UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000031359
Receipt number R000035723
Scientific Title A PK/PD study of Ixazomib in Japanese mutiple myeloma patients with renal or hepatic impairment
Date of disclosure of the study information 2018/04/01
Last modified on 2022/06/10 10:17:07

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Basic information

Public title

A PK/PD study of Ixazomib in Japanese mutiple myeloma patients with renal or hepatic impairment

Acronym

Ixazomib_renal/hepatic failure_PK/PD

Scientific Title

A PK/PD study of Ixazomib in Japanese mutiple myeloma patients with renal or hepatic impairment

Scientific Title:Acronym

Ixazomib_renal/hepatic failure_PK/PD

Region

Japan


Condition

Condition

Relapsed and/or Refractory Multiple Myeloma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To investigate appropriate Ixazomib dose when IRD therapy is administered to Relapsed and/or Refractory Multiple Myeloma patients with severe renal impairment and moderate or severe liver impairment,

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The AUC of the severe renal impairment cohort

Key secondary outcomes

The PK(Cmax, Tmax) of the severe renal impairment cohort
Overall response rate at 24 weeks from the start of study treatment [renal impairment cohort]
Overall survival rate at 24 weeks from the start of study treatment [renal impairment cohort]
Adverse events and serious adverse events from the start of the study treatment up to 24 weeks.[renal impairment cohort]
The PK (AUC, Cmax, Tmax) of the severe hepatic impairment cohort
Overall response rate at 24 weeks from the start of study treatment [hepatic impairment cohort]
Overall survival rate at 24 weeks from the start of study treatment [hepatic impairment cohort]
Adverse events and serious adverse events from the start of the study treatment up to 24 weeks [hepatic impairment cohort]
Overall survival rate at 52 weeks from the start of study treatment [renal impairment cohort, hepatic impairment cohort]
PPK parameters of Ixazomib [renal impairment cohort, hepatic impairment cohort]
PK parameters of Lenalidomide [renal impairment cohort, hepatic impairment cohort]
PPK parameters of Lenalidomide [renal impairment cohort, hepatic impairment cohort]


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Ixazomib(4mg) + Lenalidomide + Dexamethasone

Interventions/Control_2

Ixazomib(3mg) + Lenalidomide + Dexamethasone

Interventions/Control_3

Ixazomib(3mg) + Lenalidomide + Dexamethasone

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)Men and women of age 20 years or older at the consent acquisition date
(2)Performance status of 0-2 according to the Eastern Cooperative Oncology Group (ECOG) scale.
(3)Patients with RRMM
(4) The latest inspection value within 14 days before registration meets all of the following. The evaluation of CCr and T-Bil is different
Two bleeds (that is not possible on the same date) will be subject to both criteria.
[Renal disorder cohort]
1. Number of neutrophils >= 1,000/uL
2. Platelet count >= 75,000 / uL
3. AST <= 90 U / L: 3 times or less than normal upper limit value
4. ALT <=126 U / L (male) or 69 U / L (female): 3 times or less of normal upper limit
5. T-Bil <= 2.25 mg / mL: 1.5 times or less of normal upper limit value
6. CCr <= 30 mL / min
[Liver disorder cohort]
1. Number of neutrophils >= 1,000 / uL
2. Platelet count >= 75,000 / uL
3. T-Bil> 2.25 mg / mL: exceeds 1.5 normal upper limit
4. CCr> 30 mL / min
(6) Survival of more than 6 months can be expected from the date of registration.
(7) With regard to participation in this examination, document consent was obtained by the volunteer's free will.

Key exclusion criteria

(1) Patients with another active malignancy
(2) Patients who underwent surgical operations requiring general anesthesia within 14 days before registration
(3) have active infection requiring systemic treatment.
(4) has central invasive lesion of multiple myeloma / plasmacytoma.
(5) have poorly controlled cardiovascular disease (hypertension, arrhythmia, heart failure, unstable angina or myocardial infarction that developed within 6 months before enrollment).
(6) Active HBV infection (Hbs antigen positive and HBV-DNA positive) and HCV infection (HCV antibody positive and HCV-RNA positive), or known HIV infection.
(7) Severe complications (active gastrointestinal ulcer, intestinal palsy, intestinal obstruction, inflammatory bowel disease, interstitial pneumonia or pulmonary fibrosis, poorly controlled diabetes etc.).
(8) Patients whose mental illness or psychiatric symptoms, which interferes with daily life, are merged and judged to be difficult to participate in the examination.
(9) Patients who are considered difficult to participate in the exam because of complicated with psychiatric disorders or psychiatric symptoms that interfere with daily living
(10) Patients who are hypersensitive to test drugs and their analogs and additivesients whose oral medications are difficult to administer or whose administration conditions can not be observed or whose undergoing gastrointestinal procedures that affect oral drug absorption and tolerability.
(11) pregnant women,Lactating women,or a woman with the possibility (or intention). of a pregnant.
(12) patients undergoing systemic administration of strong CYP1A2 inhibitors (fluvoxamine, ciprofloxacin), potent CYP3A inhibitors (clarithromycin, itraconazole, voriconazole), potent CYP3A inducers (rifampicin, rifabutin, carbamazepine, Phenytoin, Phenobarbital), ginkgo biloba or St. John's Wort.
(13) Patients who are judged inappropriate as subjects of this study by an investigator or a test sharing doctor.

Target sample size

17


Research contact person

Name of lead principal investigator

1st name Hironobu
Middle name
Last name Minami

Organization

Kobe University Hospital

Division name

Medical Oncology / Hematology

Zip code

650-0017

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Japan

TEL

078-382-5820

Email

hminami@med.kobe-u.ac.jp


Public contact

Name of contact person

1st name Akihito
Middle name
Last name Kitao

Organization

Kobe University Hospital

Division name

Medical Oncology / Hematology

Zip code

650-0017

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Japan

TEL

078-382-5820

Homepage URL


Email

akitao@med.kobe-u.ac.jp


Sponsor or person

Institute

Kobe University Hospital, Medical Oncology / Hematology

Institute

Department

Personal name



Funding Source

Organization

Kobe University Hospital, Medical Oncology / Hematology

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

Ethical Review Board, Kobe University Hospital

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Japan

Tel

078-382-6669

Email

chiken@med.kobe-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



Other administrative information

Date of disclosure of the study information

2018 Year 04 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

Terminated

Date of protocol fixation

2018 Year 02 Month 19 Day

Date of IRB

2018 Year 03 Month 26 Day

Anticipated trial start date

2018 Year 04 Month 01 Day

Last follow-up date

2022 Year 05 Month 16 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 02 Month 19 Day

Last modified on

2022 Year 06 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035723


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name