UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028421
Receipt number R000032527
Scientific Title Efficacy and safety of new drugs for induction, autologous stem cell transplantation, consolidation and maintenance therapy in patients with newly diagnosed elderly symptomatic multiple myeloma: phase 2 study FBMTG EMM17
Date of disclosure of the study information 2017/10/01
Last modified on 2023/08/14 17:26:38

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Basic information

Public title

Efficacy and safety of new drugs for induction, autologous stem cell transplantation, consolidation and maintenance therapy in patients with newly diagnosed elderly symptomatic multiple myeloma: phase 2 study
FBMTG EMM17

Acronym

FBMTG EMM17

Scientific Title

Efficacy and safety of new drugs for induction, autologous stem cell transplantation, consolidation and maintenance therapy in patients with newly diagnosed elderly symptomatic multiple myeloma: phase 2 study
FBMTG EMM17

Scientific Title:Acronym

FBMTG EMM17

Region

Japan


Condition

Condition

Multiple myeloma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to investigate efficacy and safety of new drugs in each phase of treatment in patients with newly diagnosed elderly symptomatic multiple myeloma.
Induction therapy: bortezomib, lenalidomide, and dexamethasone (VRD). Conditioning regimen in autologous stem cell transplantation: bortezomib and high-dose melphalan. Consolidation therapy: ixazomib, lenalidomide, and dexamethasone (IRD).
Maintenance therapy: lenalidomide (until-PD).

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Complete response rate after consolidation

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

scVRD induction : Four 3-week cycles of scVRD. Cycle 1, subcutaneous bortezomib 1.3 mg/m2 on days 1, 4, 8 and 11, oral Lenalidomide 25 mg on days 1 to 14, and dexamethasone 40 mg/day on days 1, 4, 8, 11. Cycle2-4, subcutaneous bortezomib 1.3 mg/m2 on days 1, 8 and 15, Lenalidomide 25 mg on days 1 to 14, and dexamethasone 40 mg/day on days 1, 8 and 15.

scBor-plerixafor-G-CSF PBSC mobilization : subcutaneous bortezomib 1.3 mg/m2 on days 1 and 4, and subcutaneous plerixafor 0.24 mg/ kg on day 4 and G-CSF 10ug/kg on day1-5 and PBSCH after day 5. The collection goal is 2.0x10^6 CD34+ cells/kg.

High dose chemotherapy and PBSCT : subcutaneous bortezomib 1.3mg/m2 on days -4,-1, 3 and 6, L-PAM 70mg/m2 on days -3, and -2, and PBSCT at day 0.

IRD consolidation : Four 4-week cycles of oral ixazomib 4mg on days 1, 8 and 15, oral lenalidomide 15 mg on days 1 through 21 of each 28-days cycle, and dexamethasone 40 mg/day on days 1, 8 and 15.

Lenalidomide maintenance : 4-week cycles of oral lenalidomide 10 mg on days 1 through 21 of each 28-days cycle until disease progression or intolerable adverse event.

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

66 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

All the following criteria MUST be met:
1) Symptomatic multiple myeloma diagnosed by the criteria of International Myeloma Working Group (IMWG).
2) Measureable M protein in serum or urine.
3) Good performance status (0-2). (Patients with bad performance status by the osteolytic lesions can be included.)
4) Age: 66-75 years old
5) Main Organ function is maintained
6) Those who are evaluated to be able to survive more than 3 months.
7) For female patients, postmenopausal (patients older than one year from the last menstrual period), or the proper way or surgical contraception (birth control pills, contraceptives, etc.) has the intention of contraception during the study. For male patients, to agree the appropriate method of contraception during the study.
8) In patients receiving the notice, fully briefed for the consent document and other documents given explanation about the contents of the study physician or study investigator, agreed in writing to voluntarily participate in the study by have been obtained.

Key exclusion criteria

1) Non-secretory MM and plasma cell leukemia.
2) Patients HIV-positive
3) Severe hepatic dysfunction, severe renal failure, severe cardiac dysfunction, severe pulmonary dysfunction, uncontrolled diabetes, uncontrolled hypertension, and uncontrolled infection.
4) Patients with a history of active malignancy during the past 5 years.
5) Patients with psychiatric disorders such as schizophrenia etc.
6) Pregnant women, pre-menopausal women, and lactating women.
7) History of hypersensitivity to mannitol or boron.
8) Patient was suspected pneumonia(Interstitial pneumonia). Consult a respiratory specialist if necessary
9) Those who are considered as inappropriate to register by attending physicians.

Target sample size

49


Research contact person

Name of lead principal investigator

1st name Kazuki
Middle name
Last name Tanimoto

Organization

Fukuoka Red Cross Hospital

Division name

Department of Hematologyand Oncology

Zip code

815-8555

Address

3-1-1 okusu minami-ku, Fukuoka

TEL

092-521-1211

Email

fbmtg-office@umin.ac.jp


Public contact

Name of contact person

1st name Study Office
Middle name
Last name FBMTG

Organization

FBMTG

Division name

FBMTG Study Office

Zip code

815-8555

Address

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

TEL

092-642-5315

Homepage URL


Email

fbmtg-office@umin.ac.jp


Sponsor or person

Institute

FBMTG

Institute

Department

Personal name



Funding Source

Organization

Celgene

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

fukuoka

Address

fukuoka

Tel

tel

Email

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

2017 Year 10 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

Open public recruiting

Date of protocol fixation

2017 Year 08 Month 01 Day

Date of IRB


Anticipated trial start date

2017 Year 09 Month 10 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

2017 Year 07 Month 28 Day

Last modified on

2023 Year 08 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032527


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name