escalated from 10mg to 25mg (5mg per cycle) if there are no grade3 hematological toxicities and grade2 non-hematological toxicities.

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) Multiple myeloma diagnosed in the criteria of IMWG
(2) Patients aged 20 years old and over with autologous stem cell transplantation ineligible multiple myeloma
(3) There is no treatment experience with lenalidomide, relapsed or refractory multiple myeloma patients with medical history over the past 1 regimen (bortezomib intolerance, also including patients paraprotein relapse)
(4) Patients who have been judged by the initial dose of the attending physician is necessary loss of lenalidomide
(5) Patients with ECOG of Perfomance Status (PS) 0-3
(6) Patients who keep the function of major organs, it meets the following criteria
1. Neutrophil count 1,000 / mm3 or more
2. Platelets 50,000 / mm3 or more
3. Serum total bilirubin value is less than three times of the facility upper limit of normal
4. Serum AST, ALT value is less than five times of the facility upper limit of normal
(7) 6 months or more of survival can be expected
(8) Creatinine clearance 30 mL / min or more
(9) Patients who can comply with lenalidomide drug management procedures (RevMate)
(10) In patients receiving notice, that consent in writing was obtained from his participation in the study

Key exclusion criteria

(1) Patients who have received treatment with lenalidomide
(2) Patients who have hypersensitivity to lenalidomide or dexamethasone
(3) non-secretory myeloma, solitary plasmacytoma, plasma cell leukemia, of POEMS syndrome patients
(4) HBs antigen positive, HCV antibody-positive, HTLV-I antibody-positive cases, of HIV antibody-positive patients
(5) Patients with a history of malignancy
(6) Patients with pregnancy, patients who may be pregnant, or patients during lactation
(7) uncontrolled liver dysfunction, renal dysfunction, cardiac dysfunction, lung dysfunction, diabetes, A high blood pressure, infections
(8) patients with severe mental disorders
(9) patients with deep vein thrombosis or pulmonary embolism
(10) Patients who are regarded as inappropriate for participation to this clinical study by attending physicians

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Hisashi
Middle name
Last name Tsurumi

Organization

Gifu University Hospital

Division name

Department of hematology

Zip code

501-1194

Address

1-1 Yanagido Gifu

TEL

058-230-6000

Email

htsuru@gifu-u.ac.jp


Public contact

Name of contact person

1st name Junichi
Middle name
Last name Kitagawa

Organization

Gifu University Hospital

Division name

Department of hematology

Zip code

501-1194

Address

1-1 Yanagido Gifu

TEL

058-230-6000

Homepage URL

http://seesaawiki.jp/ghsg/

Email

jkitagawa1128@gmail.com


Sponsor or person

Institute

Gifu University Hospital

Institute

Department

Personal name



Funding Source

Organization

Department of hematology, Gifu University Hospital

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

IMedical Review Board of Gifu University Graduate School of Medicine

Address

1-1 Yanagido Gifu

Tel

058-230-6059

Email

rinri@gifu-u.ac.jp


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

岐阜大学医学部附属病院(岐阜県)
岐阜県総合医療センター(岐阜県)
岐阜市民病院(岐阜県)
岐阜赤十字病院(岐阜県)
岐北厚生病院(岐阜県)
一宮市立木曽川市民病院(愛知県)
高山赤十字病院(岐阜県)


Other administrative information

Date of disclosure of the study information

2015 Year 11 Month 24 Day


Related information

URL releasing protocol

http://image01.seesaawiki.jp/g/g/ghsg/0dd6c19d776fe02a.pdf

Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

20

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

No longer recruiting

Date of protocol fixation

2014 Year 02 Month 01 Day

Date of IRB

2014 Year 03 Month 05 Day

Anticipated trial start date

2014 Year 04 Month 01 Day

Last follow-up date

2019 Year 03 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

2015 Year 11 Month 24 Day

Last modified on

2019 Year 11 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022473


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name