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临床试验/NL-OMON47210
NL-OMON47210已完成不适用

A PHASE 1/2 MULTICENTER, OPEN-LABEL STUDY TO DETERMINE THE RECOMMENDED DOSE AND REGIMEN OF DURVALUMAB (MEDI4736) IN COMBINATION WITH LENALIDOMIDE (LEN) WITH AND WITHOUT DEXAMETHASONE (DEX) IN SUBJECTS WITH NEWLY DIAGNOSED MULTIPLE MYELOMA (NDMM) - MEDI-4736-MM-002

Celgene Corporation0 个研究点目标入组 12 人开始时间: 待定最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
12

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • 1. Subject is >= 18 years of age at the time of signing the informed
  • consent form (ICF)
  • 2. Subject must understand and voluntarily sign an ICF prior to any
  • study-related assessments/procedures being conducted
  • 3. Subject is willing and able to adhere to the study visit schedule and
  • other protocol requirements
  • 4. Subject must have documented diagnosis with previously untreated
  • (for cohort C, the induction and consolidation treatment along with the
  • first ASCT are allowed), symptomatic multiple myeloma (MM) as defined
  • in the protocol
  • 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0,
  • 6. Females of childbearing potential (FCBP) must:
  • a. Have two negative pregnancy tests as verified by the investigator
  • prior to starting study treatment. She must agree to ongoing pregnancy
  • testing during the course of the study, and after end of study treatment.
  • This applies even if the subject practices true abstinence from
  • heterosexual contact.
  • b. She must either commit to true abstinence from heterosexual contact
  • (which must be reviewed on a monthly basis and be source documented)
  • or agree to use, and be able to comply with, effective contraception
  • without interruption, 28 days prior to starting study treatment, during
  • the study therapy (including dose interruptions), and for 90 days after
  • discontinuation of study treatment.
  • c. Refrain from egg cell and blood donation for 90 days after the final
  • dose of durvalumab.
  • 7. Male subjects must :
  • a. Practice true abstinence (which must be reviewed on a monthly basis)
  • or agree to use a condom during sexual contact with a pregnant female
  • or a FCBP while participating in the study, during dose interruptions and
  • for at least 90 days following study treatment discontinuation, even if he
  • has undergone a successful vasectomy.
  • b. Refrain from sperm and blood donation for at least 90 days after the
  • final dose of durvalumab
  • 8. For Cohort A subject must be transplant non-eligible (TNE) and meet
  • at least one of the following high risk factors:
  • a. Cytogenetic abnormalities finding in malignant myeloma clone with
  • t(4; 14); and / or del(17p); and / or 1q amplification; and / or
  • t(14:16);or
  • b. ISS Stage III; or
  • c. Serum LDH > 2 x ULN
  • 9. For Cohort B subject must be >= 65 years of age at the time of signing
  • the informed consent form (ICF) and transplant non-eligible (TNE);
  • excluding the subjects who meet the Cohort A criteria
  • 10. For Cohort C subject must be after first autologous stem cell
  • transplantation (ASCT) for NDMM and meet the following criteria:
  • a. Have a post-transplant response as PR or better at the time of
  • enrollment to this study;
  • b. Have one of the following high risk factors at the time of NDMM
  • - Cytogenetic abnormalities finding in malignant myeloma clone with t(4;
  • 14); and/ or del(17p); and / or 1q amplification; and / or t(14; 16); or
  • 另有 7 项未显示

排除标准

  • 1. Previous treatment with anti-myeloma therapy (does not include
  • radiotherapy, bisphosphonates, or a single short course of steroid [ie,
  • less than or equal to the equivalent of dexamethasone 40 mg/day for 4
  • days; such a short course of steroid treatment must not have been given
  • within 14 days of Cycle 1 Day 1], for Cohort C, the induction and
  • consolidation treatment along with the first ASCT are allowed)
  • 2. Any of the following laboratory abnormalities:
  • a. Absolute neutrophil count (ANC) < 1,000/µL
  • b. Untransfused platelet count < 75,000 cells/µL
  • c. Serum aspartate aminotransferase/serum glutamic oxaloacetic
  • transaminase (SGOT/AST) or alanine aminotransferase (SGPT/ALT) >
  • 2.5 × upper limit of normal (ULN)
  • d. Serum total bilirubin > 1.5 × ULN or > 3.0 mg/dL for subjects with
  • documented Gilbert's syndrome
  • e. Corrected serum calcium >13.5 mg/dL (> 3.4 mmol/L)
  • 3. Renal failure requiring hemodialysis or peritoneal dialysis
  • 4. Any serious medical condition that places the subject at an
  • unacceptable risk if he or she participates in this study. Examples of
  • such a medical condition are, but are not limited to, subject with
  • unstable cardiac disease as defined by: cardiac events such as
  • myocardial infarction (MI) within the past 6 months, NYHA (New York
  • Heart Association) heart failure class III-IV, uncontrolled atrial
  • fibrillation or hypertension; subjects with conditions requiring chronic
  • steroid or immunosuppressive treatment, such as rheumatoid arthritis,
  • multiple sclerosis and lupus, that likely need additional steroid or
  • immunosuppressive treatments in addition to the study treatment
  • 5. Peripheral neuropathy >= Grade 2
  • 6. Primary AL (immunoglobulin light-chain) amyloidosis and myeloma
  • complicated by amyloidosis
  • 7. Prior history of malignancies, other than MM, unless the subject has
  • been free of the disease for >= 5 years with the exception of the following
  • non-invasive malignancies:
  • a. Basal cell carcinoma of the skin
  • b. Squamous cell carcinoma of the skin
  • c. Carcinoma in situ of the cervix
  • d. Carcinoma in situ of the breast
  • e. Incidental histologic finding of prostate cancer (T1a or T1b using the
  • TNM [tumor, nodes, metastasis] clinical staging system) or prostate
  • cancer that is curative
  • 8. Subjects is positive for human immunodeficiency virus (HIV); chronic
  • or active hepatitis B or active hepatitis A, or C
  • 9. Subject had prior exposure to immunotherapy, including, but not
  • limited to, other anti-CTLA-4, anti-PD-1, anti-PD-L1 monoclonal antibody
  • or inhibitor, cell-based therapies, or cancer vaccines
  • 10. Subjects had history of organ or allogeneic stem cell transplantation
  • 11. Subjects who have had clinical evidence of central nervous system
  • (CNS) or pulmonary leukostasis, disseminated intravascular coagulation,
  • or CNS multiple myeloma, or plasma cell leukemia
  • 12. Known or suspected hypersensitivity to the excipients contained in
  • the formulation of durvalumab, lenalidomide, or dexamethasone
  • 另有 6 项未显示

研究者

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