UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028488
Receipt number R000032596
Scientific Title The single-arm phase II study evaluating pomalidomide-plus-dexamethasone for relapsed/refractory multiple myeloma and phase II study evaluating pomalidomide-bortezomib-dexamethasone for the patients who are not able to achieve PR after pomalidomide-plus-dexamethasone therapy
Date of disclosure of the study information 2017/08/02
Last modified on 2022/10/09 17:16:21

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Basic information

Public title

The single-arm phase II study evaluating pomalidomide-plus-dexamethasone for relapsed/refractory multiple myeloma and phase II study evaluating pomalidomide-bortezomib-dexamethasone for the patients who are not able to achieve PR after pomalidomide-plus-dexamethasone therapy

Acronym

J-MEN 010 Study

Scientific Title

The single-arm phase II study evaluating pomalidomide-plus-dexamethasone for relapsed/refractory multiple myeloma and phase II study evaluating pomalidomide-bortezomib-dexamethasone for the patients who are not able to achieve PR after pomalidomide-plus-dexamethasone therapy

Scientific Title:Acronym

J-MEN 010 Study

Region

Japan


Condition

Condition

Relapse and Refractory Multiple Myeloma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Primary objective of this study is to evaluate the effect of pomalidomide+dexamethasone therapy for early relapsed multiple myeloma patients who have been previously treated with bortezomib and lenalidomide and within 1-4 prior regimens. The secondary objective is to evaluate pomalidomide+bortezomib+dexamethasone therapy for the patients who are not able to achieve PR after pomalidomide+dexamethasone therapy

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Overall response rate of 4 cycles of pomalidomid+dexamethasone therapy

Key secondary outcomes

Overall response rate of bortezomib+pomalidomid+dexamethasone (BPd)
stringent complete response (sCR)
Complete response (CR)
Overall response (more than PR)
2 years progression free survival
3 years progression free survival
2 years overall survival
3 years overall survival
median progression free survival
adverse events


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Pomalidomide, Dexamethasone PomD
Pomalidomide, Bortezomib, Dexamethasone PBd

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/refractory multiple myeloma diagnosed according to IMWG criteria and previously treated with bortezomib and lenalidomide.
2. Patients must have evaluable multiple myeloma with at least one of the following (within 21 days of starting treatment)
a.Serum M-protein > 0.5g/dL, or
b.In subjects without detectable serum M-protein, Urine M-protein>200mg/24 hour, or serum free light chai (sFLC)>100mg/L (involved light chain) and an abnormal kappa/Lambda ratio
3. Can receive up to 4 lines of prior treatment. (Induction therapy followed by stem cell transplantation and consolidation/maintenance therapy will be considered as one line of treatment)
4. 20 years old or more
5. ECOG Performance status 0 or 1 or 2
6. Patients must meet the following clinical laboratory criteria with 21 days of starting treatment
a. Absolute neutrophil count (ANC) >1,000/mm3 and platelet >50,000/mm3 (>30,000/mm3 if myeloma involvement in the bone marrow is >50%)
b. Total bilirubin<1.5 x the upper limit of the normal range (ULN). Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) <3 x ULN.
c. Calculated creatinine clearance > 30mL/min or creatinine < 3mg/dL.
7. adhere to RevMate
8. written informed consent



Key exclusion criteria

1.Female patients who are lactating or pregnant
2.Multiple Myeloma of IgM subtype
3.Glucocorticoid therapy (prednisolone > 30mg/day or equivalent) within 14 days prior to informed consent obtained
4.POEMS syndrome
5.Plasma cell leukemia or circulating plasma cells >2 x 109/L
6.Waldenstroms Macroglobulinaemia
7.Patients with known amyloidosis
8.Patients with GVHD
9.Patients with cataract
10.Glucocorticoid>30mg/day 14 days prior to obtaining informed consent
11,Chemotherapy with approved within 21 days prior to starting pomalidomide treatment
12.Focal radiation therapy within 7 days prior to start of pomalidomide. Radiation therapy to an extended field involving a significant volume of bone marrow within 21 days prior to start of pomalidomide
13.Major surgery (excluding kyphoplasty) within 28 days prior to start of pomalidomide
14.Active congestive heart failure (New York Heart Association [NYHA] Class III or IV), symptomatic ischaemia, or conduction abnormalities uncontrolled by conventional intervention. Myocardial infarction within 4 months prior to informed consent obtained
15.HBs antigen positive, HCV antibody positive, HIV antibody positive
16.malignancy within the past 3 years except:
a.Adequately treated basal cell or squamous cell skin cancer
b.Carcinoma in situ of the cervix
c.Breast carcinoma in situ with full surgical resection
17.Patients with steroid or lenalidomide hypersensitivity
18.Prior treatment with pomalidomide
19.Peripheral neuropathy > Grade 2
20.Un-controlled liver dysfunction, renal dysfunction, heart failure, lung dysfunction, diabetes, hypertension
21.active infection
22.Myocardial infarction within 4 months or deep vein thrombosis, pulmonary embolism within 3 years prior to informed consent
23.interstitial pneumonitis, pulmonary fibrosis, abnormal interstitial shadow by CT scan
24.inappropriate for study by any reason

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Sadao
Middle name
Last name Ishida

Organization

Japan Red Cross Medical Center

Division name

Hematology

Zip code

150-8935

Address

4-1-22 Hiroo Shibuyaku Tokyo

TEL

03-3400-1311

Email

i.s.h.i.28@rondo.ocn.ne.jp


Public contact

Name of contact person

1st name Hiroshi
Middle name
Last name Handa

Organization

Gunma University Hospital

Division name

Division of Hematology

Zip code

371-8511

Address

3-39-15 Showa-machi Maebashi Gunma

TEL

027-220-8166

Homepage URL


Email

handahiroshi@gunma-u.ac.jp


Sponsor or person

Institute

Gunma University Hospital

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

Gunma University Hospital

Address

3-39-15 Showa-machi Maebashi Gunma

Tel

027-220-8763

Email

nakamurt@gunma-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

群馬大学医学部附属病院(群馬県)
日本赤十字医療センター(東京都)
公益財団法人仁泉会 北福島医療センター(福島県)
国立病院機構 岡山医療センター(岡山県)
徳島県立中央病院(徳島県)
国立病院機構 災害医療センター(東京都)
札幌医科大学附属病院(北海道)
市立札幌病院(北海道)
神奈川県立がんセンター(神奈川県)
大垣市民病院(岐阜県)
金沢大学付属病院(石川県)
JCHO 京都鞍馬口医療センター(京都府)
静岡県立静岡がんセンター(静岡県)
秋田大学医学部附属病院(秋田県)
社会療法人北楡会 札幌北楡病院(北海道)
医療法人菊郷会 愛育病院(東京都)
公益財団法人 永寿総合病院(東京都)
日本医科大学付属病院(東京都)
近畿大学医学部奈良病院(奈良県)
国立病院機構 渋川医療センター(群馬県)

Japan Myeloma Network


Other administrative information

Date of disclosure of the study information

2017 Year 08 Month 02 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

No longer recruiting

Date of protocol fixation

2017 Year 07 Month 13 Day

Date of IRB

2017 Year 07 Month 27 Day

Anticipated trial start date

2017 Year 08 Month 14 Day

Last follow-up date

2023 Year 08 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

2017 Year 08 Month 02 Day

Last modified on

2022 Year 10 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032596


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name